High performance across diverse hardware ecosystem

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Enabling scenarios through the usage of Deep Neural Network (DNN) models is critical to our AI strategy at Oracle, and our Cloud AI Services team has built a solution to serve DNN models for customers in the healthcare sector. In this blog post, we’ll share challenges our...

For severe symptoms, danger signs, pregnancy, child illness, or sudden worsening, seek urgent medical care.

বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

এই তথ্য শিক্ষা ও সচেতনতার জন্য। এটি ডাক্তারি পরীক্ষা, রোগ নির্ণয় বা প্রেসক্রিপশনের বিকল্প নয়।

Article Summary

Enabling scenarios through the usage of Deep Neural Network (DNN) models is critical to our AI strategy at Oracle, and our Cloud AI Services team has built a solution to serve DNN models for customers in the healthcare sector. In this blog post, we’ll share challenges our team faced, and how ONNX Runtime solves these as the backbone of success for high-performance inferencing. Challenge 1: Models from different training...

Key Takeaways

  • This article explains Validating ONNX Runtime in simple medical language.
  • This article explains Benchmarking ONNX Runtime with alternative inference engines in simple medical language.
  • This article explains Conclusion in simple medical language.
Educational health guideWritten for patient understanding and clinical awareness.
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Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Before reading

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Start here Choose the right pathway for symptoms, reports, medicines, or urgent warning signs. Disease article roadmap Read this topic step by step: meaning, symptoms, warning signs, diagnosis, treatment, prevention, and follow-up. Treatment planner Prepare questions about treatment choices, benefits, risks, side effects, and follow-up. Family & caregiver guide Organize symptoms, reports, medicines, questions, and follow-up safely. Nutrition & diet guide Prepare food, hydration, supplement, and medicine-timing questions safely. Prevention guide Organize risk factors, protective habits, screening, and warning signs. Recovery guide Prepare a safe plan for activity, rehabilitation, warning signs, and follow-up.

Enabling scenarios through the usage of Deep Neural Network (DNN) models is critical to our AI strategy at Oracle, and our Cloud AI Services team has built a solution to serve DNN models for customers in the healthcare sector. In this blog post, we’ll share challenges our team faced, and how ONNX Runtime solves these as the backbone of success for high-performance inferencing.

Challenge 1: Models from different training frameworks

To provide the best solutions for specific AI tasks, Oracle Cloud AI supports a variety of machine learning models trained from different frameworks, including PyTorch, TensorFlow, PaddlePaddle, and Scikit-learn. While each of these frameworks has its own built-in serving solutions, maintaining so many different serving frameworks would be a nightmare in practice. Therefore, one of our biggest priorities was to find a versatile unified serving solution to streamline maintenance.

Challenge 2: High performance across diverse hardware ecosystem

For Oracle Cloud AI services, low latency and high accuracy are crucial for meeting customers’ requirements. The DNN model servers are hosted in Oracle Cloud Compute clusters, and most of them are equipped with different CPUs (Intel, AMD, and ARM) and operating systems. We needed a solution that would run well on all the different Oracle compute shapes while remaining easy to maintain.

Solution: ONNX Runtime

In our search for the best DNN inference engine to support our diverse models and perform well across our hardware portfolio, ONNX Runtime caught our eye and stood out from alternatives.

ONNX Runtime is a high-performance, cross-platform accelerator for machine learning models. Because ONNX Runtime supports the Open Neural Network Exchange (ONNX), models trained from different frameworks can be converted to the ONNX format and run on all platforms supported by ONNX Runtime. This makes it easy to deploy machine learning models across different environments, including cloud, edge, and mobile devices. ONNX Runtime supports all the Oracle Cloud compute shapes including VM.Standard.A1.Flex (ARM CPU), VM.Standard.3/E3/4.Flex (AMD and Intel CPU), and VM.Optimized3.Flex (Intel CPU). Not only does ONNX Runtime run on a variety of hardware, but its execution provider interface also allows it to efficiently utilize accelerators specific to each hardware.

Validating ONNX Runtime

Based on our evaluation, we were optimistic about using ONNX Runtime as our model inferencing solution, and the next step was to verify its compatibility and performance to ensure it could meet our targets.

It was relatively easy to verify hardware, operating system, and model compatibility by just launching the model servers with ONNX Runtime in the cloud. To systematically measure and compare ONNX Runtime’s performance and accuracy to alternative solutions, we developed a pipeline system. ONNX Runtime’s extensibility simplified the benchmarking process, as it allowed us to seamlessly integrate other inference engines by compiling them as different execution providers (EP) for ONNX Runtime. Thus, ONNX Runtime served not only as a runtime engine but as a platform where we could support many inference engines and choose the best one to suit our needs at runtime.

We compiled TVM, OneDNN, and OpenVINO into ONNX Runtime, and it was very convenient to switch between these different inference engines with a unified programming interface. For example, in Oracle’s VM.Optimized3.Flex and BM.Optimized 3.36 compute instances, where the Intel(R) Xeon(R) Gold 6354 CPU is available, OpenVINO could run faster than other inference engines by a large margin due to the AVX VNNI instruction set support. We didn’t want to change our model serving code to fit different serving engines, and ONNX Runtime’s EP feature conveniently allowed us to write the code once and run it with different inference engines.

Benchmarking ONNX Runtime with alternative inference engines

With our pipeline configured to test all relevant inference engines, we began the benchmarking process for different models and environments. In our tests, ONNX Runtime was the clear winner against alternatives by a big margin, measuring 30 to 300 percent faster than the original PyTorch inference engine regardless of whether just-in-time (JIT) was enabled.

ONNX Runtime on CPU was also the best solution compared to DNN compilers like TVM, OneDNN (formerly known as Intel MKL-DNN), and MLIR. OneDNN was the closest to ONNX Runtime, but still 20 to 80 percent slower in most cases. MLIR was not as mature as ONNX Runtime two years ago, and the conclusion still holds at the time of this writing. It doesn’t support dynamic input shape models and only supports limited ONNX operators. TVM also performed well in static shapes model inference, but for accuracy consideration, most of our models use dynamic shape input and TVM raised exceptions for our models. Even with static shape models, we found TVM to be slower than ONNX Runtime.

We investigated the reason for ONNX Runtime’s strong performance and found ONNX Runtime to be extremely optimized for CPU servers. All the core algorithms, such as the crucial 2D convolution, transpose convolution, and pooling algorithm, are delicately written with assembly code by hand and statically compiled into the binary. It even won against TVM’s autotuning without any extra preprocessing or tuning. OneDNN’s JIT is designed to be flexible and extensible and can dynamically generate machine code for DNN primitives on the fly. However, it still lost to ONNX Runtime in our benchmark tests because ONNX Runtime statically compiled the primitives beforehand. Theoretically, there are several tunable parameters in the DNN primitives algorithms, so in some cases like edge devices with different register files and CPU cache sizes, there might be better algorithms or implementations with different choices of parameters. However, for the DNN models in Oracle Cloud Compute CPU clusters, ONNX Runtime is a match in heaven and is the fastest inference engine we have ever used.

Conclusion

We really appreciate the ONNX Runtime team for open-sourcing this amazing software and continuously improving it. This enables Oracle Cloud AI Services to provide a performant DNN model serving solution to our customers and we hope that others will also find our experience helpful.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Rest, drink safe water, and observe symptoms carefully.
  • Keep a written note of symptoms, duration, temperature, medicines already taken, and allergy history.
  • Seek medical care quickly if symptoms are severe, worsening, or unusual for the patient.

OTC medicine safety

  • For mild pain or fever, ask a registered pharmacist or doctor before using common over-the-counter pain/fever medicines.
  • Do not combine multiple pain medicines without advice, especially if you have kidney disease, liver disease, stomach ulcer, asthma, pregnancy, or take blood thinners.
  • Do not give adult medicines to children unless a qualified clinician advises it.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Severe symptoms, confusion, fainting, breathing difficulty, chest pain, severe dehydration, or sudden weakness need urgent medical care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: High performance across diverse hardware ecosystem

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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