This project explores the feasibility of remote patient monitoring based on the analysis of 3D movements captured with smartwatches. We base our analysis on the Kinematic Theory of Rapid Human Movement. We have validated our research in a real case scenario for stroke rehabilitation at the Guttmann Institute5 (neurorehabilitation hospital), showing promising results. Our work could have a great impact in remote healthcare applications, improving the medical efficiency and reducing the healthcare costs. Future steps include more clinical validation, developing multi-modal analysis architectures (analysing data from sensors, images, audio, etc.), and exploring the application of our technology to monitor other neurodegenerative diseases.
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背景:基于学习的深度颈部淋巴结水平(HN_LNL)自动纤维与放射疗法研究和临床治疗计划具有很高的相关性,但在学术文献中仍被研究过。方法:使用35个规划CTS的专家划分的队列用于培训NNU-NEN 3D FULLES/2D-ENEBLEN模型,用于自动分片20不同的HN_LNL。验证是在独立的测试集(n = 20)中进行的。在一项完全盲目的评估中,3位临床专家在与专家创建的轮廓的正面比较中对深度学习自动分类的质量进行了评价。对于10个病例的亚组,将观察者内的变异性与深度学习自动分量性能进行了比较。研究了Autocontour与CT片平面方向的一致性对几何精度和专家评级的影响。结果:与专家创建的轮廓相比,对CT SLICE平面调整的深度学习分割的平均盲目专家评级明显好得多(81.0 vs. 79.6,p <0.001),但没有切片平面的深度学习段的评分明显差。专家创建的轮廓(77.2 vs. 79.6,p <0.001)。深度学习分割的几何准确性与观察者内变异性(平均骰子,0.78 vs. 0.77,p = 0.064)的几何准确性无关,并且在提高水平之间的准确性方面差异(p <0.001)。与CT切片平面方向一致性的临床意义未由几何精度指标(骰子,0.78 vs. 0.78 vs. 0.78,p = 0.572)结论:我们表明可以将NNU-NENE-NET 3D-FULLRES/2D-ENEMELBEND用于HN_LNL高度准确的自动限制仅使用有限的培训数据集,该数据集非常适合在研究环境中在HN_LNL的大规模标准化自动限制。几何准确度指标只是盲人专家评级的不完善的替代品。
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b \“无限单词上的uchi automata提出了许多有趣的问题,并经常用于程序验证和模型检查。b \ b \ b \'uchi automata在计算上很难可能比使用传统算法更有效。由于B \“ Uchi Automata可以用图表示,因此图神经网络是这种基于学习的分析的自然选择。在本文中,我们演示了如何使用图形神经网络可靠地预测B \'uchi的基本属性。自动培训自动生成随机自动机数据集时。
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Machine learning applications have become ubiquitous. Their applications range from embedded control in production machines over process optimization in diverse areas (e.g., traffic, finance, sciences) to direct user interactions like advertising and recommendations. This has led to an increased effort of making machine learning trustworthy. Explainable and fair AI have already matured. They address the knowledgeable user and the application engineer. However, there are users that want to deploy a learned model in a similar way as their washing machine. These stakeholders do not want to spend time in understanding the model, but want to rely on guaranteed properties. What are the relevant properties? How can they be expressed to the stakeholder without presupposing machine learning knowledge? How can they be guaranteed for a certain implementation of a machine learning model? These questions move far beyond the current state of the art and we want to address them here. We propose a unified framework that certifies learning methods via care labels. They are easy to understand and draw inspiration from well-known certificates like textile labels or property cards of electronic devices. Our framework considers both, the machine learning theory and a given implementation. We test the implementation's compliance with theoretical properties and bounds.
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Coronary Computed Tomography Angiography (CCTA) provides information on the presence, extent, and severity of obstructive coronary artery disease. Large-scale clinical studies analyzing CCTA-derived metrics typically require ground-truth validation in the form of high-fidelity 3D intravascular imaging. However, manual rigid alignment of intravascular images to corresponding CCTA images is both time consuming and user-dependent. Moreover, intravascular modalities suffer from several non-rigid motion-induced distortions arising from distortions in the imaging catheter path. To address these issues, we here present a semi-automatic segmentation-based framework for both rigid and non-rigid matching of intravascular images to CCTA images. We formulate the problem in terms of finding the optimal \emph{virtual catheter path} that samples the CCTA data to recapitulate the coronary artery morphology found in the intravascular image. We validate our co-registration framework on a cohort of $n=40$ patients using bifurcation landmarks as ground truth for longitudinal and rotational registration. Our results indicate that our non-rigid registration significantly outperforms other co-registration approaches for luminal bifurcation alignment in both longitudinal (mean mismatch: 3.3 frames) and rotational directions (mean mismatch: 28.6 degrees). By providing a differentiable framework for automatic multi-modal intravascular data fusion, our developed co-registration modules significantly reduces the manual effort required to conduct large-scale multi-modal clinical studies while also providing a solid foundation for the development of machine learning-based co-registration approaches.
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The release of ChatGPT, a language model capable of generating text that appears human-like and authentic, has gained significant attention beyond the research community. We expect that the convincing performance of ChatGPT incentivizes users to apply it to a variety of downstream tasks, including prompting the model to simplify their own medical reports. To investigate this phenomenon, we conducted an exploratory case study. In a questionnaire, we asked 15 radiologists to assess the quality of radiology reports simplified by ChatGPT. Most radiologists agreed that the simplified reports were factually correct, complete, and not potentially harmful to the patient. Nevertheless, instances of incorrect statements, missed key medical findings, and potentially harmful passages were reported. While further studies are needed, the initial insights of this study indicate a great potential in using large language models like ChatGPT to improve patient-centered care in radiology and other medical domains.
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Artificial Intelligence (AI) has become commonplace to solve routine everyday tasks. Because of the exponential growth in medical imaging data volume and complexity, the workload on radiologists is steadily increasing. We project that the gap between the number of imaging exams and the number of expert radiologist readers required to cover this increase will continue to expand, consequently introducing a demand for AI-based tools that improve the efficiency with which radiologists can comfortably interpret these exams. AI has been shown to improve efficiency in medical-image generation, processing, and interpretation, and a variety of such AI models have been developed across research labs worldwide. However, very few of these, if any, find their way into routine clinical use, a discrepancy that reflects the divide between AI research and successful AI translation. To address the barrier to clinical deployment, we have formed MONAI Consortium, an open-source community which is building standards for AI deployment in healthcare institutions, and developing tools and infrastructure to facilitate their implementation. This report represents several years of weekly discussions and hands-on problem solving experience by groups of industry experts and clinicians in the MONAI Consortium. We identify barriers between AI-model development in research labs and subsequent clinical deployment and propose solutions. Our report provides guidance on processes which take an imaging AI model from development to clinical implementation in a healthcare institution. We discuss various AI integration points in a clinical Radiology workflow. We also present a taxonomy of Radiology AI use-cases. Through this report, we intend to educate the stakeholders in healthcare and AI (AI researchers, radiologists, imaging informaticists, and regulators) about cross-disciplinary challenges and possible solutions.
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The future of population-based breast cancer screening is likely personalized strategies based on clinically relevant risk models. Mammography-based risk models should remain robust to domain shifts caused by different populations and mammographic devices. Modern risk models do not ensure adaptation across vendor-domains and are often conflated to unintentionally rely on both precursors of cancer and systemic/global mammographic information associated with short- and long-term risk, respectively, which might limit performance. We developed a robust, cross-vendor model for long-term risk assessment. An augmentation-based domain adaption technique, based on flavorization of mammographic views, ensured generalization to an unseen vendor-domain. We trained on samples without diagnosed/potential malignant findings to learn systemic/global breast tissue features, called mammographic texture, indicative of future breast cancer. However, training so may cause erratic convergence. By excluding noise-inducing samples and designing a case-control dataset, a robust ensemble texture model was trained. This model was validated in two independent datasets. In 66,607 Danish women with flavorized Siemens views, the AUC was 0.71 and 0.65 for prediction of interval cancers within two years (ICs) and from two years after screening (LTCs), respectively. In a combination with established risk factors, the model's AUC increased to 0.68 for LTCs. In 25,706 Dutch women with Hologic-processed views, the AUCs were not different from the AUCs in Danish women with flavorized views. The results suggested that the model robustly estimated long-term risk while adapting to an unseen processed vendor-domain. The model identified 8.1% of Danish women accounting for 20.9% of ICs and 14.2% of LTCs.
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Quaternion valued neural networks experienced rising popularity and interest from researchers in the last years, whereby the derivatives with respect to quaternions needed for optimization are calculated as the sum of the partial derivatives with respect to the real and imaginary parts. However, we can show that product- and chain-rule does not hold with this approach. We solve this by employing the GHRCalculus and derive quaternion backpropagation based on this. Furthermore, we experimentally prove the functionality of the derived quaternion backpropagation.
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In this work, a method for obtaining pixel-wise error bounds in Bayesian regularization of inverse imaging problems is introduced. The proposed method employs estimates of the posterior variance together with techniques from conformal prediction in order to obtain coverage guarantees for the error bounds, without making any assumption on the underlying data distribution. It is generally applicable to Bayesian regularization approaches, independent, e.g., of the concrete choice of the prior. Furthermore, the coverage guarantees can also be obtained in case only approximate sampling from the posterior is possible. With this in particular, the proposed framework is able to incorporate any learned prior in a black-box manner. Guaranteed coverage without assumptions on the underlying distributions is only achievable since the magnitude of the error bounds is, in general, unknown in advance. Nevertheless, experiments with multiple regularization approaches presented in the paper confirm that in practice, the obtained error bounds are rather tight. For realizing the numerical experiments, also a novel primal-dual Langevin algorithm for sampling from non-smooth distributions is introduced in this work.
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