对脑外伤(TBI)患者的准确预后很难为治疗,患者管理和长期护理提供信息至关重要。年龄,运动和学生反应性,缺氧和低血压以及计算机断层扫描(CT)的放射学发现等患者特征已被确定为TBI结果预测的重要变量。 CT是临床实践中选择的急性成像方式,因为其获取速度和广泛的可用性。但是,这种方式主要用于定性和半定量评估,例如马歇尔评分系统,该系统容易受到主观性和人为错误。这项工作探讨了使用最先进的,深度学习的TBI病变分割方法从常规获得的医院入院CT扫描中提取的成像生物标志物的预测能力。我们使用病变体积和相应的病变统计作为扩展TBI结果预测模型的输入。我们将我们提出的功能的预测能力与马歇尔分数进行比较,并与经典的TBI生物标志物配对。我们发现,在预测不利的TBI结果时,自动提取的定量CT功能的性能与Marshall分数相似或更好。利用自动地图集对齐,我们还确定额叶外病变是不良预后的重要指标。我们的工作可能有助于更好地理解TBI,并提供有关如何使用自动化神经影像分析来改善TBI后预测的新见解。
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In the last years, the number of IoT devices deployed has suffered an undoubted explosion, reaching the scale of billions. However, some new cybersecurity issues have appeared together with this development. Some of these issues are the deployment of unauthorized devices, malicious code modification, malware deployment, or vulnerability exploitation. This fact has motivated the requirement for new device identification mechanisms based on behavior monitoring. Besides, these solutions have recently leveraged Machine and Deep Learning techniques due to the advances in this field and the increase in processing capabilities. In contrast, attackers do not stay stalled and have developed adversarial attacks focused on context modification and ML/DL evaluation evasion applied to IoT device identification solutions. This work explores the performance of hardware behavior-based individual device identification, how it is affected by possible context- and ML/DL-focused attacks, and how its resilience can be improved using defense techniques. In this sense, it proposes an LSTM-CNN architecture based on hardware performance behavior for individual device identification. Then, previous techniques have been compared with the proposed architecture using a hardware performance dataset collected from 45 Raspberry Pi devices running identical software. The LSTM-CNN improves previous solutions achieving a +0.96 average F1-Score and 0.8 minimum TPR for all devices. Afterward, context- and ML/DL-focused adversarial attacks were applied against the previous model to test its robustness. A temperature-based context attack was not able to disrupt the identification. However, some ML/DL state-of-the-art evasion attacks were successful. Finally, adversarial training and model distillation defense techniques are selected to improve the model resilience to evasion attacks, without degrading its performance.
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Cybercriminals are moving towards zero-day attacks affecting resource-constrained devices such as single-board computers (SBC). Assuming that perfect security is unrealistic, Moving Target Defense (MTD) is a promising approach to mitigate attacks by dynamically altering target attack surfaces. Still, selecting suitable MTD techniques for zero-day attacks is an open challenge. Reinforcement Learning (RL) could be an effective approach to optimize the MTD selection through trial and error, but the literature fails when i) evaluating the performance of RL and MTD solutions in real-world scenarios, ii) studying whether behavioral fingerprinting is suitable for representing SBC's states, and iii) calculating the consumption of resources in SBC. To improve these limitations, the work at hand proposes an online RL-based framework to learn the correct MTD mechanisms mitigating heterogeneous zero-day attacks in SBC. The framework considers behavioral fingerprinting to represent SBCs' states and RL to learn MTD techniques that mitigate each malicious state. It has been deployed on a real IoT crowdsensing scenario with a Raspberry Pi acting as a spectrum sensor. More in detail, the Raspberry Pi has been infected with different samples of command and control malware, rootkits, and ransomware to later select between four existing MTD techniques. A set of experiments demonstrated the suitability of the framework to learn proper MTD techniques mitigating all attacks (except a harmfulness rootkit) while consuming <1 MB of storage and utilizing <55% CPU and <80% RAM.
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Uncertainty quantification is crucial to inverse problems, as it could provide decision-makers with valuable information about the inversion results. For example, seismic inversion is a notoriously ill-posed inverse problem due to the band-limited and noisy nature of seismic data. It is therefore of paramount importance to quantify the uncertainties associated to the inversion process to ease the subsequent interpretation and decision making processes. Within this framework of reference, sampling from a target posterior provides a fundamental approach to quantifying the uncertainty in seismic inversion. However, selecting appropriate prior information in a probabilistic inversion is crucial, yet non-trivial, as it influences the ability of a sampling-based inference in providing geological realism in the posterior samples. To overcome such limitations, we present a regularized variational inference framework that performs posterior inference by implicitly regularizing the Kullback-Leibler divergence loss with a CNN-based denoiser by means of the Plug-and-Play methods. We call this new algorithm Plug-and-Play Stein Variational Gradient Descent (PnP-SVGD) and demonstrate its ability in producing high-resolution, trustworthy samples representative of the subsurface structures, which we argue could be used for post-inference tasks such as reservoir modelling and history matching. To validate the proposed method, numerical tests are performed on both synthetic and field post-stack seismic data.
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We present a Machine Learning (ML) study case to illustrate the challenges of clinical translation for a real-time AI-empowered echocardiography system with data of ICU patients in LMICs. Such ML case study includes data preparation, curation and labelling from 2D Ultrasound videos of 31 ICU patients in LMICs and model selection, validation and deployment of three thinner neural networks to classify apical four-chamber view. Results of the ML heuristics showed the promising implementation, validation and application of thinner networks to classify 4CV with limited datasets. We conclude this work mentioning the need for (a) datasets to improve diversity of demographics, diseases, and (b) the need of further investigations of thinner models to be run and implemented in low-cost hardware to be clinically translated in the ICU in LMICs. The code and other resources to reproduce this work are available at https://github.com/vital-ultrasound/ai-assisted-echocardiography-for-low-resource-countries.
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$ $With recent advances in CNNs, exceptional improvements have been made in semantic segmentation of high resolution images in terms of accuracy and latency. However, challenges still remain in detecting objects in crowded scenes, large scale variations, partial occlusion, and distortions, while still maintaining mobility and latency. We introduce a fast and efficient convolutional neural network, ASBU-Net, for semantic segmentation of high resolution images that addresses these problems and uses no novelty layers for ease of quantization and embedded hardware support. ASBU-Net is based on a new feature extraction module, atrous space bender layer (ASBL), which is efficient in terms of computation and memory. The ASB layers form a building block that is used to make ASBNet. Since this network does not use any special layers it can be easily implemented, quantized and deployed on FPGAs and other hardware with limited memory. We present experiments on resource and accuracy trade-offs and show strong performance compared to other popular models.
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Deep learning models have shown promising results in recognizing depressive states using video-based facial expressions. While successful models typically leverage using 3D-CNNs or video distillation techniques, the different use of pretraining, data augmentation, preprocessing, and optimization techniques across experiments makes it difficult to make fair architectural comparisons. We propose instead to enhance two simple models based on ResNet-50 that use only static spatial information by using two specific face alignment methods and improved data augmentation, optimization, and scheduling techniques. Our extensive experiments on benchmark datasets obtain similar results to sophisticated spatio-temporal models for single streams, while the score-level fusion of two different streams outperforms state-of-the-art methods. Our findings suggest that specific modifications in the preprocessing and training process result in noticeable differences in the performance of the models and could hide the actual originally attributed to the use of different neural network architectures.
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Intensive Care in-hospital mortality prediction has various clinical applications. Neural prediction models, especially when capitalising on clinical notes, have been put forward as improvement on currently existing models. However, to be acceptable these models should be performant and transparent. This work studies different attention mechanisms for clinical neural prediction models in terms of their discrimination and calibration. Specifically, we investigate sparse attention as an alternative to dense attention weights in the task of in-hospital mortality prediction from clinical notes. We evaluate the attention mechanisms based on: i) local self-attention over words in a sentence, and ii) global self-attention with a transformer architecture across sentences. We demonstrate that the sparse mechanism approach outperforms the dense one for the local self-attention in terms of predictive performance with a publicly available dataset, and puts higher attention to prespecified relevant directive words. The performance at the sentence level, however, deteriorates as sentences including the influential directive words tend to be dropped all together.
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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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Assessing the physical condition in rehabilitation scenarios is a challenging problem, since it involves Human Activity Recognition (HAR) and kinematic analysis methods. In addition, the difficulties increase in unconstrained rehabilitation scenarios, which are much closer to the real use cases. In particular, our aim is to design an upper-limb assessment pipeline for stroke patients using smartwatches. We focus on the HAR task, as it is the first part of the assessing pipeline. Our main target is to automatically detect and recognize four key movements inspired by the Fugl-Meyer assessment scale, which are performed in both constrained and unconstrained scenarios. In addition to the application protocol and dataset, we propose two detection and classification baseline methods. We believe that the proposed framework, dataset and baseline results will serve to foster this research field.
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