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Routine blood pressure (BP) monitoring, crucial for health assessment, faces challenges such as limited access to medical-grade equipment and expertise. Portable cuff BP devices, on the other hand, are cumbersome to carry all day and often cost-prohibitive in less developed countries. Besides, these sphygmomanometer-based devices can cause discomfort and disrupt blood flow during measurement. This study explores the use of smartphones for continuous BP monitoring, focusing on overcoming the trust barriers associated with the opacity of machine learning models in predicting BP from low-quality PPG signals. Our approach included developing models based on cardiovascular literature, using simple statistical methods to estimate BP from smartphone PPG signals with comprehensive data pre-processing, applying SHAP for enhanced interpretability and feature identification, and comparing our methods against standard references using Bland-Altman analysis. Validated with data from 125 participants, the study demonstrated significant correlations in waveform features between smartphone and reference BP monitoring devices. The cross-validation of linear regression [MAE=9.86 and 8.01 mmHg for systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively] and random forest model (MAE=8.91 and 6.68 mmHg for SBP and DBP) using waveform-only variables demonstrated the feasibility of using a smartphone to estimate BP. Although SHAP analysis identified key feature sets, Bland-Altman results did not fully meet established thresholds (84.64% and 94.69% of MAE<15 mmHg for SBP and DBP, respectively). The study suggests the potential of smartphone cameras to enhance the accuracy and interpretability of machine learning models for daily BP estimation, but also indicates that smartphone PPG-based BP prediction is not yet a replacement for traditional medical devices.

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We prove that training neural networks on 1-D data is equivalent to solving a convex Lasso problem with a fixed, explicitly defined dictionary matrix of features. The specific dictionary depends on the activation and depth. We consider 2-layer networks with piecewise linear activations, deep narrow ReLU networks with up to 4 layers, and rectangular and tree networks with sign activation and arbitrary depth. Interestingly in ReLU networks, a fourth layer creates features that represent reflections of training data about themselves. The Lasso representation sheds insight to globally optimal networks and the solution landscape.

Objectives: Our objective is to create an end-to-end system called AutoRD, which automates extracting information from clinical text about rare diseases. We have conducted various tests to evaluate the performance of AutoRD and highlighted its strengths and limitations in this paper. Materials and Methods: Our system, AutoRD, is a software pipeline involving data preprocessing, entity extraction, relation extraction, entity calibration, and knowledge graph construction. We implement this using large language models and medical knowledge graphs developed from open-source medical ontologies. We quantitatively evaluate our system on entity extraction, relation extraction, and the performance of knowledge graph construction. Results: AutoRD achieves an overall F1 score of 47.3%, a 14.4% improvement compared to the base LLM. In detail, AutoRD achieves an overall entity extraction F1 score of 56.1% (rare_disease: 83.5%, disease: 35.8%, symptom_and_sign: 46.1%, anaphor: 67.5%) and an overall relation extraction F1 score of 38.6% (produces: 34.7%, increases_risk_of: 12.4%, is_a: 37.4%, is_acronym: 44.1%, is_synonym: 16.3%, anaphora: 57.5%). Our qualitative experiment also demonstrates that the performance in constructing the knowledge graph is commendable. Discussion: AutoRD demonstrates the potential of LLM applications in rare disease detection. This improvement is attributed to several design, including the integration of ontologies-enhanced LLMs. Conclusion: AutoRD is an automated end-to-end system for extracting rare disease information from text to build knowledge graphs. It uses ontologies-enhanced LLMs for a robust medical knowledge base. The superior performance of AutoRD is validated by experimental evaluations, demonstrating the potential of LLMs in healthcare.

Background: Frailty, a state of increased vulnerability to adverse health outcomes, has garnered significant attention in research and clinical practice. Existing constructs aggregate clinical features or health deficits into a single score. While simple and interpretable, this approach may overlook the complexity of frailty and not capture the full range of variation between individuals. Methods: Exploratory factor analysis was used to infer latent dimensions of a frailty index constructed using survey data from the English Longitudinal Study of Ageing (ELSA), wave 9. The dataset included 58 self-reported health deficits in a representative sample of community-dwelling adults aged 65+ (N = 4971). Deficits encompassed chronic disease, general health status, mobility, independence with activities of daily living, psychological wellbeing, memory and cognition. Multiple linear regression examined associations with CASP-19 quality of life scores. Results: Factor analysis revealed four frailty subdimensions. Based on the component deficits with the highest loading values, these factors were labelled "Mobility Impairment and Physical Morbidity", "Difficulties in Daily Activities", "Mental Health" and "Disorientation in Time". The four subdimensions were a better predictor of quality of life than frailty index scores. Conclusions: Distinct subdimensions of frailty can be identified from standard index scores. A decomposed approach to understanding frailty has potential to provide a more nuanced understanding of an individual's state of health across multiple deficits.

Deep neural networks (DNNs) have proven to be highly effective in a variety of tasks, making them the go-to method for problems requiring high-level predictive power. Despite this success, the inner workings of DNNs are often not transparent, making them difficult to interpret or understand. This lack of interpretability has led to increased research on inherently interpretable neural networks in recent years. Models such as Neural Additive Models (NAMs) achieve visual interpretability through the combination of classical statistical methods with DNNs. However, these approaches only concentrate on mean response predictions, leaving out other properties of the response distribution of the underlying data. We propose Neural Additive Models for Location Scale and Shape (NAMLSS), a modelling framework that combines the predictive power of classical deep learning models with the inherent advantages of distributional regression while maintaining the interpretability of additive models. The code is available at the following link: //github.com/AnFreTh/NAMpy

Human activity recognition (HAR) has been playing an increasingly important role in various domains such as healthcare, security monitoring, and metaverse gaming. Though numerous HAR methods based on computer vision have been developed to show prominent performance, they still suffer from poor robustness in adverse visual conditions in particular low illumination, which motivates WiFi-based HAR to serve as a good complementary modality. Existing solutions using WiFi and vision modalities rely on massive labeled data that are very cumbersome to collect. In this paper, we propose a novel unsupervised multimodal HAR solution, MaskFi, that leverages only unlabeled video and WiFi activity data for model training. We propose a new algorithm, masked WiFi-vision modeling (MI2M), that enables the model to learn cross-modal and single-modal features by predicting the masked sections in representation learning. Benefiting from our unsupervised learning procedure, the network requires only a small amount of annotated data for finetuning and can adapt to the new environment with better performance. We conduct extensive experiments on two WiFi-vision datasets collected in-house, and our method achieves human activity recognition and human identification in terms of both robustness and accuracy.

Comprehensive summaries of sessions enable an effective continuity in mental health counseling, facilitating informed therapy planning. Yet, manual summarization presents a significant challenge, diverting experts' attention from the core counseling process. This study evaluates the effectiveness of state-of-the-art Large Language Models (LLMs) in selectively summarizing various components of therapy sessions through aspect-based summarization, aiming to benchmark their performance. We introduce MentalCLOUDS, a counseling-component guided summarization dataset consisting of 191 counseling sessions with summaries focused on three distinct counseling components (aka counseling aspects). Additionally, we assess the capabilities of 11 state-of-the-art LLMs in addressing the task of component-guided summarization in counseling. The generated summaries are evaluated quantitatively using standard summarization metrics and verified qualitatively by mental health professionals. Our findings demonstrate the superior performance of task-specific LLMs such as MentalLlama, Mistral, and MentalBART in terms of standard quantitative metrics such as Rouge-1, Rouge-2, Rouge-L, and BERTScore across all aspects of counseling components. Further, expert evaluation reveals that Mistral supersedes both MentalLlama and MentalBART based on six parameters -- affective attitude, burden, ethicality, coherence, opportunity costs, and perceived effectiveness. However, these models share the same weakness by demonstrating a potential for improvement in the opportunity costs and perceived effectiveness metrics.

Transferring features learned from natural to medical images for classification is common. However, challenges arise due to the scarcity of certain medical image types and the feature disparities between natural and medical images. Two-step transfer learning has been recognized as a promising solution for this issue. However, choosing an appropriate intermediate domain would be critical in further improving the classification performance. In this work, we explore the effectiveness of using color fundus photographs of the diabetic retina dataset as an intermediate domain for two-step heterogeneous learning (THTL) to classify laryngeal vascular images with nine deep-learning models. Experiment results confirm that although the images in both the intermediate and target domains share vascularized characteristics, the accuracy is drastically reduced compared to one-step transfer learning, where only the last layer is fine-tuned (e.g., ResNet18 drops 14.7%, ResNet50 drops 14.8%). By analyzing the Layer Class Activation Maps (LayerCAM), we uncover a novel finding that the prevalent radial vascular pattern in the intermediate domain prevents learning the features of twisted and tangled vessels that distinguish the malignant class in the target domain. To address the performance drop, we propose the Step-Wise Fine-Tuning (SWFT) method on ResNet in the second step of THTL, resulting in substantial accuracy improvements. Compared to THTL's second step, where only the last layer is fine-tuned, accuracy increases by 26.1% for ResNet18 and 20.4% for ResNet50. Additionally, compared to training from scratch, using ImageNet as the source domain could slightly improve classification performance for laryngeal vascular, but the differences are insignificant.

Medical image segmentation is a fundamental and critical step in many image-guided clinical approaches. Recent success of deep learning-based segmentation methods usually relies on a large amount of labeled data, which is particularly difficult and costly to obtain especially in the medical imaging domain where only experts can provide reliable and accurate annotations. Semi-supervised learning has emerged as an appealing strategy and been widely applied to medical image segmentation tasks to train deep models with limited annotations. In this paper, we present a comprehensive review of recently proposed semi-supervised learning methods for medical image segmentation and summarized both the technical novelties and empirical results. Furthermore, we analyze and discuss the limitations and several unsolved problems of existing approaches. We hope this review could inspire the research community to explore solutions for this challenge and further promote the developments in medical image segmentation field.

The recent advancements in artificial intelligence (AI) combined with the extensive amount of data generated by today's clinical systems, has led to the development of imaging AI solutions across the whole value chain of medical imaging, including image reconstruction, medical image segmentation, image-based diagnosis and treatment planning. Notwithstanding the successes and future potential of AI in medical imaging, many stakeholders are concerned of the potential risks and ethical implications of imaging AI solutions, which are perceived as complex, opaque, and difficult to comprehend, utilise, and trust in critical clinical applications. Despite these concerns and risks, there are currently no concrete guidelines and best practices for guiding future AI developments in medical imaging towards increased trust, safety and adoption. To bridge this gap, this paper introduces a careful selection of guiding principles drawn from the accumulated experiences, consensus, and best practices from five large European projects on AI in Health Imaging. These guiding principles are named FUTURE-AI and its building blocks consist of (i) Fairness, (ii) Universality, (iii) Traceability, (iv) Usability, (v) Robustness and (vi) Explainability. In a step-by-step approach, these guidelines are further translated into a framework of concrete recommendations for specifying, developing, evaluating, and deploying technically, clinically and ethically trustworthy AI solutions into clinical practice.

Small data challenges have emerged in many learning problems, since the success of deep neural networks often relies on the availability of a huge amount of labeled data that is expensive to collect. To address it, many efforts have been made on training complex models with small data in an unsupervised and semi-supervised fashion. In this paper, we will review the recent progresses on these two major categories of methods. A wide spectrum of small data models will be categorized in a big picture, where we will show how they interplay with each other to motivate explorations of new ideas. We will review the criteria of learning the transformation equivariant, disentangled, self-supervised and semi-supervised representations, which underpin the foundations of recent developments. Many instantiations of unsupervised and semi-supervised generative models have been developed on the basis of these criteria, greatly expanding the territory of existing autoencoders, generative adversarial nets (GANs) and other deep networks by exploring the distribution of unlabeled data for more powerful representations. While we focus on the unsupervised and semi-supervised methods, we will also provide a broader review of other emerging topics, from unsupervised and semi-supervised domain adaptation to the fundamental roles of transformation equivariance and invariance in training a wide spectrum of deep networks. It is impossible for us to write an exclusive encyclopedia to include all related works. Instead, we aim at exploring the main ideas, principles and methods in this area to reveal where we are heading on the journey towards addressing the small data challenges in this big data era.

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