18 research outputs found

    DETECTION OF HEALTH-RELATED BEHAVIOURS USING HEAD-MOUNTED DEVICES

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    The detection of health-related behaviors is the basis of many mobile-sensing applications for healthcare and can trigger other inquiries or interventions. Wearable sensors have been widely used for mobile sensing due to their ever-decreasing cost, ease of deployment, and ability to provide continuous monitoring. In this dissertation, we develop a generalizable approach to sensing eating-related behavior. First, we developed Auracle, a wearable earpiece that can automatically detect eating episodes. Using an off-the-shelf contact microphone placed behind the ear, Auracle captures the sound of a person chewing as it passes through the head. This audio data is then processed by a custom circuit board. We collected data with 14 participants for 32 hours in free-living conditions and achieved accuracy exceeding 92.8% and F1 score exceeding77.5% for eating detection with 1-minute resolution. Second, we adapted Auracle for measuring children’s eating behavior, and improved the accuracy and robustness of the eating-activity detection algorithms. We used this improved prototype in a laboratory study with a sample of 10 children for 60 total sessions and collected 22.3 hours of data in both meal and snack scenarios. Overall, we achieved 95.5% accuracy and 95.7% F1 score for eating detection with 1-minute resolution. Third, we developed a computer-vision approach for eating detection in free-living scenarios. Using a miniature head-mounted camera, we collected data with 10 participants for about 55 hours. The camera was fixed under the brim of a cap, pointing to the mouth of the wearer and continuously recording video (but not audio) throughout their normal daily activity. We evaluated performance for eating detection using four different Convolutional Neural Network (CNN) models. The best model achieved 90.9% accuracy and 78.7%F1 score for eating detection with 1-minute resolution. Finally, we validated the feasibility of deploying the 3D CNN model in wearable or mobile platforms when considering computation, memory, and power constraints

    A Mobile Health Platform for Automated Diet Monitoring Using Continuous Glucose Monitors and Context-Aware Machine Learning

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    Automated diet monitoring, an important tool in preventing healthy individuals and those with pre-diabetes from developing Type 2 Diabetes, requires automatic eating detection and estimation of the macronutrient contents of ingested food. While signals from continuous glucose monitors may track the post-prandial glucose response (glucose response after eating) and use this for estimation of nutritional information, the proper identification and segmentation of these periods of eating require additional sensing modalities and contextual information. In this work, we developed a framework for machine learning modeling to detect eating periods, properly segment post-prandial glucose responses, and estimate nutritional content from these segments in real-world environments using data captured from a continuous glucose monitor and augmented with con-textual data from smartwatch wearable sensors. Using a custom-developed platform, we conduct a human subject study where participants were free to eat what they wished, when they wished, logging data and wearing a set of sensors. To aid future, just-in-time diet monitoring applications, we found that contextual data improved eating moment detection and thus enables real-time macronutrient estimation

    Advanced Signal Processing in Wearable Sensors for Health Monitoring

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    Smart, wearables devices on a miniature scale are becoming increasingly widely available, typically in the form of smart watches and other connected devices. Consequently, devices to assist in measurements such as electroencephalography (EEG), electrocardiogram (ECG), electromyography (EMG), blood pressure (BP), photoplethysmography (PPG), heart rhythm, respiration rate, apnoea, and motion detection are becoming more available, and play a significant role in healthcare monitoring. The industry is placing great emphasis on making these devices and technologies available on smart devices such as phones and watches. Such measurements are clinically and scientifically useful for real-time monitoring, long-term care, and diagnosis and therapeutic techniques. However, a pertaining issue is that recorded data are usually noisy, contain many artefacts, and are affected by external factors such as movements and physical conditions. In order to obtain accurate and meaningful indicators, the signal has to be processed and conditioned such that the measurements are accurate and free from noise and disturbances. In this context, many researchers have utilized recent technological advances in wearable sensors and signal processing to develop smart and accurate wearable devices for clinical applications. The processing and analysis of physiological signals is a key issue for these smart wearable devices. Consequently, ongoing work in this field of study includes research on filtration, quality checking, signal transformation and decomposition, feature extraction and, most recently, machine learning-based methods

    Noninvasive Dynamic Characterization of Swallowing Kinematics and Impairments in High Resolution Cervical Auscultation via Deep Learning

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    Swallowing is a complex sensorimotor activity by which food and liquids are transferred from the oral cavity to the stomach. Swallowing requires the coordination between multiple subsystems which makes it subject to impairment secondary to a variety of medical or surgically related conditions. Dysphagia refers to any swallowing disorder and is common in patients with head and neck cancer and neurological conditions such as stroke. Dysphagia affects nearly 9 million adults and causes death for more than 60,000 yearly in the US. In this research, we utilize advanced signal processing techniques with sensor technology and deep learning methods to develop a noninvasive and widely available tool for the evaluation and diagnosis of swallowing problems. We investigate the use of modern spectral estimation methods in addition to convolutional recurrent neural networks to demarcate and localize the important swallowing physiological events that contribute to airway protection solely based on signals collected from non-invasive sensors attached to the anterior neck. These events include the full swallowing activity, upper esophageal sphincter opening duration and maximal opening diameter, and aspiration. We believe that combining sensor technology and state of the art deep learning architectures specialized in time series analysis, will help achieve great advances for dysphagia detection and management in terms of non-invasiveness, portability, and availability. Like never before, such advances will enable patients to get continuous feedback about their swallowing out of standard clinical care setting which will extremely facilitate their daily activities and enhance the quality of their lives

    Generation of Artificial Image and Video Data for Medical Deep Learning Applications

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    Neuronale Netze haben in den letzten Jahren erstaunliche Ergebnisse bei der Erkennung von Ereignissen im Bereich der medizinischen Bild- und Videoanalyse erzielt. Dabei stellte sich jedoch immer wieder heraus, dass ein genereller Mangel an Daten besteht. Dieser Mangel bezieht sich nicht nur auf die Anzahl an verfügbaren Datensätzen, sondern auch auf die Anzahl an individuellen Stichproben, das heißt an unabhängigen Bildern und Videos, in bestehenden Datensätzen. Das führt wiederum zu einer schlechteren Erkennungsgenauigkeit von Ereignissen durch das neuronale Netz. Gerade im medizinischen Bereich ist es nicht einfach möglich die Datensätze zu erweitern oder neue Datensätze zu erfassen. Die Gründe hierfür sind vielfältig. Einerseits können rechtliche Belange die Datenveröffentlichung verhindern. Andererseits kann es sein, dass eine Krankheit nur sehr selten Auftritt und sich so keine Gelegenheit bietet die Daten zu erfassen. Ein zusätzliches Problem ist, dass es sich bei den Daten meist um eine sehr spezifische Domäne handelt, wodurch die Daten meist nur von Experten annotiert werden können. Die Annotation ist aber zeitaufwendig und somit teuer. Existierende Datenaugmentierungsmethoden können oft nur sinnvoll auf Bilddaten angewendet werden und erzeugen z.B. bei Videos nicht ausreichend zeitlich unabhängige Daten. Deswegen ist es notwendig, dass neue Methoden entwickelt werden, mit denen im Nachhinein auch Videodatensätze erweitert oder auch synthetische Daten generiert werden können. Im Rahmen dieser Dissertation werden zwei neu entwickelte Methoden vorgestellt und beispielhaft auf drei medizinische Beispiele aus dem Bereich der Chirurgie angewendet. Die erste Methode ist die sogenannte Workflow-Augmentierungsmethode, mit deren Hilfe semantischen Information, z.B. Ereignissen eines chirurgischen Arbeitsablaufs, in einem Video augmentiert werden können. Die Methode ermöglicht zusätzlich auch eine Balancierung zum Beispiel von chirurgischen Phasen oder chirurgischen Instrumenten, die im Videodatensatz vorkommen. Bei der Anwendung der Methode auf die zwei verschiedenen Datensätzen, von Kataraktoperationen und laparoskopischen Cholezystektomieoperationen, konnte die Leistungsfähigkeit der Methode gezeigt werden. Dabei wurde Genauigkeit der Instrumentenerkennung bei der Kataraktoperation durch ein Neuronales Netz während Kataraktoperation um 2,8% auf 93,5% im Vergleich zu etablierten Methoden gesteigert. Bei der chirurgischen Phasenerkennung im Fall bei der Cholezystektomie konnte sogar eine Steigerung der Genauigkeit um 8,7% auf 96,96% im Verglich zu einer früheren Studie erreicht werden. Beide Studien zeigen eindrucksvoll das Potential der Workflow-Augmentierungsmethode. Die zweite vorgestellte Methode basiert auf einem erzeugenden gegnerischen Netzwerk (engl. generative adversarial network (GAN)). Dieser Ansatz ist sehr vielversprechend, wenn nur sehr wenige Daten oder Datensätze vorhanden sind. Dabei werden mit Hilfe eines neuronalen Netzes neue fotorealistische Bilder generiert. Im Rahmen dieser Dissertation wird ein sogenanntes zyklisches erzeugendes gegnerisches Netzwerk (engl. cycle generative adversarial network (CycleGAN)) verwendet. CycleGANs führen meiste eine Bild zu Bild Transformation durch. Zusätzlich ist es möglich weitere Bedingungen an die Transformation zu knüpfen. Das CycleGAN wurde im dritten Beispiel dazu verwendet, ein Passbild von einem Patienten nach einem Kranio-Maxillofazialen chirurgischen Korrektur, mit Hilfe eines präoperativen Porträtfotos und der operativen 3D Planungsmaske, zu schätzen. Dabei konnten realistisch, lebendig aussehende Bilder generiert werden, ohne dass für das Training des GANs medizinische Daten verwendeten wurden. Stattdessen wurden für das Training synthetisch erzeugte Daten verwendet. Abschließend lässt sich sagen, dass die in dieser Arbeit entwickelten Methoden in der Lage sind, den Mangel an Stichproben und Datensätzen teilweise zu überwinden und dadurch eine bessere Erkennungsleistung von neuronalen Netzen erreicht werden konnte. Die entwickelten Methoden können in Zukunft dazu verwendet werden, bessere medizinische Unterstützungssysteme basierende auf künstlicher Intelligenz zu entwerfen, die den Arzt in der klinischen Routine weiter unterstützen, z.B. bei der Diagnose, der Therapie oder bei bildgesteuerten Eingriffen, was zu einer Verringerung der klinischen Arbeitsbelastung und damit zu einer Verbesserung der Patientensicherheit führt

    Segmentation and Recognition of Eating Gestures from Wrist Motion Using Deep Learning

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    This research considers training a deep learning neural network for segmenting and classifying eating related gestures from recordings of subjects eating unscripted meals in a cafeteria environment. It is inspired by the recent trend of success in deep learning for solving a wide variety of machine related tasks such as image annotation, classification and segmentation. Image segmentation is a particularly important inspiration, and this work proposes a novel deep learning classifier for segmenting time-series data based on the work done in [25] and [30]. While deep learning has established itself as the state-of-the-art approach in image segmentation, particularly in works such as [2],[25] and [31], very little work has been done for segmenting time-series data using deep learning models. Wrist mounted IMU sensors such as accelerometers and gyroscopes can record activity from a subject in a free-living environment, while being encapsulated in a watch-like device and thus being inconspicuous. Such a device can be used to monitor eating related activities as well, and is thought to be useful for monitoring energy intake for healthy individuals as well as those afflicted with conditions such as being overweight or obese. The data set that is used for this research study is known as the Clemson Cafeteria Dataset, available publicly at [14]. It contains data for 276 people eating a meal at the Harcombe Dining Hall at Clemson University, which is a large cafeteria environment. The data includes wrist motion measurements (accelerometer x, y, z; gyroscope yaw, pitch, roll) recorded when the subjects each ate an unscripted meal. Each meal consisted of 1-4 courses, of which 488 were used as part of this research. The ground truth labelings of gestures were created by a set of 18 trained human raters, and consist of labels such as ’bite’ used to indicate when the subject starts to put food in their mouth, and later moves the hand away for more ’bites’ or other activities. Other labels include ’drink’ for liquid intake, ’rest’ for stationary hands and ’utensiling’ for actions such as cutting the food into bite size pieces, stirring a liquid or dipping food in sauce among other things. All other activities are labeled as ’other’ by the human raters. Previous work in our group focused on recognizing these gesture types from manually segmented data using hidden Markov models [24],[27]. This thesis builds on that work, by considering a deep learning classifier for automatically segmenting and recognizing gestures. The neural network classifier proposed as part of this research performs satisfactorily well at recognizing intake gestures, with 79.6% of ’bite’ and 80.7% of ’drink’ gestures being recognized correctly on average per meal. Overall 77.7% of all gestures were recognized correctly on average per meal, indicating that a deep learning classifier can successfully be used to simultaneously segment and identify eating gestures from wrist motion measured through IMU sensors

    Egocentric vision-based passive dietary intake monitoring

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    Egocentric (first-person) perception captures and reveals how people perceive their surroundings. This unique perceptual view enables passive and objective monitoring of human-centric activities and behaviours. In capturing egocentric visual data, wearable cameras are used. Recent advances in wearable technologies have enabled wearable cameras to be lightweight, accurate, and with long battery life, making long-term passive monitoring a promising solution for healthcare and human behaviour understanding. In addition, recent progress in deep learning has provided an opportunity to accelerate the development of passive methods to enable pervasive and accurate monitoring, as well as comprehensive modelling of human-centric behaviours. This thesis investigates and proposes innovative egocentric technologies for passive dietary intake monitoring and human behaviour analysis. Compared to conventional dietary assessment methods in nutritional epidemiology, such as 24-hour dietary recall (24HR) and food frequency questionnaires (FFQs), which heavily rely on subjects’ memory to recall the dietary intake, and trained dietitians to collect, interpret, and analyse the dietary data, passive dietary intake monitoring can ease such burden and provide more accurate and objective assessment of dietary intake. Egocentric vision-based passive monitoring uses wearable cameras to continuously record human-centric activities with a close-up view. This passive way of monitoring does not require active participation from the subject, and records rich spatiotemporal details for fine-grained analysis. Based on egocentric vision and passive dietary intake monitoring, this thesis proposes: 1) a novel network structure called PAR-Net to achieve accurate food recognition by mining discriminative food regions. PAR-Net has been evaluated with food intake images captured by wearable cameras as well as those non-egocentric food images to validate its effectiveness for food recognition; 2) a deep learning-based solution for recognising consumed food items as well as counting the number of bites taken by the subjects from egocentric videos in an end-to-end manner; 3) in light of privacy concerns in egocentric data, this thesis also proposes a privacy-preserved solution for passive dietary intake monitoring, which uses image captioning techniques to summarise the image content and subsequently combines image captioning with 3D container reconstruction to report the actual food volume consumed. Furthermore, a novel framework that integrates food recognition, hand tracking and face recognition has also been developed to tackle the challenge of assessing individual dietary intake in food sharing scenarios with the use of a panoramic camera. Extensive experiments have been conducted. Tested with both laboratory (captured in London) and field study data (captured in Africa), the above proposed solutions have proven the feasibility and accuracy of using the egocentric camera technologies with deep learning methods for individual dietary assessment and human behaviour analysis.Open Acces

    Scaling Machine Learning Systems using Domain Adaptation

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    Machine-learned components, particularly those trained using deep learning methods, are becoming integral parts of modern intelligent systems, with applications including computer vision, speech processing, natural language processing and human activity recognition. As these machine learning (ML) systems scale to real-world settings, they will encounter scenarios where the distribution of the data in the real-world (i.e., the target domain) is different from the data on which they were trained (i.e., the source domain). This phenomenon, known as domain shift, can significantly degrade the performance of ML systems in new deployment scenarios. In this thesis, we study the impact of domain shift caused by variations in system hardware, software and user preferences on the performance of ML systems. After quantifying the performance degradation of ML models in target domains due to the various types of domain shift, we propose unsupervised domain adaptation (uDA) algorithms that leverage unlabeled data collected in the target domain to improve the performance of the ML model. At its core, this thesis argues for the need to develop uDA solutions while adhering to practical scenarios in which ML systems will scale. More specifically, we consider four scenarios: (i) opaque ML systems, wherein parameters of the source prediction model are not made accessible in the target domain, (ii) transparent ML systems, wherein source model parameters are accessible and can be modified in the target domain, (iii) ML systems where source and target domains do not have identical label spaces, and (iv) distributed ML systems, wherein the source and target domains are geographically distributed, their datasets are private and cannot be exchanged using adaptation. We study the unique challenges and constraints of each scenario and propose novel uDA algorithms that outperform state-of-the-art baselines

    Smart Sensors for Healthcare and Medical Applications

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    This book focuses on new sensing technologies, measurement techniques, and their applications in medicine and healthcare. Specifically, the book briefly describes the potential of smart sensors in the aforementioned applications, collecting 24 articles selected and published in the Special Issue “Smart Sensors for Healthcare and Medical Applications”. We proposed this topic, being aware of the pivotal role that smart sensors can play in the improvement of healthcare services in both acute and chronic conditions as well as in prevention for a healthy life and active aging. The articles selected in this book cover a variety of topics related to the design, validation, and application of smart sensors to healthcare

    State of the art of audio- and video based solutions for AAL

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    Working Group 3. Audio- and Video-based AAL ApplicationsIt is a matter of fact that Europe is facing more and more crucial challenges regarding health and social care due to the demographic change and the current economic context. The recent COVID-19 pandemic has stressed this situation even further, thus highlighting the need for taking action. Active and Assisted Living (AAL) technologies come as a viable approach to help facing these challenges, thanks to the high potential they have in enabling remote care and support. Broadly speaking, AAL can be referred to as the use of innovative and advanced Information and Communication Technologies to create supportive, inclusive and empowering applications and environments that enable older, impaired or frail people to live independently and stay active longer in society. AAL capitalizes on the growing pervasiveness and effectiveness of sensing and computing facilities to supply the persons in need with smart assistance, by responding to their necessities of autonomy, independence, comfort, security and safety. The application scenarios addressed by AAL are complex, due to the inherent heterogeneity of the end-user population, their living arrangements, and their physical conditions or impairment. Despite aiming at diverse goals, AAL systems should share some common characteristics. They are designed to provide support in daily life in an invisible, unobtrusive and user-friendly manner. Moreover, they are conceived to be intelligent, to be able to learn and adapt to the requirements and requests of the assisted people, and to synchronise with their specific needs. Nevertheless, to ensure the uptake of AAL in society, potential users must be willing to use AAL applications and to integrate them in their daily environments and lives. In this respect, video- and audio-based AAL applications have several advantages, in terms of unobtrusiveness and information richness. Indeed, cameras and microphones are far less obtrusive with respect to the hindrance other wearable sensors may cause to one’s activities. In addition, a single camera placed in a room can record most of the activities performed in the room, thus replacing many other non-visual sensors. Currently, video-based applications are effective in recognising and monitoring the activities, the movements, and the overall conditions of the assisted individuals as well as to assess their vital parameters (e.g., heart rate, respiratory rate). Similarly, audio sensors have the potential to become one of the most important modalities for interaction with AAL systems, as they can have a large range of sensing, do not require physical presence at a particular location and are physically intangible. Moreover, relevant information about individuals’ activities and health status can derive from processing audio signals (e.g., speech recordings). Nevertheless, as the other side of the coin, cameras and microphones are often perceived as the most intrusive technologies from the viewpoint of the privacy of the monitored individuals. This is due to the richness of the information these technologies convey and the intimate setting where they may be deployed. Solutions able to ensure privacy preservation by context and by design, as well as to ensure high legal and ethical standards are in high demand. After the review of the current state of play and the discussion in GoodBrother, we may claim that the first solutions in this direction are starting to appear in the literature. A multidisciplinary 4 debate among experts and stakeholders is paving the way towards AAL ensuring ergonomics, usability, acceptance and privacy preservation. The DIANA, PAAL, and VisuAAL projects are examples of this fresh approach. This report provides the reader with a review of the most recent advances in audio- and video-based monitoring technologies for AAL. It has been drafted as a collective effort of WG3 to supply an introduction to AAL, its evolution over time and its main functional and technological underpinnings. In this respect, the report contributes to the field with the outline of a new generation of ethical-aware AAL technologies and a proposal for a novel comprehensive taxonomy of AAL systems and applications. Moreover, the report allows non-technical readers to gather an overview of the main components of an AAL system and how these function and interact with the end-users. The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely (i) lifelogging and self-monitoring, (ii) remote monitoring of vital signs, (iii) emotional state recognition, (iv) food intake monitoring, activity and behaviour recognition, (v) activity and personal assistance, (vi) gesture recognition, (vii) fall detection and prevention, (viii) mobility assessment and frailty recognition, and (ix) cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted. The report ends with an overview of the challenges, the hindrances and the opportunities posed by the uptake in real world settings of AAL technologies. In this respect, the report illustrates the current procedural and technological approaches to cope with acceptability, usability and trust in the AAL technology, by surveying strategies and approaches to co-design, to privacy preservation in video and audio data, to transparency and explainability in data processing, and to data transmission and communication. User acceptance and ethical considerations are also debated. Finally, the potentials coming from the silver economy are overviewed.publishedVersio
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