An intelligent recommender system based on short-term risk prediction for heart disease patients

In this paper, an intelligent recommender system is developed, which uses an innovative time series prediction algorithm to provide recommendations to heart disease patients in the tele-health environment. Based on analytics of each patient’s medical tests in records, the system provides the patient with decision support for necessity of medical tests. The experimental results show that the proposed system yields satisfactory accuracy in recommendations. The system also offers a promising way for saving the workload for patients and healthcare practitioners in conducting daily medical tests. The research will help reduce the workload and cost in healthcare and help the healthcare industry transform from the traditional scenario to more a personalized paradigm in a tele-health environment

IRS-HD: an intelligent personalized recommender system for heart disease patients in a tele-health environment

The use of intelligent technologies in clinical decision making support may play a promising role in improving the quality of heart disease patients’ life and helping to reduce cost and workload involved in their daily health care in a tele-health environment. The objective of this demo proposal is to demonstrate an intelligent prediction system we developed, called IRS-HD, that accurately advises patients with heart diseases concerning whether they need to take the body test today or not based on the analysis of their medical data during the past a few days. Easy-to-use user friendly interfaces are developed for users to supply necessary inputs to the system and receive recommendations from the system. IRS-HD yields satisfactory recommendation accuracy, offers a promising way for reducing the risk of incorrect recommendations, as well saves the workload for patients to conduct body tests every day

An intelligent recommender system based on short-term disease risk prediction for patients with chronic diseases in a telehealth environment

Clinical decisions are usually made based on the practitioners' experiences with limited support from data-centric analytic processes from medical databases. This often leads to undesirable biases, human errors and high medical costs affecting the quality of services provided to patients. Recently, the use of intelligent technologies in clinical decision making in the telehealth environment has begun to play a vital role in improving the quality of patients' lives and reducing the costs and workload involved in their daily healthcare. In the telehealth environment, patients suffering from chronic diseases such as heart disease or diabetes have to take various medical tests such as measuring blood pressure, blood sugar and blood oxygen, etc. This practice adversely affects the overall convenience and quality of their everyday living. In this PhD thesis, an effective recommender system is proposed utilizing a set of innovative disease risk prediction algorithms and models for short-term disease risk prediction to provide chronic disease patients with appropriate recommendations regarding the need to take a medical test on the coming day. The input sequence of sliding windows based on the patient's time series data, is analyzed in both the time domain and the frequency domain. The time series medical data obtained for each chronicle disease patient is partitioned into consecutive sliding windows for analysis in both the time and the frequency domains. The available time series data are readily available in time domains which can be used for analysis without any further conversion. For data analysis in the frequency domain, Fast Fourier Transformation (FFT) and Dual-Tree Complex Wavelet Transformation (DTCWT) are applied to convert the data into the frequency domain and extract the frequency information. In the time domain, four innovative predictive algorithms, Basic Heuristic Algorithm (BHA), Regression-Based Algorithm (RBA) and Hybrid Algorithm (HA) as well as a structural graph-based method (SG), are proposed to study the time series data for producing recommendations. While, in the frequency domain, three predictive classifiers, Artificial Neural Network, Least Squares-Support Vector Machine, and Naïve Bayes, are used to produce the recommendations. An ensemble machine learning model is utilized to combine all the used predictive models and algorithms in both the time and frequency domains to produce the final recommendation. Two real-life telehealth datasets collected from chronic disease patients (i.e., heart disease and diabetes patients) are utilized for a comprehensive experimental evaluation in this study. The results show that the proposed system is effective in analysing time series medical data and providing accurate and reliable (very low risk) recommendations to patients suffering from chronic diseases such as heart disease and diabetes. This research work will help provide high-quality evidence-based intelligent decision support to clinical disease patients that significantly reduces workload associated with medical checkups would otherwise have to be conducted every day in a telehealth environment

Heath-PRIOR: An Intelligent Ensemble Architecture to Identify Risk Cases in Healthcare

Smart city environments, when applied to healthcare, improve the quality of people\u27s lives, enabling, for instance, disease prediction and treatment monitoring. In medical settings, case prioritization is of great importance, with beneficial outcomes both in terms of patient health and physicians\u27 daily work. Recommender systems are an alternative to automatically integrate the data generated in such environments with predictive models and recommend actions, content, or services. The data produced by smart devices are accurate and reliable for predictive and decision-making contexts. This study main purpose is to assist patients and doctors in the early detection of disease or prediction of postoperative worsening through constant monitoring. To achieve this objective, this study proposes an architecture for recommender systems applied to healthcare, which can prioritize emergency cases. The architecture brings an ensemble approach for prediction, which adopts multiple Machine Learning algorithms. The methodology used to carry out the study followed three steps. First, a systematic literature mapping, second, the construction and development of the architecture, and third, the evaluation through two case studies. The results demonstrated the feasibility of the proposal. The predictions are promising and adherent to the application context for accurate datasets with a low amount of noises or missing values

Deep neuro‐fuzzy approach for risk and severity prediction using recommendation systems in connected health care

Internet of Things (IoT) and Data science have revolutionized the entire technological landscape across the globe. Because of it, the health care ecosystems are adopting the cutting‐edge technologies to provide assistive and personalized care to the patients. But, this vision is incomplete without the adoption of data‐focused mechanisms (like machine learning, big data analytics) that can act as enablers to provide early detection and treatment of patients even without admission in the hospitals. Recently, there has been an increasing trend of providing assistive recommendation and timely alerts regarding the severity of the disease to the patients. Even, remote monitoring of the present day health situation of the patient is possible these days though the analysis of the data generated using IoT devices by doctors. Motivated from these facts, we design a health care recommendation system that provides a multilevel decision‐making related to the risk and severity of the patient diseases. The proposed systems use an all‐disease classification mechanism based on convolutional neural networks to segregate different diseases on the basis of the vital parameters of a patient. After classification, a fuzzy inference system is used to compute the risk levels for the patients. In the last step, based on the information provided by the risk analysis, the patients are provided with the potential recommendation about the severity staging of the associated diseases for timely and suitable treatment. The proposed work has been evaluated using different datasets related to the diseases and the outcomes seem to be promising

Towards Integration of Artificial Intelligence into Medical Devices as a Real-Time Recommender System for Personalised Healthcare:State-of-the-Art and Future Prospects

In the era of big data, artificial intelligence (AI) algorithms have the potential to revolutionize healthcare by improving patient outcomes and reducing healthcare costs. AI algorithms have frequently been used in health care for predictive modelling, image analysis and drug discovery. Moreover, as a recommender system, these algorithms have shown promising impacts on personalized healthcare provision. A recommender system learns the behaviour of the user and predicts their current preferences (recommends) based on their previous preferences. Implementing AI as a recommender system improves this prediction accuracy and solves cold start and data sparsity problems. However, most of the methods and algorithms are tested in a simulated setting which cannot recapitulate the influencing factors of the real world. This review article systematically reviews prevailing methodologies in recommender systems and discusses the AI algorithms as recommender systems specifically in the field of healthcare. It also provides discussion around the most cutting-edge academic and practical contributions present in the literature, identifies performance evaluation matrices, challenges in the implementation of AI as a recommender system, and acceptance of AI-based recommender systems by clinicians. The findings of this article direct researchers and professionals to comprehend currently developed recommender systems and the future of medical devices integrated with real-time recommender systems for personalized healthcare

An intelligent recommender system based on predictive analysis in telehealthcare environment

The use of intelligent technologies for providing useful recommendations to patients suffering chronic diseases may play a positive role in improving the general life quality of patients and help reduce the workload and cost involved in their daily healthcare. The objective of this study is to develop an intelligent recommender system based on predictive analysis for advising patients in the telehealth environment concerning whether they need to take the body test one day in advance by analyzing medical measurements of a patient for the past k days. The proposed algorithms supporting the recommender system have been validated using a time series telehealth data recorded from heart disease patients which were collected from May to January 2012, from our industry collaborator Tunstall. The experimental results show that the proposed system yields satisfactory recommendation accuracy and offer a promising way for saving the workload for patients to conduct body tests every day. This study highlights the possible usefulness of the computerized analysis of time series telehealth data in providing appropriate recommendations to patients suffering chronic diseases such as heart diseases patients

INTEGRATION OF INTERNET OF THINGS AND HEALTH RECOMMENDER SYSTEMS

The Internet of Things (IoT) has become a part of our lives and has provided many enhancements to day-to-day living. In this project, IoT in healthcare is reviewed. IoT-based healthcare is utilized in remote health monitoring, observing chronic diseases, individual fitness programs, helping the elderly, and many other healthcare fields. There are three main architectures of smart IoT healthcare: Three-Layer Architecture, Service-Oriented Based Architecture (SoA), and The Middleware-Based IoT Architecture. Depending on the required services, different IoT architecture are being used. In addition, IoT healthcare services, IoT healthcare service enablers, IoT healthcare applications, and IoT healthcare services focusing on Smartwatch are presented in this research. Along with IoT in smart healthcare, Health Recommender Systems integration with IoT is important. Main Recommender Systems including Content-based filtering, Collaborative-based filtering, Knowledge-based filtering, and Hybrid filtering with machine learning algorithms are described for the Health Recommender Systems. In this study, a framework is presented for the IoT-based Health Recommender Systems. Also, a case is investigated on how different algorithms can be used for Recommender Systems and their accuracy levels are presented. Such a framework can help with the health issues, for example, risk of going to see the doctor during pandemic, taking quick actions in any health emergencies, affordability of healthcare services, and enhancing the personal lifestyle using recommendations in non-critical conditions. The proposed framework can necessitate further development of IoT-based Health Recommender Systems so that people can mitigate their medical emergencies and live a healthy life

The Users' Perspective on the Privacy-Utility Trade-offs in Health Recommender Systems

Privacy is a major good for users of personalized services such as recommender systems. When applied to the field of health informatics, privacy concerns of users may be amplified, but the possible utility of such services is also high. Despite availability of technologies such as k-anonymity, differential privacy, privacy-aware recommendation, and personalized privacy trade-offs, little research has been conducted on the users' willingness to share health data for usage in such systems. In two conjoint-decision studies (sample size n=521), we investigate importance and utility of privacy-preserving techniques related to sharing of personal health data for k-anonymity and differential privacy. Users were asked to pick a preferred sharing scenario depending on the recipient of the data, the benefit of sharing data, the type of data, and the parameterized privacy. Users disagreed with sharing data for commercial purposes regarding mental illnesses and with high de-anonymization risks but showed little concern when data is used for scientific purposes and is related to physical illnesses. Suggestions for health recommender system development are derived from the findings.Comment: 32 pages, 12 figure

Deep learning cardiac motion analysis for human survival prediction

Motion analysis is used in computer vision to understand the behaviour of moving objects in sequences of images. Optimising the interpretation of dynamic biological systems requires accurate and precise motion tracking as well as efficient representations of high-dimensional motion trajectories so that these can be used for prediction tasks. Here we use image sequences of the heart, acquired using cardiac magnetic resonance imaging, to create time-resolved three-dimensional segmentations using a fully convolutional network trained on anatomical shape priors. This dense motion model formed the input to a supervised denoising autoencoder (4Dsurvival), which is a hybrid network consisting of an autoencoder that learns a task-specific latent code representation trained on observed outcome data, yielding a latent representation optimised for survival prediction. To handle right-censored survival outcomes, our network used a Cox partial likelihood loss function. In a study of 302 patients the predictive accuracy (quantified by Harrell's C-index) was significantly higher (p < .0001) for our model C=0.73 (95$\%$ CI: 0.68 - 0.78) than the human benchmark of C=0.59 (95$\%$ CI: 0.53 - 0.65). This work demonstrates how a complex computer vision task using high-dimensional medical image data can efficiently predict human survival