Hardware Implementation of Deep Network Accelerators Towards Healthcare and Biomedical Applications

With the advent of dedicated Deep Learning (DL) accelerators and neuromorphic processors, new opportunities are emerging for applying deep and Spiking Neural Network (SNN) algorithms to healthcare and biomedical applications at the edge. This can facilitate the advancement of the medical Internet of Things (IoT) systems and Point of Care (PoC) devices. In this paper, we provide a tutorial describing how various technologies ranging from emerging memristive devices, to established Field Programmable Gate Arrays (FPGAs), and mature Complementary Metal Oxide Semiconductor (CMOS) technology can be used to develop efficient DL accelerators to solve a wide variety of diagnostic, pattern recognition, and signal processing problems in healthcare. Furthermore, we explore how spiking neuromorphic processors can complement their DL counterparts for processing biomedical signals. After providing the required background, we unify the sparsely distributed research on neural network and neuromorphic hardware implementations as applied to the healthcare domain. In addition, we benchmark various hardware platforms by performing a biomedical electromyography (EMG) signal processing task and drawing comparisons among them in terms of inference delay and energy. Finally, we provide our analysis of the field and share a perspective on the advantages, disadvantages, challenges, and opportunities that different accelerators and neuromorphic processors introduce to healthcare and biomedical domains. This paper can serve a large audience, ranging from nanoelectronics researchers, to biomedical and healthcare practitioners in grasping the fundamental interplay between hardware, algorithms, and clinical adoption of these tools, as we shed light on the future of deep networks and spiking neuromorphic processing systems as proponents for driving biomedical circuits and systems forward.Comment: Submitted to IEEE Transactions on Biomedical Circuits and Systems (21 pages, 10 figures, 5 tables

A Review of Atrial Fibrillation Detection Methods as a Service

Atrial Fibrillation (AF) is a common heart arrhythmia that often goes undetected, and even if it is detected, managing the condition may be challenging. In this paper, we review how the RR interval and Electrocardiogram (ECG) signals, incorporated into a monitoring system, can be useful to track AF events. Were such an automated system to be implemented, it could be used to help manage AF and thereby reduce patient morbidity and mortality. The main impetus behind the idea of developing a service is that a greater data volume analyzed can lead to better patient outcomes. Based on the literature review, which we present herein, we introduce the methods that can be used to detect AF efficiently and automatically via the RR interval and ECG signals. A cardiovascular disease monitoring service that incorporates one or multiple of these detection methods could extend event observation to all times, and could therefore become useful to establish any AF occurrence. The development of an automated and efficient method that monitors AF in real time would likely become a key component for meeting public health goals regarding the reduction of fatalities caused by the disease. Yet, at present, significant technological and regulatory obstacles remain, which prevent the development of any proposed system. Establishment of the scientific foundation for monitoring is important to provide effective service to patients and healthcare professionals

Decentralized Federated Learning for Epileptic Seizures Detection in Low-Power Wearable Systems

In healthcare, data privacy of patients regulations prohibits data from being moved outside the hospital, preventing international medical datasets from being centralized for AI training. Federated learning (FL) is a data privacy-focused method that trains a global model by aggregating local models from hospitals. Existing FL techniques adopt a central server-based network topology, where the server assembles the local models trained in each hospital to create a global model. However, the server could be a point of failure, and models trained in FL usually have worse performance than those trained in the centralized learning manner when the patient's data are not independent and identically distributed (Non-IID) in the hospitals. This paper presents a decentralized FL framework, including training with adaptive ensemble learning and a deployment phase using knowledge distillation. The adaptive ensemble learning step in the training phase leads to the acquisition of a specific model for each hospital that is the optimal combination of local models and models from other available hospitals. This step solves the non-IID challenges in each hospital. The deployment phase adjusts the model's complexity to meet the resource constraints of wearable systems. We evaluated the performance of our approach on edge computing platforms using EPILEPSIAE and TUSZ databases, which are public epilepsy datasets.RYC2021-032853-

Wearable Technologies and AI at the Far Edge for Chronic Heart Failure Prevention and Management: A Systematic Review and Prospects

Smart wearable devices enable personalized at-home healthcare by unobtrusively collecting patient health data and facilitating the development of intelligent platforms to support patient care and management. The accurate analysis of data obtained from wearable devices is crucial for interpreting and contextualizing health data and facilitating the reliable diagnosis and management of critical and chronic diseases. The combination of edge computing and artificial intelligence has provided real-time, time-critical, and privacy-preserving data analysis solutions. However, based on the envisioned service, evaluating the additive value of edge intelligence to the overall architecture is essential before implementation. This article aims to comprehensively analyze the current state of the art on smart health infrastructures implementing wearable and AI technologies at the far edge to support patients with chronic heart failure (CHF). In particular, we highlight the contribution of edge intelligence in supporting the integration of wearable devices into IoT-aware technology infrastructures that provide services for patient diagnosis and management. We also offer an in-depth analysis of open challenges and provide potential solutions to facilitate the integration of wearable devices with edge AI solutions to provide innovative technological infrastructures and interactive services for patients and doctors

Edge Intelligence for Empowering IoT-based Healthcare Systems

The demand for real-time, affordable, and efficient smart healthcare services is increasing exponentially due to the technological revolution and burst of population. To meet the increasing demands on this critical infrastructure, there is a need for intelligent methods to cope with the existing obstacles in this area. In this regard, edge computing technology can reduce latency and energy consumption by moving processes closer to the data sources in comparison to the traditional centralized cloud and IoT-based healthcare systems. In addition, by bringing automated insights into the smart healthcare systems, artificial intelligence (AI) provides the possibility of detecting and predicting high-risk diseases in advance, decreasing medical costs for patients, and offering efficient treatments. The objective of this article is to highlight the benefits of the adoption of edge intelligent technology, along with AI in smart healthcare systems. Moreover, a novel smart healthcare model is proposed to boost the utilization of AI and edge technology in smart healthcare systems. Additionally, the paper discusses issues and research directions arising when integrating these different technologies together.Comment: This paper has been accepted in IEEE Wireless Communication Magazin

Multi-sensor data fusion in mobile devices for the identification of Activities of Daily Living

Following the recent advances in technology and the growing use of mobile devices such as smartphones, several solutions may be developed to improve the quality of life of users in the context of Ambient Assisted Living (AAL). Mobile devices have different available sensors, e.g., accelerometer, gyroscope, magnetometer, microphone and Global Positioning System (GPS) receiver, which allow the acquisition of physical and physiological parameters for the recognition of different Activities of Daily Living (ADL) and the environments in which they are performed. The definition of ADL includes a well-known set of tasks, which include basic selfcare tasks, based on the types of skills that people usually learn in early childhood, including feeding, bathing, dressing, grooming, walking, running, jumping, climbing stairs, sleeping, watching TV, working, listening to music, cooking, eating and others. On the context of AAL, some individuals (henceforth called user or users) need particular assistance, either because the user has some sort of impairment, or because the user is old, or simply because users need/want to monitor their lifestyle. The research and development of systems that provide a particular assistance to people is increasing in many areas of application. In particular, in the future, the recognition of ADL will be an important element for the development of a personal digital life coach, providing assistance to different types of users. To support the recognition of ADL, the surrounding environments should be also recognized to increase the reliability of these systems. The main focus of this Thesis is the research on methods for the fusion and classification of the data acquired by the sensors available in off-the-shelf mobile devices in order to recognize ADL in almost real-time, taking into account the large diversity of the capabilities and characteristics of the mobile devices available in the market. In order to achieve this objective, this Thesis started with the review of the existing methods and technologies to define the architecture and modules of the method for the identification of ADL. With this review and based on the knowledge acquired about the sensors available in off-the-shelf mobile devices, a set of tasks that may be reliably identified was defined as a basis for the remaining research and development to be carried out in this Thesis. This review also identified the main stages for the development of a new method for the identification of the ADL using the sensors available in off-the-shelf mobile devices; these stages are data acquisition, data processing, data cleaning, data imputation, feature extraction, data fusion and artificial intelligence. One of the challenges is related to the different types of data acquired from the different sensors, but other challenges were found, including the presence of environmental noise, the positioning of the mobile device during the daily activities, the limited capabilities of the mobile devices and others. Based on the acquired data, the processing was performed, implementing data cleaning and feature extraction methods, in order to define a new framework for the recognition of ADL. The data imputation methods were not applied, because at this stage of the research their implementation does not have influence in the results of the identification of the ADL and environments, as the features are extracted from a set of data acquired during a defined time interval and there are no missing values during this stage. The joint selection of the set of usable sensors and the identifiable set of tasks will then allow the development of a framework that, considering multi-sensor data fusion technologies and context awareness, in coordination with other information available from the user context, such as his/her agenda and the time of the day, will allow to establish a profile of the tasks that the user performs in a regular activity day. The classification method and the algorithm for the fusion of the features for the recognition of ADL and its environments needs to be deployed in a machine with some computational power, while the mobile device that will use the created framework, can perform the identification of the ADL using a much less computational power. Based on the results reported in the literature, the method chosen for the recognition of the ADL is composed by three variants of Artificial Neural Networks (ANN), including simple Multilayer Perceptron (MLP) networks, Feedforward Neural Networks (FNN) with Backpropagation, and Deep Neural Networks (DNN). Data acquisition can be performed with standard methods. After the acquisition, the data must be processed at the data processing stage, which includes data cleaning and feature extraction methods. The data cleaning method used for motion and magnetic sensors is the low pass filter, in order to reduce the noise acquired; but for the acoustic data, the Fast Fourier Transform (FFT) was applied to extract the different frequencies. When the data is clean, several features are then extracted based on the types of sensors used, including the mean, standard deviation, variance, maximum value, minimum value and median of raw data acquired from the motion and magnetic sensors; the mean, standard deviation, variance and median of the maximum peaks calculated with the raw data acquired from the motion and magnetic sensors; the five greatest distances between the maximum peaks calculated with the raw data acquired from the motion and magnetic sensors; the mean, standard deviation, variance, median and 26 Mel- Frequency Cepstral Coefficients (MFCC) of the frequencies obtained with FFT based on the raw data acquired from the microphone data; and the distance travelled calculated with the data acquired from the GPS receiver. After the extraction of the features, these will be grouped in different datasets for the application of the ANN methods and to discover the method and dataset that reports better results. The classification stage was incrementally developed, starting with the identification of the most common ADL (i.e., walking, running, going upstairs, going downstairs and standing activities) with motion and magnetic sensors. Next, the environments were identified with acoustic data, i.e., bedroom, bar, classroom, gym, kitchen, living room, hall, street and library. After the environments are recognized, and based on the different sets of sensors commonly available in the mobile devices, the data acquired from the motion and magnetic sensors were combined with the recognized environment in order to differentiate some activities without motion, i.e., sleeping and watching TV. The number of recognized activities in this stage was increased with the use of the distance travelled, extracted from the GPS receiver data, allowing also to recognize the driving activity. After the implementation of the three classification methods with different numbers of iterations, datasets and remaining configurations in a machine with high processing capabilities, the reported results proved that the best method for the recognition of the most common ADL and activities without motion is the DNN method, but the best method for the recognition of environments is the FNN method with Backpropagation. Depending on the number of sensors used, this implementation reports a mean accuracy between 85.89% and 89.51% for the recognition of the most common ADL, equals to 86.50% for the recognition of environments, and equals to 100% for the recognition of activities without motion, reporting an overall accuracy between 85.89% and 92.00%. The last stage of this research work was the implementation of the structured framework for the mobile devices, verifying that the FNN method requires a high processing power for the recognition of environments and the results reported with the mobile application are lower than the results reported with the machine with high processing capabilities used. Thus, the DNN method was also implemented for the recognition of the environments with the mobile devices. Finally, the results reported with the mobile devices show an accuracy between 86.39% and 89.15% for the recognition of the most common ADL, equal to 45.68% for the recognition of environments, and equal to 100% for the recognition of activities without motion, reporting an overall accuracy between 58.02% and 89.15%. Compared with the literature, the results returned by the implemented framework show only a residual improvement. However, the results reported in this research work comprehend the identification of more ADL than the ones described in other studies. The improvement in the recognition of ADL based on the mean of the accuracies is equal to 2.93%, but the maximum number of ADL and environments previously recognized was 13, while the number of ADL and environments recognized with the framework resulting from this research is 16. In conclusion, the framework developed has a mean improvement of 2.93% in the accuracy of the recognition for a larger number of ADL and environments than previously reported. In the future, the achievements reported by this PhD research may be considered as a start point of the development of a personal digital life coach, but the number of ADL and environments recognized by the framework should be increased and the experiments should be performed with different types of devices (i.e., smartphones and smartwatches), and the data imputation and other machine learning methods should be explored in order to attempt to increase the reliability of the framework for the recognition of ADL and its environments.Após os recentes avanços tecnológicos e o crescente uso dos dispositivos móveis, como por exemplo os smartphones, várias soluções podem ser desenvolvidas para melhorar a qualidade de vida dos utilizadores no contexto de Ambientes de Vida Assistida (AVA) ou Ambient Assisted Living (AAL). Os dispositivos móveis integram vários sensores, tais como acelerómetro, giroscópio, magnetómetro, microfone e recetor de Sistema de Posicionamento Global (GPS), que permitem a aquisição de vários parâmetros físicos e fisiológicos para o reconhecimento de diferentes Atividades da Vida Diária (AVD) e os seus ambientes. A definição de AVD inclui um conjunto bem conhecido de tarefas que são tarefas básicas de autocuidado, baseadas nos tipos de habilidades que as pessoas geralmente aprendem na infância. Essas tarefas incluem alimentar-se, tomar banho, vestir-se, fazer os cuidados pessoais, caminhar, correr, pular, subir escadas, dormir, ver televisão, trabalhar, ouvir música, cozinhar, comer, entre outras. No contexto de AVA, alguns indivíduos (comumente chamados de utilizadores) precisam de assistência particular, seja porque o utilizador tem algum tipo de deficiência, seja porque é idoso, ou simplesmente porque o utilizador precisa/quer monitorizar e treinar o seu estilo de vida. A investigação e desenvolvimento de sistemas que fornecem algum tipo de assistência particular está em crescente em muitas áreas de aplicação. Em particular, no futuro, o reconhecimento das AVD é uma parte importante para o desenvolvimento de um assistente pessoal digital, fornecendo uma assistência pessoal de baixo custo aos diferentes tipos de pessoas. pessoas. Para ajudar no reconhecimento das AVD, os ambientes em que estas se desenrolam devem ser reconhecidos para aumentar a fiabilidade destes sistemas. O foco principal desta Tese é o desenvolvimento de métodos para a fusão e classificação dos dados adquiridos a partir dos sensores disponíveis nos dispositivos móveis, para o reconhecimento quase em tempo real das AVD, tendo em consideração a grande diversidade das características dos dispositivos móveis disponíveis no mercado. Para atingir este objetivo, esta Tese iniciou-se com a revisão dos métodos e tecnologias existentes para definir a arquitetura e os módulos do novo método de identificação das AVD. Com esta revisão da literatura e com base no conhecimento adquirido sobre os sensores disponíveis nos dispositivos móveis disponíveis no mercado, um conjunto de tarefas que podem ser identificadas foi definido para as pesquisas e desenvolvimentos desta Tese. Esta revisão também identifica os principais conceitos para o desenvolvimento do novo método de identificação das AVD, utilizando os sensores, são eles: aquisição de dados, processamento de dados, correção de dados, imputação de dados, extração de características, fusão de dados e extração de resultados recorrendo a métodos de inteligência artificial. Um dos desafios está relacionado aos diferentes tipos de dados adquiridos pelos diferentes sensores, mas outros desafios foram encontrados, sendo os mais relevantes o ruído ambiental, o posicionamento do dispositivo durante a realização das atividades diárias, as capacidades limitadas dos dispositivos móveis. As diferentes características das pessoas podem igualmente influenciar a criação dos métodos, escolhendo pessoas com diferentes estilos de vida e características físicas para a aquisição e identificação dos dados adquiridos a partir de sensores. Com base nos dados adquiridos, realizou-se o processamento dos dados, implementando-se métodos de correção dos dados e a extração de características, para iniciar a criação do novo método para o reconhecimento das AVD. Os métodos de imputação de dados foram excluídos da implementação, pois não iriam influenciar os resultados da identificação das AVD e dos ambientes, na medida em que são utilizadas as características extraídas de um conjunto de dados adquiridos durante um intervalo de tempo definido. A seleção dos sensores utilizáveis, bem como das AVD identificáveis, permitirá o desenvolvimento de um método que, considerando o uso de tecnologias para a fusão de dados adquiridos com múltiplos sensores em coordenação com outras informações relativas ao contexto do utilizador, tais como a agenda do utilizador, permitindo estabelecer um perfil de tarefas que o utilizador realiza diariamente. Com base nos resultados obtidos na literatura, o método escolhido para o reconhecimento das AVD são as diferentes variantes das Redes Neuronais Artificiais (RNA), incluindo Multilayer Perceptron (MLP), Feedforward Neural Networks (FNN) with Backpropagation and Deep Neural Networks (DNN). No final, após a criação dos métodos para cada fase do método para o reconhecimento das AVD e ambientes, a implementação sequencial dos diferentes métodos foi realizada num dispositivo móvel para testes adicionais. Após a definição da estrutura do método para o reconhecimento de AVD e ambientes usando dispositivos móveis, verificou-se que a aquisição de dados pode ser realizada com os métodos comuns. Após a aquisição de dados, os mesmos devem ser processados no módulo de processamento de dados, que inclui os métodos de correção de dados e de extração de características. O método de correção de dados utilizado para sensores de movimento e magnéticos é o filtro passa-baixo de modo a reduzir o ruído, mas para os dados acústicos, a Transformada Rápida de Fourier (FFT) foi aplicada para extrair as diferentes frequências. Após a correção dos dados, as diferentes características foram extraídas com base nos tipos de sensores usados, sendo a média, desvio padrão, variância, valor máximo, valor mínimo e mediana de dados adquiridos pelos sensores magnéticos e de movimento, a média, desvio padrão, variância e mediana dos picos máximos calculados com base nos dados adquiridos pelos sensores magnéticos e de movimento, as cinco maiores distâncias entre os picos máximos calculados com os dados adquiridos dos sensores de movimento e magnéticos, a média, desvio padrão, variância e 26 Mel-Frequency Cepstral Coefficients (MFCC) das frequências obtidas com FFT com base nos dados obtidos a partir do microfone, e a distância calculada com os dados adquiridos pelo recetor de GPS. Após a extração das características, as mesmas são agrupadas em diferentes conjuntos de dados para a aplicação dos métodos de RNA de modo a descobrir o método e o conjunto de características que reporta melhores resultados. O módulo de classificação de dados foi incrementalmente desenvolvido, começando com a identificação das AVD comuns com sensores magnéticos e de movimento, i.e., andar, correr, subir escadas, descer escadas e parado. Em seguida, os ambientes são identificados com dados de sensores acústicos, i.e., quarto, bar, sala de aula, ginásio, cozinha, sala de estar, hall, rua e biblioteca. Com base nos ambientes reconhecidos e os restantes sensores disponíveis nos dispositivos móveis, os dados adquiridos dos sensores magnéticos e de movimento foram combinados com o ambiente reconhecido para diferenciar algumas atividades sem movimento (i.e., dormir e ver televisão), onde o número de atividades reconhecidas nesta fase aumenta com a fusão da distância percorrida, extraída a partir dos dados do recetor GPS, permitindo também reconhecer a atividade de conduzir. Após a implementação dos três métodos de classificação com diferentes números de iterações, conjuntos de dados e configurações numa máquina com alta capacidade de processamento, os resultados relatados provaram que o melhor método para o reconhecimento das atividades comuns de AVD e atividades sem movimento é o método DNN, mas o melhor método para o reconhecimento de ambientes é o método FNN with Backpropagation. Dependendo do número de sensores utilizados, esta implementação reporta uma exatidão média entre 85,89% e 89,51% para o reconhecimento das AVD comuns, igual a 86,50% para o reconhecimento de ambientes, e igual a 100% para o reconhecimento de atividades sem movimento, reportando uma exatidão global entre 85,89% e 92,00%. A última etapa desta Tese foi a implementação do método nos dispositivos móveis, verificando que o método FNN requer um alto poder de processamento para o reconhecimento de ambientes e os resultados reportados com estes dispositivos são inferiores aos resultados reportados com a máquina com alta capacidade de processamento utilizada no desenvolvimento do método. Assim, o método DNN foi igualmente implementado para o reconhecimento dos ambientes com os dispositivos móveis. Finalmente, os resultados relatados com os dispositivos móveis reportam uma exatidão entre 86,39% e 89,15% para o reconhecimento das AVD comuns, igual a 45,68% para o reconhecimento de ambientes, e igual a 100% para o reconhecimento de atividades sem movimento, reportando uma exatidão geral entre 58,02% e 89,15%. Com base nos resultados relatados na literatura, os resultados do método desenvolvido mostram uma melhoria residual, mas os resultados desta Tese identificam mais AVD que os demais estudos disponíveis na literatura. A melhoria no reconhecimento das AVD com base na média das exatidões é igual a 2,93%, mas o número máximo de AVD e ambientes reconhecidos pelos estudos disponíveis na literatura é 13, enquanto o número de AVD e ambientes reconhecidos com o método implementado é 16. Assim, o método desenvolvido tem uma melhoria de 2,93% na exatidão do reconhecimento num maior número de AVD e ambientes. Como trabalho futuro, os resultados reportados nesta Tese podem ser considerados um ponto de partida para o desenvolvimento de um assistente digital pessoal, mas o número de ADL e ambientes reconhecidos pelo método deve ser aumentado e as experiências devem ser repetidas com diferentes tipos de dispositivos móveis (i.e., smartphones e smartwatches), e os métodos de imputação e outros métodos de classificação de dados devem ser explorados de modo a tentar aumentar a confiabilidade do método para o reconhecimento das AVD e ambientes

Enhancing Cardiovascular Disease Prediction Based on AI and IoT Concepts

One-third of all deaths worldwide yearly are attributable to cardiovascular disease (CVD). In contrast to the 7% of the wealthy who experience premature death, 43% of the poor do. Lifestyle diseases like obesity and diabetes are to blame. The importance of early identification of heart disease was demonstrated, and premature mortality was kept to a minimum. Combining clinical and biochemical data is essential for the early diagnosis of heart illness. Numerous IoT-enabled wearable healthcare applications have been created and released in recent years. Although the ability of wearable devices to share patient health data is expanding, it remains challenging to predict and identify health problems. Security, data storage, and patient monitoring are all part of the system. Artificial intelligence (AI) therapies may one day change the face of cardiology by providing doctors with cutting-edge data analysis and therapeutic decision-making resources. As the volume and complexity of data continue to increase, AI tools like machine learning (ML) and deep learning (DL) can assist medical professionals in learning more. Suppose we want to provide medical care to the elderly and those with chronic illnesses in the comfort of their own homes. In that case, we must upgrade our communication and information technology systems. The implemented DNN model's accuracy is amazing at 95.34 % and can yield other noteworthy outcomes when used to identify CVDs. We discuss and suggest the most suitable AI-IoT models for early CVD prediction and detection to reduce computational costs and increase time efficiency

Energy Efficient Machine Learning-Based Classification of ECG Heartbeat Types

To meet the accuracy, latency and energy efficiency requirements during real-time collection and analysis of health data, a distributed edge computing environment is the answer, combined with 5G speeds and modern computing techniques. Using the state-of-the-art machine learning based classification techniques plays a crucial role in creating the optimal healthcare system on the edge. This thesis first provides a background on the current and emerging edge computing classification techniques for healthcare applications, specifically for electrocardiogram (ECG) beat classification. We then present key findings from an extensive survey of over hundred studies on the topic while taxonomizing the literature with respect to key architectural differences, application areas and requirements. Leveraging the insights drawn from the extensive analysis of the pertinent literature we select a set of most promising machine learning based classification techniques for ECG beats, based on their suitability for implementation on a small edge device called a Raspberry Pi. After implementing these classification techniques on a Raspberry Pi based platform we perform a comparison of the performance of these classification techniques with respect to three key performance indicators (KPI) of interest for health care applications namely accuracy, energy efficiency, and latency. ECG measures the electrical activity of the heart and help healthcare professionals to evaluate heart conditions of a patient, sometimes diagnosing life-threatening conditions. The features of ECG signals are pre-processed and fed into the classification algorithms to detect and classify abnormal beat types. ECG classification requires low complexity but still high level of performance in terms of aforementioned three KPIs. The classification algorithms chosen, namely Naïve Bayes, Multilayer Perceptron (MLP), and distilled deep neural network (DNN) are all energy efficient methods hence suitable for implementation for small edge devices. The comparative multi-faceted evaluation presented in this thesis is a new contribution to research that exists on edge based classification as it offers comparison of selected classification algorithms in terms three KPIs instead of one while using real edge device based implementation. The performance of analyzed machine learning classification techniques is ranked according to each KPI. Benefiting from the results of the comparative analysis presented in this thesis a particular classification algorithm can be selected for optimal deployment in given scenario in healthcare system depending on the specific requirements of the given scenario. Edge computing paves the way for a new generation of health devices that can offer a higher quality of life for users if low-latency, low-energy, and high- performance requirements are addressed

SS-FD: Internet of medical things based patient health monitoring system

Internet of Medical Things (IoMT) consists of connected devices used to collect patient health information in a real-time environment. The IoMT device effectively handles medical issues by using health wearable and medical-grade wearables. Although IoMT can process the collected data, it has few pitfalls, such as interoperability of data, standardization issues, and computation complexity while detecting disease. By considering these issues, in this work, IoMT is utilized in the field of the remote patient monitoring system. Initially, the IoMT devices are placed on the human body and collect their health information continuously. The gathered details are processed using a salp swarm optimized fuzzy deep neural network (SS-FD). This system supports the patient health monitoring process with minimum low-cost consumption. The SS-FD classifier processes the obtained data; primary and emergency data is classified according to the fuzzy rule. This process improves the remote patient health data analysis and reduces the difficulties involved in the patient health analysis. Then the efficiency of the system is evaluated using experimental result