A clinical patient vital signs parameter measurement, processing and predictive algorithm using ECG

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.In the modern clinical and healthcare setting, the electronic collection and analysis of patient related vital signs and parameters are a fundamental part of the relevant treatment plan and positive patient response. Modern analytical techniques combined with readily available computer software today allow for the near real time analysis of digitally acquired measurements. In the clinical context, this can directly relate to patient survival rates and treatment success. The processing of clinical parameters, especially the Electrocardiogram (ECG) in the critical care setting has changed little in recent years and the analytical processes have mostly been managed by highly trained and experienced cardiac specialists. Warning, detection and measurement techniques are focused on the post processing of events relying heavily on averaging and analogue filtering to accurately capture waveform morphologies and deviations. This Ph.D. research investigates an alternative and the possibility to analyse, in the digital domain, bio signals with a focus on the ECG to determine if the feasibility of bit by bit or near real time analysis is indeed possible but more so if the data captured has any significance in the analysis and presentation of the wave patterns in a patient monitoring environment. The research and experiments have shown the potential for the development of logical models that address both the detection and short term predication of possible follow-on events with a focus on Myocardial Ischemic (MI) and Infraction based deviations. The research has shown that real time waveform processing compared to traditional graph based analysis, is both accurate and has the potential to be of benefit to the clinician by detecting deviations and morphologies in a real time domain. This is a significant step forward and has the potential to embed years of clinical experience into the measurement processes of clinical devices, in real terms. Also, providing expert analytical and identification input electronically at the patient bedside. The global human population is testing the healthcare systems and care capabilities with the shortage of clinical and healthcare providers in ever decreasing coverage of treatment that can be provided. The research is a moderate step in further realizing this and aiding the caregiver by providing true and relevant information and data, which assists in the clinical decision process and ultimately improving the required standard of patient care

Flexible Time Series Matching for Clinical and Behavioral Data

Time Series data became broadly applied by the research community in the last decades after a massive explosion of its availability. Nonetheless, this rise required an improvement in the existing analysis techniques which, in the medical domain, would help specialists to evaluate their patients condition. One of the key tasks in time series analysis is pattern recognition (segmentation and classification). Traditional methods typically perform subsequence matching, making use of a pattern template and a similarity metric to search for similar sequences throughout time series. However, real-world data is noisy and variable (morphological distortions), making a template-based exact matching an elementary approach. Intending to increase flexibility and generalize the pattern searching tasks across domains, this dissertation proposes two Deep Learning-based frameworks to solve pattern segmentation and anomaly detection problems. Regarding pattern segmentation, a Convolution/Deconvolution Neural Network is proposed, learning to distinguish, point-by-point, desired sub-patterns from background content within a time series. The proposed framework was validated in two use-cases: electrocardiogram (ECG) and inertial sensor-based human activity (IMU) signals. It outperformed two conventional matching techniques, being capable of notably detecting the targeted cycles even in noise-corrupted or extremely distorted signals, without using any reference template nor hand-coded similarity scores. Concerning anomaly detection, the proposed unsupervised framework uses the reconstruction ability of Variational Autoencoders and a local similarity score to identify non-labeled abnormalities. The proposal was validated in two public ECG datasets (MITBIH Arrhythmia and ECG5000), performing cardiac arrhythmia identification. Results indicated competitiveness relative to recent techniques, achieving detection AUC scores of 98.84% (ECG5000) and 93.32% (MIT-BIH Arrhythmia).Dados de séries temporais tornaram-se largamente aplicados pela comunidade científica nas últimas decadas após um aumento massivo da sua disponibilidade. Contudo, este aumento exigiu uma melhoria das atuais técnicas de análise que, no domínio clínico, auxiliaria os especialistas na avaliação da condição dos seus pacientes. Um dos principais tipos de análise em séries temporais é o reconhecimento de padrões (segmentação e classificação). Métodos tradicionais assentam, tipicamente, em técnicas de correspondência em subsequências, fazendo uso de um padrão de referência e uma métrica de similaridade para procurar por subsequências similares ao longo de séries temporais. Todavia, dados do mundo real são ruidosos e variáveis (morfologicamente), tornando uma correspondência exata baseada num padrão de referência uma abordagem rudimentar. Pretendendo aumentar a flexibilidade da análise de séries temporais e generalizar tarefas de procura de padrões entre domínios, esta dissertação propõe duas abordagens baseadas em Deep Learning para solucionar problemas de segmentação de padrões e deteção de anomalias. Acerca da segmentação de padrões, a rede neuronal de Convolução/Deconvolução proposta aprende a distinguir, ponto a ponto, sub-padrões pretendidos de conteúdo de fundo numa série temporal. O modelo proposto foi validado em dois casos de uso: sinais eletrocardiográficos (ECG) e de sensores inerciais em atividade humana (IMU). Este superou duas técnicas convencionais, sendo capaz de detetar os ciclos-alvo notavelmente, mesmo em sinais corrompidos por ruído ou extremamente distorcidos, sem o uso de nenhum padrão de referência nem métricas de similaridade codificadas manualmente. A respeito da deteção de anomalias, a técnica não supervisionada proposta usa a capacidade de reconstrução dos Variational Autoencoders e uma métrica de similaridade local para identificar anomalias desconhecidas. A proposta foi validada na identificação de arritmias cardíacas em duas bases de dados públicas de ECG (MIT-BIH Arrhythmia e ECG5000). Os resultados revelam competitividade face a técnicas recentes, alcançando métricas AUC de deteção de 93.32% (MIT-BIH Arrhythmia) e 98.84% (ECG5000)

An Adaptive Cognitive Sensor Node for ECG Monitoring in the Internet of Medical Things

The Internet of Medical Things (IoMT) paradigm is becoming mainstream in multiple clinical trials and healthcare procedures. Cardiovascular diseases monitoring, usually involving electrocardiogram (ECG) traces analysis, is one of the most promising and high-impact applications. Nevertheless, to fully exploit the potential of IoMT in this domain, some steps forward are needed. First, the edge-computing paradigm must be added to the picture. A certain level of near-sensor processing has to be enabled, to improve the scalability, portability, reliability and responsiveness of the IoMT nodes. Second, novel, increasingly accurate data analysis algorithms, such as those based on artificial intelligence and Deep Learning, must be exploited. To reach these objectives, designers, and programmers of IoMT nodes, have to face challenging optimization tasks, in order to execute fairly complex computing tasks on low-power wearable and portable processing systems, with tight power and battery lifetime budgets. In this work, we explore the implementation of a cognitive data analysis algorithm, based on a convolutional neural network trained to classify ECG waveforms, on a resource-constrained microcontroller-based computing platform. To minimize power consumption, we add an adaptivity layer that dynamically manages the hardware and software configuration of the device to adapt it at runtime to the required operating mode. Our experimental results show that adapting the node setup to the workload at runtime can save up to 50% power consumption. Our optimized and quantized neural network reaches an accuracy value higher than 97% for arrhythmia disorders detection on MIT-BIH Arrhythmia dataset

Evaluation of spatial-temporal anomalies in the analysis of human movement

The dissemination of Internet of Things solutions, such as smartphones, lead to the appearance of devices that allow to monitor the activities of their users. In manufacture, the performed tasks consist on sets of predetermined movements that are exhaustively repeated, forming a repetitive behaviour. Additionally, there are planned and unplanned events on manufacturing production lines which cause the repetitive behaviour to stop. The execution of improper movements and the existence of events that might prejudice the productive system are regarded as anomalies. In this work, it was investigated the feasibility of the evaluation of spatial-temporal anomaly detection in the analysis of human movement. It is proposed a framework capable of detecting anomalies in generic repetitive time series, thus being adequate to handle Human motion from industrial scenarios. The proposed framework consists of (1) a new unsupervised segmentation algorithm; (2) feature extraction, selection and dimensionality reduction; (3) unsupervised classification based on DBSCAN used to distinguish normal and anomalous instances. The proposed solution was applied in four different datasets. Two of those datasets were synthetic and two were composed of real-world data, namely, electrocardiography data and human movement in manufacture. The yielded results demonstrated not only that anomaly detection in human motion is possible, but that the developed framework is generic and, with examples, it was shown that it may be applied in general repetitive time series with little adaptation effort for different domains. The results showed that the proposed framework has the potential to be applied in manufacturing production lines to monitor the employees movements, acting as a tool to detect both planned and unplanned events, and ultimately reduce the risk of appearance of musculoskeletal disorders in industrial settings in long-term

Machine Learning Algorithms for Smart Data Analysis in Internet of Things Environment: Taxonomies and Research Trends

Machine learning techniques will contribution towards making Internet of Things (IoT) symmetric applications among the most significant sources of new data in the future. In this context, network systems are endowed with the capacity to access varieties of experimental symmetric data across a plethora of network devices, study the data information, obtain knowledge, and make informed decisions based on the dataset at its disposal. This study is limited to supervised and unsupervised machine learning (ML) techniques, regarded as the bedrock of the IoT smart data analysis. This study includes reviews and discussions of substantial issues related to supervised and unsupervised machine learning techniques, highlighting the advantages and limitations of each algorithm, and discusses the research trends and recommendations for further study

Preface

DAMSS-2018 is the jubilee 10th international workshop on data analysis methods for software systems, organized in Druskininkai, Lithuania, at the end of the year. The same place and the same time every year. Ten years passed from the first workshop. History of the workshop starts from 2009 with 16 presentations. The idea of such workshop came up at the Institute of Mathematics and Informatics. Lithuanian Academy of Sciences and the Lithuanian Computer Society supported this idea. This idea got approval both in the Lithuanian research community and abroad. The number of this year presentations is 81. The number of registered participants is 113 from 13 countries. In 2010, the Institute of Mathematics and Informatics became a member of Vilnius University, the largest university of Lithuania. In 2017, the institute changes its name into the Institute of Data Science and Digital Technologies. This name reflects recent activities of the institute. The renewed institute has eight research groups: Cognitive Computing, Image and Signal Analysis, Cyber-Social Systems Engineering, Statistics and Probability, Global Optimization, Intelligent Technologies, Education Systems, Blockchain Technologies. The main goal of the workshop is to introduce the research undertaken at Lithuanian and foreign universities in the fields of data science and software engineering. Annual organization of the workshop allows the fast interchanging of new ideas among the research community. Even 11 companies supported the workshop this year. This means that the topics of the workshop are actual for business, too. Topics of the workshop cover big data, bioinformatics, data science, blockchain technologies, deep learning, digital technologies, high-performance computing, visualization methods for multidimensional data, machine learning, medical informatics, ontological engineering, optimization in data science, business rules, and software engineering. Seeking to facilitate relations between science and business, a special session and panel discussion is organized this year about topical business problems that may be solved together with the research community. This book gives an overview of all presentations of DAMSS-2018.DAMSS-2018 is the jubilee 10th international workshop on data analysis methods for software systems, organized in Druskininkai, Lithuania, at the end of the year. The same place and the same time every year. Ten years passed from the first workshop. History of the workshop starts from 2009 with 16 presentations. The idea of such workshop came up at the Institute of Mathematics and Informatics. Lithuanian Academy of Sciences and the Lithuanian Computer Society supported this idea. This idea got approval both in the Lithuanian research community and abroad. The number of this year presentations is 81. The number of registered participants is 113 from 13 countries. In 2010, the Institute of Mathematics and Informatics became a member of Vilnius University, the largest university of Lithuania. In 2017, the institute changes its name into the Institute of Data Science and Digital Technologies. This name reflects recent activities of the institute. The renewed institute has eight research groups: Cognitive Computing, Image and Signal Analysis, Cyber-Social Systems Engineering, Statistics and Probability, Global Optimization, Intelligent Technologies, Education Systems, Blockchain Technologies. The main goal of the workshop is to introduce the research undertaken at Lithuanian and foreign universities in the fields of data science and software engineering. Annual organization of the workshop allows the fast interchanging of new ideas among the research community. Even 11 companies supported the workshop this year. This means that the topics of the workshop are actual for business, too. Topics of the workshop cover big data, bioinformatics, data science, blockchain technologies, deep learning, digital technologies, high-performance computing, visualization methods for multidimensional data, machine learning, medical informatics, ontological engineering, optimization in data science, business rules, and software engineering. Seeking to facilitate relations between science and business, a special session and panel discussion is organized this year about topical business problems that may be solved together with the research community. This book gives an overview of all presentations of DAMSS-2018

Artificial Intelligence for Data Analysis and Signal Processing

Artificial intelligence, or AI, currently encompasses a huge variety of fields, from areas such as logical reasoning and perception, to specific tasks such as game playing, language processing, theorem proving, and diagnosing diseases. It is clear that systems with human-level intelligence (or even better) would have a huge impact on our everyday lives and on the future course of evolution, as it is already happening in many ways. In this research AI techniques have been introduced and applied in several clinical and real world scenarios, with particular focus on deep learning methods. A human gait identification system based on the analysis of inertial signals has been developed, leading to misclassification rates smaller than 0.15%. Advanced deep learning architectures have been also investigated to tackle the problem of atrial fibrillation detection from short length and noisy electrocardiographic signals. The results show a clear improvement provided by representation learning over a knowledge-based approach. Another important clinical challenge, both for the patient and on-board automatic alarm systems, is to detect with reasonable advance the patterns leading to risky situations, allowing the patient to take therapeutic decisions on the basis of future instead of current information. This problem has been specifically addressed for the prediction of critical hypo/hyperglycemic episodes from continuous glucose monitoring devices, carrying out a comparative analysis among the most successful methods for glucose event prediction. This dissertation also shows evidence of the benefits of learning algorithms for vehicular traffic anomaly detection, through the use of a statistical Bayesian framework, and for the optimization of video streaming user experience, implementing an intelligent adaptation engine for video streaming clients. The proposed solution explores the promising field of deep learning methods integrated with reinforcement learning schema, showing its benefits against other state of the art approaches. The great knowledge transfer capability of artificial intelligence methods and the benefits of representation learning systems stand out from this research, representing the common thread among all the presented research fields

A clinical patient vital signs parameter measurement, processing and predictive algorithm using ECG

In the modern clinical and healthcare setting, the electronic collection and analysis of patient related vital signs and parameters are a fundamental part of the relevant treatment plan and positive patient response. Modern analytical techniques combined with readily available computer software today allow for the near real time analysis of digitally acquired measurements. In the clinical context, this can directly relate to patient survival rates and treatment success. The processing of clinical parameters, especially the Electrocardiogram (ECG) in the critical care setting has changed little in recent years and the analytical processes have mostly been managed by highly trained and experienced cardiac specialists. Warning, detection and measurement techniques are focused on the post processing of events relying heavily on averaging and analogue filtering to accurately capture waveform morphologies and deviations. This Ph. D. research investigates an alternative and the possibility to analyse, in the digital domain, bio signals with a focus on the ECG to determine if the feasibility of bit by bit or near real time analysis is indeed possible but more so if the data captured has any significance in the analysis and presentation of the wave patterns in a patient monitoring environment. The research and experiments have shown the potential for the development of logical models that address both the detection and short term predication of possible follow-on events with a focus on Myocardial Ischemic (MI) and Infraction based deviations. The research has shown that real time waveform processing compared to traditional graph based analysis, is both accurate and has the potential to be of benefit to the clinician by detecting deviations and morphologies in a real time domain. This is a significant step forward and has the potential to embed years of clinical experience into the measurement processes of clinical devices, in real terms. Also, providing expert analytical and identification input electronically at the patient bedside. The global human population is testing the healthcare systems and care capabilities with the shortage of clinical and healthcare providers in ever decreasing coverage of treatment that can be provided. The research is a moderate step in further realizing this and aiding the caregiver by providing true and relevant information and data, which assists in the clinical decision process and ultimately improving the required standard of patient care.EThOS - Electronic Theses Online ServiceGBUnited Kingdo