47,450 research outputs found

    Cyber Physical System Based Smart Healthcare System with Federated Deep Learning Architectures with Data Analytics

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    Data shared between hospitals and patients using mobile and wearable Internet of Medical Things (IoMT) devices raises privacy concerns due to the methods used in training. the development of the Internet of Medical Things (IoMT) and related technologies and the most current advances in these areas The Internet of Medical Things and other recent technological advancements have transformed the traditional healthcare system into a smart one. improvement in computing power and the spread of information have transformed the healthcare system into a high-tech, data-driven operation. On the other hand, mobile and wearable IoMT devices present privacy concerns regarding the data transmitted between hospitals and end users because of the way in which artificial intelligence is trained (AI-centralized). In terms of machine learning (AI-centralized). Devices connected to the IoMT network transmit highly confidential information that could be intercepted by adversaries. Due to the portability of electronic health record data for clinical research made possible by medical cyber-physical systems, the rate at which new scientific discoveries can be made has increased. While AI helps improve medical informatics, the current methods of centralised data training and insecure data storage management risk exposing private medical information to unapproved foreign organisations. New avenues for protecting users' privacy in IoMT without requiring access to their data have been opened by the federated learning (FL) distributive AI paradigm. FL safeguards user privacy by concealing all but gradients during training. DeepFed is a novel Federated Deep Learning approach presented in this research for the purpose of detecting cyber threats to intelligent healthcare CPSs

    Health informatics domain knowledge analysis: An information technology perspective

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    Health Informatics is an intersection of information technology, several disciplines of medicine and health care. It sits at the common frontiers of health care services including patient centric, processes driven and procedural centric care. From the information technology perspective it can be viewed as computer application in medical and/or health processes for delivering better health care solutions. In spite of the exaggerated hype, this field is having a major impact in health care solutions, in particular health care deliveries, decision making, medical devices and allied health care industries. It also affords enormous research opportunities for new methodological development. Despite the obvious connections between Medical Informatics, Nursing Informatics and Health Informatics, most of the methodologies and approaches used in Health Informatics have so far originated from health system management, care aspects and medical diagnostic. This paper explores reasoning for domain knowledge analysis that would establish Health Informatics as a domain and recognised as an intellectual discipline in its own right

    Towards Automatic Generation of Shareable Synthetic Clinical Notes Using Neural Language Models

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    Large-scale clinical data is invaluable to driving many computational scientific advances today. However, understandable concerns regarding patient privacy hinder the open dissemination of such data and give rise to suboptimal siloed research. De-identification methods attempt to address these concerns but were shown to be susceptible to adversarial attacks. In this work, we focus on the vast amounts of unstructured natural language data stored in clinical notes and propose to automatically generate synthetic clinical notes that are more amenable to sharing using generative models trained on real de-identified records. To evaluate the merit of such notes, we measure both their privacy preservation properties as well as utility in training clinical NLP models. Experiments using neural language models yield notes whose utility is close to that of the real ones in some clinical NLP tasks, yet leave ample room for future improvements.Comment: Clinical NLP Workshop 201

    Synthetic Observational Health Data with GANs: from slow adoption to a boom in medical research and ultimately digital twins?

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    After being collected for patient care, Observational Health Data (OHD) can further benefit patient well-being by sustaining the development of health informatics and medical research. Vast potential is unexploited because of the fiercely private nature of patient-related data and regulations to protect it. Generative Adversarial Networks (GANs) have recently emerged as a groundbreaking way to learn generative models that produce realistic synthetic data. They have revolutionized practices in multiple domains such as self-driving cars, fraud detection, digital twin simulations in industrial sectors, and medical imaging. The digital twin concept could readily apply to modelling and quantifying disease progression. In addition, GANs posses many capabilities relevant to common problems in healthcare: lack of data, class imbalance, rare diseases, and preserving privacy. Unlocking open access to privacy-preserving OHD could be transformative for scientific research. In the midst of COVID-19, the healthcare system is facing unprecedented challenges, many of which of are data related for the reasons stated above. Considering these facts, publications concerning GAN applied to OHD seemed to be severely lacking. To uncover the reasons for this slow adoption, we broadly reviewed the published literature on the subject. Our findings show that the properties of OHD were initially challenging for the existing GAN algorithms (unlike medical imaging, for which state-of-the-art model were directly transferable) and the evaluation synthetic data lacked clear metrics. We find more publications on the subject than expected, starting slowly in 2017, and since then at an increasing rate. The difficulties of OHD remain, and we discuss issues relating to evaluation, consistency, benchmarking, data modelling, and reproducibility.Comment: 31 pages (10 in previous version), not including references and glossary, 51 in total. Inclusion of a large number of recent publications and expansion of the discussion accordingl
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