Learning Behavioral Representations of Routines From Large-scale Unlabeled Wearable Time-series Data Streams using Hawkes Point Process

Continuously-worn wearable sensors enable researchers to collect copious amounts of rich bio-behavioral time series recordings of real-life activities of daily living, offering unprecedented opportunities to infer novel human behavior patterns during daily routines. Existing approaches to routine discovery through bio-behavioral data rely either on pre-defined notions of activities or use additional non-behavioral measurements as contexts, such as GPS location or localization within the home, presenting risks to user privacy. In this work, we propose a novel wearable time-series mining framework, Hawkes point process On Time series clusters for ROutine Discovery (HOT-ROD), for uncovering behavioral routines from completely unlabeled wearable recordings. We utilize a covariance-based method to generate time-series clusters and discover routines via the Hawkes point process learning algorithm. We empirically validate our approach for extracting routine behaviors using a completely unlabeled time-series collected continuously from over 100 individuals both in and outside of the workplace during a period of ten weeks. Furthermore, we demonstrate this approach intuitively captures daily transitional relationships between physical activity states without using prior knowledge. We also show that the learned behavioral patterns can assist in illuminating an individual's personality and affect.Comment: 2023 9th ACM SIGKDD International Workshop on Mining and Learning From Time Series (MiLeTS 2023

Automatic Pain Assessment by Learning from Multiple Biopotentials

Kivun täsmällinen arviointi on tärkeää kivunhallinnassa, erityisesti sairaan- hoitoa vaativille ipupotilaille. Kipu on subjektiivista, sillä se ei ole pelkästään aistituntemus, vaan siihen saattaa liittyä myös tunnekokemuksia. Tällöin itsearviointiin perustuvat kipuasteikot ovat tärkein työkalu, niin auan kun potilas pystyy kokemuksensa arvioimaan. Arviointi on kuitenkin haasteellista potilailla, jotka eivät itse pysty kertomaan kivustaan. Kliinisessä hoito- työssä kipua pyritään objektiivisesti arvioimaan esimerkiksi havainnoimalla fysiologisia muuttujia kuten sykettä ja käyttäytymistä esimerkiksi potilaan kasvonilmeiden perusteella. Tutkimuksen päätavoitteena on automatisoida arviointiprosessi hyödyntämällä koneoppimismenetelmiä yhdessä biosignaalien prosessointnin kanssa. Tavoitteen saavuttamiseksi mitattiin autonomista keskushermoston toimintaa kuvastavia biopotentiaaleja: sydänsähkökäyrää, galvaanista ihoreaktiota ja kasvolihasliikkeitä mittaavaa lihassähkökäyrää. Mittaukset tehtiin terveillä vapaaehtoisilla, joille aiheutettiin kokeellista kipuärsykettä. Järestelmän kehittämiseen tarvittavaa tietokantaa varten rakennettiin biopotentiaaleja keräävä Internet of Things -pohjainen tallennusjärjestelmä. Koostetun tietokannan avulla kehitettiin biosignaaleille prosessointimenetelmä jatku- vaan kivun arviointiin. Signaaleista eroteltiin piirteitä sekuntitasoon mukautetuilla aikaikkunoilla. Piirteet visualisoitiin ja tarkasteltiin eri luokittelijoilla kivun ja kiputason tunnistamiseksi. Parhailla luokittelumenetelmillä saavutettiin kivuntunnistukseen 90% herkkyyskyky (sensitivity) ja 84% erottelukyky (specificity) ja kivun voimakkuuden arviointiin 62,5% tarkkuus (accuracy). Tulokset vahvistavat kyseisen käsittelytavan käyttökelpoisuuden erityis- esti tunnistettaessa kipua yksittäisessä arviointi-ikkunassa. Tutkimus vahvistaa biopotentiaalien avulla kehitettävän automatisoidun kivun arvioinnin toteutettavuuden kokeellisella kivulla, rohkaisten etenemään todellisen kivun tutkimiseen samoilla menetelmillä. Menetelmää kehitettäessä suoritettiin lisäksi vertailua ja yhteenvetoa automaattiseen kivuntunnistukseen kehitettyjen eri tutkimusten välisistä samankaltaisuuksista ja eroista. Tarkastelussa löytyi signaalien eroavaisuuksien lisäksi tutkimusmuotojen aiheuttamaa eroa arviointitavoitteisiin, mikä hankaloitti tutkimusten vertailua. Lisäksi pohdit- tiin mitkä perinteisten prosessointitapojen osiot rajoittavat tai edistävät ennustekykyä ja miten, sekä tuoko optimointi läpimurtoa järjestelmän näkökulmasta.Accurate pain assessment plays an important role in proper pain management, especially among hospitalized people experience acute pain. Pain is subjective in nature which is not only a sensory feeling but could also combine affective factors. Therefore self-report pain scales are the main assessment tools as long as patients are able to self-report. However, it remains a challenge to assess the pain from the patients who cannot self-report. In clinical practice, physiological parameters like heart rate and pain behaviors including facial expressions are observed as empirical references to infer pain objectively. The main aim of this study is to automate such process by leveraging machine learning methods and biosignal processing. To achieve this goal, biopotentials reflecting autonomic nervous system activities including electrocardiogram and galvanic skin response, and facial expressions measured with facial electromyograms were recorded from healthy volunteers undergoing experimental pain stimulus. IoT-enabled biopotential acquisition systems were developed to build the database aiming at providing compact and wearable solutions. Using the database, a biosignal processing flow was developed for continuous pain estimation. Signal features were extracted with customized time window lengths and updated every second. The extracted features were visualized and fed into multiple classifiers trained to estimate the presence of pain and pain intensity separately. Among the tested classifiers, the best pain presence estimating sensitivity achieved was 90% (specificity 84%) and the best pain intensity estimation accuracy achieved was 62.5%. The results show the validity of the proposed processing flow, especially in pain presence estimation at window level. This study adds one more piece of evidence on the feasibility of developing an automatic pain assessment tool from biopotentials, thus providing the confidence to move forward to real pain cases. In addition to the method development, the similarities and differences between automatic pain assessment studies were compared and summarized. It was found that in addition to the diversity of signals, the estimation goals also differed as a result of different study designs which made cross dataset comparison challenging. We also tried to discuss which parts in the classical processing flow would limit or boost the prediction performance and whether optimization can bring a breakthrough from the system’s perspective

Approaches, applications, and challenges in physiological emotion recognition — a tutorial overview

An automatic emotion recognition system can serve as a fundamental framework for various applications in daily life from monitoring emotional well-being to improving the quality of life through better emotion regulation. Understanding the process of emotion manifestation becomes crucial for building emotion recognition systems. An emotional experience results in changes not only in interpersonal behavior but also in physiological responses. Physiological signals are one of the most reliable means for recognizing emotions since individuals cannot consciously manipulate them for a long duration. These signals can be captured by medical-grade wearable devices, as well as commercial smart watches and smart bands. With the shift in research direction from laboratory to unrestricted daily life, commercial devices have been employed ubiquitously. However, this shift has introduced several challenges, such as low data quality, dependency on subjective self-reports, unlimited movement-related changes, and artifacts in physiological signals. This tutorial provides an overview of practical aspects of emotion recognition, such as experiment design, properties of different physiological modalities, existing datasets, suitable machine learning algorithms for physiological data, and several applications. It aims to provide the necessary psychological and physiological backgrounds through various emotion theories and the physiological manifestation of emotions, thereby laying a foundation for emotion recognition. Finally, the tutorial discusses open research directions and possible solutions

Functional brain networks: intra and inter-subject variability in healthy individuals and patients with neurological or neuropsychiatric diseases.

The projects of this thesis sits at the intersection between classical neuroscience and aspects related to engineering, signals’ and neuroimaging processing. Each of the three years has been dedicated to specific projects carried out on distinct datasets, groups of individuals/patients and methods, putting great emphasis on multidisciplinarity and international mobility. The studies carried out in Cagliari were based on EEG (electroencephalography), and the one conducted abroad was developed on functional magnetic resonance imaging (fMRI) data. The common thread of the project concerns variability and stability of individuals' features related primarily to functional connectivity and network, as well as to the periodic and aperiodic components of EEG power spectra, and their possible use for clinical purposes. In the first study (Fraschini et al., 2019) we aimed to investigate the impact of some of the most commonly used metrics to estimate functional connectivity on the ability to unveil personal distinctive patterns of inter-channel interaction. In the second study (Demuru et al., 2020) we performed a comparison between power spectral density and some widely used nodal network metrics, both at scalp and source level, with the aim of evaluating their possible association. The first first-authored study (Pani et al., 2020)was dedicated to investigate how the variability due to subject, session and task affects electroencephalogram(EEG) power, connectivity and network features estimated using source-reconstructed EEG time-series of healthy subjects. In the study carried out with the supervision of Prof. Fornito (https://doi.org/10.1016/j.pscychresns.2020.111202) during the experience at the Brain, Mind and Society Research Hub of Monash University, partial least square analysis has been applied on fMRI data of an healthy cohort to evaluate how different specific aspects of psychosis-like experiences related to functional connectivity. Due to the pandemic of Sars-Cov-2 it was impossible to continue recording the patients affected by neurological diseases (Parkinson’s, Diskynesia) involved in the study we planned for the third year, that should have replicated the design of the first first-authored one, with the aim of investigate how individual variability/stability of functional brain networks is affected by diseases. For the aforementioned reason, we carried out the last study on a dataset we finished to record in February 2020. The analysis has the aim of investigate whether it is possible by using 19 channels sleep scalp EEG to highlight differences in the brain of patients affected by non-rem parasomnias and sleep-related hypermotor epilepsy, when considering the periodic and aperiodic component of EEG power spectra

Digital phenotyping through multimodal, unobtrusive sensing

The growing adoption of multimodal wearable and mobile devices, such as smartphones and wrist-worn watches has generated an increase in the collection of physiological and behavioural data at scale. This digital phenotyping data enables researchers to make inferences regarding users’ physical and mental health at scale, for the first time. However, translating this data into actionable insights requires computational approaches that turn unlabelled, multimodal time-series sensor data into validated measures that can be interpreted at scale. This thesis describes the derivation of novel computational methods that leverage digital phenotyping data from wearable devices in large-scale populations to infer physical behaviours. These methods combine insights from signal processing, data mining and machine learning alongside domain knowledge in physical activity and sleep epidemiology. First, the inference of sleeping windows in free-living conditions through a heart rate sensing approach is explored. This algorithm is particularly valuable in the absence of ground truth or sleep diaries given its simplicity, adaptability and capacity for personalization. I then explore multistage sleep classification through combined movement and cardiac wearable sensing and machine learning. Further, I demonstrate that postural changes detected through wrist accelerometers can inform habitual behaviours and are valuable complements to traditional, intensity-based physical activity metrics. I then leverage the concomitant responses of heart rate to physical activity that can be captured through multimodal wearable sensors through a self-supervised training task. The resulting embeddings from this task are shown to be useful for the downstream classification of demographic factors, BMI, energy expenditure and cardiorespiratory fitness. Finally, I describe a deep learning model for the adaptive inference of cardiorespiratory fitness (VO2max) using wearable data in free living conditions. I demonstrate the robustness of the model in a large UK population and show the models’ adaptability by evaluating its performance in a subset of the population with repeated measures ~6 years after the original recordings. Together, this work increases the potential of multimodal wearable and mobile sensors for physical activity and behavioural inferences in population studies. In particular, this thesis showcases the potential of using wearable devices to make valuable physical activity, sleep and fitness inferences in large cohort studies. Given the nature of the data collected and the fact that most of this data is currently generated by commercial providers and not research institutes, laying the foundations for responsible data governance and ethical use of these technologies will be critical to building trust and enabling the development of the field of digital phenotyping.I was funded by GlaxoSmithKline and the Engineering and Physical Sciences Research Council. I was also supported by the Alan Turing Institute through their Enrichment Scheme

Modern Views of Machine Learning for Precision Psychiatry

In light of the NIMH's Research Domain Criteria (RDoC), the advent of functional neuroimaging, novel technologies and methods provide new opportunities to develop precise and personalized prognosis and diagnosis of mental disorders. Machine learning (ML) and artificial intelligence (AI) technologies are playing an increasingly critical role in the new era of precision psychiatry. Combining ML/AI with neuromodulation technologies can potentially provide explainable solutions in clinical practice and effective therapeutic treatment. Advanced wearable and mobile technologies also call for the new role of ML/AI for digital phenotyping in mobile mental health. In this review, we provide a comprehensive review of the ML methodologies and applications by combining neuroimaging, neuromodulation, and advanced mobile technologies in psychiatry practice. Additionally, we review the role of ML in molecular phenotyping and cross-species biomarker identification in precision psychiatry. We further discuss explainable AI (XAI) and causality testing in a closed-human-in-the-loop manner, and highlight the ML potential in multimedia information extraction and multimodal data fusion. Finally, we discuss conceptual and practical challenges in precision psychiatry and highlight ML opportunities in future research