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Cross-Modality Investigation on WESAD Stress Classification

Oliver, Eric, Dakshit, Sagnik

arXiv.org Artificial Intelligence

Deep learning's growing prevalence has driven its widespread use in healthcare, where AI and sensor advancements enhance diagnosis, treatment, and monitoring. In mobile health, AI-powered tools enable early diagnosis and continuous monitoring of conditions like stress. Wearable technologies and multimodal physiological data have made stress detection increasingly viable, but model efficacy depends on data quality, quantity, and modality. This study develops transformer models for stress detection using the WESAD dataset, training on electrocardiograms (ECG), electrodermal activity (EDA), electromyography (EMG), respiration rate (RESP), temperature (TEMP), and 3-axis accelerometer (ACC) signals. The results demonstrate the effectiveness of single-modality transformers in analyzing physiological signals, achieving state-of-the-art performance with accuracy, precision and recall values in the range of $99.73\%$ to $99.95\%$ for stress detection. Furthermore, this study explores cross-modal performance and also explains the same using 2D visualization of the learned embedding space and quantitative analysis based on data variance. Despite the large body of work on stress detection and monitoring, the robustness and generalization of these models across different modalities has not been explored. This research represents one of the initial efforts to interpret embedding spaces for stress detection, providing valuable information on cross-modal performance.


Autonomous Vision-Guided Resection of Central Airway Obstruction

Smith, M. E., Yilmaz, N., Watts, T., Scheikl, P. M., Ge, J., Deguet, A., Kuntz, A., Krieger, A.

arXiv.org Artificial Intelligence

Existing tracheal tumor resection methods often lack the precision required for effective airway clearance, and robotic advancements offer new potential for autonomous resection. We present a vision-guided, autonomous approach for palliative resection of tracheal tumors. This system models the tracheal surface with a fifth-degree polynomial to plan tool trajectories, while a custom Faster R-CNN segmentation pipeline identifies the trachea and tumor boundaries. The electrocautery tool angle is optimized using handheld surgical demonstrations, and trajectories are planned to maintain a 1 mm safety clearance from the tracheal surface. We validated the workflow successfully in five consecutive experiments on ex-vivo animal tissue models, successfully clearing the airway obstruction without trachea perforation in all cases (with more than 90% volumetric tumor removal). These results support the feasibility of an autonomous resection platform, paving the way for future developments in minimally-invasive autonomous resection.


Primary Care Diagnoses as a Reliable Predictor for Orthopedic Surgical Interventions

Verma, Khushboo, Michels, Alan, Gumusaneli, Ergi, Chitnis, Shilpa, Kumar, Smita Sinha, Thompson, Christopher, Esmail, Lena, Srinivasan, Guruprasath, Panchada, Chandini, Guha, Sushovan, Kumar, Satwant

arXiv.org Artificial Intelligence

Referral workflow inefficiencies, including misaligned referrals and delays, contribute to suboptimal patient outcomes and higher healthcare costs. In this study, we investigated the possibility of predicting procedural needs based on primary care diagnostic entries, thereby improving referral accuracy, streamlining workflows, and providing better care to patients. A de-identified dataset of 2,086 orthopedic referrals from the University of Texas Health at Tyler was analyzed using machine learning models built on Base General Embeddings (BGE) for semantic extraction. To ensure real-world applicability, noise tolerance experiments were conducted, and oversampling techniques were employed to mitigate class imbalance. The selected optimum and parsimonious embedding model demonstrated high predictive accuracy (ROC-AUC: 0.874, Matthews Correlation Coefficient (MCC): 0.540), effectively distinguishing patients requiring surgical intervention. Dimensionality reduction techniques confirmed the model's ability to capture meaningful clinical relationships. A threshold sensitivity analysis identified an optimal decision threshold (0.30) to balance precision and recall, maximizing referral efficiency. In the predictive modeling analysis, the procedure rate increased from 11.27% to an optimal 60.1%, representing a 433% improvement with significant implications for operational efficiency and healthcare revenue. The results of our study demonstrate that referral optimization can enhance primary and surgical care integration. Through this approach, precise and timely predictions of procedural requirements can be made, thereby minimizing delays, improving surgical planning, and reducing administrative burdens. In addition, the findings highlight the potential of clinical decision support as a scalable solution for improving patient outcomes and the efficiency of the healthcare system.


Autonomous Robotic System with Optical Coherence Tomography Guidance for Vascular Anastomosis

Haworth, Jesse, Biswas, Rishi, Opfermann, Justin, Kam, Michael, Wang, Yaning, Pantalone, Desire, Creighton, Francis X., Yang, Robin, Kang, Jin U., Krieger, Axel

arXiv.org Artificial Intelligence

Vascular anastomosis, the surgical connection of blood vessels, is essential in procedures such as organ transplants and reconstructive surgeries. The precision required limits accessibility due to the extensive training needed, with manual suturing leading to variable outcomes and revision rates up to 7.9%. Existing robotic systems, while promising, are either fully teleoperated or lack the capabilities necessary for autonomous vascular anastomosis. We present the Micro Smart Tissue Autonomous Robot (micro-STAR), an autonomous robotic system designed to perform vascular anastomosis on small-diameter vessels. The micro-STAR system integrates a novel suturing tool equipped with Optical Coherence Tomography (OCT) fiber-optic sensor and a microcamera, enabling real-time tissue detection and classification. Our system autonomously places sutures and manipulates tissue with minimal human intervention. In an ex vivo study, micro-STAR achieved outcomes competitive with experienced surgeons in terms of leak pressure, lumen reduction, and suture placement variation, completing 90% of sutures without human intervention. This represents the first instance of a robotic system autonomously performing vascular anastomosis on real tissue, offering significant potential for improving surgical precision and expanding access to high-quality care.


Understanding Higher-Order Correlations Among Semantic Components in Embeddings

Oyama, Momose, Yamagiwa, Hiroaki, Shimodaira, Hidetoshi

arXiv.org Artificial Intelligence

Independent Component Analysis (ICA) offers interpretable semantic components of embeddings. While ICA theory assumes that embeddings can be linearly decomposed into independent components, real-world data often do not satisfy this assumption. Consequently, non-independencies remain between the estimated components, which ICA cannot eliminate. We quantified these non-independencies using higher-order correlations and demonstrated that when the higher-order correlation between two components is large, it indicates a strong semantic association between them, along with many words sharing common meanings with both components. The entire structure of non-independencies was visualized using Figure 1: Heatmap visualization of 300-dimensional a maximum spanning tree of semantic components. SGNS embeddings transformed by PCA and ICA, with These findings provide deeper insights axes sorted by variance and skewness, respectively.


Faculty Perspectives on the Potential of RAG in Computer Science Higher Education

Dakshit, Sagnik

arXiv.org Artificial Intelligence

The emergence of Large Language Models (LLMs) has significantly impacted the field of Natural Language Processing and has transformed conversational tasks across various domains because of their widespread integration in applications and public access. The discussion surrounding the application of LLMs in education has raised ethical concerns, particularly concerning plagiarism and policy compliance. Despite the prowess of LLMs in conversational tasks, the limitations of reliability and hallucinations exacerbate the need to guardrail conversations, motivating our investigation of RAG in computer science higher education. We developed Retrieval Augmented Generation (RAG) applications for the two tasks of virtual teaching assistants and teaching aids. In our study, we collected the ratings and opinions of faculty members in undergraduate and graduate computer science university courses at various levels, using our personalized RAG systems for each course. This study is the first to gather faculty feedback on the application of LLM-based RAG in education. The investigation revealed that while faculty members acknowledge the potential of RAG systems as virtual teaching assistants and teaching aids, certain barriers and features are suggested for their full-scale deployment. These findings contribute to the ongoing discussion on the integration of advanced language models in educational settings, highlighting the need for careful consideration of ethical implications and the development of appropriate safeguards to ensure responsible and effective implementation.


Can Public LLMs be used for Self-Diagnosis of Medical Conditions ?

Balasubramanian, Nikil Sharan Prabahar, Dakshit, Sagnik

arXiv.org Artificial Intelligence

Advancements in deep learning have generated a large-scale interest in the development of foundational deep learning models. The development of Large Language Models (LLM) has evolved as a transformative paradigm in conversational tasks, which has led to its integration and extension even in the critical domain of healthcare. With LLMs becoming widely popular and their public access through open-source models and integration with other applications, there is a need to investigate their potential and limitations. One such crucial task where LLMs are applied but require a deeper understanding is that of self-diagnosis of medical conditions based on bias-validating symptoms in the interest of public health. The widespread integration of Gemini with Google search and GPT-4.0 with Bing search has led to a shift in the trend of self-diagnosis using search engines to conversational LLM models. Owing to the critical nature of the task, it is prudent to investigate and understand the potential and limitations of public LLMs in the task of self-diagnosis. In this study, we prepare a prompt engineered dataset of 10000 samples and test the performance on the general task of self-diagnosis. We compared the performance of both the state-of-the-art GPT-4.0 and the fee Gemini model on the task of self-diagnosis and recorded contrasting accuracies of 63.07% and 6.01%, respectively. We also discuss the challenges, limitations, and potential of both Gemini and GPT-4.0 for the task of self-diagnosis to facilitate future research and towards the broader impact of general public knowledge. Furthermore, we demonstrate the potential and improvement in performance for the task of self-diagnosis using Retrieval Augmented Generation.


Fuzzy Convolution Neural Networks for Tabular Data Classification

Kulkarni, Arun D.

arXiv.org Artificial Intelligence

Recently, convolution neural networks (CNNs) have attracted a great deal of attention due to their remarkable performance in various domains, particularly in image and text classification tasks. However, their application to tabular data classification remains underexplored. There are many fields such as bioinformatics, finance, medicine where nonimage data are prevalent. Adaption of CNNs to classify nonimage data remains highly challenging. This paper investigates the efficacy of CNNs for tabular data classification, aiming to bridge the gap between traditional machine learning approaches and deep learning techniques. We propose a novel framework fuzzy convolution neural network (FCNN) tailored specifically for tabular data to capture local patterns within feature vectors. In our approach, we map feature values to fuzzy memberships. The fuzzy membership vectors are converted into images that are used to train the CNN model. The trained CNN model is used to classify unknown feature vectors. To validate our approach, we generated six complex noisy data sets. We used randomly selected seventy percent samples from each data set for training and thirty percent for testing. The data sets were also classified using the state-of-the-art machine learning algorithms such as the decision tree (DT), support vector machine (SVM), fuzzy neural network (FNN), Bayes classifier, and Random Forest (RF). Experimental results demonstrate that our proposed model can effectively learn meaningful representations from tabular data, achieving competitive or superior performance compared to existing methods. Overall, our finding suggests that the proposed FCNN model holds promise as a viable alternative for tabular data classification tasks, offering a fresh prospective and potentially unlocking new opportunities for leveraging deep learning in structured data analysis.


Heterogeneous Peridynamic Neural Operators: Discover Biotissue Constitutive Law and Microstructure From Digital Image Correlation Measurements

Jafarzadeh, Siavash, Silling, Stewart, Zhang, Lu, Ross, Colton, Lee, Chung-Hao, Rahman, S. M. Rakibur, Wang, Shuodao, Yu, Yue

arXiv.org Artificial Intelligence

Human tissues are highly organized structures with specific collagen fiber arrangements varying from point to point. The effects of such heterogeneity play an important role for tissue function, and hence it is of critical to discover and understand the distribution of such fiber orientations from experimental measurements, such as the digital image correlation data. To this end, we introduce the heterogeneous peridynamic neural operator (HeteroPNO) approach, for data-driven constitutive modeling of heterogeneous anisotropic materials. The goal is to learn both a nonlocal constitutive law together with the material microstructure, in the form of a heterogeneous fiber orientation field, from loading field-displacement field measurements. To this end, we propose a two-phase learning approach. Firstly, we learn a homogeneous constitutive law in the form of a neural network-based kernel function and a nonlocal bond force, to capture complex homogeneous material responses from data. Then, in the second phase we reinitialize the learnt bond force and the kernel function, and training them together with a fiber orientation field for each material point. Owing to the state-based peridynamic skeleton, our HeteroPNO-learned material models are objective and have the balance of linear and angular momentum guaranteed. Moreover, the effects from heterogeneity and nonlinear constitutive relationship are captured by the kernel function and the bond force respectively, enabling physical interpretability. As a result, our HeteroPNO architecture can learn a constitutive model for a biological tissue with anisotropic heterogeneous response undergoing large deformation regime. Moreover, the framework is capable to provide displacement and stress field predictions for new and unseen loading instances.


Machine Learning Classification of Alzheimer's Disease Stages Using Cerebrospinal Fluid Biomarkers Alone

Tiwari, Vivek Kumar, Indic, Premananda, Tabassum, Shawana

arXiv.org Artificial Intelligence

Early diagnosis of Alzheimer's disease is a challenge because the existing methodologies do not identify the patients in their preclinical stage, which can last up to a decade prior to the onset of clinical symptoms. Several research studies demonstrate the potential of cerebrospinal fluid biomarkers, amyloid beta 1-42, T-tau, and P-tau, in early diagnosis of Alzheimer's disease stages. In this work, we used machine learning models to classify different stages of Alzheimer's disease based on the cerebrospinal fluid biomarker levels alone. An electronic health record of patients from the National Alzheimer's Coordinating Centre database was analyzed and the patients were subdivided based on mini-mental state scores and clinical dementia ratings. Statistical and correlation analyses were performed to identify significant differences between the Alzheimer's stages. Afterward, machine learning classifiers including K-Nearest Neighbors, Ensemble Boosted Tree, Ensemble Bagged Tree, Support Vector Machine, Logistic Regression, and Naïve Bayes classifiers were employed to classify the Alzheimer's disease stages. The results demonstrate that Ensemble Boosted Tree (84.4%) and Logistic Regression (73.4%) provide the highest accuracy for binary classification, while Ensemble Bagged Tree (75.4%) demonstrates better accuracy for multiclassification. The findings from this research are expected to help clinicians in making an informed decision regarding the early diagnosis of Alzheimer's from the cerebrospinal fluid biomarkers alone, monitoring of the disease progression, and implementation of appropriate intervention measures.