Performance Analysis
Classification of Methods to Reduce Clinical Alarm Signals for Remote Patient Monitoring: A Critical Review
Arora, Teena, Balasubramanian, Venki, Stranieri, Andrew, Mai, Shenhan, Buyya, Rajkumar, Islam, Sardar
Remote Patient Monitoring (RPM) is an emerging technology paradigm that helps reduce clinician workload by automated monitoring and raising intelligent alarm signals. High sensitivity and intelligent data-processing algorithms used in RPM devices result in frequent false-positive alarms, resulting in alarm fatigue. This study aims to critically review the existing literature to identify the causes of these false-positive alarms and categorize the various interventions used in the literature to eliminate these causes. That act as a catalog and helps in false alarm reduction algorithm design. A step-by-step approach to building an effective alarm signal generator for clinical use has been proposed in this work. Second, the possible causes of false-positive alarms amongst RPM applications were analyzed from the literature. Third, a critical review has been done of the various interventions used in the literature depending on causes and classification based on four major approaches: clinical knowledge, physiological data, medical sensor devices, and clinical environments. A practical clinical alarm strategy could be developed by following our pentagon approach. The first phase of this approach emphasizes identifying the various causes for the high number of false-positive alarms. Future research will focus on developing a false alarm reduction method using data mining.
Multi-Modal Evaluation Approach for Medical Image Segmentation
Modaresi, Seyed M. R., Osmani, Aomar, Razzazi, Mohammadreza, Chibani, Abdelghani
Manual segmentation of medical images (e.g., segmenting tumors in CT scans) is a high-effort task that can be accelerated with machine learning techniques. However, selecting the right segmentation approach depends on the evaluation function, particularly in medical image segmentation where we must deal with dependency between voxels. For instance, in contrast to classical systems where the predictions are either correct or incorrect, predictions in medical image segmentation may be partially correct and incorrect simultaneously. In this paper, we explore this expressiveness to extract the useful properties of these systems and formally define a novel multi-modal evaluation (MME) approach to measure the effectiveness of different segmentation methods. This approach improves the segmentation evaluation by introducing new relevant and interpretable characteristics, including detection property, boundary alignment, uniformity, total volume, and relative volume. Our proposed approach is open-source and publicly available for use. We have conducted several reproducible experiments, including the segmentation of pancreas, liver tumors, and multi-organs datasets, to show the applicability of the proposed approach.
Cut your Losses with Squentropy
Hui, Like, Belkin, Mikhail, Wright, Stephen
Nearly all practical neural models for classification are trained using cross-entropy loss. Yet this ubiquitous choice is supported by little theoretical or empirical evidence. Recent work (Hui & Belkin, 2020) suggests that training using the (rescaled) square loss is often superior in terms of the classification accuracy. In this paper we propose the "squentropy" loss, which is the sum of two terms: the cross-entropy loss and the average square loss over the incorrect classes. We provide an extensive set of experiments on multi-class classification problems showing that the squentropy loss outperforms both the pure cross entropy and rescaled square losses in terms of the classification accuracy. We also demonstrate that it provides significantly better model calibration than either of these alternative losses and, furthermore, has less variance with respect to the random initialization. Additionally, in contrast to the square loss, squentropy loss can typically be trained using exactly the same optimization parameters, including the learning rate, as the standard cross-entropy loss, making it a true "plug-and-play" replacement. Finally, unlike the rescaled square loss, multiclass squentropy contains no parameters that need to be adjusted.
Machine Learning Capability: A standardized metric using case difficulty with applications to individualized deployment of supervised machine learning
Model evaluation is a critical component in supervised machine learning classification analyses. Traditional metrics do not currently incorporate case difficulty. This renders the classification results unbenchmarked for generalization. Item Response Theory (IRT) and Computer Adaptive Testing (CAT) with machine learning can benchmark datasets independent of the end-classification results. This provides high levels of case-level information regarding evaluation utility. To showcase, two datasets were used: 1) health-related and 2) physical science. For the health dataset a two-parameter IRT model, and for the physical science dataset a polytonomous IRT model, was used to analyze predictive features and place each case on a difficulty continuum. A CAT approach was used to ascertain the algorithms' performance and applicability to new data. This method provides an efficient way to benchmark data, using only a fraction of the dataset (less than 1%) and 22-60x more computationally efficient than traditional metrics. This novel metric, termed Machine Learning Capability (MLC) has additional benefits as it is unbiased to outcome classification and a standardized way to make model comparisons within and across datasets. MLC provides a metric on the limitation of supervised machine learning algorithms. In situations where the algorithm falls short, other input(s) are required for decision-making.
Zero-Knowledge Zero-Shot Learning for Novel Visual Category Discovery
Generalized Zero-Shot Learning (GZSL) and Open-Set Recognition (OSR) are two mainstream settings that greatly extend conventional visual object recognition. However, the limitations of their problem settings are not negligible. The novel categories in GZSL require pre-defined semantic labels, making the problem setting less realistic; the oversimplified unknown class in OSR fails to explore the innate fine-grained and mixed structures of novel categories. In light of this, we are motivated to consider a new problem setting named Zero-Knowledge Zero-Shot Learning (ZK-ZSL) that assumes no prior knowledge of novel classes and aims to classify seen and unseen samples and recover semantic attributes of the fine-grained novel categories for further interpretation. To achieve this, we propose a novel framework that recovers the clustering structures of both seen and unseen categories where the seen class structures are guided by source labels. In addition, a structural alignment loss is designed to aid the semantic learning of unseen categories with their recovered structures. Experimental results demonstrate our method's superior performance in classification and semantic recovery on four benchmark datasets.
What do we learn? Debunking the Myth of Unsupervised Outlier Detection
Bercea, Cosmin I., Rueckert, Daniel, Schnabel, Julia A.
Even though auto-encoders (AEs) have the desirable property of learning compact representations without labels and have been widely applied to out-of-distribution (OoD) detection, they are generally still poorly understood and are used incorrectly in detecting outliers where the normal and abnormal distributions are strongly overlapping. In general, the learned manifold is assumed to contain key information that is only important for describing samples within the training distribution, and that the reconstruction of outliers leads to high residual errors. However, recent work suggests that AEs are likely to be even better at reconstructing some types of OoD samples. In this work, we challenge this assumption and investigate what auto-encoders actually learn when they are posed to solve two different tasks. First, we propose two metrics based on the Fr\'echet inception distance (FID) and confidence scores of a trained classifier to assess whether AEs can learn the training distribution and reliably recognize samples from other domains. Second, we investigate whether AEs are able to synthesize normal images from samples with abnormal regions, on a more challenging lung pathology detection task. We have found that state-of-the-art (SOTA) AEs are either unable to constrain the latent manifold and allow reconstruction of abnormal patterns, or they are failing to accurately restore the inputs from their latent distribution, resulting in blurred or misaligned reconstructions. We propose novel deformable auto-encoders (MorphAEus) to learn perceptually aware global image priors and locally adapt their morphometry based on estimated dense deformation fields. We demonstrate superior performance over unsupervised methods in detecting OoD and pathology.
Jensen-Shannon Divergence Based Novel Loss Functions for Bayesian Neural Networks
Thiagarajan, Ponkrshnan, Ghosh, Susanta
The Kullback-Leibler (KL) divergence is widely used in state-of-the-art Bayesian Neural Networks (BNNs) to approximate the posterior distribution of weights. However, the KL divergence is unbounded and asymmetric, which may lead to instabilities during optimization or may yield poor generalizations. To overcome these limitations, we examine the Jensen-Shannon (JS) divergence that is bounded, symmetric, and more general. Towards this, we propose two novel loss functions for BNNs. The first loss function uses the geometric JS divergence (JS-G) that is symmetric, unbounded, and offers an analytical expression for Gaussian priors. The second loss function uses the generalized JS divergence (JS-A) that is symmetric and bounded. We show that the conventional KL divergence-based loss function is a special case of the two loss functions presented in this work. To evaluate the divergence part of the loss we use analytical expressions for JS-G and use Monte Carlo methods for JS-A. We provide algorithms to optimize the loss function using both these methods. The proposed loss functions offer additional parameters that can be tuned to control the degree of regularisation. The regularization performance of the JS divergences is analyzed to demonstrate their superiority over the state-of-the-art. Further, we derive the conditions for better regularization by the proposed JS-G divergence-based loss function than the KL divergence-based loss function. Bayesian convolutional neural networks (BCNN) based on the proposed JS divergences perform better than the state-of-the-art BCNN, which is shown for the classification of the CIFAR data set having various degrees of noise and a histopathology data set having a high bias.
Data-driven Protection of Transformers, Phase Angle Regulators, and Transmission Lines in Interconnected Power Systems
This dissertation highlights the growing interest in and adoption of machine learning (ML) approaches for fault detection in modern power grids. Once a fault has occurred, it must be identified quickly and preventative steps must be taken to remove or insulate it. As a result, detecting, locating, and classifying faults early and accurately can improve safety and dependability while reducing downtime and hardware damage. ML-based solutions and tools to carry out effective data processing and analysis to aid power system operations and decision-making are becoming preeminent with better system condition awareness and data availability. Power transformers, Phase Shift Transformers or Phase Angle Regulators, and transmission lines are critical components in power systems, and ensuring their safety is a primary issue. Differential relays are commonly employed to protect transformers, whereas distance relays are utilized to protect transmission lines. Magnetizing inrush, overexcitation, and current transformer saturation make transformer protection a challenge. Furthermore, non-standard phase shift, series core saturation, low turn-to-turn, and turn-to-ground fault currents are non-traditional problems associated with Phase Angle Regulators. Faults during symmetrical power swings and unstable power swings may cause mal-operation of distance relays and unintentional and uncontrolled islanding. The distance relays also mal-operate for transmission lines connected to type-3 wind farms. The conventional protection techniques would no longer be adequate to address the above challenges due to limitations in handling and analyzing massive amounts of data, limited generalizability, incapability to model non-linear systems, etc. These limitations of differential and distance protection methods bring forward the motivation of using ML in addressing various protection challenges.
Automated Huntington's Disease Prognosis via Biomedical Signals and Shallow Machine Learning
Background: Huntington's disease (HD) is a rare, genetically determined brain disorder that limits the life of the patient, although early prognosis of HD can substantially improve the patient's quality of life. Current HD prognosis methods include using a variety of complex biomarkers such as clinical and imaging factors, however these methods have many shortfalls, such as their resource demand and failure to distinguish symptomatic and asymptomatic patients. Quantitative biomedical signaling has been used for diagnosis of other neurological disorders such as schizophrenia and has potential for exposing abnormalities in HD patients. Methodology: In this project, we used a premade, certified dataset collected at a clinic with 27 HD positive patients, 36 controls, and 6 unknowns with electroencephalography, electrocardiography, and functional near-infrared spectroscopy data. We first preprocessed the data and extracted a variety of features from both the transformed and raw signals, after which we applied a plethora of shallow machine learning techniques. Results: We found the highest accuracy was achieved by a scaled-out Extremely Randomized Trees algorithm, with area under the curve of the receiver operator characteristic of 0.963 and accuracy of 91.353%. The subsequent feature analysis showed that 60.865% of the features had p<0.05, with the features from the raw signal being most significant. Conclusion: The results indicate the promise of neural and cardiac signals for marking abnormalities in HD, as well as evaluating the progression of the disease in patients.
Auditing Gender Presentation Differences in Text-to-Image Models
Zhang, Yanzhe, Jiang, Lu, Turk, Greg, Yang, Diyi
Text-to-image models, which can generate high-quality images based on textual input, have recently enabled various content-creation tools. Despite significantly affecting a wide range of downstream applications, the distributions of these generated images are still not fully understood, especially when it comes to the potential stereotypical attributes of different genders. In this work, we propose a paradigm (Gender Presentation Differences) that utilizes fine-grained self-presentation attributes to study how gender is presented differently in text-to-image models. By probing gender indicators in the input text (e.g., "a woman" or "a man"), we quantify the frequency differences of presentation-centric attributes (e.g., "a shirt" and "a dress") through human annotation and introduce a novel metric: GEP. Furthermore, we propose an automatic method to estimate such differences. The automatic GEP metric based on our approach yields a higher correlation with human annotations than that based on existing CLIP scores, consistently across three state-of-the-art text-to-image models. Finally, we demonstrate the generalization ability of our metrics in the context of gender stereotypes related to occupations.