Objective: The objective of the study is to efficiently increase the expressivity of surface electromyography-based (sEMG) gesture recognition systems. Approach: We use a problem transformation approach, in which actions were subset into two biomechanically independent components - a set of wrist directions and a set of finger modifiers. To maintain fast calibration time, we train models for each component using only individual gestures, and extrapolate to the full product space of combination gestures by generating synthetic data. We collected a supervised dataset with high-confidence ground truth labels in which subjects performed combination gestures while holding a joystick, and conducted experiments to analyze the impact of model architectures, classifier algorithms, and synthetic data generation strategies on the performance of the proposed approach. Main Results: We found that a problem transformation approach using a parallel model architecture in combination with a non-linear classifier, along with restricted synthetic data generation, shows promise in increasing the expressivity of sEMG-based gestures with a short calibration time. Significance: sEMG-based gesture recognition has applications in human-computer interaction, virtual reality, and the control of robotic and prosthetic devices. Existing approaches require exhaustive model calibration. The proposed approach increases expressivity without requiring users to demonstrate all combination gesture classes. Our results may be extended to larger gesture vocabularies and more complicated model architectures.

Clinical coding is the task of transforming medical information in a patient's health records into structured codes so that they can be used for statistical analysis. This is a cognitive and time-consuming task that follows a standard process in order to achieve a high level of consistency. Clinical coding could potentially be supported by an automated system to improve the efficiency and accuracy of the process. We introduce the idea of automated clinical coding and summarise its challenges from the perspective of Artificial Intelligence (AI) and Natural Language Processing (NLP), based on the literature, our project experience over the past two and half years (late 2019 - early 2022), and discussions with clinical coding experts in Scotland and the UK. Our research reveals the gaps between the current deep learning-based approach applied to clinical coding and the need for explainability and consistency in real-world practice. Knowledge-based methods that represent and reason the standard, explainable process of a task may need to be incorporated into deep learning-based methods for clinical coding. Automated clinical coding is a promising task for AI, despite the technical and organisational challenges. Coders are needed to be involved in the development process. There is much to achieve to develop and deploy an AI-based automated system to support coding in the next five years and beyond.

National Cancer Institute's (NCI) Cancer Information Service (CIS) offers online instant messaging based information service called LiveHelp to patients, family members, friends, and other cancer information consumers. A cancer information specialist (IS) 'chats' with a consumer and provides information on a variety of topics including clinical trials. After a LiveHelp chat session is finished, the IS codes about 20 different elements of metadata about the session in electronic contact record forms (ECRF), which are to be later used for quality control and reporting. Besides straightforward elements like age and gender, more specific elements to be coded include the purpose of contact, the subjects of interaction, and the different responses provided to the consumer, the latter two often taking on multiple values. As such, ECRF coding is a time consuming task and automating this process could help ISs to focus more on their primary goal of helping consumers with valuable cancer related information. As a first attempt in this task, we explored multi-label and multi-class text classification approaches to code the purpose, subjects of interaction, and the responses provided based on the chat transcripts. With a sample dataset of about 673 transcripts, we achieved example-based F-scores of 0.67 (for subjects) and 0.58 (responses). We also achieved label-based micro F-scores of 0.65 (for subjects), 0.62 (for responses), and 0.61 (for purpose). To our knowledge this is the first attempt in automatic coding of LiveHelp transcripts and our initial results on the smaller corpus indicate promising future directions in this task.