Recurrence plot and convolutional neural network-based signal quality assessment method for using photoplethysmogram in mobile environment (Preprint)

2020 ◽  
Author(s):  
Hangsik Shin

BACKGROUND In clinical use of photoplethysmogram, waveform distortion due to motion noise or low perfusion may lead to inaccurate analysis and diagnostic results. Therefore, it is necessary to find an appropriate analysis method to evaluate the signal quality of the photoplethysmogram so that its wide use in mobile healthcare can be further increased. OBJECTIVE The purpose of this study was to develop a machine learning model that could accurately evaluate the quality of a photoplethysmogram based on the shape of the photoplethysmogram and the phase relevance in a pulsatile waveform without requiring a complicated pre-processing. Its performance was then verified. METHODS Photoplethysmograms were recorded for 76 participants (5 minutes for each participant). All recorded photoplethysmograms were segmented for each beat to obtain a total of 49,561 pulsatile segments. These pulsatile segments were manually labeled as 'good' and 'bad' classes and converted to a two-dimensional phase space trajectory image with size of 124 × 124 using a recurrence plot. The classification model was implemented using a convolutional neural network with a two-layer structure. It was verified through a five-fold cross validation. RESULTS As a result, the proposed model correctly classified 48,827 segments out of 49,561 segments and misclassified 734 segments, showing a balanced accuracy of 0.975. Sensitivity, specificity, and positive predictive values of the developed model for the test dataset with a ‘bad’ class classification were 0.964, 0.987, and 0.848, respectively. The area under the curve was 0.994. CONCLUSIONS The convolutional neural network model with recurrence plot as input proposed in this study can be used for signal quality assessment as a generalized model with high accuracy through data expansion. It has an advantage in that it does not require a complicated pre-processing or feature detection process. CLINICALTRIAL KCT0002080

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2188
Author(s):  
Donggeun Roh ◽  
Hangsik Shin

The purpose of this study was to develop a machine learning model that could accurately evaluate the quality of a photoplethysmogram based on the shape of the photoplethysmogram and the phase relevance in a pulsatile waveform without requiring complicated pre-processing. Photoplethysmograms were recorded for 76 participants (5 min for each participant). All recorded photoplethysmograms were segmented for each beat to obtain a total of 49,561 pulsatile segments. These pulsatile segments were manually labeled as ‘good’ and ‘poor’ classes and converted to a two-dimensional phase space trajectory image using a recurrence plot. The classification model was implemented using a convolutional neural network with a two-layer structure. As a result, the proposed model correctly classified 48,827 segments out of 49,561 segments and misclassified 734 segments, showing a balanced accuracy of 0.975. Sensitivity, specificity, and positive predictive values of the developed model for the test dataset with a ‘poor’ class classification were 0.964, 0.987, and 0.848, respectively. The area under the curve was 0.994. The convolutional neural network model with recurrence plot as input proposed in this study can be used for signal quality assessment as a generalized model with high accuracy through data expansion. It has an advantage in that it does not require complicated pre-processing or a feature detection process.


2020 ◽  
Author(s):  
Donggeun Roh ◽  
Hangsik Shin

BACKGROUND In clinical use of photoplethysmogram, waveform distortion due to motion noise or low perfusion may lead to inaccurate analysis and diagnostic results. Therefore, it is necessary to find an appropriate analysis method to evaluate the signal quality of the photoplethysmogram so that its wide use in mobile healthcare can be further increased. OBJECTIVE The purpose of this study was to develop a machine learning model that could accurately evaluate the quality of a photoplethysmogram based on the shape of the photoplethysmogram and the phase relevance in a pulsatile waveform without requiring a complicated pre-processing. Its performance was then verified. METHODS Photoplethysmograms were recorded for 76 participants (5 minutes for each participant). All recorded photoplethysmograms were segmented for each beat to obtain a total of 49,561 pulsatile segments. These pulsatile segments were manually labeled as 'good' and 'bad' classes and converted to a two-dimensional phase space trajectory image with size of 124 × 124 using a recurrence plot. The classification model was implemented using a convolutional neural network with a two-layer structure. It was verified through a five-fold cross validation. RESULTS As a result, the proposed model correctly classified 48,827 segments out of 49,561 segments and misclassified 734 segments, showing a balanced accuracy of 0.975. Sensitivity, specificity, and positive predictive values of the developed model for the test dataset with a ‘bad’ class classification were 0.964, 0.987, and 0.848, respectively. The area under the curve was 0.994. CONCLUSIONS The convolutional neural network model with recurrence plot as input proposed in this study can be used for signal quality assessment as a generalized model with high accuracy through data expansion. It has an advantage in that it does not require a complicated pre-processing or feature detection process. CLINICALTRIAL KCT0002080


2019 ◽  
Vol 8 (3) ◽  
pp. 6634-6643 ◽  

Opinion mining and sentiment analysis are valuable to extract the useful subjective information out of text documents. Predicting the customer’s opinion on amazon products has several benefits like reducing customer churn, agent monitoring, handling multiple customers, tracking overall customer satisfaction, quick escalations, and upselling opportunities. However, performing sentiment analysis is a challenging task for the researchers in order to find the users sentiments from the large datasets, because of its unstructured nature, slangs, misspells and abbreviations. To address this problem, a new proposed system is developed in this research study. Here, the proposed system comprises of four major phases; data collection, pre-processing, key word extraction, and classification. Initially, the input data were collected from the dataset: amazon customer review. After collecting the data, preprocessing was carried-out for enhancing the quality of collected data. The pre-processing phase comprises of three systems; lemmatization, review spam detection, and removal of stop-words and URLs. Then, an effective topic modelling approach Latent Dirichlet Allocation (LDA) along with modified Possibilistic Fuzzy C-Means (PFCM) was applied to extract the keywords and also helps in identifying the concerned topics. The extracted keywords were classified into three forms (positive, negative and neutral) by applying an effective machine learning classifier: Convolutional Neural Network (CNN). The experimental outcome showed that the proposed system enhanced the accuracy in sentiment analysis up to 6-20% related to the existing systems.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Young-Gon Kim ◽  
Sungchul Kim ◽  
Cristina Eunbee Cho ◽  
In Hye Song ◽  
Hee Jin Lee ◽  
...  

AbstractFast and accurate confirmation of metastasis on the frozen tissue section of intraoperative sentinel lymph node biopsy is an essential tool for critical surgical decisions. However, accurate diagnosis by pathologists is difficult within the time limitations. Training a robust and accurate deep learning model is also difficult owing to the limited number of frozen datasets with high quality labels. To overcome these issues, we validated the effectiveness of transfer learning from CAMELYON16 to improve performance of the convolutional neural network (CNN)-based classification model on our frozen dataset (N = 297) from Asan Medical Center (AMC). Among the 297 whole slide images (WSIs), 157 and 40 WSIs were used to train deep learning models with different dataset ratios at 2, 4, 8, 20, 40, and 100%. The remaining, i.e., 100 WSIs, were used to validate model performance in terms of patch- and slide-level classification. An additional 228 WSIs from Seoul National University Bundang Hospital (SNUBH) were used as an external validation. Three initial weights, i.e., scratch-based (random initialization), ImageNet-based, and CAMELYON16-based models were used to validate their effectiveness in external validation. In the patch-level classification results on the AMC dataset, CAMELYON16-based models trained with a small dataset (up to 40%, i.e., 62 WSIs) showed a significantly higher area under the curve (AUC) of 0.929 than those of the scratch- and ImageNet-based models at 0.897 and 0.919, respectively, while CAMELYON16-based and ImageNet-based models trained with 100% of the training dataset showed comparable AUCs at 0.944 and 0.943, respectively. For the external validation, CAMELYON16-based models showed higher AUCs than those of the scratch- and ImageNet-based models. Model performance for slide feasibility of the transfer learning to enhance model performance was validated in the case of frozen section datasets with limited numbers.


2021 ◽  
Vol 11 (6) ◽  
pp. 2838
Author(s):  
Nikitha Johnsirani Venkatesan ◽  
Dong Ryeol Shin ◽  
Choon Sung Nam

In the pharmaceutical field, early detection of lung nodules is indispensable for increasing patient survival. We can enhance the quality of the medical images by intensifying the radiation dose. High radiation dose provokes cancer, which forces experts to use limited radiation. Using abrupt radiation generates noise in CT scans. We propose an optimal Convolutional Neural Network model in which Gaussian noise is removed for better classification and increased training accuracy. Experimental demonstration on the LUNA16 dataset of size 160 GB shows that our proposed method exhibit superior results. Classification accuracy, specificity, sensitivity, Precision, Recall, F1 measurement, and area under the ROC curve (AUC) of the model performance are taken as evaluation metrics. We conducted a performance comparison of our proposed model on numerous platforms, like Apache Spark, GPU, and CPU, to depreciate the training time without compromising the accuracy percentage. Our results show that Apache Spark, integrated with a deep learning framework, is suitable for parallel training computation with high accuracy.


Sensors ◽  
2021 ◽  
Vol 21 (14) ◽  
pp. 4916
Author(s):  
Ali Usman Gondal ◽  
Muhammad Imran Sadiq ◽  
Tariq Ali ◽  
Muhammad Irfan ◽  
Ahmad Shaf ◽  
...  

Urbanization is a big concern for both developed and developing countries in recent years. People shift themselves and their families to urban areas for the sake of better education and a modern lifestyle. Due to rapid urbanization, cities are facing huge challenges, one of which is waste management, as the volume of waste is directly proportional to the people living in the city. The municipalities and the city administrations use the traditional wastage classification techniques which are manual, very slow, inefficient and costly. Therefore, automatic waste classification and management is essential for the cities that are being urbanized for the better recycling of waste. Better recycling of waste gives the opportunity to reduce the amount of waste sent to landfills by reducing the need to collect new raw material. In this paper, the idea of a real-time smart waste classification model is presented that uses a hybrid approach to classify waste into various classes. Two machine learning models, a multilayer perceptron and multilayer convolutional neural network (ML-CNN), are implemented. The multilayer perceptron is used to provide binary classification, i.e., metal or non-metal waste, and the CNN identifies the class of non-metal waste. A camera is placed in front of the waste conveyor belt, which takes a picture of the waste and classifies it. Upon successful classification, an automatic hand hammer is used to push the waste into the assigned labeled bucket. Experiments were carried out in a real-time environment with image segmentation. The training, testing, and validation accuracy of the purposed model was 0.99% under different training batches with different input features.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ha Min Son ◽  
Wooho Jeon ◽  
Jinhyun Kim ◽  
Chan Yeong Heo ◽  
Hye Jin Yoon ◽  
...  

AbstractAlthough computer-aided diagnosis (CAD) is used to improve the quality of diagnosis in various medical fields such as mammography and colonography, it is not used in dermatology, where noninvasive screening tests are performed only with the naked eye, and avoidable inaccuracies may exist. This study shows that CAD may also be a viable option in dermatology by presenting a novel method to sequentially combine accurate segmentation and classification models. Given an image of the skin, we decompose the image to normalize and extract high-level features. Using a neural network-based segmentation model to create a segmented map of the image, we then cluster sections of abnormal skin and pass this information to a classification model. We classify each cluster into different common skin diseases using another neural network model. Our segmentation model achieves better performance compared to previous studies, and also achieves a near-perfect sensitivity score in unfavorable conditions. Our classification model is more accurate than a baseline model trained without segmentation, while also being able to classify multiple diseases within a single image. This improved performance may be sufficient to use CAD in the field of dermatology.


Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 3279
Author(s):  
Maria Habib ◽  
Mohammad Faris ◽  
Raneem Qaddoura ◽  
Manal Alomari ◽  
Alaa Alomari ◽  
...  

Maintaining a high quality of conversation between doctors and patients is essential in telehealth services, where efficient and competent communication is important to promote patient health. Assessing the quality of medical conversations is often handled based on a human auditory-perceptual evaluation. Typically, trained experts are needed for such tasks, as they follow systematic evaluation criteria. However, the daily rapid increase of consultations makes the evaluation process inefficient and impractical. This paper investigates the automation of the quality assessment process of patient–doctor voice-based conversations in a telehealth service using a deep-learning-based classification model. For this, the data consist of audio recordings obtained from Altibbi. Altibbi is a digital health platform that provides telemedicine and telehealth services in the Middle East and North Africa (MENA). The objective is to assist Altibbi’s operations team in the evaluation of the provided consultations in an automated manner. The proposed model is developed using three sets of features: features extracted from the signal level, the transcript level, and the signal and transcript levels. At the signal level, various statistical and spectral information is calculated to characterize the spectral envelope of the speech recordings. At the transcript level, a pre-trained embedding model is utilized to encompass the semantic and contextual features of the textual information. Additionally, the hybrid of the signal and transcript levels is explored and analyzed. The designed classification model relies on stacked layers of deep neural networks and convolutional neural networks. Evaluation results show that the model achieved a higher level of precision when compared with the manual evaluation approach followed by Altibbi’s operations team.


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