STEP-OP: Short-term Event Prediction in the Operating Room using Hybrid Deep Learning to Forecast Five-Minute Intraoperative Hypotension (Preprint)

2021 ◽  
Author(s):  
Sooho Choe ◽  
Eunjeong Park ◽  
Wooseok Shin ◽  
Bonah Koo ◽  
Dongjin Shin ◽  
...  

BACKGROUND Intraoperative hypotension has an adverse impact on postoperative outcomes, However, it is difficult to predict and treat intraoperative hypotension with individual clinical parameter in advance. OBJECTIVE To develop a prediction model to forecast five-minute intraoperative hypotension based on the weighted average ensemble of individual neural networks, which utilize the biosignals recorded during non-cardiac surgery. METHODS In this retrospective observational study, arterial wave form was recorded during non-cardiac operation held between August 2016 and December 2019, at Seoul National University Hospital, Seoul, South Korea. We analyzed the arterial waveforms from the big data in VitalDB repository of electronic health records. We defined 2 s hypotension as the moving average of arterial pressure under 65 mm Hg for 2 s, and intraoperative hypotensive events as the case in which 2 s hypotension lasts for at least 60 s. We developed an artificial intelligence-enabled process called short-term event prediction in the operating room (STEP-OP) for predicting short-term intraoperative hypotension. RESULTS The study was performed on 18,813 subjects undergoing non-cardiac surgeries. Deep-learning algorithms (convolutional neural network [CNN] and recurrent neural network [RNN]) using raw waveforms as input showed a greater area under the precision-recall curve (AUPRC) scores than the logistic regression algorithm (0.698 [95% confidence interval {CI}, 0.690–0.705], 0.706 [95% CI, 0.698–0.715]), compared with 0.673 (95% CI, 0.665–0.682), respectively. STEP-OP performed better and had greater AUPRC values than RNN and CNN algorithms (0.716 [95% CI, 0.708–0.723]). CONCLUSIONS We developed STEP-OP, the weighted average of deep-learning models. It predicted intraoperative hypotension more accurately than the CNN, RNN, and logistic regression models. CLINICALTRIAL The study was approved by the institutional review board of Seoul National University Hospital (H-2008-175-1152). (Trial Registration: ClinicalTrials.gov NCT02914444). Arterial Pressure; artificial intelligence; biosignals; deep learning; hypotension; machine learning

2019 ◽  
Vol 6 (4) ◽  
pp. 377
Author(s):  
Kasyfi Ivanedra ◽  
Metty Mustikasari

<p>Text Summarization atau peringkas text merupakan salah satu penerapan Artificial Intelligence (AI) dimana komputer dapat meringkas text pada suatu kalimat atau artikel menjadi lebih sederhana dengan tujuan untuk mempermudah manusia dalam mengambil kesimpulan dari artikel yang panjang tanpa harus membaca secara keseluruhan. Peringkasan teks secara otomatis dengan menggunakan teknik Abstraktif memiliki kemampuan meringkas teks lebih natural sebagaimana manusia meringkas dibandingkan dengan teknik ekstraktif yang hanya menyusun kalimat berdasarkan frekuensi kemunculan kata. Untuk dapat menghasilkan sistem peringkas teks dengan metode abstraktif, membutuhkan metode Recurrent Neural Network (RNN) yang memiliki sistematika perhitungan bobot secara berulang. RNN merupakan bagian dari Deep Learning dimana nilai akurasi yang dihasilkan dapat lebih baik dibandingkan dengan jaringan saraf tiruan sederhana karena bobot yang dihitung akan lebih akurat mendekati persamaan setiap kata. Jenis RNN yang digunakan adalah LSTM (Long Short Term Memory) untuk menutupi kekurangan pada RNN yang tidak dapat menyimpan memori untuk dipilah dan menambahkan mekanisme Attention agar setiap kata dapat lebih fokus pada konteks. Penelitian ini menguji performa sistem menggunakan Precision, Recall, dan F-Measure dengan membandingan hasil ringkasan yang dihasilkan oleh sistem dan ringkasan yang dibuat oleh manusia. Dataset yang digunakan adalah data artikel berita dengan jumlah total artikel sebanyak 4515 buah artikel. Pengujian dibagi berdasarkan data dengan menggunakan Stemming dan dengan teknik Non-stemming. Nilai rata-rata recall artikel berita non-stemming adalah sebesar 41%, precision sebesar 81%, dan F-measure sebesar 54,27%. Sedangkan nilai rata-rata recall artikel berita dengan teknik stemming sebesar 44%, precision sebesar 88%, dan F-measure sebesar 58,20 %.</p><p><em><strong>Abstract</strong></em></p><p class="Judul2"><em>Text Summarization is the application of Artificial Intelligence (AI) where the computer can summarize text of article to make it easier for humans to draw conclusions from long articles without having to read entirely. Abstractive techniques has ability to summarize the text more naturally as humans summarize. The summary results from abstractive techinques are more in context when compared to extractive techniques which only arrange sentences based on the frequency of occurrence of the word. To be able to produce a text summarization system with an abstractive techniques, it is required Deep Learning by using the Recurrent Neural Network (RNN) rather than simple Artificial Neural Network (ANN) method which has a systematic calculation of weight repeatedly in order to improve accuracy. The type of RNN used is LSTM (Long Short Term Memory) to cover the shortcomings of the RNN which cannot store memory to be sorted and add an Attention mechanism so that each word can focus more on the context.This study examines the performance of Precision, Recall, and F-Measure from the comparison of the summary results produced by the system and summaries made by humans. The dataset used is news article data with 4515 articles. Testing was divided based on data using Stemming and Non-stemming techniques.</em> <em>The average recall value of non-stemming news articles is 41%, precision is 81%, and F-measure is 54.27%. While the average value of recall of news articles with stemming technique is 44%, precision is 88%, and F-measure is 58.20%.</em></p><p><em><strong><br /></strong></em></p>


2020 ◽  
Vol 2 ◽  
pp. 58-61 ◽  
Author(s):  
Syed Junaid ◽  
Asad Saeed ◽  
Zeili Yang ◽  
Thomas Micic ◽  
Rajesh Botchu

The advances in deep learning algorithms, exponential computing power, and availability of digital patient data like never before have led to the wave of interest and investment in artificial intelligence in health care. No radiology conference is complete without a substantial dedication to AI. Many radiology departments are keen to get involved but are unsure of where and how to begin. This short article provides a simple road map to aid departments to get involved with the technology, demystify key concepts, and pique an interest in the field. We have broken down the journey into seven steps; problem, team, data, kit, neural network, validation, and governance.


2021 ◽  
Vol 13 (10) ◽  
pp. 1953
Author(s):  
Seyed Majid Azimi ◽  
Maximilian Kraus ◽  
Reza Bahmanyar ◽  
Peter Reinartz

In this paper, we address various challenges in multi-pedestrian and vehicle tracking in high-resolution aerial imagery by intensive evaluation of a number of traditional and Deep Learning based Single- and Multi-Object Tracking methods. We also describe our proposed Deep Learning based Multi-Object Tracking method AerialMPTNet that fuses appearance, temporal, and graphical information using a Siamese Neural Network, a Long Short-Term Memory, and a Graph Convolutional Neural Network module for more accurate and stable tracking. Moreover, we investigate the influence of the Squeeze-and-Excitation layers and Online Hard Example Mining on the performance of AerialMPTNet. To the best of our knowledge, we are the first to use these two for regression-based Multi-Object Tracking. Additionally, we studied and compared the L1 and Huber loss functions. In our experiments, we extensively evaluate AerialMPTNet on three aerial Multi-Object Tracking datasets, namely AerialMPT and KIT AIS pedestrian and vehicle datasets. Qualitative and quantitative results show that AerialMPTNet outperforms all previous methods for the pedestrian datasets and achieves competitive results for the vehicle dataset. In addition, Long Short-Term Memory and Graph Convolutional Neural Network modules enhance the tracking performance. Moreover, using Squeeze-and-Excitation and Online Hard Example Mining significantly helps for some cases while degrades the results for other cases. In addition, according to the results, L1 yields better results with respect to Huber loss for most of the scenarios. The presented results provide a deep insight into challenges and opportunities of the aerial Multi-Object Tracking domain, paving the way for future research.


2021 ◽  
Vol 15 (1) ◽  
pp. 23-35
Author(s):  
Tuan Ho Le ◽  
◽  
Quang Hung Le ◽  
Thanh Hoang Phan

Short-term load forecasting plays an important role in building operation strategies and ensuring reliability of any electric power system. Generally, short-term load forecasting methods can be classified into three main categories: statistical approaches, artificial intelligence based-approaches and hybrid approaches. Each method has its own advantages and shortcomings. Therefore, the primary objective of this paper is to investigate the effectiveness of ARIMA model (e.g., statistical method) and artificial neural network (e.g., artificial intelligence based-method) in short-term load forecasting of distribution network. Firstly, the short-term load demand of Quy Nhon distribution network and short-term load demand of Phu Cat distribution network are analyzed. Secondly, the ARIMA model is applied to predict the load demand of two distribution networks. Thirdly, the artificial neural network is utilized to estimate the load demand of these networks. Finally, the estimated results from two applied methods are conducted for comparative purposes.


Author(s):  
Reza Yogaswara

Artificial Intelligence (AI) atau kecerdasan buatan menjadi penggerak revolusi industri 4.0 yang menjanjikan banyak kemudahan bagi sektor pemerintah maupun industri. Internet of Things (IoT) dan big data contohnya dimana AI dapat diimplementasikan, teknologi yang telah banyak diadopsi di era industri 4.0 ini mampu menghubungkan setiap perangkat, seseorang dapat mengotomatisasi semua perangkat tanpa harus berada di lokasi, lebih dari itu, saat ini telah banyak mesin yang dapat menginterprestasi suatu kondisi atau kejadian tertentu dengan bantuan AI, sebagaimana telah kamera cerdas pendeteksi kepadatan volume kendaraan di jalan raya menggunakan teknologi Deep Learning Neural Network, yang telah diimplementasikan pada beberapa Pemerintah Daerah Kabupaten dan Kota dalam mendukung program Smart City yang telah dicanangkan. Pada sektor industri, banyak juga dari mereka yang telah mengotomatisasi mesin produksi dan manufaktur menggunakan robot dan Artificial Intelligence, sehingga Industri 4.0 akan meningkatkan daya saing melalui perangkat cerdas, setiap entitas yang mampu menguasai teknologi ini disitulah keunggulan kompetitifnya (competitive advantage). Namun ditengah perkembangan industri 4.0 yang cukup masif pemerintah harus bergerak cepat dalam mengadopsi platform ini, jika tidak, mereka akan menurunkan efisiensi proses bisnis untuk menjaga stabilitas layanan publik. Oleh sebab itu diperlukan keilmuan dan pemahaman yang benar bagi pemerintah dalam menghadapai era Industri 4.0, dimana Chief Information Officer (CIO) dapat mengambil peranan penting dalam memberikan dukungan yang didasari atas keilmuan mereka terkait tren teknologi industri 4.0, khususnya AI yang telah banyak diadopsi di berbagai sektor.


1991 ◽  
Vol 38 (2) ◽  
pp. 119-127
Author(s):  
Yong Chol Han ◽  
Chul Gyu Yoo ◽  
Young Whan Kim ◽  
Sung Koo Han ◽  
Young Soo Shim ◽  
...  

2019 ◽  
Vol 1 (2) ◽  
pp. 74-84
Author(s):  
Evan Kusuma Susanto ◽  
Yosi Kristian

Asynchronous Advantage Actor-Critic (A3C) adalah sebuah algoritma deep reinforcement learning yang dikembangkan oleh Google DeepMind. Algoritma ini dapat digunakan untuk menciptakan sebuah arsitektur artificial intelligence yang dapat menguasai berbagai jenis game yang berbeda melalui trial and error dengan mempelajari tempilan layar game dan skor yang diperoleh dari hasil tindakannya tanpa campur tangan manusia. Sebuah network A3C terdiri dari Convolutional Neural Network (CNN) di bagian depan, Long Short-Term Memory Network (LSTM) di tengah, dan sebuah Actor-Critic network di bagian belakang. CNN berguna sebagai perangkum dari citra output layar dengan mengekstrak fitur-fitur yang penting yang terdapat pada layar. LSTM berguna sebagai pengingat keadaan game sebelumnya. Actor-Critic Network berguna untuk menentukan tindakan terbaik untuk dilakukan ketika dihadapkan dengan suatu kondisi tertentu. Dari hasil percobaan yang dilakukan, metode ini cukup efektif dan dapat mengalahkan pemain pemula dalam memainkan 5 game yang digunakan sebagai bahan uji coba.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0240663
Author(s):  
Beibei Ren

With the rapid development of big data and deep learning, breakthroughs have been made in phonetic and textual research, the two fundamental attributes of language. Language is an essential medium of information exchange in teaching activity. The aim is to promote the transformation of the training mode and content of translation major and the application of the translation service industry in various fields. Based on previous research, the SCN-LSTM (Skip Convolutional Network and Long Short Term Memory) translation model of deep learning neural network is constructed by learning and training the real dataset and the public PTB (Penn Treebank Dataset). The feasibility of the model’s performance, translation quality, and adaptability in practical teaching is analyzed to provide a theoretical basis for the research and application of the SCN-LSTM translation model in English teaching. The results show that the capability of the neural network for translation teaching is nearly one times higher than that of the traditional N-tuple translation model, and the fusion model performs much better than the single model, translation quality, and teaching effect. To be specific, the accuracy of the SCN-LSTM translation model based on deep learning neural network is 95.21%, the degree of translation confusion is reduced by 39.21% compared with that of the LSTM (Long Short Term Memory) model, and the adaptability is 0.4 times that of the N-tuple model. With the highest level of satisfaction in practical teaching evaluation, the SCN-LSTM translation model has achieved a favorable effect on the translation teaching of the English major. In summary, the performance and quality of the translation model are improved significantly by learning the language characteristics in translations by teachers and students, providing ideas for applying machine translation in professional translation teaching.


10.2196/23230 ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. e23230
Author(s):  
Pei-Fu Chen ◽  
Ssu-Ming Wang ◽  
Wei-Chih Liao ◽  
Lu-Cheng Kuo ◽  
Kuan-Chih Chen ◽  
...  

Background The International Classification of Diseases (ICD) code is widely used as the reference in medical system and billing purposes. However, classifying diseases into ICD codes still mainly relies on humans reading a large amount of written material as the basis for coding. Coding is both laborious and time-consuming. Since the conversion of ICD-9 to ICD-10, the coding task became much more complicated, and deep learning– and natural language processing–related approaches have been studied to assist disease coders. Objective This paper aims at constructing a deep learning model for ICD-10 coding, where the model is meant to automatically determine the corresponding diagnosis and procedure codes based solely on free-text medical notes to improve accuracy and reduce human effort. Methods We used diagnosis records of the National Taiwan University Hospital as resources and apply natural language processing techniques, including global vectors, word to vectors, embeddings from language models, bidirectional encoder representations from transformers, and single head attention recurrent neural network, on the deep neural network architecture to implement ICD-10 auto-coding. Besides, we introduced the attention mechanism into the classification model to extract the keywords from diagnoses and visualize the coding reference for training freshmen in ICD-10. Sixty discharge notes were randomly selected to examine the change in the F1-score and the coding time by coders before and after using our model. Results In experiments on the medical data set of National Taiwan University Hospital, our prediction results revealed F1-scores of 0.715 and 0.618 for the ICD-10 Clinical Modification code and Procedure Coding System code, respectively, with a bidirectional encoder representations from transformers embedding approach in the Gated Recurrent Unit classification model. The well-trained models were applied on the ICD-10 web service for coding and training to ICD-10 users. With this service, coders can code with the F1-score significantly increased from a median of 0.832 to 0.922 (P<.05), but not in a reduced interval. Conclusions The proposed model significantly improved the F1-score but did not decrease the time consumed in coding by disease coders.


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