Ambient Assisted Living: Scoping Review of Artificial Intelligence Models, Domains, Technology, and Concerns.

BACKGROUND: Ambient assisted living (AAL) is a common name for various artificial intelligence (AI)-infused applications and platforms that support their users in need in multiple activities, from health to daily living. These systems use different approaches to learn about their users and make automated decisions, known as AI models, for personalizing their services and increasing outcomes. Given the numerous systems developed and deployed for people with different needs, health conditions, and dispositions toward the technology, it is critical to obtain clear and comprehensive insights concerning AI models used, along with their domains, technology, and concerns, to identify promising directions for future work. OBJECTIVE: This study aimed to provide a scoping review of the literature on AI models in AAL. In particular, we analyzed specific AI models used in AАL systems, the target domains of the models, the technology using the models, and the major concerns from the end-user perspective. Our goal was to consolidate research on this topic and inform end users, health care professionals and providers, researchers, and practitioners in developing, deploying, and evaluating future intelligent AAL systems. METHODS: This study was conducted as a scoping review to identify, analyze, and extract the relevant literature. It used a natural language processing toolkit to retrieve the article corpus for an efficient and comprehensive automated literature search. Relevant articles were then extracted from the corpus and analyzed manually. This review included 5 digital libraries: IEEE, PubMed, Springer, Elsevier, and MDPI. RESULTS: We included a total of 108 articles. The annual distribution of relevant articles showed a growing trend for all categories from January 2010 to July 2022. The AI models mainly used unsupervised and semisupervised approaches. The leading models are deep learning, natural language processing, instance-based learning, and clustering. Activity assistance and recognition were the most common target domains of the models. Ambient sensing, mobile technology, and robotic devices mainly implemented the models. Older adults were the primary beneficiaries, followed by patients and frail persons of various ages. Availability was a top beneficiary concern. CONCLUSIONS: This study presents the analytical evidence of AI models in AAL and their domains, technologies, beneficiaries, and concerns. Future research on intelligent AAL should involve health care professionals and caregivers as designers and users, comply with health-related regulations, improve transparency and privacy, integrate with health care technological infrastructure, explain their decisions to the users, and establish evaluation metrics and design guidelines. TRIAL REGISTRATION: PROSPERO (International Prospective Register of Systematic Reviews) CRD42022347590; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347590.

Correction: Ambient Assisted Living: Scoping Review of Artificial Intelligence Models, Domains, Technology, and Concerns.

[This corrects the article DOI: 10.2196/36553.].

Automated Flow Cytometric MRD Assessment in Childhood Acute B- Lymphoblastic Leukemia Using Supervised Machine Learning.

Minimal residual disease (MRD) as measured by multiparameter flow cytometry (FCM) is an independent and strong prognostic factor in B-cell acute lymphoblastic leukemia (B-ALL). However, reliable flow cytometric detection of MRD strongly depends on operator skills and expert knowledge. Hence, an objective, automated tool for reliable FCM-MRD quantification, able to overcome the technical diversity and analytical subjectivity, would be most helpful. We developed a supervised machine learning approach using a combination of multiple Gaussian Mixture Models (GMM) as a parametric density model. The approach was used for finding the weights of a linear combination of multiple GMMs to represent new, "unseen" samples by an interpolation of stored samples. The experimental data set contained FCM-MRD data of 337 bone marrow samples collected at day 15 of induction therapy in three different laboratories from pediatric patients with B-ALL for which accurate, expert-set gates existed. We compared MRD quantification by our proposed GMM approach to operator assessments, its performance on data from different laboratories, as well as to other state-of-the-art automated read-out methods. Our proposed GMM-combination approach proved superior over support vector machines, deep neural networks, and a single GMM approach in terms of precision and average F 1 -scores. A high correlation of expert operator-based and automated MRD assessment was achieved with reliable automated MRD quantification (F 1 -scores >0.5 in more than 95% of samples) in the clinically relevant range. Although best performance was found, if test and training samples were from the same system (i.e., flow cytometer and staining panel; lowest median F 1 -score 0.92), cross-system performance remained high with a median F 1 -score above 0.85 in all settings. In conclusion, our proposed automated approach could potentially be used to assess FCM-MRD in B-ALL in an objective and standardized manner across different laboratories. © 2019 International Society for Advancement of Cytometry.

Blind Modalities for Human Activity Recognition.

Human Activity Recognition (HAR) has attracted considerable interest due to its ability to facilitate automation in various application areas, including but not limited to smart homes, active assisted living, and security. At present, optical modalities such as RGB, depth, and thermal imaging are prevalent in the field due to the effectiveness of deep learning algorithms like Convolutional Neural Networks (CNNs) and the abundance of publicly available image data. However, unconventional modalities such as radar, WiFi, seismic and environmental sensors are emerging as potential alternatives due to their capacity for contactless long-range sensing in spatially constrained environments and preservation of visual privacy. This work gives an overview of the HAR modalities landscape and discusses works that apply these emerging modalities in new and unconventional ways to inform researchers and practitioners about challenges and opportunities in the field of HAR.

Privacy by Design Solution for Robust Fall Detection.

The majority of falls leading to death occur among the elderly population. The use of fall detection technology can help to ensure quick help for fall victims by automatically informing caretakers. Our fall detection method is based on depth data and has a high level of reliability in detecting falls while maintaining a low false alarm rate. The technology has been deployed in over 1,200 installations, indicating user acceptance and technological maturity. We follow a privacy by design approach by using range maps for the analysis instead of RGB images and process all the data in the sensor. The literature review shows that real-world fall detection evaluation is scarce, and if available, is conducted with a limited amount of participants. To our knowledge, our depth image based fall detection method has achieved the largest field evaluation up to date, with more than 100,000 events manually annotated and an evaluation on a dataset with 2.2 million events. We additionally present an 8-months study with more than 120,000 alarms analysed, provoked by 214 sensors located in 16 care facilities in Austria. We learned that on average 2.3 times more falls happen than are documented. Consequently, the system helps to detect falls that are otherwise overseen. The presented solution has the potential to make a significant impact in reducing the risk of accidental falls.

Acceptance Criteria of Ambient Assistant Living Technologies.

Ambient Assisted Living (AAL) is a growing field resulting from aging populations in the majority of the well-developed regions of the world. AAL technologies aim at supporting independent living at home and therefore, include a wide variety of innovations. However, even though AAL technologies are on the rise, the acceptance of them among the elderly population is still low. In order to elaborate acceptance criteria, the state of the art on opinions and perceptions of elderly people about AAL technologies, is summarized. A total of eleven acceptance criteria are excerpted from this and a diagram is created to show their connections. This information can be helpful for the developers of future AAL technologies, so that they have a better idea of aspects they have to consider to improve the acceptance of their technology. The excerpted criteria are illustrated based on the FEARLESS - life comfort system, which is an image-based fall detection system as an example for a recently developed AAL technology.