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1.
Artículo en Inglés | MEDLINE | ID: mdl-38598391

RESUMEN

In this article, we propose a method, generative image reconstruction from gradients (GIRG), for recovering training images from gradients in a federated learning (FL) setting, where privacy is preserved by sharing model weights and gradients rather than raw training data. Previous studies have shown the potential for revealing clients' private information or even pixel-level recovery of training images from shared gradients. However, existing methods are limited to low-resolution images and small batch sizes (BSs) or require prior knowledge about the client data. GIRG utilizes a conditional generative model to reconstruct training images and their corresponding labels from the shared gradients. Unlike previous generative model-based methods, GIRG does not require prior knowledge of the training data. Furthermore, GIRG optimizes the weights of the conditional generative model to generate highly accurate "dummy" images instead of optimizing the input vectors of the generative model. Comprehensive empirical results show that GIRG is able to recover high-resolution images with large BSs and can even recover images from the aggregation of gradients from multiple participants. These results reveal the vulnerability of current FL practices and call for immediate efforts to prevent inversion attacks in gradient-sharing-based collaborative training.

2.
Cell Rep Med ; 5(2): 101419, 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38340728

RESUMEN

Federated learning (FL) is a distributed machine learning framework that is gaining traction in view of increasing health data privacy protection needs. By conducting a systematic review of FL applications in healthcare, we identify relevant articles in scientific, engineering, and medical journals in English up to August 31st, 2023. Out of a total of 22,693 articles under review, 612 articles are included in the final analysis. The majority of articles are proof-of-concepts studies, and only 5.2% are studies with real-life application of FL. Radiology and internal medicine are the most common specialties involved in FL. FL is robust to a variety of machine learning models and data types, with neural networks and medical imaging being the most common, respectively. We highlight the need to address the barriers to clinical translation and to assess its real-world impact in this new digital data-driven healthcare scene.


Asunto(s)
Aprendizaje Automático , Medicina , Humanos , Redes Neurales de la Computación
3.
IEEE Trans Med Imaging ; 43(5): 1945-1957, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38206778

RESUMEN

Color fundus photography (CFP) and Optical coherence tomography (OCT) images are two of the most widely used modalities in the clinical diagnosis and management of retinal diseases. Despite the widespread use of multimodal imaging in clinical practice, few methods for automated diagnosis of eye diseases utilize correlated and complementary information from multiple modalities effectively. This paper explores how to leverage the information from CFP and OCT images to improve the automated diagnosis of retinal diseases. We propose a novel multimodal learning method, named geometric correspondence-based multimodal learning network (GeCoM-Net), to achieve the fusion of CFP and OCT images. Specifically, inspired by clinical observations, we consider the geometric correspondence between the OCT slice and the CFP region to learn the correlated features of the two modalities for robust fusion. Furthermore, we design a new feature selection strategy to extract discriminative OCT representations by automatically selecting the important feature maps from OCT slices. Unlike the existing multimodal learning methods, GeCoM-Net is the first method that formulates the geometric relationships between the OCT slice and the corresponding region of the CFP image explicitly for CFP and OCT fusion. Experiments have been conducted on a large-scale private dataset and a publicly available dataset to evaluate the effectiveness of GeCoM-Net for diagnosing diabetic macular edema (DME), impaired visual acuity (VA) and glaucoma. The empirical results show that our method outperforms the current state-of-the-art multimodal learning methods by improving the AUROC score 0.4%, 1.9% and 2.9% for DME, VA and glaucoma detection, respectively.


Asunto(s)
Interpretación de Imagen Asistida por Computador , Imagen Multimodal , Tomografía de Coherencia Óptica , Humanos , Tomografía de Coherencia Óptica/métodos , Imagen Multimodal/métodos , Interpretación de Imagen Asistida por Computador/métodos , Algoritmos , Enfermedades de la Retina/diagnóstico por imagen , Retina/diagnóstico por imagen , Aprendizaje Automático , Fotograbar/métodos , Técnicas de Diagnóstico Oftalmológico , Bases de Datos Factuales
4.
Nat Commun ; 14(1): 6757, 2023 10 24.
Artículo en Inglés | MEDLINE | ID: mdl-37875484

RESUMEN

Failure to recognize samples from the classes unseen during training is a major limitation of artificial intelligence in the real-world implementation for recognition and classification of retinal anomalies. We establish an uncertainty-inspired open set (UIOS) model, which is trained with fundus images of 9 retinal conditions. Besides assessing the probability of each category, UIOS also calculates an uncertainty score to express its confidence. Our UIOS model with thresholding strategy achieves an F1 score of 99.55%, 97.01% and 91.91% for the internal testing set, external target categories (TC)-JSIEC dataset and TC-unseen testing set, respectively, compared to the F1 score of 92.20%, 80.69% and 64.74% by the standard AI model. Furthermore, UIOS correctly predicts high uncertainty scores, which would prompt the need for a manual check in the datasets of non-target categories retinal diseases, low-quality fundus images, and non-fundus images. UIOS provides a robust method for real-world screening of retinal anomalies.


Asunto(s)
Anomalías del Ojo , Enfermedades de la Retina , Humanos , Inteligencia Artificial , Algoritmos , Incertidumbre , Retina/diagnóstico por imagen , Fondo de Ojo , Enfermedades de la Retina/diagnóstico por imagen
5.
Artículo en Inglés | MEDLINE | ID: mdl-37368806

RESUMEN

In-memory deep learning executes neural network models where they are stored, thus avoiding long-distance communication between memory and computation units, resulting in considerable savings in energy and time. In-memory deep learning has already demonstrated orders of magnitude higher performance density and energy efficiency. The use of emerging memory technology (EMT) promises to increase density, energy, and performance even further. However, EMT is intrinsically unstable, resulting in random data read fluctuations. This can translate to nonnegligible accuracy loss, potentially nullifying the gains. In this article, we propose three optimization techniques that can mathematically overcome the instability problem of EMT. They can improve the accuracy of the in-memory deep learning model while maximizing its energy efficiency. Experiments show that our solution can fully recover most models' state-of-the-art (SOTA) accuracy and achieves at least an order of magnitude higher energy efficiency than the SOTA.

6.
iScience ; 26(4): 106546, 2023 Apr 21.
Artículo en Inglés | MEDLINE | ID: mdl-37123247

RESUMEN

Genomic researchers increasingly utilize commercial cloud service providers (CSPs) to manage data and analytics needs. CSPs allow researchers to grow Information Technology (IT) infrastructure on demand to overcome bottlenecks when combining large datasets. However, without adequate security controls, the risk of unauthorized access may be higher for data stored on the cloud. Additionally, regulators are mandating data access patterns and specific security protocols for the storage and use of genomic data. While CSP provides tools for security and regulatory compliance, building the necessary controls required for cloud solutions is not trivial. Research Assets Provisioning and Tracking Online Repository (RAPTOR) by the Genome Institute of Singapore is a cloud-native genomics data repository and analytics platform that implements a "five-safes" framework to provide security and governance controls to data contributors and users, leveraging CSP for sharing and analysis of genomic datasets without the risk of security breaches or running afoul of regulations.

7.
Front Psychol ; 14: 1136448, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37057174

RESUMEN

Purpose: This study explores the association between the duration and variation of infant sleep trajectories and subsequent cognitive school readiness at 48-50 months. Methods: Participants were 288 multi-ethnic children, within the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Caregiver-reported total, night and day sleep durations were obtained at 3, 6, 9, 12, 18, 24 using the Brief Infant Sleep Questionnaire and 54 months using the Child Sleep Habits Questionnaire. Total, night and day sleep trajectories with varying durations (short, moderate, or long) and variability (consistent or variable; defined by standard errors) were identified. The cognitive school readiness test battery was administered when the children were between 48 and 50 months old. Both unadjusted adjusted analysis of variance models and adjusted analysis of covariance models (for confounders) were performed to assess associations between sleep trajectories and individual school readiness tests in the domains of language, numeracy, general cognition and memory. Results: In the unadjusted models, children with short variable total sleep trajectories had poorer performance on language tests compared to those with longer and more consistent trajectories. In both unadjusted and adjusted models, children with short variable night sleep trajectories had poorer numeracy knowledge compared to their counterparts with long consistent night sleep trajectories. There were no equivalent associations between sleep trajectories and school readiness performance for tests in the general cognition or memory domains. There were no significant findings for day sleep trajectories. Conclusion: Findings suggest that individual differences in longitudinal sleep duration patterns from as early as 3 months of age may be associated with language and numeracy aspects of school readiness at 48-50 months of age. This is important, as early school readiness, particularly the domains of language and mathematics, is a key predictor of subsequent academic achievement.

8.
Front Public Health ; 11: 1063466, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36860378

RESUMEN

Purpose: The COVID-19 pandemic has drastically disrupted global healthcare systems. With the higher demand for healthcare and misinformation related to COVID-19, there is a need to explore alternative models to improve communication. Artificial Intelligence (AI) and Natural Language Processing (NLP) have emerged as promising solutions to improve healthcare delivery. Chatbots could fill a pivotal role in the dissemination and easy accessibility of accurate information in a pandemic. In this study, we developed a multi-lingual NLP-based AI chatbot, DR-COVID, which responds accurately to open-ended, COVID-19 related questions. This was used to facilitate pandemic education and healthcare delivery. Methods: First, we developed DR-COVID with an ensemble NLP model on the Telegram platform (https://t.me/drcovid_nlp_chatbot). Second, we evaluated various performance metrics. Third, we evaluated multi-lingual text-to-text translation to Chinese, Malay, Tamil, Filipino, Thai, Japanese, French, Spanish, and Portuguese. We utilized 2,728 training questions and 821 test questions in English. Primary outcome measurements were (A) overall and top 3 accuracies; (B) Area Under the Curve (AUC), precision, recall, and F1 score. Overall accuracy referred to a correct response for the top answer, whereas top 3 accuracy referred to an appropriate response for any one answer amongst the top 3 answers. AUC and its relevant matrices were obtained from the Receiver Operation Characteristics (ROC) curve. Secondary outcomes were (A) multi-lingual accuracy; (B) comparison to enterprise-grade chatbot systems. The sharing of training and testing datasets on an open-source platform will also contribute to existing data. Results: Our NLP model, utilizing the ensemble architecture, achieved overall and top 3 accuracies of 0.838 [95% confidence interval (CI): 0.826-0.851] and 0.922 [95% CI: 0.913-0.932] respectively. For overall and top 3 results, AUC scores of 0.917 [95% CI: 0.911-0.925] and 0.960 [95% CI: 0.955-0.964] were achieved respectively. We achieved multi-linguicism with nine non-English languages, with Portuguese performing the best overall at 0.900. Lastly, DR-COVID generated answers more accurately and quickly than other chatbots, within 1.12-2.15 s across three devices tested. Conclusion: DR-COVID is a clinically effective NLP-based conversational AI chatbot, and a promising solution for healthcare delivery in the pandemic era.


Asunto(s)
COVID-19 , Aprendizaje Profundo , Humanos , Procesamiento de Lenguaje Natural , Inteligencia Artificial , Pandemias , India
9.
Nat Genet ; 55(2): 178-186, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36658435

RESUMEN

Precision medicine promises to transform healthcare for groups and individuals through early disease detection, refining diagnoses and tailoring treatments. Analysis of large-scale genomic-phenotypic databases is a critical enabler of precision medicine. Although Asia is home to 60% of the world's population, many Asian ancestries are under-represented in existing databases, leading to missed opportunities for new discoveries, particularly for diseases most relevant for these populations. The Singapore National Precision Medicine initiative is a whole-of-government 10-year initiative aiming to generate precision medicine data of up to one million individuals, integrating genomic, lifestyle, health, social and environmental data. Beyond technologies, routine adoption of precision medicine in clinical practice requires social, ethical, legal and regulatory barriers to be addressed. Identifying driver use cases in which precision medicine results in standardized changes to clinical workflows or improvements in population health, coupled with health economic analysis to demonstrate value-based healthcare, is a vital prerequisite for responsible health system adoption.


Asunto(s)
Atención a la Salud , Medicina de Precisión , Humanos , Singapur , Medicina de Precisión/métodos , Asia
10.
JMIR Form Res ; 7: e38555, 2023 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-36649223

RESUMEN

BACKGROUND: The 2019 novel COVID-19 has severely burdened the health care system through its rapid transmission. Mobile health (mHealth) is a viable solution to facilitate remote monitoring and continuity of care for patients with COVID-19 in a home environment. However, the conceptualization and development of mHealth apps are often time and labor-intensive and are laden with concerns relating to data security and privacy. Implementing mHealth apps is also a challenging feat as language-related barriers limit adoption, whereas its perceived lack of benefits affects sustained use. The rapid development of an mHealth app that is cost-effective, secure, and user-friendly will be a timely enabler. OBJECTIVE: This project aimed to develop an mHealth app, DrCovid+, to facilitate remote monitoring and continuity of care for patients with COVID-19 by using the rapid development approach. It also aimed to address the challenges of mHealth app adoption and sustained use. METHODS: The Rapid Application Development approach was adopted. Stakeholders including decision makers, physicians, nurses, health care administrators, and research engineers were engaged. The process began with requirements gathering to define and finalize the project scope, followed by an iterative process of developing a working prototype, conducting User Acceptance Tests, and improving the prototype before implementation. Co-designing principles were applied to ensure equal collaborative efforts and collective agreement among stakeholders. RESULTS: DrCovid+ was developed on Telegram Messenger and hosted on a cloud server. It features a secure patient enrollment and data interface, a multilingual communication channel, and both automatic and personalized push messaging. A back-end dashboard was also developed to collect patients' vital signs for remote monitoring and continuity of care. To date, 400 patients have been enrolled into the system, amounting to 2822 hospital bed-days saved. CONCLUSIONS: The rapid development and implementation of DrCovid+ allowed for timely clinical care management for patients with COVID-19. It facilitated early patient hospital discharge and continuity of care while addressing issues relating to data security and labor-, time-, and cost-effectiveness. The use case for DrCovid+ may be extended to other medical conditions to advance patient care and empowerment within the community, thereby meeting existing and rising population health challenges.

11.
Sleep ; 46(2)2023 02 08.
Artículo en Inglés | MEDLINE | ID: mdl-36355436

RESUMEN

STUDY OBJECTIVES: Examine how different trajectories of reported sleep duration associate with early childhood cognition. METHODS: Caregiver-reported sleep duration data (n = 330) were collected using the Brief Infant Sleep Questionnaire at 3, 6, 9, 12, 18, and 24 months and Children's Sleep Habits Questionnaire at 54 months. Multiple group-based day-, night-, and/or total sleep trajectories were derived-each differing in duration and variability. Bayley Scales of Infant and Toddler Development-III (Bayley-III) and the Kaufman Brief Intelligence Test- 2 (KBIT-2) were used to assess cognition at 24 and 54 months, respectively. RESULTS: Compared to short variable night sleep trajectory, long consistent night sleep trajectory was associated with higher scores on Bayley-III (cognition and language), while moderate/long consistent night sleep trajectories were associated with higher KBIT-2 (verbal and composite) scores. Children with a long consistent total sleep trajectory had higher Bayley-III (cognition and expressive language) and KBIT-2 (verbal and composite) scores compared to children with a short variable total sleep trajectory. Moderate consistent total sleep trajectory was associated with higher Bayley-III language and KBIT-2 verbal scores relative to the short variable total trajectory. Children with a long variable day sleep had lower Bayley-III (cognition and fine motor) and KBIT-2 (verbal and composite) scores compared to children with a short consistent day sleep trajectory. CONCLUSIONS: Longer and more consistent night- and total sleep trajectories, and a short day sleep trajectory in early childhood were associated with better cognition at 2 and 4.5 years.


Asunto(s)
Desarrollo Infantil , Duración del Sueño , Lactante , Humanos , Preescolar , Cognición
12.
Nat Mach Intell ; 5(7): 799-810, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38706981

RESUMEN

Medical artificial intelligence (AI) has tremendous potential to advance healthcare by supporting and contributing to the evidence-based practice of medicine, personalizing patient treatment, reducing costs, and improving both healthcare provider and patient experience. Unlocking this potential requires systematic, quantitative evaluation of the performance of medical AI models on large-scale, heterogeneous data capturing diverse patient populations. Here, to meet this need, we introduce MedPerf, an open platform for benchmarking AI models in the medical domain. MedPerf focuses on enabling federated evaluation of AI models, by securely distributing them to different facilities, such as healthcare organizations. This process of bringing the model to the data empowers each facility to assess and verify the performance of AI models in an efficient and human-supervised process, while prioritizing privacy. We describe the current challenges healthcare and AI communities face, the need for an open platform, the design philosophy of MedPerf, its current implementation status and real-world deployment, our roadmap and, importantly, the use of MedPerf with multiple international institutions within cloud-based technology and on-premises scenarios. Finally, we welcome new contributions by researchers and organizations to further strengthen MedPerf as an open benchmarking platform.

13.
Artículo en Inglés | MEDLINE | ID: mdl-35969543

RESUMEN

Spiking neural networks (SNNs) have advantages in latency and energy efficiency over traditional artificial neural networks (ANNs) due to their event-driven computation mechanism and the replacement of energy-consuming weight multiplication with addition. However, to achieve high accuracy, it usually requires long spike trains to ensure accuracy, usually more than 1000 time steps. This offsets the computation efficiency brought by SNNs because a longer spike train means a larger number of operations and larger latency. In this article, we propose a radix-encoded SNN, which has ultrashort spike trains. Specifically, it is able to use less than six time steps to achieve even higher accuracy than its traditional counterpart. We also develop a method to fit our radix encoding technique into the ANN-to-SNN conversion approach so that we can train radix-encoded SNNs more efficiently on mature platforms and hardware. Experiments show that our radix encoding can achieve 25 × improvement in latency and 1.7% improvement in accuracy compared to the state-of-the-art method using the VGG-16 network on the CIFAR-10 dataset.

14.
Med Image Anal ; 81: 102535, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35872361

RESUMEN

Accurate skin lesion diagnosis requires a great effort from experts to identify the characteristics from clinical and dermoscopic images. Deep multimodal learning-based methods can reduce intra- and inter-reader variability and improve diagnostic accuracy compared to the single modality-based methods. This study develops a novel method, named adversarial multimodal fusion with attention mechanism (AMFAM), to perform multimodal skin lesion classification. Specifically, we adopt a discriminator that uses adversarial learning to enforce the feature extractor to learn the correlated information explicitly. Moreover, we design an attention-based reconstruction strategy to encourage the feature extractor to concentrate on learning the features of the lesion area, thus, enhancing the feature vector from each modality with more discriminative information. Unlike existing multimodal-based approaches, which only focus on learning complementary features from dermoscopic and clinical images, our method considers both correlated and complementary information of the two modalities for multimodal fusion. To verify the effectiveness of our method, we conduct comprehensive experiments on a publicly available multimodal and multi-task skin lesion classification dataset: 7-point criteria evaluation database. The experimental results demonstrate that our proposed method outperforms the current state-of-the-art methods and improves the average AUC score by above 2% on the test set.


Asunto(s)
Diagnóstico por Imagen , Enfermedades de la Piel , Piel , Bases de Datos Factuales , Humanos , Aprendizaje Automático , Piel/patología , Enfermedades de la Piel/clasificación , Enfermedades de la Piel/diagnóstico
15.
Artículo en Inglés | MEDLINE | ID: mdl-35560072

RESUMEN

Edge devices demand low energy consumption, cost, and small form factor. To efficiently deploy convolutional neural network (CNN) models on the edge device, energy-aware model compression becomes extremely important. However, existing work did not study this problem well because of the lack of considering the diversity of dataflow types in hardware architectures. In this article, we propose EDCompress (EDC), an energy-aware model compression method for various dataflows. It can effectively reduce the energy consumption of various edge devices, with different dataflow types. Considering the very nature of model compression procedures, we recast the optimization process to a multistep problem and solve it by reinforcement learning algorithms. We also propose a multidimensional multistep (MDMS) optimization method, which shows higher compressing capability than the traditional multistep method. Experiments show that EDC could improve 20x, 17x, and 26x energy efficiency in VGG-16, MobileNet, and LeNet-5 networks, respectively, with negligible loss of accuracy. EDC could also indicate the optimal dataflow type for specific neural networks in terms of energy consumption, which can guide the deployment of CNN on hardware.

16.
IEEE Trans Neural Netw Learn Syst ; 33(2): 798-810, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-33090960

RESUMEN

Cross-modal retrieval (CMR) enables flexible retrieval experience across different modalities (e.g., texts versus images), which maximally benefits us from the abundance of multimedia data. Existing deep CMR approaches commonly require a large amount of labeled data for training to achieve high performance. However, it is time-consuming and expensive to annotate the multimedia data manually. Thus, how to transfer valuable knowledge from existing annotated data to new data, especially from the known categories to new categories, becomes attractive for real-world applications. To achieve this end, we propose a deep multimodal transfer learning (DMTL) approach to transfer the knowledge from the previously labeled categories (source domain) to improve the retrieval performance on the unlabeled new categories (target domain). Specifically, we employ a joint learning paradigm to transfer knowledge by assigning a pseudolabel to each target sample. During training, the pseudolabel is iteratively updated and passed through our model in a self-supervised manner. At the same time, to reduce the domain discrepancy of different modalities, we construct multiple modality-specific neural networks to learn a shared semantic space for different modalities by enforcing the compactness of homoinstance samples and the scatters of heteroinstance samples. Our method is remarkably different from most of the existing transfer learning approaches. To be specific, previous works usually assume that the source domain and the target domain have the same label set. In contrast, our method considers a more challenging multimodal learning situation where the label sets of the two domains are different or even disjoint. Experimental studies on four widely used benchmarks validate the effectiveness of the proposed method in multimodal transfer learning and demonstrate its superior performance in CMR compared with 11 state-of-the-art methods.

17.
IEEE Trans Pattern Anal Mach Intell ; 44(8): 4252-4266, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33621165

RESUMEN

Natural Language Video Localization (NLVL) aims to locate a target moment from an untrimmed video that semantically corresponds to a text query. Existing approaches mainly solve the NLVL problem from the perspective of computer vision by formulating it as ranking, anchor, or regression tasks. These methods suffer from large performance degradation when localizing on long videos. In this work, we address the NLVL from a new perspective, i.e., span-based question answering (QA), by treating the input video as a text passage. We propose a video span localizing network (VSLNet), on top of the standard span-based QA framework (named VSLBase), to address NLVL. VSLNet tackles the differences between NLVL and span-based QA through a simple yet effective query-guided highlighting (QGH) strategy. QGH guides VSLNet to search for the matching video span within a highlighted region. To address the performance degradation on long videos, we further extend VSLNet to VSLNet-L by applying a multi-scale split-and-concatenation strategy. VSLNet-L first splits the untrimmed video into short clip segments; then, it predicts which clip segment contains the target moment and suppresses the importance of other segments. Finally, the clip segments are concatenated, with different confidences, to locate the target moment accurately. Extensive experiments on three benchmark datasets show that the proposed VSLNet and VSLNet-L outperform the state-of-the-art methods; VSLNet-L addresses the issue of performance degradation on long videos. Our study suggests that the span-based QA framework is an effective strategy to solve the NLVL problem.

18.
Lancet Digit Health ; 3(5): e317-e329, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33890579

RESUMEN

BACKGROUND: By 2050, almost 5 billion people globally are projected to have myopia, of whom 20% are likely to have high myopia with clinically significant risk of sight-threatening complications such as myopic macular degeneration. These are diagnoses that typically require specialist assessment or measurement with multiple unconnected pieces of equipment. Artificial intelligence (AI) approaches might be effective for risk stratification and to identify individuals at highest risk of visual loss. However, unresolved challenges for AI medical studies remain, including paucity of transparency, auditability, and traceability. METHODS: In this retrospective multicohort study, we developed and tested retinal photograph-based deep learning algorithms for detection of myopic macular degeneration and high myopia, using a total of 226 686 retinal images. First we trained and internally validated the algorithms on datasets from Singapore, and then externally tested them on datasets from China, Taiwan, India, Russia, and the UK. We also compared the performance of the deep learning algorithms against six human experts in the grading of a randomly selected dataset of 400 images from the external datasets. As proof of concept, we used a blockchain-based AI platform to demonstrate the real-world application of secure data transfer, model transfer, and model testing across three sites in Singapore and China. FINDINGS: The deep learning algorithms showed robust diagnostic performance with areas under the receiver operating characteristic curves [AUC] of 0·969 (95% CI 0·959-0·977) or higher for myopic macular degeneration and 0·913 (0·906-0·920) or higher for high myopia across the external testing datasets with available data. In the randomly selected dataset, the deep learning algorithms outperformed all six expert graders in detection of each condition (AUC of 0·978 [0·957-0·994] for myopic macular degeneration and 0·973 [0·941-0·995] for high myopia). We also successfully used blockchain technology for data transfer, model transfer, and model testing between sites and across two countries. INTERPRETATION: Deep learning algorithms can be effective tools for risk stratification and screening of myopic macular degeneration and high myopia among the large global population with myopia. The blockchain platform developed here could potentially serve as a trusted platform for performance testing of future AI models in medicine. FUNDING: None.


Asunto(s)
Algoritmos , Inteligencia Artificial , Cadena de Bloques , Aprendizaje Profundo , Degeneración Macular/diagnóstico , Miopía/diagnóstico , Retina/diagnóstico por imagen , Área Bajo la Curva , Investigación Biomédica/instrumentación , Investigación Biomédica/métodos , Estudios de Cohortes , Conjuntos de Datos como Asunto , Humanos , Prueba de Estudio Conceptual , Curva ROC , Reproducibilidad de los Resultados , Estudios Retrospectivos
19.
IEEE Trans Neural Netw Learn Syst ; 30(9): 2794-2804, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30640630

RESUMEN

In this paper, we study a new problem in the scenario of sequences labeling. To be exact, we consider that the training data are with annotation of various degrees, namely, fully labeled, unlabeled, and partially labeled sequences. The learning with fully un/labeled sequence refers to the standard setting in traditional un/supervised learning, and the proposed partially labeling specifies the subject that the element does not belong to. The partially labeled data are cheaper to obtain compared with the fully labeled data though it is less informative, especially when the tasks require a lot of domain knowledge. To solve such a practical challenge, we propose a novel deep conditional random field (CRF) model which utilizes an end-to-end learning manner to smoothly handle fully/un/partially labeled sequences within a unified framework. To the best of our knowledge, this could be one of the first works to utilize the partially labeled instance for sequence labeling, and the proposed algorithm unifies the deep learning and CRF in an end-to-end framework. Extensive experiments show that our method achieves state-of-the-art performance in two sequence labeling tasks on some popular data sets.

20.
Artículo en Inglés | MEDLINE | ID: mdl-29993900

RESUMEN

One major assumption used in most existing hashing approaches is that the domain of interest (i.e., the target domain) could provide sufficient training data, either labeled or unlabeled. However, this assumption may be violated in practice. To address this so-called data sparsity issue in hashing, a new framework termed transfer hashing with privileged information (THPI) is proposed, which marriages hashing and transfer learning (TL). To show the efficacy of THPI, we propose three variants of the well-known iterative quantization (ITQ) as a showcase. The proposed methods, ITQ+, LapITQ+, and deep transfer hashing (DTH), solve the aforementioned data sparsity issue from different aspects. Specifically, ITQ+ is a shallow model, which makes ITQ achieve hashing in a TL manner. ITQ+ learns a new slack function from the source domain to approximate the quantization error on the target domain given by ITQ. To further improve the performance of ITQ+, LapITQ+ is proposed by embedding the geometric relationship of the source domain into the target domain. Moreover, DTH is proposed to show the generality of our framework by utilizing the powerful representative capacity of deep learning. To the best of our knowledge, this could be one of the first DTH works. Extensive experiments on several popular data sets demonstrate the effectiveness of our shallow and DTH approaches comparing with several state-of-the-art hashing approaches.

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