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Adam Mahdi

Publications and source records attributed to Adam Mahdi.

At least 37 records · Page 2Linked to original sources

Combining Hough Transform and Deep Learning Approaches to Reconstruct ECG Signals From Printouts

This work presents our team's (SignalSavants) winning contribution to the 2024 George B. Moody PhysioNet Challenge. The Challenge had two goals: reconstruct ECG signals from printouts and classify them for cardiac diseases. Our focus was the first task. Despite many ECGs being digitally recorded today, paper ECGs remain common throughout the world. Digitising them could help build more diverse datasets and enable automated analyses. However, the presence of varying recording standards and poor image quality requires a data-centric approach for developing robust models that can generalise effectively. Our approach combines the creation of a diverse training set, Hough transform to rotate images, a U-Net based segmentation model to identify individual signals, and mask vectorisation to reconstruct the signals. We assessed the performance of our models using the 10-fold stratified cross-validation (CV) split of 21,799 recordings proposed by the PTB-XL dataset. On the digitisation task, our model achieved an average CV signal-to-noise ratio of 17.02 and an official Challenge score of 12.15 on the hidden set, securing first place in the competition. Our study shows the challenges of building robust, generalisable, digitisation approaches. Such models require large amounts of resources (data, time, and computational power) but have great potential in diversifying the data available.

cs.LG

Do Large Language Models have Shared Weaknesses in Medical Question Answering?

Large language models (LLMs) have made rapid improvement on medical benchmarks, but their unreliability remains a persistent challenge for safe real-world uses. To design for the use LLMs as a category, rather than for specific models, requires developing an understanding of shared strengths and weaknesses which appear across models. To address this challenge, we benchmark a range of top LLMs and identify consistent patterns across models. We test $16$ well-known LLMs on $874$ newly collected questions from Polish medical licensing exams. For each question, we score each model on the top-1 accuracy and the distribution of probabilities assigned. We then compare these results with factors such as question difficulty for humans, question length, and the scores of the other models. LLM accuracies were positively correlated pairwise ($0.39$ to $0.58$). Model performance was also correlated with human performance ($0.09$ to $0.13$), but negatively correlated to the difference between the question-level accuracy of top-scoring and bottom-scoring humans ($-0.09$ to $-0.14$). The top output probability and question length were positive and negative predictors of accuracy respectively (p$< 0.05$). The top scoring LLM, GPT-4o Turbo, scored $84\%$, with Claude Opus, Gemini 1.5 Pro and Llama 3/3.1 between $74\%$ and $79\%$. We found evidence of similarities between models in which questions they answer correctly, as well as similarities with human test takers. Larger models typically performed better, but differences in training, architecture, and data were also highly impactful. Model accuracy was positively correlated with confidence, but negatively correlated with question length. We find similar results with older models, and argue that these patterns are likely to persist across future models using similar training methods.

cs.CL

Large language models can help boost food production, but be mindful of their risks

Coverage of ChatGPT-style large language models (LLMs) in the media has focused on their eye-catching achievements, including solving advanced mathematical problems and reaching expert proficiency in medical examinations. But the gradual adoption of LLMs in agriculture, an industry which touches every human life, has received much less public scrutiny. In this short perspective, we examine risks and opportunities related to more widespread adoption of language models in food production systems. While LLMs can potentially enhance agricultural efficiency, drive innovation, and inform better policies, challenges like agricultural misinformation, collection of vast amounts of farmer data, and threats to agricultural jobs are important concerns. The rapid evolution of the LLM landscape underscores the need for agricultural policymakers to think carefully about frameworks and guidelines that ensure the responsible use of LLMs in food production before these technologies become so ingrained that policy intervention becomes challenging.

cs.CY

Feasibility of machine learning-based rice yield prediction in India at the district level using climate reanalysis data

Yield forecasting, the science of predicting agricultural productivity before the crop harvest occurs, helps a wide range of stakeholders make better decisions around agricultural planning. This study aims to investigate whether machine learning-based yield prediction models can capably predict Kharif season rice yields at the district level in India several months before the rice harvest takes place. The methodology involved training 19 machine learning models such as CatBoost, LightGBM, Orthogonal Matching Pursuit, and Extremely Randomized Trees on 20 years of climate, satellite, and rice yield data across 247 of Indian rice-producing districts. In addition to model-building, a dynamic dashboard was built understand how the reliability of rice yield predictions varies across districts. The results of the proof-of-concept machine learning pipeline demonstrated that rice yields can be predicted with a reasonable degree of accuracy, with out-of-sample R2, MAE, and MAPE performance of up to 0.82, 0.29, and 0.16 respectively. These results outperformed test set performance reported in related literature on rice yield modeling in other contexts and countries. In addition, SHAP value analysis was conducted to infer both the importance and directional impact of the climate and remote sensing variables included in the model. Important features driving rice yields included temperature, soil water volume, and leaf area index. In particular, higher temperatures in August correlate with increased rice yields, particularly when the leaf area index in August is also high. Building on the results, a proof-of-concept dashboard was developed to allow users to easily explore which districts may experience a rise or fall in yield relative to the previous year.

cs.LG

Multimodal deep learning approach to predicting neurological recovery from coma after cardiac arrest

This work showcases our team's (The BEEGees) contributions to the 2023 George B. Moody PhysioNet Challenge. The aim was to predict neurological recovery from coma following cardiac arrest using clinical data and time-series such as multi-channel EEG and ECG signals. Our modelling approach is multimodal, based on two-dimensional spectrogram representations derived from numerous EEG channels, alongside the integration of clinical data and features extracted directly from EEG recordings. Our submitted model achieved a Challenge score of $0.53$ on the hidden test set for predictions made $72$ hours after return of spontaneous circulation. Our study shows the efficacy and limitations of employing transfer learning in medical classification. With regard to prospective implementation, our analysis reveals that the performance of the model is strongly linked to the selection of a decision threshold and exhibits strong variability across data splits.

cs.LG

Unsupervised Learning Approaches for Identifying ICU Patient Subgroups: Do Results Generalise?

The use of unsupervised learning to identify patient subgroups has emerged as a potentially promising direction to improve the efficiency of Intensive Care Units (ICUs). By identifying subgroups of patients with similar levels of medical resource need, ICUs could be restructured into a collection of smaller subunits, each catering to a specific group. However, it is unclear whether common patient subgroups exist across different ICUs, which would determine whether ICU restructuring could be operationalised in a standardised manner. In this paper, we tested the hypothesis that common ICU patient subgroups exist by examining whether the results from one existing study generalise to a different dataset. We extracted 16 features representing medical resource need and used consensus clustering to derive patient subgroups, replicating the previous study. We found limited similarities between our results and those of the previous study, providing evidence against the hypothesis. Our findings imply that there is significant variation between ICUs; thus, a standardised restructuring approach is unlikely to be appropriate. Instead, potential efficiency gains might be greater when the number and nature of the subunits are tailored to each ICU individually.

cs.LG

Review of multimodal machine learning approaches in healthcare

Machine learning methods in healthcare have traditionally focused on using data from a single modality, limiting their ability to effectively replicate the clinical practice of integrating multiple sources of information for improved decision making. Clinicians typically rely on a variety of data sources including patients' demographic information, laboratory data, vital signs and various imaging data modalities to make informed decisions and contextualise their findings. Recent advances in machine learning have facilitated the more efficient incorporation of multimodal data, resulting in applications that better represent the clinician's approach. Here, we provide a review of multimodal machine learning approaches in healthcare, offering a comprehensive overview of recent literature. We discuss the various data modalities used in clinical diagnosis, with a particular emphasis on imaging data. We evaluate fusion techniques, explore existing multimodal datasets and examine common training strategies.

cs.LG

LT-ViT: A Vision Transformer for multi-label Chest X-ray classification

Vision Transformers (ViTs) are widely adopted in medical imaging tasks, and some existing efforts have been directed towards vision-language training for Chest X-rays (CXRs). However, we envision that there still exists a potential for improvement in vision-only training for CXRs using ViTs, by aggregating information from multiple scales, which has been proven beneficial for non-transformer networks. Hence, we have developed LT-ViT, a transformer that utilizes combined attention between image tokens and randomly initialized auxiliary tokens that represent labels. Our experiments demonstrate that LT-ViT (1) surpasses the state-of-the-art performance using pure ViTs on two publicly available CXR datasets, (2) is generalizable to other pre-training methods and therefore is agnostic to model initialization, and (3) enables model interpretability without grad-cam and its variants.

cs.CV

Dual Bayesian ResNet: A Deep Learning Approach to Heart Murmur Detection

This study presents our team PathToMyHeart's contribution to the George B. Moody PhysioNet Challenge 2022. Two models are implemented. The first model is a Dual Bayesian ResNet (DBRes), where each patient's recording is segmented into overlapping log mel spectrograms. These undergo two binary classifications: present versus unknown or absent, and unknown versus present or absent. The classifications are aggregated to give a patient's final classification. The second model is the output of DBRes integrated with demographic data and signal features using XGBoost.DBRes achieved our best weighted accuracy of $0.771$ on the hidden test set for murmur classification, which placed us fourth for the murmur task. (On the clinical outcome task, which we neglected, we scored 17th with costs of $12637$.) On our held-out subset of the training set, integrating the demographic data and signal features improved DBRes's accuracy from $0.762$ to $0.820$. However, this decreased DBRes's weighted accuracy from $0.780$ to $0.749$. Our results demonstrate that log mel spectrograms are an effective representation of heart sound recordings, Bayesian networks provide strong supervised classification performance, and treating the ternary classification as two binary classifications increases performance on the weighted accuracy.

cs.LG

On automatic calibration of the SIRD epidemiological model for COVID-19 data in Poland

We propose a novel methodology for estimating the epidemiological parameters of a modified SIRD model (acronym of Susceptible, Infected, Recovered and Deceased individuals) and perform a short-term forecast of SARS-CoV-2 virus spread. We mainly focus on forecasting number of deceased. The procedure was tested on reported data for Poland. For some short-time intervals we performed numerical test investigating stability of parameter estimates in the proposed approach. Numerical experiments confirm the effectiveness of short-term forecasts (up to 2 weeks) and stability of the method. To improve their performance (i.e. computation time) GPU architecture was used in computations.

stat.ME

Sensitivity analysis methods in the biomedical sciences

Sensitivity analysis is an important part of a mathematical modeller's toolbox for model analysis. In this review paper, we describe the most frequently used sensitivity techniques, discussing their advantages and limitations, before applying each method to a simple model. Also included is a summary of current software packages, as well as a modeller's guide for carrying out sensitivity analyses. Finally, we apply the popular Morris and Sobol methods to two models with biomedical applications, with the intention of providing a deeper understanding behind both the principles of these methods and the presentation of their results.

q-bio.QM

Bayesian approach to uncertainty quantification for cerebral autoregulation index

Cerebral autoregulation refers to the brain's ability to maintain cerebral blood flow at an approximately constant level, despite changes in arterial blood pressure. The performance of this mechanism is often assessed using a ten-scale index called the ARI (autoregulation index). Here, $0$ denotes the absence of, while $9$ denotes the strongest, autoregulation. Current methods to calculate the ARI do not typically provide error estimates. Here, we show how this can be done using a bayesian approach. We use Markov-chain Monte Carlo methods to produce a probability distribution for the ARI, which gives a natural way to estimate error.

physics.med-ph

Increased blood pressure variability upon standing up improves reproducibility of cerebral autoregulation indices

Dynamic cerebral autoregulation, that is the transient response of cerebral blood flow to changes in arterial blood pressure, is currently assessed using a variety of different time series methods and data collection protocols. In the continuing absence of a gold standard for the study of cerebral autoregulation it is unclear to what extent does the assessment depend on the choice of a computational method and protocol. We use continuous measurements of blood pressure and cerebral blood flow velocity in the middle cerebral artery from the cohorts of 18 normotensive subjects performing sit-to-stand manoeuvre. We estimate cerebral autoregulation using a wide variety of black-box approaches (ARI, Mx, Sx, Dx, FIR and ARX) and compare them in the context of reproducibility and variability. For all autoregulation indices, considered here, the ICC was greater during the standing protocol, however, it was significantly greater (Fisher's Z-test) for Mx (p < 0.03), Sx (p<0.003)$ and Dx (p<0.03). In the specific case of the sit-to-stand manoeuvre, measurements taken immediately after standing up greatly improve the reproducibility of the autoregulation coefficients. This is generally coupled with an increase of the within-group spread of the estimates.

q-bio.QM

Effects of non-physiological blood pressure artefacts on measures of cerebral autoregulation

Cerebral autoregulation refers to regulation mechanisms that aim to maintain cerebral blood flow approximately constant. It is often assessed by autoregulation index (ARI), which uses arterial blood pressure and cerebral blood flow velocity time series to produce a ten-scale index of autoregulation performance (0 denoting the absence of and 9 the strongest autoregulation). Unfortunately, data are rarely free from various artefacts. Here, we consider four of the most common non-physiological blood pressure artefacts (saturation, square wave, reduced pulse pressure and impulse) and study their effects on ARI for a range of different artefact sizes. We show that a sufficiently large saturation and square wave always result in ARI reaching the maximum value of 9. The pulse pressure reduction and impulse artefact lead to a more diverse behaviour. Finally, we characterised the critical size of artefacts, defined as the minimum artefact size that, on average, leads to a 10\% deviation of ARI

q-bio.TO

Bayesian inference in non-Markovian state-space models with applications to fractional order systems

Battery impedance spectroscopy models are given by fractional order (FO) differential equations. In the discrete-time domain, they give rise to state-space models where the latent process is not Markovian. Parameter estimation for these models is therefore challenging, especially for non-commensurate FO models. In this paper, we propose a Bayesian approach to identify the parameters of generic FO systems. The computational challenge is tackled with particle Markov chain Monte Carlo methods, with an implementation specifically designed for the non-Markovian setting. The approach is then applied to estimate the parameters of a battery non-commensurate FO equivalent circuit model. Extensive simulations are provided to study the practical identifiability of model parameters and their sensitivity to the choice of prior distributions, the number of observations, the magnitude of the input signal and the measurement noise.

math.OC

Structural Identifiability Analysis of Fractional Order Models with Applications in Battery Systems

This paper presents a method for structural identifiability analysis of fractional order systems by using the coefficient mapping concept to determine whether the model parameters can uniquely be identified from input-output data. The proposed method is applicable to general non-commensurate fractional order models. Examples are chosen from battery fractional order equivalent circuit models (FO-ECMs). The battery FO-ECM consists of a series of parallel resistors and constant phase elements (CPEs) with fractional derivatives appearing in the CPEs. The FO-ECM is non-commensurate if more than one CPE is considered in the model. Currently, estimation of battery FO-ECMs is performed mainly by fitting in the frequency domain, requiring costly electrochemical impedance spectroscopy equipment. This paper aims to analyse the structural identifiability of battery FO-ECMs directly in the time domain. It is shown that FO-ECMs with finite numbers of CPEs are structurally identifiable. In particular, the FO-ECM with a single CPE is structurally globally identifiable.

math.OC

Mathematical model of the interaction between baroreflex and cerebral autoregulation

Baroreflex (BR) and cerebral autoregulation (CA) are two important mechanisms regulating blood pressure and flow. However, the functional relationship between BR and CA in humans is unknown. Since BR impairment is an adverse prognostic indicator for both cardiac and cerebrovascular diseases it would be of clinical interest to better understand the relationship between BR and CA. Motivated by this observation we develop a simple mathematical framework aiming to simulate the effects of BR on the cerebral blood flow dynamics.

q-bio.TO

A hybrid symbolic-numerical approach to the center-focus problem

We propose a new hybrid symbolic-numerical approach to the center-focus problem. The method allowed us to obtain center conditions for a three-dimensional system of differential equations, which was previously not possible using traditional, purely symbolic computational techniques.

math.DS