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Jacob Idoko

Publications and source records attributed to Jacob Idoko.

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FLARE: A Systematic, Uncertainty-Aware Framework for Evidence-Based Adoption of Artificial Intelligence in Healthcare

Artificial intelligence is increasingly being introduced into healthcare workflows, yet most evaluations emphasize model accuracy rather than whether adoption is economically worthwhile in real clinical settings. This study proposes FLARE, a systematic and uncertainty-aware framework for evaluating the financial and operational implications of adopting AI in healthcare. FLARE combines fuzzy logic, time-driven activity-based costing, and return on investment analysis to estimate the cost of clinical service delivery, the cost of AI development and operation, and the economic consequences of workflow integration under uncertainty. The framework was demonstrated through an early health technology assessment case study of AI-assisted large vessel occlusion detection in the CT stroke pathway for acute ischemic stroke. The case study shows how FLARE can quantify conventional pathway cost, AI-related development and recurring costs, and AI-enabled service savings within a unified activity-based model. Under expected assumptions, the analysis identified a break-even threshold of approximately 3,992 patients per year, with positive first-year return on investment at typical annual stroke volumes of about 5,000 patients. The results further show that economic benefit depends not only on algorithmic performance, but also on patient volume, verification time, infrastructure choices, and workflow design. FLARE provides a transparent and practical decision-support framework for early-stage evaluation of AI adoption in healthcare. By making uncertainty, resource use, and implementation trade-offs explicit, it helps clinicians, administrators, and policymakers determine when AI deployment is economically viable and where operational changes may improve value.

cs.AI

Automatic Classification of User Requirements from Online Feedback -- A Replication Study

Natural language processing (NLP) techniques have been widely applied in the requirements engineering (RE) field to support tasks such as classification and ambiguity detection. Although RE research is rooted in empirical investigation, it has paid limited attention to replicating NLP for RE (NLP4RE) studies. The rapidly advancing realm of NLP is creating new opportunities for efficient, machine-assisted workflows, which can bring new perspectives and results to the forefront. Thus, we replicate and extend a previous NLP4RE study (baseline), "Classifying User Requirements from Online Feedback in Small Dataset Environments using Deep Learning", which evaluated different deep learning models for requirement classification from user reviews. We reproduced the original results using publicly released source code, thereby helping to strengthen the external validity of the baseline study. We then extended the setup by evaluating model performance on an external dataset and comparing results to a GPT-4o zero-shot classifier. Furthermore, we prepared the replication study ID-card for the baseline study, important for evaluating replication readiness. Results showed diverse reproducibility levels across different models, with Naive Bayes demonstrating perfect reproducibility. In contrast, BERT and other models showed mixed results. Our findings revealed that baseline deep learning models, BERT and ELMo, exhibited good generalization capabilities on an external dataset, and GPT-4o showed performance comparable to traditional baseline machine learning models. Additionally, our assessment confirmed the baseline study's replication readiness; however missing environment setup files would have further enhanced readiness. We include this missing information in our replication package and provide the replication study ID-card for our study to further encourage and support the replication of our study.

cs.CL

ISLES'24: Final Infarct Prediction with Multimodal Imaging and Clinical Data. Where Do We Stand?

Accurate estimation of brain infarction (i.e., irreversibly damaged tissue) is critical for guiding treatment decisions in acute ischemic stroke. Reliable infarct prediction informs key clinical interventions, including the need for patient transfer to comprehensive stroke centers, the potential benefit of additional reperfusion attempts during mechanical thrombectomy, decisions regarding secondary neuroprotective treatments, and ultimately, prognosis of clinical outcomes. This work introduces the Ischemic Stroke Lesion Segmentation (ISLES) 2024 challenge, which focuses on the prediction of final infarct volumes from pre-interventional acute stroke imaging and clinical data. ISLES24 provides a comprehensive, multimodal setting where participants can leverage all clinically and practically available data, including full acute CT imaging, sub-acute follow-up MRI, and structured clinical information, across a train set of 150 cases. On the hidden test set of 98 cases, the top-performing model, a multimodal nnU-Net-based architecture, achieved a Dice score of 0.285 (+/- 0.213) and an absolute volume difference of 21.2 (+/- 37.2) mL, underlining the significant challenges posed by this task and the need for further advances in multimodal learning. This work makes two primary contributions: first, we establish a standardized, clinically realistic benchmark for post-treatment infarct prediction, enabling systematic evaluation of multimodal algorithmic strategies on a longitudinal stroke dataset; second, we analyze current methodological limitations and outline key research directions to guide the development of next-generation infarct prediction models.

eess.IV

AROhI: An Interactive Tool for Estimating ROI of Data Analytics

The cost of adopting new technology is rarely analyzed and discussed, while it is vital for many software companies worldwide. Thus, it is crucial to consider Return On Investment (ROI) when performing data analytics. Decisions on "How much analytics is needed"? are hard to answer. ROI could guide decision support on the What?, How?, and How Much? Analytics for a given problem. This work details a comprehensive tool that provides conventional and advanced ML approaches for demonstration using requirements dependency extraction and their ROI analysis as use case. Utilizing advanced ML techniques such as Active Learning, Transfer Learning and primitive Large language model: BERT (Bidirectional Encoder Representations from Transformers) as its various components for automating dependency extraction, the tool outcomes demonstrate a mechanism to compute the ROI of ML algorithms to present a clear picture of trade-offs between the cost and benefits of a technology investment.

cs.SE