UlcerGPT: A Multimodal Approach Leveraging Large Language and Vision Models for Diabetic Foot Ulcer Image Transcription

Diabetic foot ulcers (DFUs) are a leading cause of hospitalizations and lower limb amputations, placing a substantial burden on patients and healthcare systems. Early detection and accurate classification of DFUs are critical for preventing serious complications, yet many patients experience delays in receiving care due to limited access to specialized services. Telehealth has emerged as a promising solution, improving access to care and reducing the need for in-person visits. The integration of artificial intelligence and pattern recognition into telemedicine has further enhanced DFU management by enabling automatic detection, classification, and monitoring from images. Despite advancements in artificial intelligence-driven approaches for DFU image analysis, the application of large language models for DFU image transcription has not yet been explored. To address this gap, we introduce UlcerGPT, a novel multimodal approach leveraging large language and vision models for DFU image transcription. This framework combines advanced vision and language models, such as Large Language and Vision Assistant and Chat Generative Pre-trained Transformer, to transcribe DFU images by jointly detecting, classifying, and localizing regions of interest. Through detailed experiments on a public dataset, evaluated by expert clinicians, UlcerGPT demonstrates promising results in the accuracy and efficiency of DFU transcription, offering potential support for clinicians in delivering timely care via telemedicine.

EUDA: An Efficient Unsupervised Domain Adaptation via Self-Supervised Vision Transformer

Unsupervised domain adaptation (UDA) aims to mitigate the domain shift issue, where the distribution of training (source) data differs from that of testing (target) data. Many models have been developed to tackle this problem, and recently vision transformers (ViTs) have shown promising results. However, the complexity and large number of trainable parameters of ViTs restrict their deployment in practical applications. This underscores the need for an efficient model that not only reduces trainable parameters but also allows for adjustable complexity based on specific needs while delivering comparable performance. To achieve this, in this paper we introduce an Efficient Unsupervised Domain Adaptation (EUDA) framework. EUDA employs the DINOv2, which is a self-supervised ViT, as a feature extractor followed by a simplified bottleneck of fully connected layers to refine features for enhanced domain adaptation. Additionally, EUDA employs the synergistic domain alignment loss (SDAL), which integrates cross-entropy (CE) and maximum mean discrepancy (MMD) losses, to balance adaptation by minimizing classification errors in the source domain while aligning the source and target domain distributions. The experimental results indicate the effectiveness of EUDA in producing comparable results as compared with other state-of-the-art methods in domain adaptation with significantly fewer trainable parameters, between 42% to 99.7% fewer. This showcases the ability to train the model in a resource-limited environment. The code of the model is available at: https://github.com/A-Abedi/EUDA.

Engagement Measurement Based on Facial Landmarks and Spatial-Temporal Graph Convolutional Networks

Engagement in virtual learning is crucial for a variety of factors including learner satisfaction, performance, and compliance with learning programs, but measuring it is a challenging task. There is therefore considerable interest in utilizing artificial intelligence and affective computing to measure engagement in natural settings as well as on a large scale. This paper introduces a novel, privacy-preserving method for engagement measurement from videos. It uses facial landmarks, which carry no personally identifiable information, extracted from videos via the MediaPipe deep learning solution. The extracted facial landmarks are fed to a Spatial-Temporal Graph Convolutional Network (ST-GCN) to output the engagement level of the learner in the video. To integrate the ordinal nature of the engagement variable into the training process, ST-GCNs undergo training in a novel ordinal learning framework based on transfer learning. Experimental results on two video student engagement measurement datasets show the superiority of the proposed method compared to previous methods with improved state-of-the-art on the EngageNet dataset with a %3.1 improvement in four-class engagement level classification accuracy and on the Online Student Engagement dataset with a %1.5 improvement in binary engagement classification accuracy. The relatively lightweight ST-GCN and its integration with the real-time MediaPipe deep learning solution make the proposed approach capable of being deployed on virtual learning platforms and measuring engagement in real time.

Rehabilitation Exercise Quality Assessment through Supervised Contrastive Learning with Hard and Soft Negatives

Exercise-based rehabilitation programs have proven to be effective in enhancing the quality of life and reducing mortality and rehospitalization rates. AI-driven virtual rehabilitation, which allows patients to independently complete exercises at home, utilizes AI algorithms to analyze exercise data, providing feedback to patients and updating clinicians on their progress. These programs commonly prescribe a variety of exercise types, leading to a distinct challenge in rehabilitation exercise assessment datasets: while abundant in overall training samples, these datasets often have a limited number of samples for each individual exercise type. This disparity hampers the ability of existing approaches to train generalizable models with such a small sample size per exercise. Addressing this issue, our paper introduces a novel supervised contrastive learning framework with hard and soft negative samples that effectively utilizes the entire dataset to train a single model applicable to all exercise types. This model, with a Spatial-Temporal Graph Convolutional Network (ST-GCN) architecture, demonstrated enhanced generalizability across exercises and a decrease in overall complexity. Through extensive experiments on three publicly available rehabilitation exercise assessment datasets, the University of Idaho-Physical Rehabilitation Movement Data (UI-PRMD), IntelliRehabDS (IRDS), and KInematic assessment of MOvement and clinical scores for remote monitoring of physical REhabilitation (KIMORE), our method has shown to surpass existing methods, setting a new benchmark in rehabilitation exercise assessment accuracy.

RFID-Assisted Indoor Localization Using Hybrid Wireless Data Fusion

Wireless localization is essential for tracking objects in indoor environments. Internet of Things (IoT) enables localization through its diverse wireless communication protocols. In this paper, a hybrid section-based indoor localization method using a developed Radio Frequency Identification (RFID) tracking device and multiple IoT wireless technologies is proposed. In order to reduce the cost of the RFID tags, the tags are installed only on the borders of each section. The RFID tracking device identifies the section, and the proposed wireless hybrid method finds the location of the object inside the section. The proposed hybrid method is analytically driven by linear location estimates obtained from different IoT wireless technologies. The experimental results using developed RFID tracking device and RSSI-based localization for Bluetooth, WiFi and ZigBee technologies verifies the analytical results.

Cross-Modal Video to Body-joints Augmentation for Rehabilitation Exercise Quality Assessment

Exercise-based rehabilitation programs have been shown to enhance quality of life and reduce mortality and rehospitalizations. AI-driven virtual rehabilitation programs enable patients to complete exercises independently at home while AI algorithms can analyze exercise data to provide feedback to patients and report their progress to clinicians. This paper introduces a novel approach to assessing the quality of rehabilitation exercises using RGB video. Sequences of skeletal body joints are extracted from consecutive RGB video frames and analyzed by many-to-one sequential neural networks to evaluate exercise quality. Existing datasets for exercise rehabilitation lack adequate samples for training deep sequential neural networks to generalize effectively. A cross-modal data augmentation approach is proposed to resolve this problem. Visual augmentation techniques are applied to video data, and body joints extracted from the resulting augmented videos are used for training sequential neural networks. Extensive experiments conducted on the KInematic assessment of MOvement and clinical scores for remote monitoring of physical REhabilitation (KIMORE) dataset, demonstrate the superiority of the proposed method over previous baseline approaches. The ablation study highlights a significant enhancement in exercise quality assessment following cross-modal augmentation.

Rehabilitation Exercise Repetition Segmentation and Counting using Skeletal Body Joints

Physical exercise is an essential component of rehabilitation programs that improve quality of life and reduce mortality and re-hospitalization rates. In AI-driven virtual rehabilitation programs, patients complete their exercises independently at home, while AI algorithms analyze the exercise data to provide feedback to patients and report their progress to clinicians. To analyze exercise data, the first step is to segment it into consecutive repetitions. There has been a significant amount of research performed on segmenting and counting the repetitive activities of healthy individuals using raw video data, which raises concerns regarding privacy and is computationally intensive. Previous research on patients' rehabilitation exercise segmentation relied on data collected by multiple wearable sensors, which are difficult to use at home by rehabilitation patients. Compared to healthy individuals, segmenting and counting exercise repetitions in patients is more challenging because of the irregular repetition duration and the variation between repetitions. This paper presents a novel approach for segmenting and counting the repetitions of rehabilitation exercises performed by patients, based on their skeletal body joints. Skeletal body joints can be acquired through depth cameras or computer vision techniques applied to RGB videos of patients. Various sequential neural networks are designed to analyze the sequences of skeletal body joints and perform repetition segmentation and counting. Extensive experiments on three publicly available rehabilitation exercise datasets, KIMORE, UI-PRMD, and IntelliRehabDS, demonstrate the superiority of the proposed method compared to previous methods. The proposed method enables accurate exercise analysis while preserving privacy, facilitating the effective delivery of virtual rehabilitation programs.

Multi-modal reward for visual relationships-based image captioning

Deep neural networks have achieved promising results in automatic image captioning due to their effective representation learning and context-based content generation capabilities. As a prominent type of deep features used in many of the recent image captioning methods, the well-known bottomup features provide a detailed representation of different objects of the image in comparison with the feature maps directly extracted from the raw image. However, the lack of high-level semantic information about the relationships between these objects is an important drawback of bottom-up features, despite their expensive and resource-demanding extraction procedure. To take advantage of visual relationships in caption generation, this paper proposes a deep neural network architecture for image captioning based on fusing the visual relationships information extracted from an image's scene graph with the spatial feature maps of the image. A multi-modal reward function is then introduced for deep reinforcement learning of the proposed network using a combination of language and vision similarities in a common embedding space. The results of extensive experimentation on the MSCOCO dataset show the effectiveness of using visual relationships in the proposed captioning method. Moreover, the results clearly indicate that the proposed multi-modal reward in deep reinforcement learning leads to better model optimization, outperforming several state-of-the-art image captioning algorithms, while using light and easy to extract image features. A detailed experimental study of the components constituting the proposed method is also presented.

Bag of States: A Non-sequential Approach to Video-based Engagement Measurement

Automatic measurement of student engagement provides helpful information for instructors to meet learning program objectives and individualize program delivery. Students' behavioral and emotional states need to be analyzed at fine-grained time scales in order to measure their level of engagement. Many existing approaches have developed sequential and spatiotemporal models, such as recurrent neural networks, temporal convolutional networks, and three-dimensional convolutional neural networks, for measuring student engagement from videos. These models are trained to incorporate the order of behavioral and emotional states of students into video analysis and output their level of engagement. In this paper, backed by educational psychology, we question the necessity of modeling the order of behavioral and emotional states of students in measuring their engagement. We develop bag-of-words-based models in which only the occurrence of behavioral and emotional states of students is modeled and analyzed and not the order in which they occur. Behavioral and affective features are extracted from videos and analyzed by the proposed models to determine the level of engagement in an ordinal-output classification setting. Compared to the existing sequential and spatiotemporal approaches for engagement measurement, the proposed non-sequential approach improves the state-of-the-art results. According to experimental results, our method significantly improved engagement level classification accuracy on the IIITB Online SE dataset by 26% compared to sequential models and achieved engagement level classification accuracy as high as 66.58% on the DAiSEE student engagement dataset.

Step Counting with Attention-based LSTM

Physical activity is recognized as an essential component of overall health. One measure of physical activity, the step count, is well known as a predictor of long-term morbidity and mortality. Step Counting (SC) is the automated counting of the number of steps an individual takes over a specified period of time and space. Due to the ubiquity of smartphones and smartwatches, most current SC approaches rely on the built-in accelerometer sensors on these devices. The sensor signals are analyzed as multivariate time series, and the number of steps is calculated through a variety of approaches, such as time-domain, frequency-domain, machine-learning, and deep-learning approaches. Most of the existing approaches rely on dividing the input signal into windows, detecting steps in each window, and summing the detected steps. However, these approaches require the determination of multiple parameters, including the window size. Furthermore, most of the existing deep-learning SC approaches require ground-truth labels for every single step, which can be arduous and time-consuming to annotate. To circumvent these requirements, we present a novel SC approach utilizing many-to-one attention-based LSTM. With the proposed LSTM network, SC is solved as a regression problem, taking the entire sensor signal as input and the step count as the output. The analysis shows that the attention-based LSTM automatically learned the pattern of steps even in the absence of ground-truth labels. The experimental results on three publicly available SC datasets demonstrate that the proposed method successfully counts the number of steps with low values of mean absolute error and high values of SC accuracy.