Abstract:Traumatic brain injuries could cause intracranial hemorrhage (ICH). ICH could lead to disability or death if it is not accurately diagnosed and treated in a time-sensitive procedure. The current clinical protocol to diagnose ICH is examining Computerized Tomography (CT) scans by radiologists to detect ICH and localize its regions. However, this process relies heavily on the availability of an experienced radiologist. In this paper, we designed a study protocol to collect a dataset of 82 CT scans of subjects with traumatic brain injury. Later, the ICH regions were manually delineated in each slice by a consensus decision of two radiologists. Recently, fully convolutional networks (FCN) have shown to be successful in medical image segmentation. We developed a deep FCN, called U-Net, to segment the ICH regions from the CT scans in a fully automated manner. The method achieved a Dice coefficient of 0.31 for the ICH segmentation based on 5-fold cross-validation. The dataset is publicly available online at PhysioNet repository for future analysis and comparison.
Abstract:One of the most prevalent complaints of individuals with mid-stage and advanced Parkinson's disease (PD) is the fluctuating response to their medication (i.e., ON state with maximum benefit from medication and OFF state with no benefit from medication). In order to address these motor fluctuations, the patients go through periodic clinical examination where the treating physician reviews the patients' self-report about duration in different medication states and optimize therapy accordingly. Unfortunately, the patients' self-report can be unreliable and suffer from recall bias. There is a need to a technology-based system that can provide objective measures about the duration in different medication states that can be used by the treating physician to successfully adjust the therapy. In this paper, we developed a medication state detection algorithm to detect medication states using two wearable motion sensors. A series of significant features are extracted from the motion data and used in a classifier that is based on a support vector machine with fuzzy labeling. The developed algorithm is evaluated using a dataset with 19 PD subjects and a total duration of 1,052.24 minutes (17.54 hours). The algorithm resulted in an average classification accuracy of 90.5%, sensitivity of 94.2%, and specificity of 85.4%.