Suchetha Sharma

Saurav Sengupta, Johanna Loomba, Suchetha Sharma et al.

Post-acute sequelae of SARS-CoV-2 infection (PASC) or Long COVID is an emerging medical condition that has been observed in several patients with a positive diagnosis for COVID-19. Historical Electronic Health Records (EHR) like diagnosis codes, lab results and clinical notes have been analyzed using deep learning and have been used to predict future clinical events. In this paper, we propose an interpretable deep learning approach to analyze historical diagnosis code data from the National COVID Cohort Collective (N3C) to find the risk factors contributing to developing Long COVID. Using our deep learning approach, we are able to predict if a patient is suffering from Long COVID from a temporally ordered list of diagnosis codes up to 45 days post the first COVID positive test or diagnosis for each patient, with an accuracy of 70.48\%. We are then able to examine the trained model using Gradient-weighted Class Activation Mapping (GradCAM) to give each input diagnoses a score. The highest scored diagnosis were deemed to be the most important for making the correct prediction for a patient. We also propose a way to summarize these top diagnoses for each patient in our cohort and look at their temporal trends to determine which codes contribute towards a positive Long COVID diagnosis.

Saurav Sengupta, Scott Kilianski, Suchetha Sharma et al.

Manual annotation of spike-wave discharges (SWDs), the electrographic hallmark of absence seizures, is labor-intensive for long-term electroencephalography (EEG) monitoring studies. While machine learning approaches show promise for automated detection, they often struggle with cross-subject generalization due to high inter-individual variability in seizure morphology and signal characteristics. In this study we compare the performance of 15 machine learning classifiers on our own manually annotated dataset of 961 hours of EEG recordings from C3H/HeJ mice, including 22,637 labeled SWDs and find that a 1D U-Net performs the best. We then improve its performance by employing residual connections and data augmentation strategies combining amplitude scaling, Gaussian noise injection, and signal inversion during training to enhance cross-subject generalization. We also compare our method, named AugUNet1D, to a recently published time- and frequency-based algorithmic approach called "Twin Peaks" and show that AugUNet1D performs better on our dataset. AugUNet1D, pretrained on our manually annotated data or untrained, is made public for other users.