Anna Sigridur Islind

Slavisa Aleksic, Michael Atanasov, Jean Calleja Agius et al.

The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely (i) lifelogging and self-monitoring, (ii) remote monitoring of vital signs, (iii) emotional state recognition, (iv) food intake monitoring, activity and behaviour recognition, (v) activity and personal assistance, (vi) gesture recognition, (vii) fall detection and prevention, (viii) mobility assessment and frailty recognition, and (ix) cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted.

Matias Rusanen, Gabriel Jouan, Riku Huttunen et al.

State-of-the-art automatic sleep staging methods have already demonstrated comparable reliability and superior time efficiency to manual sleep staging. However, fully automatic black-box solutions are difficult to adapt into clinical workflow and the interaction between explainable automatic methods and the work of sleep technologists remains underexplored and inadequately conceptualized. Thus, we propose a human-in-the-loop concept for sleep analysis, presenting an automatic sleep staging model (aSAGA), that performs effectively with both clinical polysomnographic recordings and home sleep studies. To validate the model, extensive testing was conducted, employing a preclinical validation approach with three retrospective datasets; open-access, clinical, and research-driven. Furthermore, we validate the utilization of uncertainty mapping to identify ambiguous regions, conceptualized as gray areas, in automatic sleep analysis that warrants manual re-evaluation. The results demonstrate that the automatic sleep analysis achieved a comparable level of agreement with manual analysis across different sleep recording types. Moreover, validation of the gray area concept revealed its potential to enhance sleep staging accuracy and identify areas in the recordings where sleep technologists struggle to reach a consensus. In conclusion, this study introduces and validates a concept from explainable artificial intelligence into sleep medicine and provides the basis for integrating human-in-the-loop automatic sleep staging into clinical workflows, aiming to reduce black-box criticism and the burden associated with manual sleep staging.

Emil Hardarson, Konstantin Popov, Sigridur Sigurdardottir et al.

Automated sleep staging is commonly approached as a supervised machine learning problem, with deep learning methods dominating recent research. While machine learning models achieve near-human level agreement with human-scored reference sleep stages, their decisions are typically opaque and not designed to follow clinical scoring rules. We propose a transparent alternative: a deterministic, rule-based sleep staging method that explicitly operationalizes the American Academy of Sleep Medicine's (AASM) scoring logic as executable code, coupled with epoch-level natural-language justifications derived from an explanation trace. We evaluate the approach on 50 polysomnography recordings with a 10-scorer majority-vote consensus as reference. Across all recordings, the method agreed with the majority-vote reference in 60.5% of epochs ($κ=0.42$), with substantially higher agreement on a dataset used during development (77.1%, $κ=0.61$). Agreement with the reference was highest for sleep stage N2 (recall 83.5%) and moderate for sleep stage R (recall 68.7%), while Wake and N1 recall were low. Despite lower agreement with the reference than contemporary deep learning models, the method provides deterministic decisions and natural language explanations aligned with AASM scoring rules, making it a complementary tool for auditing, debugging, and governing deep learning-based sleep staging.

Emil Hardarson, Luka Biedebach, Ómar Bessi Ómarsson et al.

Applying machine learning to sensitive time-series data is often bottlenecked by the iteration loop: Performance depends strongly on preprocessing and architecture, yet training often has to run on-premise under strict data-local constraints. This is a common problem in healthcare and other privacy-constrained domains (e.g., a hospital developing deep learning models on patient EEG). This bottleneck is particularly challenging in multimodal fusion, where sensor modalities must be individually preprocessed and then combined. LLM-guided neural architecture search (NAS) can automate this exploration, but most existing workflows assume cloud execution or access to data-derived artifacts that cannot be exposed. We present a novel data-local, LLM-guided search framework that handles candidate pipelines remotely while executing all training and evaluation locally under a fixed protocol. The controller observes only trial-level summaries, such as pipeline descriptors, metrics, learning-curve statistics, and failure logs, without ever accessing raw samples or intermediate feature representations. Our framework targets multiclass, multimodal learning via one-vs-rest binary experts per class and modality, a lightweight fusion MLP, and joint search over expert architectures and modality-specific preprocessing. We evaluate our method on two regimes: UEA30 (public multivariate time-series classification dataset) and SleepEDFx sleep staging (heterogeneous clinical modalities such as EEG, EOG, and EMG). The results show that the modular baseline model is strong, and the LLM-guided NAS further improves it. Notably, our method finds models that perform within published ranges across most benchmark datasets. Across both settings, our method reduces manual intervention by enabling unattended architecture search while keeping sensitive data on-premise.