CVMar 27
Image-based Quantification of Postural Deviations on Patients with Cervical Dystonia: A Machine Learning Approach Using Synthetic Training DataRoland Stenger, Sebastian Löns, Nele Brügge et al.
Cervical dystonia (CD) is the most common form of dystonia, yet current assessment relies on subjective clinical rating scales, such as the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), which requires expertise, is subjective and faces low inter-rater reliability some items of the score. To address the lack of established objective tools for monitoring disease severity and treatment response, this study validates an automated image-based head pose and shift estimation system for patients with CD. We developed an assessment tool that combines a pretrained head-pose estimation algorithm for rotational symptoms with a deep learning model trained exclusively on ~16,000 synthetic avatar images to evaluate rare translational symptoms, specifically lateral shift. This synthetic data approach overcomes the scarcity of clinical training examples. The system's performance was validated in a multicenter study by comparing its predicted scores against the consensus ratings of 20 clinical experts using a dataset of 100 real patient images and 100 labeled synthetic avatars. The automated system demonstrated strong agreement with expert clinical ratings for rotational symptoms, achieving high correlations for torticollis (r=0.91), laterocollis (r=0.81), and anteroretrocollis (r=0.78). For lateral shift, the tool achieved a moderate correlation (r=0.55) with clinical ratings and demonstrated higher accuracy than human raters in controlled benchmark tests on avatars. By leveraging synthetic training data to bridge the clinical data gap, this model successfully generalizes to real-world patients, providing a validated, objective tool for CD postural assessment that can enable standardized clinical decision-making and trial evaluation.
NEOct 11, 2019
An evolutionary approach to continuously estimate CPR quality parameters from a wrist-worn inertial sensorChristian Lins, Björn Friedrich, Andreas Hein et al.
Cardiopulmonary resuscitation (CPR) is one of the most critical emergency interventions for sudden cardiac arrest. In this paper, a robust sinusoidal model-fitting method based on a Evolution Strategy inspired algorithm for CPR quality parameters -- naming chest compression frequency and depth -- as measured by an inertial measurement unit (IMU) attached to the wrist is presented. The proposed approach will allow bystanders to improve CPR as part of a continuous closed-loop support system once integrated into a smartphone or smartwatch application. By evaluating the model's precision with data recorded by a training mannequin as reference standard, a variance for the compression frequency of $\pm 2.22$ compressions per minute (cpm) has been found for the IMU attached to the wrist. It was found that this previously unconsidered position and thus, the use of smartwatches is a suitable alternative to the typical placement of phones in hand for CPR training.
LGOct 10, 2019
Transportation Mode Classification from Smartphone Sensors via a Long-Short-Term-Memory NetworkBjörn Friedrich, Benjamin Cauchy, Andreas Hein et al.
This article introduces the architecture of a Long-Short-Term Memory network for classifying transportation-modes via Smartphone data and evaluates its accuracy. By using a Long-Short-Term-Memory Network with common preprocessing steps such as normalisation for classification tasks a F1-Score accuracy of 63.68\% was achieved with an internal test dataset. We participated as Team 'GanbareAM' in the 'SHL recognition challenge'.
MED-PHAug 31, 2018
Staying Alive - CPR Quality Parameters from Wrist-worn Inertial Sensor Data with Evolutionary Fitted Sinusoidal ModelsChristian Lins, Andreas Klausen, Sandra Hellmers et al.
In this paper, a robust sinusoidal model fitting method based on the Differential Evolution (DE) algorithm for determining cardiopulmonary resuscitation (CPR) quality-parameters - naming chest compression frequency and depth - as measured by an inertial sensor placed at the wrist is presented. Once included into a smartphone or smartwatch app, the proposed algorithm will enable bystanders to improve CPR (as part of a continuous closed-loop support-system). By evaluating the precision of the model with data recorded by a Laerdal Resusci Anne mannequin as reference standard, a low variance for compression frequency of $\pm 2.0$ cpm has been found for the sensor placed at the wrist, making this previously unconsidered position a suitable alternative to the typical placement in the hand for CPR-training smartphone apps.
NEJun 26, 2018
Cardiopulmonary resuscitation quality parameters from motion capture data using Differential Evolution fitting of sinusoidsChristian Lins, Daniel Eckhoff, Andreas Klausen et al.
Cardiopulmonary resuscitation (CPR) is alongside electrical defibrillation the most crucial countermeasure for sudden cardiac arrest, which affects thousands of individuals every year. In this paper, we present a novel approach including sinusoid models that use skeletal motion data from an RGB-D (Kinect) sensor and the Differential Evolution (DE) optimization algorithm to dynamically fit sinusoidal curves to derive frequency and depth parameters for cardiopulmonary resuscitation training. It is intended to be part of a robust and easy-to-use feedback system for CPR training, allowing its use for unsupervised training. The accuracy of this DE-based approach is evaluated in comparison with data of 28 participants recorded by a state-of-the-art training mannequin. We optimized the DE algorithm hyperparameters and showed that with these optimized parameters the frequency of the CPR is recognized with a median error of $\pm 2.9$ compressions per minute compared to the reference training mannequin.