Michel Makhlouf

Mahmood Alzubaidi, Marco Agus, Khalid Alyafei et al.

Developing innovative informatics approaches aimed to enhance fetal monitoring is a burgeoning field of study in reproductive medicine. Several reviews have been conducted regarding Artificial intelligence (AI) techniques to improve pregnancy outcomes. They are limited by focusing on specific data such as mother's care during pregnancy. This systematic survey aims to explore how artificial intelligence (AI) can assist with fetal growth monitoring via Ultrasound (US) image. We used eight medical and computer science bibliographic databases, including PubMed, Embase, PsycINFO, ScienceDirect, IEEE explore, ACM Library, Google Scholar, and the Web of Science. We retrieved studies published between 2010 to 2021. Data extracted from studies were synthesized using a narrative approach. Out of 1269 retrieved studies, we included 107 distinct studies from queries that were relevant to the topic in the survey. We found that 2D ultrasound images were more popular (n=88) than 3D and 4D ultrasound images (n=19). Classification is the most used method (n=42), followed by segmentation (n=31), classification integrated with segmentation (n=16) and other miscellaneous such as object-detection, regression and reinforcement learning (n=18). The most common areas within the pregnancy domain were the fetus head (n=43), then fetus body (n=31), fetus heart (n=13), fetus abdomen (n=10), and lastly the fetus face (n=10). In the most recent studies, deep learning techniques were primarily used (n=81), followed by machine learning (n=16), artificial neural network (n=7), and reinforcement learning (n=2). AI techniques played a crucial role in predicting fetal diseases and identifying fetus anatomy structures during pregnancy. More research is required to validate this technology from a physician's perspective, such as pilot studies and randomized controlled trials on AI and its applications in a hospital setting.

Sabri Boughorbel, Fethi Jarray, Neethu Venugopal et al.

Recent works have shown that applying Machine Learning to Electronic Health Records (EHR) can strongly accelerate precision medicine. This requires developing models based on diverse EHR sources. Federated Learning (FL) has enabled predictive modeling using distributed training which lifted the need of sharing data and compromising privacy. Since models are distributed in FL, it is attractive to devise ensembles of Deep Neural Networks that also assess model uncertainty. We propose a new FL model called Federated Uncertainty-Aware Learning Algorithm (FUALA) that improves on Federated Averaging (FedAvg) in the context of EHR. FUALA embeds uncertainty information in two ways: It reduces the contribution of models with high uncertainty in the aggregated model. It also introduces model ensembling at prediction time by keeping the last layers of each hospital from the final round. In FUALA, the Federator (central node) sends at each round the average model to all hospitals as well as a randomly assigned hospital model update to estimate its generalization on that hospital own data. Each hospital sends back its model update as well a generalization estimation of the assigned model. At prediction time, the model outputs C predictions for each sample where C is the number of hospital models. The experimental analysis conducted on a cohort of 87K deliveries for the task of preterm-birth prediction showed that the proposed approach outperforms FedAvg when evaluated on out-of-distribution data. We illustrated how uncertainty could be measured using the proposed approach.