Lukas Heumos

Thomas Weikert, Eljas Roellin, Lukas Heumos et al.

Neurological disorders represent a growing global health burden requiring long-term, interdisciplinary rehabilitation. Computational neurorehabilitation (compNR) - the use of data-driven and model-based approaches to personalize treatment - offers new opportunities for precision rehabilitation. However, its clinical deployment is limited by fragmented data systems, poor interoperability, and low clinician engagement in model development. We embed the learning health system (LHS) framework in Neurorehabilitation through integration of multimodal data collection, model computation, and clinical visualization that enables clinician-ML collaboration in everyday neurorehabilitation practice. The system facilitates structured digital data capture, secure computational processing, and interoperable visualization of patient trajectories. Through a real-world deployment in stroke rehabilitation, we demonstrate how such an infrastructure bridges the gap between research models and clinical use, showcasing one approach to a translational pathway for compNR.

Lukas Heumos, Philipp Ehmele, Luis Kuhn Cuellar et al.

Machine learning has shown extensive growth in recent years and is now routinely applied to sensitive areas. To allow appropriate verification of predictive models before deployment, models must be deterministic. However, major machine learning libraries default to the usage of non-deterministic algorithms based on atomic operations. Solely fixing all random seeds is not sufficient for deterministic machine learning. To overcome this shortcoming, various machine learning libraries released deterministic counterparts to the non-deterministic algorithms. We evaluated the effect of these algorithms on determinism and runtime. Based on these results, we formulated a set of requirements for deterministic machine learning and developed a new software solution, the mlf-core ecosystem, which aids machine learning projects to meet and keep these requirements. We applied mlf-core to develop deterministic models in various biomedical fields including a single cell autoencoder with TensorFlow, a PyTorch-based U-Net model for liver-tumor segmentation in CT scans, and a liver cancer classifier based on gene expression profiles with XGBoost.