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Evangelos Sariyanidi, Gokul Nair, Lisa Yankowitz et al.

Computational measurement of human behavior from video has recently become feasible due to major advances in AI. These advances now enable granular and precise quantification of facial expression, head movement, body action, and other behavioral modalities and are increasingly used in psychology, psychiatry, neuroscience, and mental health research. However, mainstream adoption remains slow. Most existing methods and software are developed for engineering audiences, require specialized software stacks, and fail to provide behavioral measurements at a level directly useful for hypothesis-driven research. As a result, there is a large barrier to entry for researchers who wish to use modern, AI-based tools in their work. We introduce Bitbox, an open-source toolkit designed to remove this barrier and make advanced computational analysis directly usable by behavioral scientists and clinical researchers. Bitbox is guided by principles of reproducibility, modularity, and interpretability. It provides a standardized interface for extracting high-level behavioral measurements from video, leveraging multiple face, head, and body processors. The core modules have been tested and validated on clinical samples and are designed so that new measures can be added with minimal effort. Bitbox is intended to serve both sides of the translational gap. It gives behavioral researchers access to robust, high-level behavioral metrics without requiring engineering expertise, and it provides computer scientists a practical mechanism for disseminating methods to domains where their impact is most needed. We expect that Bitbox will accelerate integration of computational behavioral measurement into behavioral, clinical, and mental health research. Bitbox has been designed from the beginning as a community-driven effort that will evolve through contributions from both method developers and domain scientists.

Evangelos Sariyanidi, John D. Herrington, Lisa Yankowitz et al.

Measuring the statistical dependence between observed signals is a primary tool for scientific discovery. However, biological systems often exhibit complex non-linear interactions that currently cannot be captured without a priori knowledge or large datasets. We introduce a criterion for dependence, whereby two time series are deemed dependent if one can construct a classifier that distinguishes between temporally aligned vs. misaligned segments extracted from them. We show that this criterion, concurrence, is theoretically linked with dependence, and can become a standard approach for scientific analyses across disciplines, as it can expose relationships across a wide spectrum of signals (fMRI, physiological and behavioral data) without ad-hoc parameter tuning or large amounts of data.

Kristin M. Kostick-Quenet, Meghan E. Hurley, Syed Ayaz et al.

Computer perception (CP) technologies (digital phenotyping, affective computing and related passive sensing approaches) offer unprecedented opportunities to personalize healthcare, but provoke concerns about privacy, bias and the erosion of empathic, relationship-centered practice. A comprehensive understanding of perceived risks, benefits, and implementation challenges from those who design, deploy and experience these tools in real-world settings remains elusive. This study provides the first evidence-based account of key stakeholder perspectives on the relational, technical, and governance challenges raised by the integration of CP technologies into patient care. We conducted in-depth, semi-structured interviews with 102 stakeholders: adolescent patients and their caregivers, frontline clinicians, technology developers, and ethics, legal, policy or philosophy scholars. Transcripts underwent thematic analysis by a multidisciplinary team; reliability was enhanced through double coding and consensus adjudication. Stakeholders articulated seven interlocking concern domains: (1) trustworthiness and data integrity; (2) patient-specific relevance; (3) utility and workflow integration; (4) regulation and governance; (5) privacy and data protection; (6) direct and indirect patient harms; and (7) philosophical critiques of reductionism. To operationalize humanistic safeguards, we propose "personalized roadmaps": co-designed plans that predetermine which metrics will be monitored, how and when feedback is shared, thresholds for clinical action, and procedures for reconciling discrepancies between algorithmic inferences and lived experience. By translating these insights into personalized roadmaps, we offer a practical framework for developers, clinicians and policymakers seeking to harness continuous behavioral data while preserving the humanistic core of care.

Evangelos Sariyanidi, John D. Herrington, Lisa Yankowitz et al.

Measuring the statistical dependence between observed signals is a primary tool for scientific discovery. However, biological systems often exhibit complex non-linear interactions that currently cannot be captured without a priori knowledge regarding the nature of dependence. We introduce a self-supervised approach, concurrence, which is inspired by the observation that if two signals are dependent, then one should be able to distinguish between temporally aligned vs. misaligned segments extracted from them. Experiments with fMRI, physiological and behavioral signals show that, to our knowledge, concurrence is the first approach that can expose relationships across such a wide spectrum of signals and extract scientifically relevant differences without ad-hoc parameter tuning or reliance on a priori information, providing a potent tool for scientific discoveries across fields. However, dependencies caused by extraneous factors remain an open problem, thus researchers should validate that exposed relationships truly pertain to the question(s) of interest.

Rui Sherry Shen, Yusuf Osmanlıoğlu, Drew Parker et al.

Divergent brain connectivity is thought to underlie the behavioral and cognitive symptoms observed in many neurodevelopmental disorders. Quantifying divergence from neurotypical connectivity patterns offers a promising pathway to inform diagnosis and therapeutic interventions. While advanced neuroimaging techniques, such as diffusion MRI (dMRI), have facilitated the mapping of brain's structural connectome, the challenge lies in accurately modeling developmental trajectories within these complex networked structures to create robust neurodivergence markers. In this work, we present the Brain Representation via Individualized Deep Generative Embedding (BRIDGE) framework, which integrates normative modeling with a bio-inspired deep generative model to create a reference trajectory of connectivity transformation as part of neurotypical development. This will enable the assessment of neurodivergence by comparing individuals to the established neurotypical trajectory. BRIDGE provides a global neurodivergence score based on the difference between connectivity-based brain age and chronological age, along with region-wise neurodivergence maps that highlight localized connectivity differences. Application of BRIDGE to a large cohort of children with autism spectrum disorder demonstrates that the global neurodivergence score correlates with clinical assessments in autism, and the regional map offers insights into the heterogeneity at the individual level in neurodevelopmental disorders. Together, the neurodivergence score and map form powerful tools for quantifying developmental divergence in connectivity patterns, advancing the development of imaging markers for personalized diagnosis and intervention in various clinical contexts.