Allan I. Levey

Xiaofan Mu, Merna Bibars, Salman Seyedi et al.

The aging society urgently requires scalable methods to monitor cognitive decline and identify social and psychological factors indicative of dementia risk in older adults. Our machine learning (ML) models captured facial, acoustic, linguistic, and cardiovascular features from 39 older adults with normal cognition or Mild Cognitive Impairment (MCI), derived from remote video conversations and quantified their cognitive status, social isolation, neuroticism, and psychological well-being. Our model could distinguish Clinical Dementia Rating Scale (CDR) of 0.5 (vs. 0) with 0.77 area under the receiver operating characteristic curve (AUC), social isolation with 0.74 AUC, social satisfaction with 0.75 AUC, psychological well-being with 0.72 AUC, and negative affect with 0.74 AUC. Our feature importance analysis showed that speech and language patterns were useful for quantifying cognitive impairment, whereas facial expressions and cardiovascular patterns were useful for quantifying social and psychological well-being. Our bias analysis showed that the best-performing models for quantifying psychological well-being and cognitive states in older adults exhibited significant biases concerning their age, sex, disease condition, and education levels. Our comprehensive analysis shows the feasibility of monitoring the cognitive and psychological health of older adults, as well as the need for collecting largescale interview datasets of older adults to benefit from the latest advances in deep learning technologies to develop generalizable models across older adults with diverse demographic backgrounds and disease conditions.

Andrew G. Breithaupt, Michael Weiner, Alice Tang et al.

Healthcare systems are struggling to meet the growing demand for neurological care, particularly in Alzheimer's disease and related dementias (ADRD). We propose that LLM-based generative AI systems can enhance clinician capabilities to approach specialist-level assessment and decision-making in ADRD care at scale. This article presents a comprehensive six-phase roadmap for responsible design and integration of such systems into ADRD care: (1) high-quality standardized data collection across modalities; (2) decision support; (3) clinical integration enhancing workflows; (4) rigorous validation and monitoring protocols; (5) continuous learning through clinical feedback; and (6) robust ethics and risk management frameworks. This human centered approach optimizes clinicians' capabilities in comprehensive data collection, interpretation of complex clinical information, and timely application of relevant medical knowledge while prioritizing patient safety, healthcare equity, and transparency. Though focused on ADRD, these principles offer broad applicability across medical specialties facing similar systemic challenges.

Hyeokhyen Kwon, Chaitra Hegde, Yashar Kiarashi et al.

Camera-based activity monitoring systems are becoming an attractive solution for smart building applications with the advances in computer vision and edge computing technologies. In this paper, we present a feasibility study and systematic analysis of a camera-based indoor localization and multi-person tracking system implemented on edge computing devices within a large indoor space. To this end, we deployed an end-to-end edge computing pipeline that utilizes multiple cameras to achieve localization, body orientation estimation and tracking of multiple individuals within a large therapeutic space spanning $1700m^2$, all while maintaining a strong focus on preserving privacy. Our pipeline consists of 39 edge computing camera systems equipped with Tensor Processing Units (TPUs) placed in the indoor space's ceiling. To ensure the privacy of individuals, a real-time multi-person pose estimation algorithm runs on the TPU of the computing camera system. This algorithm extracts poses and bounding boxes, which are utilized for indoor localization, body orientation estimation, and multi-person tracking. Our pipeline demonstrated an average localization error of 1.41 meters, a multiple-object tracking accuracy score of 88.6\%, and a mean absolute body orientation error of 29\degree. These results shows that localization and tracking of individuals in a large indoor space is feasible even with the privacy constrains.