Glen Smith

Darryl Hannan, Steven C. Nesbit, Ximing Wen et al.

Point-of-Care Ultrasound (POCUS) refers to clinician-performed and interpreted ultrasonography at the patient's bedside. Interpreting these images requires a high level of expertise, which may not be available during emergencies. In this paper, we support POCUS by developing classifiers that can aid medical professionals by diagnosing whether or not a patient has pneumothorax. We decomposed the task into multiple steps, using YOLOv4 to extract relevant regions of the video and a 3D sparse coding model to represent video features. Given the difficulty in acquiring positive training videos, we trained a small-data classifier with a maximum of 15 positive and 32 negative examples. To counteract this limitation, we leveraged subject matter expert (SME) knowledge to limit the hypothesis space, thus reducing the cost of data collection. We present results using two lung ultrasound datasets and demonstrate that our model is capable of achieving performance on par with SMEs in pneumothorax identification. We then developed an iOS application that runs our full system in less than 4 seconds on an iPad Pro, and less than 8 seconds on an iPhone 13 Pro, labeling key regions in the lung sonogram to provide interpretable diagnoses.

Glen Smith, Qiao Zhang, Christopher MacLellan · gatech

Computer-aided diagnosis for medical imaging is a well-studied field that aims to provide real-time decision support systems for physicians. These systems attempt to detect and diagnose a plethora of medical conditions across a variety of image diagnostic technologies including ultrasound, x-ray, MRI, and CT. When designing AI models for these systems, we are often limited by little training data, and for rare medical conditions, positive examples are difficult to obtain. These issues often cause models to perform poorly, so we needed a way to design an AI model in light of these limitations. Thus, our approach was to incorporate expert domain knowledge into the design of an AI model. We conducted two qualitative think-aloud studies with doctors trained in the interpretation of lung ultrasound diagnosis to extract relevant domain knowledge for the condition Pneumothorax. We extracted knowledge of key features and procedures used to make a diagnosis. With this knowledge, we employed knowledge engineering concepts to make recommendations for an AI model design to automatically diagnose Pneumothorax.

Daniel Weitekamp, Glen Smith, Kenneth Koedinger et al.

In interactive task learning (ITL), AI agents learn new capabilities from limited human instruction provided during task execution. STAND is a new method of data-efficient rule precondition induction specifically designed for these human-in-the-loop training scenarios. A key feature of STAND is its self-awareness of its own learning -- it can provide accurate metrics of training progress back to users. STAND beats popular methods like XGBoost, decision trees, random forests, and version spaces at small-data precondition induction tasks, and is highly accurate at estimating when its performance improves on holdout examples. In our evaluations, we find that STAND shows more monotonic improvement than other models with low rates of error recurrence. These features of STAND support a more consistent training experience, enabling human instructors to estimate when they are finished training and providing active-learning support by identifying trouble spots where more training is required.

Glen Smith, Adit Gupta, Christopher MacLellan

Intelligent tutoring systems (ITS) are effective for improving students' learning outcomes. However, their development is often complex, time-consuming, and requires specialized programming and tutor design knowledge, thus hindering their widespread application and personalization. We present the Apprentice Tutor Builder (ATB) , a platform that simplifies tutor creation and personalization. Instructors can utilize ATB's drag-and-drop tool to build tutor interfaces. Instructors can then interactively train the tutors' underlying AI agent to produce expert models that can solve problems. Training is achieved via using multiple interaction modalities including demonstrations, feedback, and user labels. We conducted a user study with 14 instructors to evaluate the effectiveness of ATB's design with end users. We found that users enjoyed the flexibility of the interface builder and ease and speed of agent teaching, but often desired additional time-saving features. With these insights, we identified a set of design recommendations for our platform and others that utilize interactive AI agents for tutor creation and customization.

Adit Gupta, Momin Siddiqui, Glen Smith et al.

This work examines the sociotechnical factors that influence the adoption and usage of intelligent tutoring systems in self-directed learning contexts, focusing specifically on adult learners. The study is divided into two parts. First, we present Apprentice Tutors, a novel intelligent tutoring system designed to address the unique needs of adult learners. The platform includes adaptive problem selection, real-time feedback, and visual dashboards to support learning in college algebra topics. Second, we investigate the specific needs and experiences of adult users through a deployment study and a series of focus groups. Using thematic analysis, we identify key challenges and opportunities to improve tutor design and adoption. Based on these findings, we offer actionable design recommendations to help developers create intelligent tutoring systems that better align with the motivations and learning preferences of adult learners. This work contributes to a wider understanding of how to improve educational technologies to support lifelong learning and professional development.

Darryl Hannan, Steven C. Nesbit, Ximing Wen et al.

Detecting elevated intracranial pressure (ICP) is crucial in diagnosing and managing various neurological conditions. These fluctuations in pressure are transmitted to the optic nerve sheath (ONS), resulting in changes to its diameter, which can then be detected using ultrasound imaging devices. However, interpreting sonographic images of the ONS can be challenging. In this work, we propose two systems that actively monitor the ONS diameter throughout an ultrasound video and make a final prediction as to whether ICP is elevated. To construct our systems, we leverage subject matter expert (SME) guidance, structuring our processing pipeline according to their collection procedure, while also prioritizing interpretability and computational efficiency. We conduct a number of experiments, demonstrating that our proposed systems are able to outperform various baselines. One of our SMEs then manually validates our top system's performance, lending further credibility to our approach while demonstrating its potential utility in a clinical setting.