Multimodal AI on Wound Images and Clinical Notes for Home Patient Referral
This addresses the challenge of accurate wound referral for home care patients, particularly the elderly and those with diabetes, though it is incremental as it builds on existing multimodal and transfer learning methods.
The paper tackled the problem of inconsistent and erroneous referral decisions for chronic wound patients in home care by developing DM-WAT, a multimodal AI tool that analyzes wound images and clinical notes, achieving 77% accuracy and 70% F1 score in evaluations.
Chronic wounds affect 8.5 million Americans, particularly the elderly and patients with diabetes. These wounds can take up to nine months to heal, making regular care essential to ensure healing and prevent severe outcomes like limb amputations. Many patients receive care at home from visiting nurses with varying levels of wound expertise, leading to inconsistent care. Problematic, non-healing wounds should be referred to wound specialists, but referral decisions in non-clinical settings are often erroneous, delayed, or unnecessary. This paper introduces the Deep Multimodal Wound Assessment Tool (DM-WAT), a machine learning framework designed to assist visiting nurses in deciding whether to refer chronic wound patients. DM-WAT analyzes smartphone-captured wound images and clinical notes from Electronic Health Records (EHRs). It uses DeiT-Base-Distilled, a Vision Transformer (ViT), to extract visual features from images and DeBERTa-base to extract text features from clinical notes. DM-WAT combines visual and text features using an intermediate fusion approach. To address challenges posed by a small and imbalanced dataset, it integrates image and text augmentation with transfer learning to achieve high performance. In evaluations, DM-WAT achieved 77% with std 3% accuracy and a 70% with std 2% F1 score, outperforming prior approaches. Score-CAM and Captum interpretation algorithms provide insights into specific parts of image and text inputs that influence recommendations, enhancing interpretability and trust.