Study Objectives: Despite frequent sleep disruption in the pediatric intensive care unit, bedside sleep monitoring in real time is currently not available. Supervised machine learning applied to electrocardiography data may provide a solution, because cardiovascular dynamics are directly modulated by the autonomic nervous system during sleep. Methods: This retrospective study used hospital-based polysomnography recordings obtained in noncritically ill children between 2017 and 2021. Six age categories were defined: 6–12 months, 1–3 years, 3–5 years, 5–9 years, 9–13 years, and 13–18 years. Features were derived in time, frequency, and nonlinear domain from preprocessed electrocardiography data. Sleep classification models were developed for 2, 3, 4, and 5 states using logistic regression, random forest, and XGBoost classifiers during 5-fold nested cross-validation. Models were additionally validated across age categories. Results: A total of 90 noncritically ill children were included with a median (Q1, Q3) recording length of 549.0 (494.8, 601.3) minutes. The 3 models obtained an area under the receiver operator characteristic curve of 0.72–0.78 with minimal variation across classifiers and age categories. Balanced accuracies were 0.70–0.72, 0.59–0.61, 0.50–0.51, and 0.41–0.42 for 2, 3, 4, and 5 states, respectively. Generally, the XGBoost model obtained the highest balanced accuracy (P < .05), except for 5 states for which logistic regression excelled (P = .67). Conclusions: Electrocardiography-based machine learning models are a promising and noninvasive method for automated sleep classification directly at the bedside of noncritically ill children aged 6 months–18 years. Models obtained moderate-to-good performance for 2- and 3-state classification.

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Learning curves depict how a model’s expected performance changes with varying training set sizes, unlike training curves, showing a gradient-based model’s performance with respect to training epochs. Extrapolating learning curves can be useful for determining the performance gain with additional data. Parametric functions, that assume monotone behaviour of the curves, are a prevalent methodology to model and extrapolate learning curves. However, learning curves do not necessarily follow a specific parametric shape: they can have peaks, dips, and zigzag patterns. These unconventional shapes can hinder the extrapolation performance of commonly used parametric curve-fitting models. In addition, the objective functions for fitting such parametric models are non-convex, making them initialization-dependent and brittle. In response to these challenges, we propose a convex, data-driven approach that extracts information from available learning curves to guide the extrapolation of another targeted learning curve. Our method achieves this through using a learning curve database. Using the initial segment of the observed curve, we determine a group of similar curves from the database and reduce the dimensionality via Functional Principle Component Analysis FPCA. These principal components are used in a semi-parametric kernel ridge regression (SPKR) model to extrapolate targeted curves. The solution of the SPKR can be obtained analytically and does not suffer from initialization issues. To evaluate our method, we create a new database of diverse learning curves that do not always adhere to typical parametric shapes. Our method performs better than parametric non-parametric learning curve-fitting methods on this database for the learning curve extrapolation task.

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Photoplethysmography (PPG) signals, typically acquired from wearable devices, hold significant potential for continuous fitness-health monitoring. In particular, heart conditions that manifest in rare and subtle deviating heart patterns may be interesting. However, robust and reliable anomaly detection within these data remains a challenge due to the scarcity of labeled data and high inter-subject variability. This paper introduces a two-stage framework leveraging representation learning and personalization to improve anomaly detection performance in PPG data. The proposed framework first employs representation learning to transform the original PPG signals into a more discriminative and compact representation. We then apply three different unsupervised anomaly detection methods for movement detection and biometric identification. We validate our approach using two different datasets in both generalized and personalized scenarios. Our results demonstrate significant improvements: for movement detection, in the generalized scenario, AUCs improved from barely 0.5 to above 0.9 with representation learning. Importantly, inter-subject variability was substantially reduced, from around 0.4 to below 0.1. In the personalized scenario, AUCs became close to 1.0, with variability further reduced to below 0.05, indicating the effectiveness of both representation learning and personalization for anomaly detection in PPG data. Similar enhancements were observed in biometric identification, emphasizing how our approach can minimize inter-subject variability and enhance PPG-based health monitoring systems.

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Physics-informed neural networks (PINNs) have recently become a powerful tool for solving partial differential equations (PDEs). However, finding a set of neural network parameters that fulfill a PDE at the boundary and within the domain of interest can be challenging and non-unique due to the complexity of the loss landscape that needs to be traversed. Although a variety of multi-task learning and transfer learning approaches have been proposed to overcome these issues, no incremental training procedure has been proposed for PINNs. As demonstrated herein, by developing incremental PINNs (iPINNs) we can effectively mitigate such training challenges and learn multiple tasks (equations) sequentially without additional parameters for new tasks. Interestingly, we show that this also improves performance for every equation in the sequence. Our approach learns multiple PDEs starting from the simplest one by creating its own subnetwork for each PDE and allowing each subnetwork to overlap with previously learned subnetworks. We demonstrate that previous subnetworks are a good initialization for a new equation if PDEs share similarities. We also show that iPINNs achieve lower prediction error than regular PINNs for two different scenarios: (1) learning a family of equations (e.g., 1-D convection PDE); and (2) learning PDEs resulting from a combination of processes (e.g., 1-D reaction–diffusion PDE). The ability to learn all problems with a single network together with learning more complex PDEs with better generalization than regular PINNs will open new avenues in this field.

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When optimizing problems with uncertain parameter values in a linear objective, decision-focused learning enables end-to-end learning of these values. We are interested in a stochastic scheduling problem, in which processing times are uncertain, which brings uncertain values in the constraints, and thus repair of an initial schedule may be needed. Historical realizations of the stochastic processing times are available. We show how existing decision-focused learning techniques based on stochastic smoothing can be adapted to this scheduling problem. We include an extensive experimental evaluation to investigate in which situations decision-focused learning outperforms the state of the art, i.e., scenario-based stochastic optimization.

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Evaluating anomaly detection algorithms in time series data is critical as inaccuracies can lead to flawed decision-making in various domains where real-time analytics and data-driven strategies are essential. Traditional performance metrics assume iid data and fail to capture the complex temporal dynamics and specific characteristics of time series anomalies, such as early and delayed detections. We introduce Proximity-Aware Time series anomaly Evaluation (PATE), a novel evaluation metric that incorporates the temporal relationship between prediction and anomaly intervals. PATE uses proximity-based weighting considering buffer zones around anomaly intervals, enabling a more detailed and informed assessment of a detection. Using these weights, PATE computes a weighted version of the area under the Precision and Recall curve. Our experiments with synthetic and real-world datasets show the superiority of PATE in providing more sensible and accurate evaluations than other evaluation metrics. We also tested several state-of-the-art anomaly detectors across various benchmark datasets using the PATE evaluation scheme. The results show that a common metric like Point-Adjusted F1 Score fails to characterize the detection performances well, and that PATE is able to provide a more fair model comparison. By introducing PATE, we redefine the understanding of model efficacy that steers future studies toward developing more effective and accurate detection models.@en

Current deep neural networks (DNNs) are overparameterized and use most of their neuronal connections during inference for each task. The human brain, however, developed specialized regions for different tasks and performs inference with a small fraction of its neuronal connections. We propose an iterative pruning strategy introducing a simple importance-score metric that deactivates unimportant connections, tackling overparameterization in DNNs and modulating the firing patterns. The aim is to find the smallest number of connections that is still capable of solving a given task with comparable accuracy, i.e. a simpler subnetwork. We achieve comparable performance for LeNet architectures on MNIST, and significantly higher parameter compression than state-of-the-art algorithms for VGG and ResNet architectures on CIFAR-10/100 and Tiny-ImageNet. Our approach also performs well for the two different optimizers considered—Adam and SGD. The algorithm is not designed to minimize FLOPs when considering current hardware and software implementations, although it performs reasonably when compared to the state of the art.

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Cardiovascular disease (CVD) is the most important cause of morbidity and mortality worldwide. Early detection, prevention or even prediction is of pivotal importance to reduce the burden of cardiovascular disease and its associated costs. Low cost, consumer-grade smartwatches have the potential to revolutionize cardiovascular medicine by enabling continuous monitoring of heart rate and activity. When combined with machine learning(ML), the resulting large amounts of time series data hold the potential of detection, or exclusion of CVD. However, analyzing such large datasets is challenging due to the sparse presence of informative segments. Efficient selection of these segments is essential for developing predictive models for clinical deployment. The objective of this paper was to investigate the potential of an acceleration-deceleration curvebased ML model as a novel clinical indicator for the detection of cardiovascular diseases. We used data from the ME-TIME study; 42 participants from which 21 have a cardiovascular disease and 21 are health controls. Data from each subject was normalized to decrease inter-subject variability. A neural network model aggregated predictions per week. We showed that per-subject normalization by the peak value of curves during inactivity, aggregation of model predictions over a week, and using a contrastive loss, resulted in a predictive model with 99 % ± 3 % specificity and 40 % ± 49 % sensitivity on the development set, and 100 % specificity with 67 % ± 47 % sensitivity on the test set. Acceleration-deceleration curves are effective patterns for ruling out the presence of cardiovascular disease, but caution must be taken to properly pre-process the curves and carefully choosing a model that reduces the variability in the extracted curves.@en

Anomaly detection in time series data is crucial across various domains. The scarcity of labeled data for such tasks has increased the attention towards unsupervised learning methods. These approaches, often relying solely on reconstruction error, typically fail to detect subtle anomalies in complex datasets. To address this, we introduce RESTAD, an adaptation of the Transformer model by incorporating a layer of Radial Basis Function (RBF) neurons within its architecture. This layer fits a non-parametric density in the latent representation, such that a high RBF output indicates similarity with predominantly normal training data. RESTAD integrates the RBF similarity scores with the reconstruction errors to increase sensitivity to anomalies. Our empirical evaluations demonstrate that RESTAD outperforms various established baselines across multiple benchmark datasets.@en

STUDY OBJECTIVES: Although sleep is frequently disrupted in the pediatric intensive care unit, it is currently not possible to perform real-time sleep monitoring at the bedside. In this study, spectral band powers of electroencephalography data are used to derive a simple index for sleep classification. METHODS: Retrospective study at Erasmus MC Sophia Children's Hospital, using hospital-based polysomnography recordings obtained in non-critically ill children between 2017 and 2021. Six age categories were defined: 6-12 months, 1-3 years, 3-5 years, 5-9 years, 9-13 years, and 13-18 years. Candidate index measures were derived by calculating spectral band powers in different frequent frequency bands of smoothed electroencephalography. With the best performing index, sleep classification models were developed for two, three, and four states via decision tree and five-fold nested cross-validation. Model performance was assessed across age categories and electroencephalography channels. RESULTS: In total 90 patients with polysomnography were included, with a mean (standard deviation) recording length of 10.3 (1.1) hours. The best performance was obtained with the gamma to delta spectral power ratio of the F4-A1 and F3-A1 channels with smoothing. Balanced accuracy was 0.88, 0.74, and 0.57 for two-, three-, and four-state classification. Across age categories, balanced accuracy ranged between 0.83 and 0.92 and 0.72 and 0.77 for two- and three-state classification, respectively. CONCLUSIONS: We propose an interpretable and generalizable sleep index derived from single-channel electroencephalography for automated sleep monitoring at the bedside in non-critically ill children ages 6 months to 18 years, with good performance for two- and three-state classification. CITATION: van Twist E, Hiemstra FW, Cramer ABG, et al. An electroencephalography-based sleep index and supervised machine learning as a suitable tool for automated sleep classification in children. J Clin Sleep Med. 2024;20(3):389-397.

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Because outliers are very different from the rest of the data, it is natural to represent outliers by their distances to other objects. Furthermore, there are many scenarios in which only pairwise distances are known, and feature-based outlier detection methods cannot directly be applied. Considering these observations, and given the success of Isolation Forests for (feature-based) outlier detection, we propose Proximity Isolation Forest, a proximity-based extension. The methodology only requires a set of pairwise distances to work, making it suitable for different types of data. Analogously to Isolation Forest, outliers are detected via their early isolation in the trees; to encode the isolation we design nine training strategies, both random and optimized. We thoroughly evaluate the proposed approach on fifteen datasets, successfully assessing its robustness and suitability for the task; additionally we compare favourably to alternative proximity-based methods.

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Background: Smartwatches enable continuous and noninvasive time series monitoring of cardiovascular biomarkers like heart rate (from photoplethysmograms), step counter, skin temperature, et cetera; as such, they have promise in assisting in early detection and prevention of cardiovascular disease. Although these biomarkers may not be directly useful to physicians, a machine learning (ML) model could find clinically relevant patterns. Unfortunately, ML models typically need supervised (ie, annotated) data, and labeling of large amounts of continuous data is very labor intensive. Therefore, ML methods that are data efficient, ie, needing a low number of labels, are required to detect potential clinical value in patterns found in wearable data. Objective: The primary study objective of the ME-TIME (Machine Learning Enabled Time Series Analysis in Medicine) study is to design an ML model that can detect atrial fibrillation (AF) and heart failure (HF) from wearable data in a data-efficient manner. To achieve this, self-supervised and weakly supervised learning techniques are used. Methods: Two hundred subjects (100 reference, 50 AF, and 50 HF) are being invited to participate in wearing a Fitbit fitness tracker for 3 months. Interested volunteers are sent a questionnaire to determine their health, in particular cardiovascular health. Volunteers without any (history of) serious illness are assigned to the reference group. Participants with AF and HF are recruited in the Haga teaching hospital in The Hague, The Netherlands. Results: Enrollment commenced on May 1, 2022, and as of the time of this report, 62 subjects have been included in the study. Preliminary analysis of the data reveals significant inter-subject variability. Notably, we identified heart rate recovery curves and time-delayed correlations between heart rate and step count as potential strong indicators for heart disease. Conclusion: Using self-supervised and multiple-instance learning techniques, we hypothesize that patterns specific to AF and HF can be found in continuous data obtained from smartwatches.

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Estimating uncertainty of machine learning models is essential to assess the quality of the predictions that these models provide. However, there are several factors that influence the quality of uncertainty estimates, one of which is the amount of model misspecification. Model misspecification always exists as models are mere simplifications or approximations to reality. The question arises whether the estimated uncertainty under model misspecification is reliable or not. In this paper, we argue that model misspecification should receive more attention, by providing thought experiments and contextualizing these with relevant literature.

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With the progress of sensor technology in wearables, the collection and analysis of PPG signals are gaining more interest. Using Machine Learning, the cardiac rhythm corresponding to PPG signals can be used to predict different tasks such as activity recognition, sleep stage detection, or more general health status. However, supervised learning is often limited by the amount of available labeled data, which is typically expensive to obtain. To address this problem, we propose a Self-Supervised Learning (SSL) method with a pretext task of signal reconstruction to learn an informative generalized PPG representation. The performance of the proposed SSL framework is compared with two fully supervised baselines. The results show that in a very limited label data setting (10 samples per class or less), using SSL is beneficial, and a simple classifier trained on SSL-learned representations outperforms fully supervised deep neural networks. However, the results reveal that the SSL-learned representations are too focused on encoding the subjects. Unfortunately, there is high inter-subject variability in the SSL-learned representations, which makes working with this data more challenging when labeled data is scarce. The high inter-subject variability suggests that there is still room for improvements in learning representations. In general, the results suggest that SSL may pave the way for the broader use of machine learning models on PPG data in label-scarce regimes.

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The human brain is capable of learning tasks sequentially mostly without forgetting. However, deep neural networks (DNNs) suffer from catastrophic forgetting when learning one task after another. We address this challenge considering a class-incremental learning scenario where the DNN sees test data without knowing the task from which this data originates. During training, Continual Prune-and-Select (CP&S) finds a subnetwork within the DNN that is responsible for solving a given task. Then, during inference, CP&S selects the correct subnetwork to make predictions for that task. A new task is learned by training available neuronal connections of the DNN (previously untrained) to create a new subnetwork by pruning, which can include previously trained connections belonging to other subnetwork(s) because it does not update shared connections. This enables to eliminate catastrophic forgetting by creating specialized regions in the DNN that do not conflict with each other while still allowing knowledge transfer across them. The CP&S strategy is implemented with different subnetwork selection strategies, revealing superior performance to state-of-the-art continual learning methods tested on various datasets (CIFAR-100, CUB-200-2011, ImageNet-100 and ImageNet-1000). In particular, CP&S is capable of sequentially learning 10 tasks from ImageNet-1000 keeping an accuracy around 94% with negligible forgetting, a first-of-its-kind result in class-incremental learning. To the best of the authors’ knowledge, this represents an improvement in accuracy above 10% when compared to the best alternative method.

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We study a highly complex scheduling problem that requires the generation and optimization of production schedules for a multi-product biomanufacturing system with continuous and batch processes. There are two main objectives here; makespan and lateness, which are combined into a cost function that is a weighted sum. An additional complexity comes from long horizons considered (up to a full year), yielding problem instances with more than 200 jobs, each consisting of multiple tasks that must be executed in the factory. We investigate whether a rolling-horizon principle is more efficient than a global strategy. We evaluate how cost function weights for makespan and lateness should be set in a rolling-horizon approach where deadlines are used for subproblem definition. We show that the rolling-horizon strategy outperforms a global search, evaluated on problem instances of a real biomanufacturing system, and we show that this result generalizes to problem instances of a synthetic factory.

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Untargeted metabolomics (UM) is increasingly being deployed as a strategy for screening patients that are suspected of having an inborn error of metabolism (IEM). In this study, we examined the potential of existing outlier detection methods to detect IEM patient profiles. We benchmarked 30 different outlier detection methods when applied to three untargeted metabolomics datasets. Our results show great differences in IEM detection performances across the various methods. The methods DeepSVDD and R-graph performed most consistently across the three metabolomics datasets. For datasets with a more balanced number of samples-to-features ratio, we found that AE reconstruction error, Mahalanobis and PCA reconstruction error also performed well. Furthermore, we demonstrated the importance of a PCA transform prior to applying an outlier detection method since we observed that this increases the performance of several outlier detection methods. For only one of the three metabolomics datasets, we observed clinically satisfying performances for some outlier detection methods, where we were able to detect 90% of the IEM patient samples while detecting no false positives. These results suggest that outlier detection methods have the potential to aid the clinical investigator in routine screening for IEM using untargeted metabolomics data, but also show that further improvements are needed to ensure clinically satisfying performances. @en

Assessment of cultural heritage assets is now extremely important all around the world. Non-destructive inspection is essential for preserving the integrity of artworks while avoiding the loss of any precious materials that make them up. The use of Infrared Thermography is an interesting concept since surface and subsurface faults can be discovered by utilizing the 3D diffusion inside the object caused by external heat. The primary goal of this research is to detect defects in artworks, which is one of the most important tasks in the restoration of mural paintings. To this end, machine learning and deep learning techniques are effective tools that should be employed properly in accordance with the experiment’s nature and the collected data. Considering both the temporal and spatial perspectives of step-heating thermography, a spatiotemporal deep neural network is developed for defect identification in a mock-up reproducing an artwork. The results are then compared with those of other conventional algorithms, demonstrating that the proposed approach outperforms the others.@en

Meteorites provide a unique view into the origin and evolution of the Solar System. Antarctica is the most productive region for recovering meteorites, where these extraterrestrial rocks concentrate at meteorite stranding zones. To date, meteorite-bearing blue ice areas are mostly identified by serendipity and through costly reconnaissance missions. Here, we identify meteorite-rich areas by combining state-of-the-art datasets in a machine learning algorithm and provide continent-wide estimates of the probability to find meteorites at any given location. The resulting set of ca. 600 meteorite stranding zones, with an estimated accuracy of over 80%, reveals the existence of unexplored zones, some of which are located close to research stations. Our analyses suggest that less than 15% of all meteorites at the surface of the Antarctic ice sheet have been recovered to date. The data-driven approach will greatly facilitate the quest to collect the remaining meteorites in a coordinated and cost-effective manner.@en

Assessment of cultural heritage assets is now extremely important all around the world. Non-destructive inspection is essential for preserving the integrity of the artworks while avoiding the loss of any precious materials that make it up. The use of Infrared Thermography (IRT) is an interesting concept since surface and subsurface faults can be discovered by utilizing the 3D diffusion inside the object caused by external heat. The primary goal of this research is to detect defects in artworks, which is one of the most important tasks in the restoration of mural paintings. To this end, a spatiotemporal deep neural network (STDNN) is utilized for defect identification in a mock-up reproducing an artwork, taking into account both the temporal and spatial perspectives of step-heating (SH) thermography. Finally, the outcomes are compared to those of other conventional algorithms.@en