| 1. |
- Ahmed, Mobyen Uddin
(författare)
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A case-based multi-modal clinical system for stress management
- 2010
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A difficult issue in stress management is to use biomedical sensor signal in the diagnosis and treatment of stress. Clinicians often make their diagnosis and decision based on manual inspection of physiological signals such as, ECG, heart rate, finger temperature etc. However, the complexity associated with manual analysis and interpretation of the signals makes it difficult even for experienced clinicians. Today the diagnosis and decision is largely dependent on how experienced the clinician is interpreting the measurements. A computer-aided decision support system for diagnosis and treatment of stress would enable a more objective and consistent diagnosis and decisions. A challenge in the field of medicine is the accuracy of the system, it is essential that the clinician is able to judge the accuracy of the suggested solutions. Case-based reasoning systems for medical applications are increasingly multi-purpose and multi-modal, using a variety of different methods and techniques to meet the challenges of the medical domain. This research work covers the development of an intelligent clinical decision support system for diagnosis, classification and treatment in stress management. The system uses a finger temperature sensor and the variation in the finger temperature is one of the key features in the system. Several artificial intelligence techniques have been investigated to enable a more reliable and efficient diagnosis and treatment of stress such as case-based reasoning, textual information retrieval, rule-based reasoning, and fuzzy logic. Functionalities and the performance of the system have been validated by implementing a research prototype based on close collaboration with an expert in stress. The case base of the implemented system has been initiated with 53 reference cases classified by an experienced clinician. A case study also shows that the system provides results close to a human expert. The experimental results suggest that such a system is valuable both for less experienced clinicians and for experts where the system may function as a second option.
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| 2. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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A Case-Based Reasoning System for Knowledge and Experience Reuse
- 2007
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Ingår i: Proceedings of the 24th annual workshop of the Swedish Artificial Intelligence Society. ; , s. 70-80
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Konferensbidrag (refereegranskat)abstract
- Experience is one of the most valuable assets technicians and engineer have and may have been collected during many years and both from successful solutions as well as from very costly mistakes. Unfortunately industry rarely uses a systematic approach for experience reuse. This may be caused by the lack of efficient tools facilitating experience distribution and reuse. We propose a case-based approach and tool to facilitate experience reuse more systematically in industry. It is important that such a tool allows the technicians to give the problem case in a flexible way to increase acceptance and use. The proposed tool enables more structured handling of experience and is flexible and can be adapted to different situations and problems. The user is able to input text in a structured way and possibly in combination with other numeric or symbolic features. The system is able to identify and retrieve relevant similar experiences for reuse.
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| 3. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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A Multi-Module Case Based Biofeedback System for Stress Treatment
- 2011
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Ingår i: Artificial Intelligence in Medicine. - : Elsevier BV. - 0933-3657 .- 1873-2860. ; 51:2, s. 107-115
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Tidskriftsartikel (refereegranskat)abstract
- Biofeedback is today a recognized treatment method for a number of physical and psychological problems. Experienced clinicians often achieve good results in these areas and their success largely builds on many years of experience and often thousands of treated patients. Unfortunately many of the areas where biofeedback is used are very complex, e.g. diagnosis and treatment of stress. Less experienced clinicians may even have difficulties to initially classify the patient correctly. Often there are only a few experts available to assist less experienced clinicians. To reduce this problem we propose a computer assisted biofeedback system helping in classification, parameter setting and biofeedback training. By adopting a case based approach in a computer-based biofeedback system, decision support can be offered to less experienced clinicians and provide a second opinion to experts. We explore how such a system may be designed and validate the approach in the area of stress where the system assists in the classification, parameter setting and finally in the training. In a case study we show that the case based biofeedback system outperforms novice clinicians based on a case library of cases authorized by an expert.
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| 4. |
- Ahmed, Mobyen Uddin, 1976-
(författare)
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A Multimodal Approach for Clinical Diagnosis and Treatment
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A computer-aided Clinical Decision Support System (CDSS) for diagnosis and treatment often plays a vital role and brings essential benefits for clinicians. Such a CDSS could function as an expert for a less experienced clinician or as a second option/opinion of an experienced clinician to their decision making task. Nevertheless, it has been a real challenge to design and develop such a functional system where accuracy of the system performance is an important issue. This research work focuses on development of intelligent CDSS based on a multimodal approach for diagnosis, classification and treatment in medical domains i.e. stress and post-operative pain management domains. Several Artificial Intelligence (AI) techniques such as Case-Based Reasoning (CBR), textual Information Retrieval (IR), Rule-Based Reasoning (RBR), Fuzzy Logic and clustering approaches have been investigated in this thesis work. Patient’s data i.e. their stress and pain related information are collected from complex data sources for instance, finger temperature measurements through sensor signals, pain measurements using a Numerical Visual Analogue Scale (NVAS), patient’s information from text and multiple choice questionnaires. The proposed approach considers multimedia data management to be able to use them in CDSSs for both the domains. The functionalities and performance of the systems have been evaluated based on close collaboration with experts and clinicians of the domains. In stress management, 68 measurements from 46 subjects and 1572 patients’ cases out of ≈4000 in post-operative pain have been used to design, develop and validate the systems. In the stress management domain, besides the 68 measurement cases, three trainees and one senior clinician also have been involved in order to conduct the experimental work. The result from the evaluation shows that the system reaches a level of performance close to the expert and better than the senior and trainee clinicians. Thus, the proposed CDSS could be used as an expert for a less experienced clinician (i.e. trainee) or as a second option/opinion for an experienced clinician (i.e. senior) to their decision making process in stress management. In post-operative pain treatment, the CDSS retrieves and presents most similar cases (e.g. both rare and regular) with their outcomes to assist physicians. Moreover, an automatic approach is presented in order to identify rare cases and 18% of cases from the whole cases library i.e. 276 out of 1572 are identified as rare cases by the approach. Again, among the rare cases (i.e. 276), around 57.25% of the cases are classified as ‘unusually bad’ i.e. the average pain outcome value is greater or equal to 5 on the NVAS scale 0 to 10. Identification of rear cases is an important part of the PAIN OUT project and can be used to improve the quality of individual pain treatment.
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| 5. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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A Three Phase Computer Assisted Biofeedback Training System Using Case-Based Reasoning
- 2008
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Ingår i: Proc. 9th European Conference on Case-based Reasoning. ; , s. 57-68
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Konferensbidrag (refereegranskat)abstract
- Biofeedback is a method gaining increased interest and showing good results for a number of physical and psychological problems. Biofeedback training is mostly guided by an experienced clinician and the results largely rely on the clinician's competence. In this paper we propose a three phase computer assisted sensor-based biofeedback decision support system assisting less experienced clinicians, acting as second opinion for experienced clinicians. The three phase CBR framework is deployed to classify a patient, estimate initial parameters and to make recommendations for biofeedback training by retrieving and comparing with previous similar cases in terms of features extracted. The three phases work independently from each other. Moreover, fuzzy techniques are incorporated into our CBR system to better accommodate uncertainty in clinicians reasoning as well as decision analysis. All parts in the proposed framework have been implemented and primarily validated in a prototypical system. The initial result shows how the three phases functioned with CBR technique to assist biofeedback training. Eventually the system enables the clinicians to allow a patient to train himself/herself unsupervised.
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| 6. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Case-based Reasoning for Diagnosis of Stress using Enhanced Cosine and Fuzzy Similarity
- 2008
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Ingår i: Case-based Reasoning for Diagnosis of Stress using Enhanced Cosine and Fuzzy Similarity. - 1867-366X. ; 1, s. 3-19
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Tidskriftsartikel (refereegranskat)abstract
- Intelligent analysis of heterogeneous data and information sources for efficient decision support presents an interesting yet challenging task in clinical envi-ronments. This is particularly the case in stress medicine where digital patient re-cords are becoming popular which contain not only lengthy time series measurements but also unstructured textual documents expressed in form of natural languages. This paper develops a hybrid case-based reasoning system for stress di-agnosis which is capable of coping with both numerical signals and textual data at the same time. The total case index consists of two sub-parts corresponding to signal and textual data respectively. For matching of cases on the signal aspect we present a fuzzy similarity matching metric to accommodate and tackle the imprecision and uncertainty in sensor measurements. Preliminary evaluations have revealed that this fuzzy matching algorithm leads to more accurate similarity estimates for improved case ranking and retrieval compared with traditional distance-based matching crite-ria. For evaluation of similarity on the textual dimension we propose an enhanced cosine matching function augmented with related domain knowledge. This is im-plemented by incorporating Wordnet and domain specific ontology into the textual case-based reasoning process for refining weights of terms according to available knowledge encoded therein. Such knowledge-based reasoning for matching of tex-tual cases has empirically shown its merit in improving both precision and recall of retrieved cases with our initial medical databases. Experts in the domain are very positive to our system and they deem that it will be a valuable tool to foster wide-spread experience reuse and transfer in the area of stress diagnosis and treatment.
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| 7. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Case-Based Reasoning for Medical and Industrial Decision Support Systems
- 2010
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Ingår i: Successful Case-based Reasoning Applications. - Berlin, Heidelberg : Springer. - 9783642140778 ; , s. 7-52
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- The amount of medical and industrial experience and knowledge is rapidly growing and it is almost impossible to be up to date with everything. The demand of decision support system (DSS) is especially important in domains where experience and knowledge grow rapidly. However, traditional approaches to DSS are not always easy to adapt to a flow of new experience and knowledge and may also show a limitation in areas with a weak domain theory. This chapter explores the functionalities of Case-Based Reasoning (CBR) to facilitate experience reuse both in clinical and in industrial decision making tasks. Examples from the field of stress medicine and condition monitoring in industrial robots are presented here to demonstrate that the same approach assists both for clinical applications as well as for decision support for engineers. In the both domains, DSS deals with sensor signal data and integrate other artificial intelligence techniques into the CBR system to enhance the performance in a number of different aspects. Textual information retrieval, Rule-based Reasoning (RBR), and fuzzy logic are combined together with CBR to offer decision support to clinicians for a more reliable and efficient management of stress. Agent technology and wavelet transformations are applied with CBR to diagnose audible faults on industrial robots and to package such a system. The performance of the CBR systems have been validated and have shown to be useful in solving such problems in both of these domains.
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| 8. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Efficient Condition Monitoring and Diagnosis Using a Case-Based Experience Sharing System
- 2007
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Ingår i: The 20th International Congress and Exhibition on Condition Monitoring and Diagnostics Engineering Management, COMADEM 2007, Faro, Portugal. ; , s. 305-314
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Konferensbidrag (refereegranskat)abstract
- Industry has to adjust quickly to changes in their surroundings, for example reducing staff during recession and increasing staff when the market demands it. These factors may cause rapid loss of experience, collected during many years, or require experienced staff to spend considerable resources in training new staff, instead of focusing on production. This is recognised as very costly for companies and organisations today and also reduces competitiveness and productivity. Condition Monitoring, diagnostics and selection of efficient preventive or corrective actions is a task that often requires a high degree of expertise. This expertise is often gained through sometimes very expensive mistakes and can take many years to acquire leading to a few skilled experts. When they are not available due to changes in staff or retirements the company often faces serious problems that may be very expensive, e.g. leading to a reduced productivity.If some deviation occurs in a machine, a fault report is often written; an engineer makes a diagnosis and may order spare parts to repair the machine. Fault report, spare parts, required time and statistics on performance after repair are often stored in different databases but so far not systematically reused. In this paper we present a Case-Based experience sharing system that enables reuse of experience in a more efficient way compared with what is mostly practiced in industry today. The system uses Case-Based-Reasoning (CBR) and limited Natural Language Processing. An important aspect of the experience management tool is that it is user-friendly and web-based to promote efficient experience sharing. The system should be able to handle both experiences that are only in house as well as sharing experience with other industries when there is no conflicting interest. Such a CBR based tool enables efficient experience gathering, management and reuse in production industries. The tool will facilitate the users with an interactive environment to communicate with each other for sharing their experiences. Depend on the user; the security level of the system will be varied to share knowledge among the collaborating companies.The system identifies the most relevant experiences to assess and resolve the current situation. The experience is stored and retrieved as a case in the collaborative space where experience from various companies may have been stored under many years. Reusing experience and avoiding expensive mistakes will increase the participating companies' competitiveness and also transfer valuable experience to their employees. One of the benefits is also the opportunity and facility to identify people with similar tasks and problems at different companies and enable them to share their experience, e.g. if a technician has solved a similar problem recently and is in the near, the most efficient solution may be to call the expert and ask for assistance. In future, one may access this tool through his/her mobile device via wireless or mobile communications using Global Positioning System, GPS, enables the system to suggest experts nearby, willing and able to share the knowledge and quickly assist in resolve the problem.
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| 9. |
- Ahmed, Mobyen Uddin, 1976-, et al.
(författare)
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FUZZY RULE-BASED CLASSIFICATION TO BUILD INITIAL CASE LIBRARY FOR CASE-BASED STRESS DIAGNOSIS
- 2009
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Ingår i: Proceedings of the IASTED International Conference on Artificial Intelligence and Applications, AIA 2009. - 9780889867802 ; , s. 225-230
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Konferensbidrag (refereegranskat)abstract
- Case-Based Reasoning (CBR) is receiving increasedinterest for applications in medical decision support.Clinicians appreciate the fact that the system reasons withfull medical cases, symptoms, diagnosis, actions takenand outcomes. Also for experts it is often appreciated toget a second opinion. In the initial phase of a CBR systemthere are often a limited number of cases available whichreduces the performance of the system. If past cases aremissing or very sparse in some areas the accuracy isreduced. This paper presents a fuzzy rule-basedclassification scheme which is introduced into the CBRsystem to initiate the case library, providing improvedperformance in the stress diagnosis task. Theexperimental results showed that the CBR system usingthe enhanced case library can correctly classify 83% ofthe cases, whereas previously the correctness of theclassification was 61%. Consequently the proposedsystem has an improved performance with 22% in termsof accuracy. In terms of the discrepancy in classificationcompared to the expert, the goodness-of-fit value of thetest results is on average 87%. Thus by employing thefuzzy rule-based classification, the new hybrid system cangenerate artificial cases to enhance the case library.Furthermore, it can classify new problem cases previouslynot classified by the system.
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| 10. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Intelligent Stress Management System
- 2009
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Ingår i: Medicinteknikdagarna 2009.
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Konferensbidrag (refereegranskat)abstract
- Today, in our daily life we are subjected to a wide range of pressures. When the pressures exceed the extent that we are able to deal with then stress is trigged. High level of stress may cause serious health problems i.e. it reduces awareness of bodily symptoms. So, people may first notice it weeks or months later meanwhile the stress could cause more serious effect in the body and health. A difficult issue in stress management is to use biomedical sensor signals in the diagnosis and treatment of stress. This paper presents a case-based system that assists a clinician in diagnosis and treatment of stress. The system uses a finger temperature sensor and the variation in the finger temperature is one of the key features in the system. Several artificial intelligence techniques such as textual information retrieval, rule-based reasoning (RBR), and fuzzy logic have been combined together with case-based reasoning to enable more reliable and efficient diagnosis and treatment of stress. The performance has been validated implementing a research prototype and close collaboration with experts.
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