Multivariate time series data in practical applications, such as health care, geoscience, and biology, are characterized by a variety of missing values. In time series prediction and other related tasks, it has been noted that missing values and their missing patterns are often correlated with the target labels, a.k.a., informative missingness. There is very limited work on exploiting the missing patterns for effective imputation and improving prediction performance. In this paper, we develop novel deep learning models, namely GRU-D, as one of the early attempts. GRU-D is based on Gated Recurrent Unit (GRU), a state-of-the-art recurrent neural network. It takes two representations of missing patterns, i.e., masking and time interval, and effectively incorporates them into a deep model architecture so that it not only captures the long-term temporal dependencies in time series, but also utilizes the missing patterns to achieve better prediction results. Experiments of time series classification tasks on real-world clinical datasets (MIMIC-III, PhysioNet) and synthetic datasets demonstrate that our models achieve state-of-the-art performance and provide useful insights for better understanding and utilization of missing values in time series analysis.

Video anomaly detection is commonly used in many applications, such as security surveillance, and is very challenging. A majority of recent video anomaly detection approaches utilize deep reconstruction models, but their performance is often suboptimal because of insufficient reconstruction error differences between normal and abnormal video frames in practice. Meanwhile, frame prediction-based anomaly detection methods have shown promising performance. In this article, we propose a novel and robust unsupervised video anomaly detection method by frame prediction with a proper design which is more in line with the characteristics of surveillance videos. The proposed method is equipped with a multipath ConvGRU-based frame prediction network that can better handle semantically informative objects and areas of different scales and capture spatial-temporal dependencies in normal videos. A noise tolerance loss is introduced during training to mitigate the interference caused by background noise. Extensive experiments have been conducted on the CUHK Avenue, ShanghaiTech Campus, and UCSD Pedestrian datasets, and the results show that our proposed method outperforms existing state-of-the-art approaches. Remarkably, our proposed method obtains the frame-level AUROC score of 88.3% on the CUHK Avenue dataset.

Purpose: Surgical performance is critical for clinical outcomes. We present a novel machine learning (ML) method of processing automated performance metrics (APMs) to evaluate surgical performance and predict clinical outcomes after robot-assisted radical prostatectomy (RARP). Materials and Methods: We trained three ML algorithms utilizing APMs directly from robot system data (training material) and hospital length of stay (LOS; training label) (≤2 days and >2 days) from 78 RARP cases, and selected the algorithm with the best performance. The selected algorithm categorized the cases as “Predicted as expected LOS (pExp-LOS)” and “Predicted as extended LOS (pExt-LOS).” We compared postoperative outcomes of the two groups (Kruskal–Wallis/Fisher's exact tests). The algorithm then predicted individual clinical outcomes, which we compared with actual outcomes (Spearman's correlation/Fisher's exact tests). Finally, we identified five most relevant APMs adopted by the algorithm during predicting. Results: The “Random Forest-50” (RF-50) algorithm had the best performance, reaching 87.2% accuracy in predicting LOS (73 cases as “pExp-LOS” and 5 cases as “pExt-LOS”). The “pExp-LOS” cases outperformed the “pExt-LOS” cases in surgery time (3.7 hours vs 4.6 hours, p = 0.007), LOS (2 days vs 4 days, p = 0.02), and Foley duration (9 days vs 14 days, p = 0.02). Patient outcomes predicted by the algorithm had significant association with the “ground truth” in surgery time (p < 0.001, r = 0.73), LOS (p = 0.05, r = 0.52), and Foley duration (p < 0.001, r = 0.45). The five most relevant APMs, adopted by the RF-50 algorithm in predicting, were largely related to camera manipulation. Conclusion: To our knowledge, ours is the first study to show that APMs and ML algorithms may help assess surgical RARP performance and predict clinical outcomes. With further accrual of clinical data (oncologic and functional data), this process will become increasingly relevant and valuable in surgical assessment and training.

We apply deep learning to the problem of discovery and detection of characteristic patterns of physiology in clinical time series data. We propose two novel modifications to standard neural net training that address challenges and exploit properties that are peculiar, if not exclusive, to medical data. First, we examine a general framework for using prior knowledge to regularize parameters in the topmost layers. This framework can leverage priors of any form, ranging from formal ontologies (e.g., ICD9 codes) to data-derived similarity. Second, we describe a scalable procedure for training a collection of neural networks of different sizes but with partially shared architectures. Both of these innovations are well-suited to medical applications, where available data are not yet Internet scale and have many sparse outputs (e.g., rare diagnoses) but which have exploitable structure (e.g., temporal order and relationships between labels). However, both techniques are sufficiently general to be applied to other problems and domains. We demonstrate the empirical efficacy of both techniques on two real-world hospital data sets and show that the resulting neural nets learn interpretable and clinically relevant features.

The rapid growth of Electronic Health Records (EHRs), as well as the accompanied opportunities in Data-Driven Healthcare (DDH), has been attracting widespread interests and attentions. Recent progress in the design and applications of deep learning methods has shown promising results and is forcing massive changes in healthcare academia and industry, but most of these methods rely on massive labeled data. In this work, we propose a general deep learning framework which is able to boost risk prediction performance with limited EHR data. Our model takes a modified generative adversarial network namely ehrGAN, which can provide plausible labeled EHR data by mimicking real patient records, to augment the training dataset in a semi-supervised learning manner. We use this generative model together with a convolutional neural network (CNN) based prediction model to improve the onset prediction performance. Experiments on two real healthcare datasets demonstrate that our proposed framework produces realistic data samples and achieves significant improvements on classification tasks with the generated data over several stat-of-the-art baselines.