Background and objectives: Intradialytic hypotension has high clinical significance. However, predicting it using conventional statistical models may be difficult because several factors have interactive and complex effects on the risk. Herein, we applied a deep learning model (recurrent neural network) to predict the risk of intradialytic hypotension using a timestamp-bearing dataset. Design, setting, participants, & measurements: We obtained 261,647 hemodialysis sessions with 1,600,531 independent timestamps (i.e., time-varying vital signs) and randomly divided them into training (70%), validation (5%), calibration (5%), and testing (20%) sets. Intradialytic hypotension was defined when nadir systolic BP was <90 mm Hg (termed intradialytic hypotension 1) or when a decrease in systolic BP ≥20 mm Hg and/or a decrease in mean arterial pressure ≥10 mm Hg on the basis of the initial BPs (termed intradialytic hypotension 2) or prediction time BPs (termed intradialytic hypotension 3) occurred within 1 hour. The area under the receiver operating characteristic curves, the area under the precision-recall curves, and F1 scores obtained using the recurrent neural network model were compared with those obtained using multilayer perceptron, Light Gradient Boosting Machine, and logistic regression models. Results: The recurrent neural network model for predicting intradialytic hypotension 1 achieved an area under the receiver operating characteristic curve of 0.94 (95% confidence intervals, 0.94 to 0.94), which was higher than those obtained using the other models (P<0.001). The recurrent neural network model for predicting intradialytic hypotension 2 and intradialytic hypotension 3 achieved area under the receiver operating characteristic curves of 0.87 (interquartile range, 0.87–0.87) and 0.79 (interquartile range, 0.79–0.79), respectively, which were also higher than those obtained using the other models (P≤0.001). The area under the precision-recall curve and F1 score were higher using the recurrent neural network model than they were using the other models. The recurrent neural network models for intradialytic hypotension were highly calibrated. Conclusions: Our deep learning model can be used to predict the real-time risk of intradialytic hypotension.

With the upsurge in the use of Unmanned Aerial Vehicles (UAVs) in various fields, detecting and identifying them in real-time are becoming important topics. However, the identification of UAVs is difficult due to their characteristics such as low altitude, slow speed, and small radar cross-section (LSS). With the existing deterministic approach, the algorithm becomes complex and requires a large number of computations, making it unsuitable for real-time systems. Hence, effective alternatives enabling real-time identification of these new threats are needed. Deep learning-based classification models learn features from data by themselves and have shown outstanding performance in computer vision tasks. In this paper, we propose a deep learning-based classification model that learns the micro-Doppler signatures (MDS) of targets represented on radar spectrogram images. To enable this, first, we recorded five LSS targets (three types of UAVs and two different types of human activities) with a frequency modulated continuous wave (FMCW) radar in various scenarios. Then, we converted signals into spectrograms in the form of images by Short time Fourier transform (STFT). After the data refinement and augmentation, we made our own radar spectrogram dataset. Secondly, we analyzed characteristics of the radar spectrogram dataset with the ResNet-18 model and designed the ResNet-SP model with less computation, higher accuracy and stability based on the ResNet-18 model. The results show that the proposed ResNet-SP has a training time of 242 s and an accuracy of 83.39%, which is superior to the ResNet-18 that takes 640 s for training with an accuracy of 79.88%.