The emergence of an aging society is inevitable due to the continued increases in life expectancy and decreases in birth rate. These social changes require new smart healthcare services for use in daily life, and COVID-19 has also led to a contactless trend necessitating more non-face-to-face health services. Due to the improvements that have been achieved in healthcare technologies, an increasing number of studies have attempted to predict and analyze certain diseases in advance. Research on stroke diseases is actively underway, particularly with the aging population. Stroke, which is fatal to the elderly, is a disease that requires continuous medical observation and monitoring, as its recurrence rate and mortality rate are very high. Most studies examining stroke disease to date have used MRI or CT images for simple classification. This clinical approach (imaging) is expensive and time-consuming while requiring bulky equipment. Recently, there has been increasing interest in using non-invasive measurable EEGs to compensate for these shortcomings. However, the prediction algorithms and processing procedures are both time-consuming because the raw data needs to be separated before the specific attributes can be obtained. Therefore, in this paper, we propose a new methodology that allows for the immediate application of deep learning models on raw EEG data without using the frequency properties of EEG. This proposed deep learning-based stroke disease prediction model was developed and trained with data collected from real-time EEG sensors. We implemented and compared different deep-learning models (LSTM, Bidirectional LSTM, CNN-LSTM, and CNN-Bidirectional LSTM) that are specialized in time series data classification and prediction. The experimental results confirmed that the raw EEG data, when wielded by the CNN-bidirectional LSTM model, can predict stroke with 94.0% accuracy with low FPR (6.0%) and FNR (5.7%), thus showing high confidence in our system. These experimental results demonstrate the feasibility of non-invasive methods that can easily measure brain waves alone to predict and monitor stroke diseases in real time during daily life. These findings are expected to lead to significant improvements for early stroke detection with reduced cost and discomfort compared to other measuring techniques.
Stroke is a leading cause of disabilities in adults and the elderly which can result in numerous social or economic difficulties. If left untreated, stroke can lead to death. In most cases, patients with stroke have been observed to have abnormal bio-signals (i.e., ECG). Therefore, if individuals are monitored and have their bio-signals measured and accurately assessed in real-time, they can receive appropriate treatment quickly. However, most diagnosis and prediction systems for stroke are image analysis tools such as CT or MRI, which are expensive and difficult to use for real-time diagnosis. In this paper, we developed a stroke prediction system that detects stroke using real-time bio-signals with artificial intelligence (AI). Both machine learning (Random Forest) and deep learning (Long Short-Term Memory) algorithms were used in our system. EMG (Electromyography) bio-signals were collected in real time from thighs and calves, after which the important features were extracted, and prediction models were developed based on everyday activities. Prediction accuracies of 90.38% for Random Forest and of 98.958% for LSTM were obtained for our proposed system. This system can be considered an alternative, low-cost, real-time diagnosis system that can obtain accurate stroke prediction and can potentially be used for other diseases such as heart disease.
Since stroke disease often causes death or serious disability, active primary prevention and early detection of prognostic symptoms are very important. Stroke diseases can be divided into ischemic stroke and hemorrhagic stroke, and they should be minimized by emergency treatment such as thrombolytic or coagulant administration by type. First, it is essential to detect in real time the precursor symptoms of stroke, which occur differently for each individual, and to provide professional treatment by a medical institution within the proper treatment window. However, prior studies have focused on developing acute treatment or clinical treatment guidelines after the onset of stroke rather than detecting the prognostic symptoms of stroke. In particular, in recent studies, image analysis such as magnetic resonance imaging (MRI) or computed tomography (CT) has mostly been used to detect and predict prognostic symptoms in stroke patients. Not only are these methodologies difficult to diagnose early in real-time, but they also have limitations in terms of a long test time and a high cost of testing. In this paper, we propose a system that can predict and semantically interpret stroke prognostic symptoms based on machine learning using the multi-modal bio-signals of electrocardiogram (ECG) and photoplethysmography (PPG) measured in real-time for the elderly. To predict stroke disease in real-time while walking, we designed and implemented a stroke disease prediction system with an ensemble structure that combines CNN and LSTM. The proposed system considers the convenience of wearing the bio-signal sensors for the elderly, and the bio-signals were collected at a sampling rate of 1,000Hz per second from the three electrodes of the ECG and the index finger for PPG while walking. According to the experimental results, C4.5 decision tree showed a prediction accuracy of 91.56% while RandomForest showed a prediction accuracy of 97.51% during walking by the elderly. In addition, the CNN-LSTM model using raw data of ECG and PPG showed satisfactory prediction accuracy of 99.15%. As a result, the real-time prediction of the elderly stroke patients simultaneously showed high prediction accuracy and performance.
Although access control based on human face recognition has become popular in consumer applications, it still has several implementation issues before it can realize a stand-alone access control system. Owing to a lack of computational resources, lightweight and computationally efficient face recognition algorithms are required. The conventional access control systems require significant active cooperation from the users despite its non-aggressive nature. The lighting/illumination change is one of the most difficult and challenging problems for human-face-recognition-based access control applications. This paper presents the design and implementation of a user-friendly, stand-alone access control system based on human face recognition at a distance. The local binary pattern (LBP)-AdaBoost framework was employed for face and eyes detection, which is fast and invariant to illumination changes. It can detect faces and eyes of varied sizes at a distance. For fast face recognition with a high accuracy, the Gabor-LBP histogram framework was modified by substituting the Gabor wavelet with Gaussian derivative filters, which reduced the facial feature size by 40% of the Gabor-LBP-based facial features, and was robust to significant illumination changes and complicated backgrounds. The experiments on benchmark datasets produced face recognition accuracies of 97.27% on an E-face dataset and 99.06% on an XM2VTS dataset, respectively. The system achieved a 91.5% true acceptance rate with a 0.28% false acceptance rate and averaged a 5.26 frames/sec processing speed on a newly collected face image and video dataset in an indoor office environment.
Recently, with the rapid change to an aging society and the increased interest in healthcare, disease prediction and management through various healthcare devices and services is attracting much attention. In particular, stroke, represented by cerebrovascular disease, is a very dangerous disease, in which death or mental and physical aftereffects are very large in adults and the elderly. The sequelae of such stroke diseases are very dangerous, because they make social and economic activities difficult. In this paper, we propose a new system to prediction and in-depth analysis stroke severity of elderly over 65 years based on the National Institutes of Health Stroke Scale (NIHSS). In addition, we use the algorithm of decision tree of C4.5, which is a methodology of prediction and analysis of machine learning techniques. The C4.5 decision trees are machine learning algorithms that provide additional in-depth rules of the execution mechanism and semantic interpretation analysis. Finally, in this paper, it is verified that the C4.5 decision tree algorithm can be used to classify and predict stroke severity, and to obtain additional NIHSS features reduction effects. Therefore, during the operation of an actual system, the proposed model uses only 13 features out of the 18 stroke scale features, including age, so that it can provide faster and more accurate service support. Experimental results show that the system enables this by reducing the patient NIH stroke scale measurement time and making the operation more efficient, with an overall accuracy, using the C4.5 decision tree algorithm, of 91.11%.
Stroke is the third highest cause of death worldwide after cancer and heart disease, and the number of stroke diseases due to aging is set to at least triple by 2030. As the top three causes of death worldwide are all related to chronic disease, the importance of healthcare is increasing even more. Models that can predict real-time health conditions and diseases using various healthcare services are attracting increasing attention. Most diagnosis and prediction methods of stroke for the elderly involve imaging techniques such as magnetic resonance imaging (MRI). It is difficult to rapidly and accurately diagnose and predict stroke diseases due to the long testing times and high costs associated with MRI. Thus, in this paper, we design and implement a health monitoring system that can predict the precursors of stroke diseases in the elderly in real time during daily walking. First, raw electroencephalography (EEG) data from six channels were preprocessed via Fast Fourier Transform (FFT). The raw EEG power values were then extracted from the raw spectra: alpha (), beta (), gamma (), delta (), and theta () as well as the low , high , and to ratio, respectively. The experiments in this paper confirm that the important features of EEG biometric signals alone during walking can accurately determine stroke precursors and occurrence in the elderly with more than 90% accuracy. Further, the Random Forest algorithm with quartiles and Z-score normalization validates the clinical significance and performance of the system proposed in this paper with a 92.51% stroke prediction accuracy. The proposed system can be implemented at a low cost, and it can be applied for early disease detection and prediction using the precursor symptoms of real-time stroke. Furthermore, it is expected that it will be able to detect other diseases such as cancer and heart disease in the future.