DICODerma: A practical approach for metadata management of images in dermatology

Clinical images are vital for diagnosing and monitoring skin diseases, and their importance has increased with the growing popularity of machine learning. Lack of standards has stifled innovation in dermatological imaging, unlike other image-intensive specialties such as radiology. We investigate the meta-requirements for utilizing the popular DICOM standard for metadata management of images in dermatology. We propose practical design solutions and provide open-source tools to integrate dermatologists' workflow with enterprise imaging systems. Using the tool, dermatologists can tag, search, organize and convert clinical images to the DICOM format. We believe that our less disruptive approach will improve the adoption of standards in the specialty.

Serverless on FHIR: Deploying machine learning models for healthcare on the cloud

Machine Learning (ML) plays a vital role in implementing digital health. The advances in hardware and the democratization of software tools have revolutionized machine learning. However, the deployment of ML models -- the mathematical representation of the task to be performed -- for effective and efficient clinical decision support at the point of care is still a challenge. ML models undergo constant improvement of their accuracy and predictive power with a high turnover rate. Updating models consumed by downstream health information systems is essential for patient safety. We introduce a functional taxonomy and a four-tier architecture for cloud-based model deployment for digital health. The four tiers are containerized microservices for maintainability, serverless architecture for scalability, function as a service for portability and FHIR schema for discoverability. We call this architecture Serverless on FHIR and propose this as a standard to deploy digital health applications that can be consumed by downstream systems such as EMRs and visualization tools.

QRMine: A python package for triangulation in Grounded Theory

Grounded theory (GT) is a qualitative research method for building theory grounded in data. GT uses textual and numeric data and follows various stages of coding or tagging data for sense-making, such as open coding and selective coding. Machine Learning (ML) techniques, including natural language processing (NLP), can assist the researchers in the coding process. Triangulation is the process of combining various types of data. ML can facilitate deriving insights from numerical data for corroborating findings from the textual interview transcripts. We present an open-source python package (QRMine) that encapsulates various ML and NLP libraries to support coding and triangulation in GT. QRMine enables researchers to use these methods on their data with minimal effort. Researchers can install QRMine from the python package index (PyPI) and can contribute to its development. We believe that the concept of computational triangulation will make GT relevant in the realm of big data.