AI Standardized Patient Improves Human Conversations in Advanced Cancer Care

Serious illness communication (SIC) in end-of-life care faces challenges such as emotional stress, cultural barriers, and balancing hope with honesty. Despite its importance, one of the few available ways for clinicians to practice SIC is with standardized patients, which is expensive, time-consuming, and inflexible. In this paper, we present SOPHIE, an AI-powered standardized patient simulation and automated feedback system. SOPHIE combines large language models (LLMs), a lifelike virtual avatar, and automated, personalized feedback based on clinical literature to provide remote, on-demand SIC training. In a randomized control study with healthcare students and professionals, SOPHIE users demonstrated significant improvement across three critical SIC domains: Empathize, Be Explicit, and Empower. These results suggest that AI-driven tools can enhance complex interpersonal communication skills, offering scalable, accessible solutions to address a critical gap in clinician education.

AI Can Enhance Creativity in Social Networks

Can peer recommendation engines elevate people's creative performances in self-organizing social networks? Answering this question requires resolving challenges in data collection (e.g., tracing inspiration links and psycho-social attributes of nodes) and intervention design (e.g., balancing idea stimulation and redundancy in evolving information environments). We trained a model that predicts people's ideation performances using semantic and network-structural features in an online platform. Using this model, we built SocialMuse, which maximizes people's predicted performances to generate peer recommendations for them. We found treatment networks leveraging SocialMuse outperforming AI-agnostic control networks in several creativity measures. The treatment networks were more decentralized than the control, as SocialMuse increasingly emphasized network-structural features at large network sizes. This decentralization spreads people's inspiration sources, helping inspired ideas stand out better. Our study provides actionable insights into building intelligent systems for elevating creativity.

Accessible, At-Home Detection of Parkinson's Disease via Multi-task Video Analysis

Limited access to neurological care leads to missed diagnoses of Parkinson's disease (PD), leaving many individuals unidentified and untreated. We trained a novel neural network-based fusion architecture to detect Parkinson's disease (PD) by analyzing features extracted from webcam recordings of three tasks: finger tapping, facial expression (smiling), and speech (uttering a sentence containing all letters of the alphabet). Additionally, the model incorporated Monte Carlo Dropout to improve prediction accuracy by considering uncertainties. The study participants (n = 845, 272 with PD) were randomly split into three sets: 60% for training, 20% for model selection (hyper-parameter tuning), and 20% for final performance evaluation. The dataset consists of 1102 sessions, each session containing videos of all three tasks. Our proposed model achieved significantly better accuracy, area under the ROC curve (AUROC), and sensitivity at non-inferior specificity compared to any single-task model. Withholding uncertain predictions further boosted the performance, achieving 88.0% (95% CI: 87.7% - 88.4%) accuracy, 93.0% (92.8% - 93.2%) AUROC, 79.3% (78.4% - 80.2%) sensitivity, and 92.6% (92.3% - 92.8%) specificity, at the expense of not being able to predict for 2.3% (2.0% - 2.6%) data. Further analysis suggests that the trained model does not exhibit any detectable bias across sex and ethnic subgroups and is most effective for individuals aged between 50 and 80. This accessible, low-cost approach requiring only an internet-enabled device with a webcam and microphone paves the way for convenient PD screening at home, particularly in regions with limited access to clinical specialists.

Hi5: 2D Hand Pose Estimation with Zero Human Annotation

We propose a new large synthetic hand pose estimation dataset, Hi5, and a novel inexpensive method for collecting high-quality synthetic data that requires no human annotation or validation. Leveraging recent advancements in computer graphics, high-fidelity 3D hand models with diverse genders and skin colors, and dynamic environments and camera movements, our data synthesis pipeline allows precise control over data diversity and representation, ensuring robust and fair model training. We generate a dataset with 583,000 images with accurate pose annotation using a single consumer PC that closely represents real-world variability. Pose estimation models trained with Hi5 perform competitively on real-hand benchmarks while surpassing models trained with real data when tested on occlusions and perturbations. Our experiments show promising results for synthetic data as a viable solution for data representation problems in real datasets. Overall, this paper provides a promising new approach to synthetic data creation and annotation that can reduce costs and increase the diversity and quality of data for hand pose estimation.

PULSAR: Graph based Positive Unlabeled Learning with Multi Stream Adaptive Convolutions for Parkinson's Disease Recognition

Parkinson's disease (PD) is a neuro-degenerative disorder that affects movement, speech, and coordination. Timely diagnosis and treatment can improve the quality of life for PD patients. However, access to clinical diagnosis is limited in low and middle income countries (LMICs). Therefore, development of automated screening tools for PD can have a huge social impact, particularly in the public health sector. In this paper, we present PULSAR, a novel method to screen for PD from webcam-recorded videos of the finger-tapping task from the Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS). PULSAR is trained and evaluated on data collected from 382 participants (183 self-reported as PD patients). We used an adaptive graph convolutional neural network to dynamically learn the spatio temporal graph edges specific to the finger-tapping task. We enhanced this idea with a multi stream adaptive convolution model to learn features from different modalities of data critical to detect PD, such as relative location of the finger joints, velocity and acceleration of tapping. As the labels of the videos are self-reported, there could be cases of undiagnosed PD in the non-PD labeled samples. We leveraged the idea of Positive Unlabeled (PU) Learning that does not need labeled negative data. Our experiments show clear benefit of modeling the problem in this way. PULSAR achieved 80.95% accuracy in validation set and a mean accuracy of 71.29% (2.49% standard deviation) in independent test, despite being trained with limited amount of data. This is specially promising as labeled data is scarce in health care sector. We hope PULSAR will make PD screening more accessible to everyone. The proposed techniques could be extended for assessment of other movement disorders, such as ataxia, and Huntington's disease.

PARK: Parkinson's Analysis with Remote Kinetic-tasks

We present a web-based framework to screen for Parkinson's disease (PD) by allowing users to perform neurological tests in their homes. Our web framework guides the users to complete three tasks involving speech, facial expression, and finger movements. The task videos are analyzed to classify whether the users show signs of PD. We present the results in an easy-to-understand manner, along with personalized resources to further access to treatment and care. Our framework is accessible by any major web browser, improving global access to neurological care.

SAPIEN: Affective Virtual Agents Powered by Large Language Models

In this demo paper, we introduce SAPIEN, a platform for high-fidelity virtual agents driven by large language models that can hold open domain conversations with users in 13 different languages, and display emotions through facial expressions and voice. The platform allows users to customize their virtual agent's personality, background, and conversation premise, thus providing a rich, immersive interaction experience. Furthermore, after the virtual meeting, the user can choose to get the conversation analyzed and receive actionable feedback on their communication skills. This paper illustrates an overview of the platform and discusses the various application domains of this technology, ranging from entertainment to mental health, communication training, language learning, education, healthcare, and beyond. Additionally, we consider the ethical implications of such realistic virtual agent representations and the potential challenges in ensuring responsible use.

Unmasking Parkinson's Disease with Smile: An AI-enabled Screening Framework

Parkinson's disease (PD) diagnosis remains challenging due to lacking a reliable biomarker and limited access to clinical care. In this study, we present an analysis of the largest video dataset containing micro-expressions to screen for PD. We collected 3,871 videos from 1,059 unique participants, including 256 self-reported PD patients. The recordings are from diverse sources encompassing participants' homes across multiple countries, a clinic, and a PD care facility in the US. Leveraging facial landmarks and action units, we extracted features relevant to Hypomimia, a prominent symptom of PD characterized by reduced facial expressions. An ensemble of AI models trained on these features achieved an accuracy of 89.7% and an Area Under the Receiver Operating Characteristic (AUROC) of 89.3% while being free from detectable bias across population subgroups based on sex and ethnicity on held-out data. Further analysis reveals that features from the smiling videos alone lead to comparable performance, even on two external test sets the model has never seen during training, suggesting the potential for PD risk assessment from smiling selfie videos.

Using AI to Measure Parkinson's Disease Severity at Home

We present an artificial intelligence system to remotely assess the motor performance of individuals with Parkinson's disease (PD). Participants performed a motor task (i.e., tapping fingers) in front of a webcam, and data from 250 global participants were rated by three expert neurologists following the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The neurologists' ratings were highly reliable, with an intra-class correlation coefficient (ICC) of 0.88. We developed computer algorithms to obtain objective measurements that align with the MDS-UPDRS guideline and are strongly correlated with the neurologists' ratings. Our machine learning model trained on these measures outperformed an MDS-UPDRS certified rater, with a mean absolute error (MAE) of 0.59 compared to the rater's MAE of 0.79. However, the model performed slightly worse than the expert neurologists (0.53 MAE). The methodology can be replicated for similar motor tasks, providing the possibility of evaluating individuals with PD and other movement disorders remotely, objectively, and in areas with limited access to neurological care.

TextMI: Textualize Multimodal Information for Integrating Non-verbal Cues in Pre-trained Language Models

Pre-trained large language models have recently achieved ground-breaking performance in a wide variety of language understanding tasks. However, the same model can not be applied to multimodal behavior understanding tasks (e.g., video sentiment/humor detection) unless non-verbal features (e.g., acoustic and visual) can be integrated with language. Jointly modeling multiple modalities significantly increases the model complexity, and makes the training process data-hungry. While an enormous amount of text data is available via the web, collecting large-scale multimodal behavioral video datasets is extremely expensive, both in terms of time and money. In this paper, we investigate whether large language models alone can successfully incorporate non-verbal information when they are presented in textual form. We present a way to convert the acoustic and visual information into corresponding textual descriptions and concatenate them with the spoken text. We feed this augmented input to a pre-trained BERT model and fine-tune it on three downstream multimodal tasks: sentiment, humor, and sarcasm detection. Our approach, TextMI, significantly reduces model complexity, adds interpretability to the model's decision, and can be applied for a diverse set of tasks while achieving superior (multimodal sarcasm detection) or near SOTA (multimodal sentiment analysis and multimodal humor detection) performance. We propose TextMI as a general, competitive baseline for multimodal behavioral analysis tasks, particularly in a low-resource setting.