Towards Open Respiratory Acoustic Foundation Models: Pretraining and Benchmarking

Respiratory audio, such as coughing and breathing sounds, has predictive power for a wide range of healthcare applications, yet is currently under-explored. The main problem for those applications arises from the difficulty in collecting large labeled task-specific data for model development. Generalizable respiratory acoustic foundation models pretrained with unlabeled data would offer appealing advantages and possibly unlock this impasse. However, given the safety-critical nature of healthcare applications, it is pivotal to also ensure openness and replicability for any proposed foundation model solution. To this end, we introduce OPERA, an OPEn Respiratory Acoustic foundation model pretraining and benchmarking system, as the first approach answering this need. We curate large-scale respiratory audio datasets (~136K samples, 440 hours), pretrain three pioneering foundation models, and build a benchmark consisting of 19 downstream respiratory health tasks for evaluation. Our pretrained models demonstrate superior performance (against existing acoustic models pretrained with general audio on 16 out of 19 tasks) and generalizability (to unseen datasets and new respiratory audio modalities). This highlights the great promise of respiratory acoustic foundation models and encourages more studies using OPERA as an open resource to accelerate research on respiratory audio for health. The system is accessible from https://github.com/evelyn0414/OPERA.

FLea: Addressing Data Scarcity and Label Skew in Federated Learning via Privacy-preserving Feature Augmentation

Federated Learning (FL) enables model development by leveraging data distributed across numerous edge devices without transferring local data to a central server. However, existing FL methods still face challenges when dealing with scarce and label-skewed data across devices, resulting in local model overfitting and drift, consequently hindering the performance of the global model. In response to these challenges, we propose a pioneering framework called FLea, incorporating the following key components: i) A global feature buffer that stores activation-target pairs shared from multiple clients to support local training. This design mitigates local model drift caused by the absence of certain classes; ii) A feature augmentation approach based on local and global activation mix-ups for local training. This strategy enlarges the training samples, thereby reducing the risk of local overfitting; iii) An obfuscation method to minimize the correlation between intermediate activations and the source data, enhancing the privacy of shared features. To verify the superiority of FLea, we conduct extensive experiments using a wide range of data modalities, simulating different levels of local data scarcity and label skew. The results demonstrate that FLea consistently outperforms state-of-the-art FL counterparts (among 13 of the experimented 18 settings, the improvement is over 5% while concurrently mitigating the privacy vulnerabilities associated with shared features. Code is available at https://github.com/XTxiatong/FLea.git.

FLea: Improving federated learning on scarce and label-skewed data via privacy-preserving feature augmentation

Learning a global model by abstracting the knowledge, distributed across multiple clients, without aggregating the raw data is the primary goal of Federated Learning (FL). Typically, this works in rounds alternating between parallel local training at several clients, followed by model aggregation at a server. We found that existing FL methods under-perform when local datasets are small and present severe label skew as these lead to over-fitting and local model bias. This is a realistic setting in many real-world applications. To address the problem, we propose \textit{FLea}, a unified framework that tackles over-fitting and local bias by encouraging clients to exchange privacy-protected features to aid local training. The features refer to activations from an intermediate layer of the model, which are obfuscated before being shared with other clients to protect sensitive information in the data. \textit{FLea} leverages a novel way of combining local and shared features as augmentations to enhance local model learning. Our extensive experiments demonstrate that \textit{FLea} outperforms the start-of-the-art FL methods, sharing only model parameters, by up to $17.6\%$, and FL methods that share data augmentations by up to $6.3\%$, while reducing the privacy vulnerability associated with shared data augmentations.

Devil in the Landscapes: Inferring Epidemic Exposure Risks from Street View Imagery

Built environment supports all the daily activities and shapes our health. Leveraging informative street view imagery, previous research has established the profound correlation between the built environment and chronic, non-communicable diseases; however, predicting the exposure risk of infectious diseases remains largely unexplored. The person-to-person contacts and interactions contribute to the complexity of infectious disease, which is inherently different from non-communicable diseases. Besides, the complex relationships between street view imagery and epidemic exposure also hinder accurate predictions. To address these problems, we construct a regional mobility graph informed by the gravity model, based on which we propose a transmission-aware graph convolutional network (GCN) to capture disease transmission patterns arising from human mobility. Experiments show that the proposed model significantly outperforms baseline models by 8.54% in weighted F1, shedding light on a low-cost, scalable approach to assess epidemic exposure risks from street view imagery.

FairComp: Workshop on Fairness and Robustness in Machine Learning for Ubiquitous Computing

How can we ensure that Ubiquitous Computing (UbiComp) research outcomes are both ethical and fair? While fairness in machine learning (ML) has gained traction in recent years, fairness in UbiComp remains unexplored. This workshop aims to discuss fairness in UbiComp research and its social, technical, and legal implications. From a social perspective, we will examine the relationship between fairness and UbiComp research and identify pathways to ensure that ubiquitous technologies do not cause harm or infringe on individual rights. From a technical perspective, we will initiate a discussion on data practices to develop bias mitigation approaches tailored to UbiComp research. From a legal perspective, we will examine how new policies shape our community's work and future research. We aim to foster a vibrant community centered around the topic of responsible UbiComp, while also charting a clear path for future research endeavours in this field.

Cross-device Federated Learning for Mobile Health Diagnostics: A First Study on COVID-19 Detection

Federated learning (FL) aided health diagnostic models can incorporate data from a large number of personal edge devices (e.g., mobile phones) while keeping the data local to the originating devices, largely ensuring privacy. However, such a cross-device FL approach for health diagnostics still imposes many challenges due to both local data imbalance (as extreme as local data consists of a single disease class) and global data imbalance (the disease prevalence is generally low in a population). Since the federated server has no access to data distribution information, it is not trivial to solve the imbalance issue towards an unbiased model. In this paper, we propose FedLoss, a novel cross-device FL framework for health diagnostics. Here the federated server averages the models trained on edge devices according to the predictive loss on the local data, rather than using only the number of samples as weights. As the predictive loss better quantifies the data distribution at a device, FedLoss alleviates the impact of data imbalance. Through a real-world dataset on respiratory sound and symptom-based COVID-$19$ detection task, we validate the superiority of FedLoss. It achieves competitive COVID-$19$ detection performance compared to a centralised model with an AUC-ROC of $79\%$. It also outperforms the state-of-the-art FL baselines in sensitivity and convergence speed. Our work not only demonstrates the promise of federated COVID-$19$ detection but also paves the way to a plethora of mobile health model development in a privacy-preserving fashion.

CholecTriplet2021: A benchmark challenge for surgical action triplet recognition

Context-aware decision support in the operating room can foster surgical safety and efficiency by leveraging real-time feedback from surgical workflow analysis. Most existing works recognize surgical activities at a coarse-grained level, such as phases, steps or events, leaving out fine-grained interaction details about the surgical activity; yet those are needed for more helpful AI assistance in the operating room. Recognizing surgical actions as triplets of <instrument, verb, target> combination delivers comprehensive details about the activities taking place in surgical videos. This paper presents CholecTriplet2021: an endoscopic vision challenge organized at MICCAI 2021 for the recognition of surgical action triplets in laparoscopic videos. The challenge granted private access to the large-scale CholecT50 dataset, which is annotated with action triplet information. In this paper, we present the challenge setup and assessment of the state-of-the-art deep learning methods proposed by the participants during the challenge. A total of 4 baseline methods from the challenge organizers and 19 new deep learning algorithms by competing teams are presented to recognize surgical action triplets directly from surgical videos, achieving mean average precision (mAP) ranging from 4.2% to 38.1%. This study also analyzes the significance of the results obtained by the presented approaches, performs a thorough methodological comparison between them, in-depth result analysis, and proposes a novel ensemble method for enhanced recognition. Our analysis shows that surgical workflow analysis is not yet solved, and also highlights interesting directions for future research on fine-grained surgical activity recognition which is of utmost importance for the development of AI in surgery.

A Summary of the ComParE COVID-19 Challenges

The COVID-19 pandemic has caused massive humanitarian and economic damage. Teams of scientists from a broad range of disciplines have searched for methods to help governments and communities combat the disease. One avenue from the machine learning field which has been explored is the prospect of a digital mass test which can detect COVID-19 from infected individuals' respiratory sounds. We present a summary of the results from the INTERSPEECH 2021 Computational Paralinguistics Challenges: COVID-19 Cough, (CCS) and COVID-19 Speech, (CSS).

Benchmarking Uncertainty Quantification on Biosignal Classification Tasks under Dataset Shift

A biosignal is a signal that can be continuously measured from human bodies, such as respiratory sounds, heart activity (ECG), brain waves (EEG), etc, based on which, machine learning models have been developed with very promising performance for automatic disease detection and health status monitoring. However, dataset shift, i.e., data distribution of inference varies from the distribution of the training, is not uncommon for real biosignal-based applications. To improve the robustness, probabilistic models with uncertainty quantification are adapted to capture how reliable a prediction is. Yet, assessing the quality of the estimated uncertainty remains a challenge. In this work, we propose a framework to evaluate the capability of the estimated uncertainty in capturing different types of biosignal dataset shifts with various degrees. In particular, we use three classification tasks based on respiratory sounds and electrocardiography signals to benchmark five representative uncertainty quantification methods. Extensive experiments show that, although Ensemble and Bayesian models could provide relatively better uncertainty estimations under dataset shifts, all tested models fail to meet the promise in trustworthy prediction and model calibration. Our work paves the way for a comprehensive evaluation for any newly developed biosignal classifiers.

COVID-19 Disease Progression Prediction via Audio Signals: A Longitudinal Study

Recent work has shown the potential of the use of audio data in screening for COVID-19. However, very little exploration has been done of monitoring disease progression, especially recovery in COVID-19 through audio. Tracking disease progression characteristics and patterns of recovery could lead to tremendous insights and more timely treatment or treatment adjustment, as well as better resources management in health care systems. The primary objective of this study is to explore the potential of longitudinal audio dynamics for COVID-19 monitoring using sequential deep learning techniques, focusing on prediction of disease progression and, especially, recovery trend prediction. We analysed crowdsourced respiratory audio data from 212 individuals over 5 days to 385 days, alongside their self-reported COVID-19 test results. We first explore the benefits of capturing longitudinal dynamics of audio biomarkers for COVID-19 detection. The strong performance, yielding an AUC-ROC of 0.79, sensitivity of 0.75 and specificity of 0.70, supports the effectiveness of the approach compared to methods that do not leverage longitudinal dynamics. We further examine the predicted disease progression trajectory, which displays high consistency with the longitudinal test results with a correlation of 0.76 in the test cohort, and 0.86 in a subset of the test cohort with 12 participants who report disease recovery. Our findings suggest that monitoring COVID-19 progression via longitudinal audio data has enormous potential in the tracking of individuals' disease progression and recovery.