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Design and Mining of Health Information Systems for Process and Patient Care Improvement

Description

In healthcare facilities, health information systems (HISs) are used to serve different purposes. The radiology department adopts multiple HISs in managing their operations and patient care. In general, the HISs that touch radiology fall into two categories: tracking HISs and archive HISs. Electronic Health Records (EHR) is a typical tracking…

In healthcare facilities, health information systems (HISs) are used to serve different purposes. The radiology department adopts multiple HISs in managing their operations and patient care. In general, the HISs that touch radiology fall into two categories: tracking HISs and archive HISs. Electronic Health Records (EHR) is a typical tracking HIS, which tracks the care each patient receives at multiple encounters and facilities. Archive HISs are typically specialized databases to store large-size data collected as part of the patient care. A typical example of an archive HIS is the Picture Archive and Communication System (PACS), which provides economical storage and convenient access to diagnostic images from multiple modalities. How to integrate such HISs and best utilize their data remains a challenging problem due to the disparity of HISs as well as high-dimensionality and heterogeneity of the data. My PhD dissertation research includes three inter-connected and integrated topics and focuses on designing integrated HISs and further developing statistical models and machine learning algorithms for process and patient care improvement.

Topic 1: Design of super-HIS and tracking of quality of care (QoC). My research developed an information technology that integrates multiple HISs in radiology, and proposed QoC metrics defined upon the data that measure various dimensions of care. The DDD assisted the clinical practices and enabled an effective intervention for reducing lengthy radiologist turnaround times for patients.

Topic 2: Monitoring and change detection of QoC data streams for process improvement. With the super-HIS in place, high-dimensional data streams of QoC metrics are generated. I developed a statistical model for monitoring high- dimensional data streams that integrated Singular Vector Decomposition (SVD) and process control. The algorithm was applied to QoC metrics data, and additionally extended to another application of monitoring traffic data in communication networks.

Topic 3: Deep transfer learning of archive HIS data for computer-aided diagnosis (CAD). The novelty of the CAD system is the development of a deep transfer learning algorithm that combines the ideas of transfer learning and multi- modality image integration under the deep learning framework. Our system achieved high accuracy in breast cancer diagnosis compared with conventional machine learning algorithms.

ContributorsWang, Kun (Author) / Li, Jing (Thesis advisor) / Wu, Teresa (Committee member) / Pan, Rong (Committee member) / Zwart, Christine M. (Committee member) / Arizona State University (Publisher)

Created2018

Applying Industrial Engineering to Optimize Swim Stroke Economy

Description

The U.S. Navy and other amphibious military organizations utilize a derivation of the traditional side stroke called the Combat Side Stroke, or CSS, and tout it as the most efficient technique available. Citing its low aerobic requirements and slow yet powerful movements as superior to the traditionally-best front crawl (freestyle),…

The U.S. Navy and other amphibious military organizations utilize a derivation of the traditional side stroke called the Combat Side Stroke, or CSS, and tout it as the most efficient technique available. Citing its low aerobic requirements and slow yet powerful movements as superior to the traditionally-best front crawl (freestyle), the CSS is the go-to stroke for any operation in the water. The purpose of this thesis is to apply principles of Industrial Engineering to a real-world situation not typically approached from a perspective of optimization. I will analyze pre-existing data about various swim strokes in order to compare them in terms of efficiency for different variables. These variables include calories burned, speed, and strokes per unit distance, as well as their interactions. Calories will be measured by heart rate monitors, converting BPM to calories burned. Speed will be measured by stopwatch and observer. Strokes per unit distance will be measured by observer. The strokes to be analyzed include the breast stroke, crawl stroke, butterfly, and combat side stroke. The goal is to informally test the U.S. Navy's claim that the combat side stroke is the optimum stroke to conserve energy while covering distance. Because of limitations in the scope of the project, analysis will be done using data collected from literary sources rather than through experimentation. This thesis will include a design of experiment to test the findings here in practical study. The main method of analysis will be linear programming, followed by hypothesis testing, culminating in a design of experiment for future progress on this topic.

ContributorsGoodsell, Kevin Lewis (Author) / McCarville, Daniel R. (Thesis director) / Kashiwagi, Jacob (Committee member) / Industrial, Systems (Contributor) / Barrett, The Honors College (Contributor)

Created2014-12

Intervention Strategies for the DoD Acquisition Process Using Simulation

Description

The current Enterprise Requirements and Acquisition Model (ERAM), a discrete event simulation of the major tasks and decisions within the DoD acquisition system, identifies several what-if intervention strategies to improve program completion time. However, processes that contribute to the program acquisition completion time were not explicitly identified in the simulation…

The current Enterprise Requirements and Acquisition Model (ERAM), a discrete event simulation of the major tasks and decisions within the DoD acquisition system, identifies several what-if intervention strategies to improve program completion time. However, processes that contribute to the program acquisition completion time were not explicitly identified in the simulation study. This research seeks to determine the acquisition processes that contribute significantly to total simulated program time in the acquisition system for all programs reaching Milestone C. Specifically, this research examines the effect of increased scope management, technology maturity, and decreased variation and mean process times in post-Design Readiness Review contractor activities by performing additional simulation analyses. Potential policies are formulated from the results to further improve program acquisition completion time.

ContributorsWorger, Danielle Marie (Author) / Wu, Teresa (Thesis director) / Shunk, Dan (Committee member) / Wirthlin, J. Robert (Committee member) / Industrial, Systems (Contributor) / Barrett, The Honors College (Contributor)

Created2013-05

Statistical Analysis of Power Differences between Experimental Design Software Packages

Description

Based on findings of previous studies, there was speculation that two well-known experimental design software packages, JMP and Design Expert, produced varying power outputs given the same design and user inputs. For context and scope, another popular experimental design software package, Minitab® Statistical Software version 17, was added to the…

Based on findings of previous studies, there was speculation that two well-known experimental design software packages, JMP and Design Expert, produced varying power outputs given the same design and user inputs. For context and scope, another popular experimental design software package, Minitab® Statistical Software version 17, was added to the comparison. The study compared multiple test cases run on the three software packages with a focus on 2k and 3K factorial design and adjusting the standard deviation effect size, number of categorical factors, levels, number of factors, and replicates. All six cases were run on all three programs and were attempted to be run at one, two, and three replicates each. There was an issue at the one replicate stage, however—Minitab does not allow for only one replicate full factorial designs and Design Expert will not provide power outputs for only one replicate unless there are three or more factors. From the analysis of these results, it was concluded that the differences between JMP 13 and Design Expert 10 were well within the margin of error and likely caused by rounding. The differences between JMP 13, Design Expert 10, and Minitab 17 on the other hand indicated a fundamental difference in the way Minitab addressed power calculation compared to the latest versions of JMP and Design Expert. This was found to be likely a cause of Minitab’s dummy variable coding as its default instead of the orthogonal coding default of the other two. Although dummy variable and orthogonal coding for factorial designs do not show a difference in results, the methods affect the overall power calculations. All three programs can be adjusted to use either method of coding, but the exact instructions for how are difficult to find and thus a follow-up guide on changing the coding for factorial variables would improve this issue.

ContributorsArmstrong, Julia Robin (Author) / McCarville, Daniel R. (Thesis director) / Montgomery, Douglas (Committee member) / Industrial, Systems (Contributor, Contributor) / Barrett, The Honors College (Contributor)

Created2017-05

Modelling Megacities: An Approach to Modelling Dense Urban Area

Description

In 2010, for the first time in human history, more than half of the world's total population lived in cities; this number is expected to increase to 60% or more by 2050. The goal of this research effort is to create a comprehensive model and modelling framework for megacities, middleweight…

In 2010, for the first time in human history, more than half of the world's total population lived in cities; this number is expected to increase to 60% or more by 2050. The goal of this research effort is to create a comprehensive model and modelling framework for megacities, middleweight cities, and urban agglomerations, collectively referred to as dense urban areas. The motivation for this project comes from the United States Army's desire for readiness in all operating environments including dense urban areas. Though there is valuable insight in research to support Army operational behaviors, megacities are of unique interest to nearly every societal sector imaginable. A novel application for determining both main effects and interactive effects between factors within a dense urban area is a Design of Experiments- providing insight on factor causations. Regression Modelling can also be employed for analysis of dense urban areas, providing wide ranging insights into correlations between factors and their interactions. Past studies involving megacities concern themselves with general trend of cities and their operation. This study is unique in its efforts to model a singular megacity to enable decision support for military operational planning, as well as potential decision support to city planners to increase the sustainability of these dense urban areas and megacities.

ContributorsMathesen, Logan Michael (Author) / Zenzen, Frances (Thesis director) / Jennings, Cheryl (Committee member) / Industrial, Systems (Contributor) / Barrett, The Honors College (Contributor)

Created2016-05

The Applications of Deep Learning in Medical Imaging Diagnosis

Description

In this thesis, the applications of deep learning in the analysis, detection and classification of medical imaging datasets were studied, with a focus on datasets having a limited sample size. A combined machine learning-deep learning model was designed to classify one small dataset, prostate cancer provided by Mayo…

In this thesis, the applications of deep learning in the analysis, detection and classification of medical imaging datasets were studied, with a focus on datasets having a limited sample size. A combined machine learning-deep learning model was designed to classify one small dataset, prostate cancer provided by Mayo Clinic, Arizona. Deep learning model was implemented to extract imaging features followed by machine learning classifier for prostate cancer diagnosis. The results were compared against models trained on texture-based features, namely gray level co-occurrence matrix (GLCM) and Gabor. Some of the challenges of performing diagnosis on medical imaging datasets with limited sample sizes, have been identified. Lastly, a set of future works have been proposed. Keywords: Deep learning, radiology, transfer learning, convolutional neural network.

ContributorsSarkar, Suryadipto (Author) / Wu, Teresa (Thesis advisor) / Papandreou-Suppappola, Antonia (Committee member) / Silva, Alvin (Committee member) / Arizona State University (Publisher)

Created2021

Novel Computational Algorithms for Imaging Biomarker Identification

Description

Over the past few decades, medical imaging is becoming important in medicine for disease diagnosis, prognosis, treatment assessment and health monitoring. As medical imaging has progressed, imaging biomarkers are being rapidly developed for early diagnosis and staging of disease. Detecting and segmenting objects from images are often the first steps…

Over the past few decades, medical imaging is becoming important in medicine for disease diagnosis, prognosis, treatment assessment and health monitoring. As medical imaging has progressed, imaging biomarkers are being rapidly developed for early diagnosis and staging of disease. Detecting and segmenting objects from images are often the first steps in quantitative measurement of these biomarkers. While large objects can often be automatically or semi-automatically delineated, segmenting small objects (blobs) is challenging. The small object of particular interest in this dissertation are glomeruli from kidney magnetic resonance (MR) images. This problem has its unique challenges. First of all, the size of glomeruli is extremely small and very similar with noises from images. Second, there are massive of glomeruli in kidney, e.g. over 1 million glomeruli in human kidney, and the intensity distribution is heterogenous. A third recognized issue is that a large portion of glomeruli are overlapping and touched in images. The goal of this dissertation is to develop computational algorithms to identify and discover glomeruli related imaging biomarkers. The first phase is to develop a U-net joint with Hessian based Difference of Gaussians (UH-DoG) blob detector. Joining effort from deep learning alleviates the over-detection issue from Hessian analysis. Next, as extension of UH-DoG, a small blob detector using Bi-Threshold Constrained Adaptive Scales (BTCAS) is proposed. Deep learning is treated as prior of Difference of Gaussian (DoG) to improve its efficiency. By adopting BTCAS, under-segmentation issue of deep learning is addressed. The second phase is to develop a denoising convexity-consistent Blob Generative Adversarial Network (BlobGAN). BlobGAN could achieve high denoising performance and selectively denoise the image without affecting the blobs. These detectors are validated on datasets of 2D fluorescent images, 3D synthetic images, 3D MR (18 mice, 3 humans) images and proved to be outperforming the competing detectors. In the last phase, a Fréchet Descriptors Distance based Coreset approach (FDD-Coreset) is proposed for accelerating BlobGAN’s training. Experiments have shown that BlobGAN trained on FDD-Coreset not only significantly reduces the training time, but also achieves higher denoising performance and maintains approximate performance of blob identification compared with training on entire dataset.

ContributorsXu, Yanzhe (Author) / Wu, Teresa (Thesis advisor) / Iquebal, Ashif (Committee member) / Yan, Hao (Committee member) / Beeman, Scott (Committee member) / Arizona State University (Publisher)

Created2022

Novel Deep Learning Models for Medical Imaging Analysis

Description

Deep learning is a sub-field of machine learning in which models are developed to imitate the workings of the human brain in processing data and creating patterns for decision making. This dissertation is focused on developing deep learning models for medical imaging analysis of different modalities for different tasks including…

Deep learning is a sub-field of machine learning in which models are developed to imitate the workings of the human brain in processing data and creating patterns for decision making. This dissertation is focused on developing deep learning models for medical imaging analysis of different modalities for different tasks including detection, segmentation and classification. Imaging modalities including digital mammography (DM), magnetic resonance imaging (MRI), positron emission tomography (PET) and computed tomography (CT) are studied in the dissertation for various medical applications. The first phase of the research is to develop a novel shallow-deep convolutional neural network (SD-CNN) model for improved breast cancer diagnosis. This model takes one type of medical image as input and synthesizes different modalities for additional feature sources; both original image and synthetic image are used for feature generation. This proposed architecture is validated in the application of breast cancer diagnosis and proved to be outperforming the competing models. Motivated by the success from the first phase, the second phase focuses on improving medical imaging synthesis performance with advanced deep learning architecture. A new architecture named deep residual inception encoder-decoder network (RIED-Net) is proposed. RIED-Net has the advantages of preserving pixel-level information and cross-modality feature transferring. The applicability of RIED-Net is validated in breast cancer diagnosis and Alzheimer’s disease (AD) staging. Recognizing medical imaging research often has multiples inter-related tasks, namely, detection, segmentation and classification, my third phase of the research is to develop a multi-task deep learning model. Specifically, a feature transfer enabled multi-task deep learning model (FT-MTL-Net) is proposed to transfer high-resolution features from segmentation task to low-resolution feature-based classification task. The application of FT-MTL-Net on breast cancer detection, segmentation and classification using DM images is studied. As a continuing effort on exploring the transfer learning in deep models for medical application, the last phase is to develop a deep learning model for both feature transfer and knowledge from pre-training age prediction task to new domain of Mild cognitive impairment (MCI) to AD conversion prediction task. It is validated in the application of predicting MCI patients’ conversion to AD with 3D MRI images.

ContributorsGao, Fei (Author) / Wu, Teresa (Thesis advisor) / Li, Jing (Committee member) / Yan, Hao (Committee member) / Patel, Bhavika (Committee member) / Arizona State University (Publisher)

Created2019

Outlier-Aware Applications in High-Dimensional Industrial Systems

Description

High-dimensional data is omnipresent in modern industrial systems. An imaging sensor in a manufacturing plant a can take images of millions of pixels or a sensor may collect months of data at very granular time steps. Dimensionality reduction techniques are commonly used for dealing with such data. In addition, outliers…

High-dimensional data is omnipresent in modern industrial systems. An imaging sensor in a manufacturing plant a can take images of millions of pixels or a sensor may collect months of data at very granular time steps. Dimensionality reduction techniques are commonly used for dealing with such data. In addition, outliers typically exist in such data, which may be of direct or indirect interest given the nature of the problem that is being solved. Current research does not address the interdependent nature of dimensionality reduction and outliers. Some works ignore the existence of outliers altogether—which discredits the robustness of these methods in real life—while others provide suboptimal, often band-aid solutions. In this dissertation, I propose novel methods to achieve outlier-awareness in various dimensionality reduction methods. The problem is considered from many different angles depend- ing on the dimensionality reduction technique used (e.g., deep autoencoder, tensors), the nature of the application (e.g., manufacturing, transportation) and the outlier structure (e.g., sparse point anomalies, novelties).

ContributorsSergin, Nurettin Dorukhan (Author) / Yan, Hao (Thesis advisor) / Li, Jing (Committee member) / Wu, Teresa (Committee member) / Tsung, Fugee (Committee member) / Arizona State University (Publisher)

Created2021

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