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Automated exposure notification for COVID-19

February 14, 2023
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Technical Report
Author:
Ronald L. Rivest
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Published in:
MIT Lincoln Laboratory Report TR-1288
Topic:
health
R&D area:
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Summary

Private Automated Contact Tracing (PACT) was a collaborative team and effort formed during the beginning of the Coronavirus Disease 2019 (COVID-19) pandemic. PACT's mission was to enhance contact tracing in pandemic response by designing exposure-detection functions in personal digital communication devices that have maximal public health utility while preserving privacy. This report explains and discusses the use of automated exposure notification during the COVID-19 pandemic and to provide some recommendations for those who may try to design and deploy similar technologies in future pandemics.
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Summary

Private Automated Contact Tracing (PACT) was a collaborative team and effort formed during the beginning of the Coronavirus Disease 2019 (COVID-19) pandemic. PACT's mission was to enhance contact tracing in pandemic response by designing exposure-detection functions in personal digital communication devices that have maximal public health utility while preserving privacy...

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Automated exposure notification for COVID-19

Predicting ankle moment trajectory with adaptive weighted ensemble of LSTM network

November 1, 2022
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Conference Paper
Author:
Emilia Anna Grzesiak
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Published in:
2022 IEEE High Perf. Extreme Comp. Conf. (HPEC), 19-23 September 2022, DOI: 10.1109/HPEC55821.2022.9926370.
Topic:
biomedical
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Summary

Estimations of ankle moments can provide clinically helpful information on the function of lower extremities and further lead to insight on patient rehabilitation and assistive wearable exoskeleton design. Current methods for estimating ankle moments leave room for improvement, with most recent cutting-edge methods relying on machine learning models trained on wearable sEMG and IMU data. While machine learning eliminates many practical challenges that troubled more traditional human body models for this application, we aim to expand on prior work that showed the feasibility of using LSTM models by employing an ensemble of LSTM networks. We present an adaptive weighted LSTM ensemble network and demonstrate its performance during standing, walking, running, and sprinting. Our result show that the LSTM ensemble outperformed every single LSTM model component within the ensemble. Across every activity, the ensemble reduced median root mean squared error (RMSE) by 0.0017-0.0053 N. m/kg, which is 2.7 – 10.3% lower than the best performing single LSTM model. Hypothesis testing revealed that most reductions in RMSE were statistically significant between the ensemble and other single models across all activities and subjects. Future work may analyze different trajectory lengths and different combinations of LSTM submodels within the ensemble.
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Summary

Estimations of ankle moments can provide clinically helpful information on the function of lower extremities and further lead to insight on patient rehabilitation and assistive wearable exoskeleton design. Current methods for estimating ankle moments leave room for improvement, with most recent cutting-edge methods relying on machine learning models trained on...

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Predicting ankle moment trajectory with adaptive weighted ensemble of LSTM network

Multimodal physiological monitoring during virtual reality piloting tasks

August 25, 2022
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Journal Article
Author:
Hrishikesh Mohan Rao
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Published in:
Multimodal Physiological Monitoring During Virtual Reality Piloting Tasks (version 1.0.0). PhysioNet. https://doi-org.ezproxy.canberra.edu.au/10.13026/azwa-ge48.
Topic:
health
R&D area:
R&D group:

Summary

This dataset includes multimodal physiologic, flight performance, and user interaction data streams, collected as participants performed virtual flight tasks of varying difficulty. In virtual reality, individuals flew an "Instrument Landing System" (ILS) protocol, in which they had to land an aircraft mostly relying on the cockpit instrument readings. Participants were presented with four levels of difficulty, which were generated by varying wind speed, turbulence, and visibility. Each of the participants performed 12 runs, split into 3 blocks of four consecutive runs, one run at each difficulty, in a single experimental session. The sequence of difficulty levels was presented in a counterbalanced manner across blocks. Flight performance was quantified as a function of horizontal and vertical deviation from an ideal path towards the runway as well as deviation from the prescribed ideal speed of 115 knots. Multimodal physiological signals were aggregated and synchronized using Lab Streaming Layer. Descriptions of data quality are provided to assess each data stream. The starter code provides examples of loading and plotting the time synchronized data streams, extracting sample features from the eye tracking data, and building models to predict pilot performance from the physiology data streams.
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Summary

This dataset includes multimodal physiologic, flight performance, and user interaction data streams, collected as participants performed virtual flight tasks of varying difficulty. In virtual reality, individuals flew an "Instrument Landing System" (ILS) protocol, in which they had to land an aircraft mostly relying on the cockpit instrument readings. Participants were...

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Multimodal physiological monitoring during virtual reality piloting tasks

Axon tracing and centerline detection using topologically-aware 3D U-nets

July 11, 2022
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Journal Article
Author:
Dylan S. Pollack
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Published in:
2022 44th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), 2022, pp. 238-242
Topic:
neural networks
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Summary

As advances in microscopy imaging provide an ever clearer window into the human brain, accurate reconstruction of neural connectivity can yield valuable insight into the relationship between brain structure and function. However, human manual tracing is a slow and laborious task, and requires domain expertise. Automated methods are thus needed to enable rapid and accurate analysis at scale. In this paper, we explored deep neural networks for dense axon tracing and incorporated axon topological information into the loss function with a goal to improve the performance on both voxel-based segmentation and axon centerline detection. We evaluated three approaches using a modified 3D U-Net architecture trained on a mouse brain dataset imaged with light sheet microscopy and achieved a 10% increase in axon tracing accuracy over previous methods. Furthermore, the addition of centerline awareness in the loss function outperformed the baseline approach across all metrics, including a boost in Rand Index by 8%.
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Summary

As advances in microscopy imaging provide an ever clearer window into the human brain, accurate reconstruction of neural connectivity can yield valuable insight into the relationship between brain structure and function. However, human manual tracing is a slow and laborious task, and requires domain expertise. Automated methods are thus needed...

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Axon tracing and centerline detection using topologically-aware 3D U-nets

Fun as a strategic advantage: applying lessons in engagement from commercial games to military logistics training

July 1, 2022
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Journal Article
Author:
Jesslyn D. Alekseyev
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Published in:
Train., Educ., Learn. Sci., Vol. 59, 2022, p. 180-7.
Topic:
serious games
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R&D group:

Summary

Digital games offer many elements to augment traditional classroom lectures and reading assignments. They enable players to explore concepts through repeat play in a low-risk environment, and allow players to integrate feedback given during gameplay and evaluate their own performance. Commercial games leverage a number of features to engage players and hold their attention. But do those engagement-improving methods have a place in instructional environments with a captive and motivated audience? Our experience building a logistics supply chain training game for the Marine Corps University suggests that yes; applying lessons in engagement from commercial games can both help improve player experience with the learning environment, and potentially improve learning outcomes.
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Summary

Digital games offer many elements to augment traditional classroom lectures and reading assignments. They enable players to explore concepts through repeat play in a low-risk environment, and allow players to integrate feedback given during gameplay and evaluate their own performance. Commercial games leverage a number of features to engage players...

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Fun as a strategic advantage: applying lessons in engagement from commercial games to military logistics training

Modeling probability of alert of Bluetooth low energy-based automatic exposure notifications

April 27, 2022
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Project Report
Author:
Gwendolyn V. Gettliffe
Published in:
MIT Lincoln Laboratory Report ACTA-4
Topic:
health
R&D area:
R&D group:

Summary

BLEMUR, or Bluetooth Low Energy Model of User Risk, is a model of the probability of alert at a given duration and distance of an index case for a specific configuration of settings for an Exposure Notification (EN) system.The Google-Apple EN framework operates in the duration and Bluetooth Low Energy (BLE) signal attenuation domains. However, many public health definitions of "exposure" to a disease are based upon the distance between an index case and another person. To bridge the conceptual gap for public health authorities (PHAs) from the familiar distance-and-duration space to the signal attenuation-and-duration space, BLEMUR uses BLE signal attenuation as a proxy for distance between people, albeit an imprecise one. This paper will discuss the EN settings that can be manipulated, the BLE data collected, how data support a model of the relationship between measured attenuation and distance between phones, and how BLEMUR calculates the probability of alert for a distance and duration based on the settings and data.
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Summary

BLEMUR, or Bluetooth Low Energy Model of User Risk, is a model of the probability of alert at a given duration and distance of an index case for a specific configuration of settings for an Exposure Notification (EN) system.The Google-Apple EN framework operates in the duration and Bluetooth Low Energy...

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Modeling probability of alert of Bluetooth low energy-based automatic exposure notifications

System analysis for responsible design of modern AI/ML systems

April 19, 2022
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Journal Article
Author:
Virginia Hafer Goodwin
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Published in:
arXiv, April 19, 2022.
Topic:
systems analysis
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Summary

The irresponsible use of ML algorithms in practical settings has received a lot of deserved attention in the recent years. We posit that the traditional system analysis perspective is needed when designing and implementing ML algorithms and systems. Such perspective can provide a formal way for evaluating and enabling responsible ML practices. In this paper, we review components of the System Analysis methodology and highlight how they connect and enable responsible practices of ML design.
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Summary

The irresponsible use of ML algorithms in practical settings has received a lot of deserved attention in the recent years. We posit that the traditional system analysis perspective is needed when designing and implementing ML algorithms and systems. Such perspective can provide a formal way for evaluating and enabling responsible...

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System analysis for responsible design of modern AI/ML systems

COVID-19 exposure notification in simulated real-world environments

April 15, 2022
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Project Report
Author:
Curran N. Schiefelbein
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Published in:
MIT Lincoln Laboratory Report ACTA-3
Topic:
bioengineering
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Summary

Privacy-preserving contact tracing mobile applications, such as those that use the Google-Apple Exposure Notification (GAEN) service, have the potential to limit the spread of COVID-19 in communities, but the privacy-preserving aspects of the protocol make it difficult to assess the performance of the apps in real-world populations. To address this gap, we exercised the CovidWatch app on both Android and iOS phones in a variety of scripted realworld scenarios, relevant to the lives of university students and employees. We collected exposure data from the app and from the lower-level Android service, and compared it to the phones' actual distances and durations of exposure, to assess the sensitivity and specificity of the GAEN service configuration as of February 2021. Based on the app's reported ExposureWindows and alerting thresholds for Low and High alerts, our assessment is that the chosen configuration is highly sensitive under a range of realistic scenarios and conditions. With this configuration, the app is likely to capture many long-duration encounters, even at distances greater than six feet, which may be desirable under conditions with increased risk of airborne transmission.
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Summary

Privacy-preserving contact tracing mobile applications, such as those that use the Google-Apple Exposure Notification (GAEN) service, have the potential to limit the spread of COVID-19 in communities, but the privacy-preserving aspects of the protocol make it difficult to assess the performance of the apps in real-world populations. To address this...

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COVID-19 exposure notification in simulated real-world environments

The Simulation of Automated Exposure Notification (SimAEN) Model

April 15, 2022
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Project Report
Author:
Dieter W. Schuldt
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Published in:
MIT Lincoln Laboratory Report ACTA-5
Topic:
health
R&D area:
R&D group:

Summary

Automated Exposure Notication (AEN) was implemented in 2020 to supplement traditional contact tracing for COVID-19 by estimating "too close for too long" proximities of people using the service. AEN uses Bluetooth messages to privately label and recall proximity events, so that persons who were likely exposed to SARS-CoV-2 can take the appropriate steps recommended by their health care authority. This paper describes an agent-based model that estimates the effects of AEN deployment on COVID-19 caseloads and public health workloads in the context of other critical public health measures available during the COVID-19 pandemic. We selected simulation variables pertinent to AEN deployment options, varied them in accord with the system dynamics available in 2020-2021, and calculated the outcomes of key metrics across repeated runs of the stochastic multi-week simulation. SimAEN's parameters were set to ranges of observed values in consultation with public health professionals and the rapidly accumulating literature on COVID-19 transmission; the model was validated against available population-level disease metrics. Estimates from SimAEN can help public health officials determine what AEN deployment decisions (e.g., configuration, workflow integration, and targeted adoption levels) can be most effective in their jurisdiction, in combination with other COVID-19 interventions (e.g., mask use, vaccination, quarantine and isolation periods).
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Summary

Automated Exposure Notication (AEN) was implemented in 2020 to supplement traditional contact tracing for COVID-19 by estimating "too close for too long" proximities of people using the service. AEN uses Bluetooth messages to privately label and recall proximity events, so that persons who were likely exposed to SARS-CoV-2 can take...

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The Simulation of Automated Exposure Notification (SimAEN) Model

Bluetooth Low Energy (BLE) Data Collection for COVID-19 Exposure Notification

April 13, 2022
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Project Report
Author:
Curran N. Schiefelbein
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Published in:
MIT Lincoln Laboratory Report ACTA-2
Topic:
bioengineering
R&D area:
R&D group:

Summary

Privacy-preserving contact tracing mobile applications, such as those that use the Google-Apple Exposure Notification (GAEN) service, have the potential to limit the spread of COVID-19 in communities; however, the privacy-preserving aspects of the protocol make it difficult to assess the performance of the Bluetooth proximity detector in real-world populations. The GAEN service configuration of weights and thresholds enables hundreds of thousands of potential configurations, and it is not well known how the detector performance of candidate GAEN configurations maps to the actual "too close for too long" standard used by public health contact tracing staff. To address this gap, we exercised a GAEN app on Android phones at a range of distances, orientations, and placement configurations (e.g., shirt pocket, bag, in hand), using RF-analogous robotic substitutes for human participants. We recorded exposure data from the app and from the lower-level Android service, along with the phones' actual distances and durations of exposure.
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Summary

Privacy-preserving contact tracing mobile applications, such as those that use the Google-Apple Exposure Notification (GAEN) service, have the potential to limit the spread of COVID-19 in communities; however, the privacy-preserving aspects of the protocol make it difficult to assess the performance of the Bluetooth proximity detector in real-world populations. The...

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Bluetooth Low Energy (BLE) Data Collection for COVID-19 Exposure Notification
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