2024

Using Natural Language Processing to Detect Bias in Emergency Department Clinical Notes

PI: Isha Agarwal, MD/ScD, Attending Physician and Faculty Scientist, Department of Emergency Medicine, Maine Medical Center

Co-Is: Elizabeth Scharnetzki, PhD, Faculty Scientist I, MaineHealth Institute for Research, Center for Interdisciplinary Population and Health Research; Tania Strout, PhD, Vice Chair for Research, Department of Emergency Medicine, Maine Medical Center; Annika Schoene, PhD, Research Scientist, Institute for Experiential AI, Northeastern University; Jessica DiBiase, MPH, Research Data Analyst II, MaineHealth Institute for Research, Center for Interdisciplinary Population Health Research

Description: This project leverages advanced natural language processing (NLP) tools to detect and quantify bias in Emergency Department (ED) clinical notes, a critical component of patient care. By refining measures of bias and developing an automated classification tool, the research seeks to identify subtle patterns of exclusionary language in real-world clinical documentation. The findings could inform interventions aimed at reducing provider bias, ultimately improving patient care and communication.

 

Investigation of Non-contact Sensing Technologies and Methods for Vital Sign Monitoring in Neonates

PI: Brooke Krbec, DO, Attending Neonatologist, Division of Neonatal-Perinatal Medicine, Tufts Medical Center

Co-PI: Brian Anthony, PhD, Principal Research Professor, Institute for Medical Engineering and Science, Massachusetts Institute of Technology

Co-Is: Xiang Zhang, PhD, Research Scientist/Technical Lead, Center for Clinical and Translational Research, Massachusetts Institute of Technology; Evan Linton, MS, Clinical Research Scientist, Center for Clinical and Translational Research, Massachusetts Institute of Technology

Description: This project addresses the translational gap in neonatal care by validating and developing non-contact monitoring devices that cater to the unique physiology of neonates. Through a collaborative effort involving the MIT Center for Clinical and Translational Research (CCTR) and he Neonatal Intensive Care Unit (NICU) at Tufts Medical Center, novel radar and camera technologies will be compared with standard monitoring equipment in a clinical setting. A prototype combining these technologies will be designed and tested on infant simulators, potentially transforming neonatal monitoring practices and benefiting NICU personnel, patient families, and device innovators.

 

Optimization of Handheld 3D Ultrasound and Photoacoustic Imaging for Addressing Healthcare Disparities

PI: Srivalleesha Mallidi, PhD, Assistant Professor, Department of Biomedical Engineering, Tufts University School of Engineering

Description: The research aims to optimize a novel, cost-effective 3D ultrasound and photoacoustic imaging (USPAI) system that promises to make real-time 3D imaging more accessible across diverse patient populations. By focusing on improving the system’s performance for varying skin melanin and subcutaneous fat content, and ensuring consistent imaging results across different operators, the project seeks to address healthcare disparities. The outcome could significantly broaden the reach of 3D imaging technology, enhancing its applicability in various medical contexts.

 

Validation of a Remote Speech/Motor Assessment Protocol for Neurodevelopmental Disorders

PI: Karen Chenausky, PhD, CCC-SLP, Assistant Professor, Department of Communications Sciences and Disorders and Director, Speech in Autism and Neurodevelopmental Disorders (SPAN) Laboratory, MGH Institute of Health Professions

Co-I: Simone Gill, PhD, PhD, OT, OTR, FAOTA, Associate Professor, Department of Occupational Therapy and Director, Motor Development Laboratory, School of Medicine, Boston University

Description: The project focuses on validating a remote data collection protocol designed to assess speech and motor skills in children with rare neurodevelopmental disorders, comparing the reliability of remote and in-person assessments. By encompassing a broad spectrum of verbal and motor abilities, this interdisciplinary research could lead to the development of a robust assessment tool that tracks changes in performance, supports biomarker discovery, and provides critical insights for clinical trials and parental advocacy for appropriate interventions.

2023

Collaborating with the Autism Community to Develop Novel Augmentative and Alternative Communication (AAC)/Speech Generating Device (SGD) Access Methods for Individuals with Little or No Functional Speech

PI: Leanne Chukoskie, PhD, Department of Physical Therapy, Movement and Rehabilitation Sciences, Bouvé College of Health Sciences, Northeastern University

Co-Is: Matthew Goodwin, PhD, Associate Professor, Department of Health Sciences, Bouvé College of Health Sciences and Khoury College of Computer and Information Science, Northeastern University ; Meryl Alper, PhD, Associate Professor, Department of Communication Studies, College of Arts, Media, and Design, Northeastern University; Kimberly Ho, PhD, Visiting Assistant Clinical Professor, Bouvé College of Health Sciences, Northeastern University

Description: The research seeks to develop and test innovative access technologies for augmentative and alternative communication (AAC) devices, specifically targeting non-speaking autistic individuals. By engaging with stakeholders and conducting a needs assessment within the nonspeaking autism community, the project aims to create more inclusive and symmetric communication tools. Prototype technologies will be evaluated, with the goal of advancing one for further development. This work has the potential to significantly enhance AAC technology, offering new means of engagement for those currently underserved by existing systems.

 

Next-Generation Nerve Repair: Combined Magnetic and Topographic Cues for Highly Directed Neurite Outgrowth

PI: Abigail Koppes, PhD, Associate Professor, Department of Chemical Engineering, College of Engineering, Northeastern University

Co-PIs: Ryan Koppes, PhD, Assistant Professor, Department of Chemical Engineering, College of Engineering, Northeastern University; Laura Lewis, PhD, Distinguished University and Cabot Professor, Department of Chemical Engineering, Department of Mechanical and Industrial Engineering, Northeastern University

Description: The project aims to advance therapies for peripheral nervous system (PNS) injuries by combining tissue engineering and materials science to explore magneto-stimulation for nerve repair. Building on previous findings that static magnetic fields can direct neuron outgrowth, the research will investigate the use of magnetic and topographical cues to enhance nerve regeneration. This interdisciplinary effort, involving bioengineers, materials scientists, and neurobiologists, seeks to optimize conditions for clinical applications, transforming outcomes for patients with PNS injuries and advancing the science of translation.

 

Empirical Dynamic Modeling: A Path to Predicting Health Outcomes with Limited Data

PI: Benjamin Stern, DPT, Assistant Professor, Department of Public Health and Community Medicine, School of Medicine, Tufts University

Co-Is: Ethan Deyle, PhD, Research Assistant Professor, Department of Biology, Boston University; Ying-Cheng Lai, PhD, Regents Professor, School of Electrical, Computer and Energy Engineering, Arizona State University

Description: This project aims to apply a dynamical systems approach, originally developed for studying ecosystem dynamics, to the analysis of athlete health. By utilizing empirical dynamic modeling (EDM), the research seeks to identify causal relationships in biological time series, overcoming limitations of traditional methods such as correlation or regression. Seasonal data from 30 Division I athletes at UCSD will be analyzed, with the potential to advance understanding of complex biological interactions and improve health monitoring practices. Successful outcomes will be shared through a repository, offering code, instructions, and examples for broader application.

 

Does Natural Language Processing Improve Identification of Hospitalized People Who Use Drugs?

PI: Alysse Wurcel, MD, Associate Professor and Attending Physician, Department of Geographic Medicine and Infectious Diseases, Tufts Medical Center

Description: This project focuses on refining and validating a system for identifying hospitalized people who use drugs, a critical step toward improving healthcare for marginalized populations. By leveraging Natural Language Processing (NLP) and gathering stakeholder feedback, the research aims to enhance the accuracy of a preliminary algorithm and apply it to hospital data. The outcomes could facilitate the efficient identification of research cohorts, aiding translational research across diverse healthcare challenges.