Improving the accuracy of existing camera based fall detection algorithms through late fusion.

Fall incidents remain an important health hazard for older adults. Fall detection systems can reduce the consequences of a fall incident by insuring that timely aid is given. Currently fall detection algorithms however suffer a reduction in accuracy when introduced in real-life situations. In this paper a late fusion technique is proposed that will improve the accuracy of existing fall detection systems. It combines the confidence levels of different single camera fall detection systems. Four different aggregation methods are compared to each other based on the Area Under the Curve (AUC) of precision-recall curves. Calculating the median of the confidence levels of five cameras an increase of 218% in the AUC of the precision-recall-curves is achieved compared to the AUC of the single camera fall detector. These results show that significant improvements can be made to the accuracy of single camera fall detectors in a relatively easy way.

Bridging the gap between real-life data and simulated data by providing a highly realistic fall dataset for evaluating camera-based fall detection algorithms.

Fall incidents are an important health hazard for older adults. Automatic fall detection systems can reduce the consequences of a fall incident by assuring that timely aid is given. The development of these systems is therefore getting a lot of research attention. Real-life data which can help evaluate the results of this research is however sparse. Moreover, research groups that have this type of data are not at liberty to share it. Most research groups thus use simulated datasets. These simulation datasets, however, often do not incorporate the challenges the fall detection system will face when implemented in real-life. In this Letter, a more realistic simulation dataset is presented to fill this gap between real-life data and currently available datasets. It was recorded while re-enacting real-life falls recorded during previous studies. It incorporates the challenges faced by fall detection algorithms in real life. A fall detection algorithm from Debard et al. was evaluated on this dataset. This evaluation showed that the dataset possesses extra challenges compared with other publicly available datasets. In this Letter, the dataset is discussed as well as the results of this preliminary evaluation of the fall detection algorithm. The dataset can be downloaded from www.kuleuven.be/advise/datasets.

Developing a system that can automatically detect health changes using transfer times of older adults.

BACKGROUND: As gait speed and transfer times are considered to be an important measure of functional ability in older adults, several systems are currently being researched to measure this parameter in the home environment of older adults. The data resulting from these systems, however, still needs to be reviewed by healthcare workers which is a time-consuming process. METHODS: This paper presents a system that employs statistical process control techniques (SPC) to automatically detect both positive and negative trends in transfer times. Several SPC techniques, Tabular cumulative sum (CUSUM) chart, Standardized CUSUM and Exponentially Weighted Moving Average (EWMA) chart were evaluated. The best performing method was further optimized for the desired application. After this, it was validated on both simulated data and real-life data. RESULTS: The best performing method was the Exponentially Weighted Moving Average control chart with the use of rational subgroups and a reinitialization after three alarm days. The results from the simulated data showed that positive and negative trends are detected within 14 days after the start of the trend when a trend is 28 days long. When the transition period is shorter, the number of days before an alert is triggered also diminishes. If for instance an abrupt change is present in the transfer time an alert is triggered within two days after this change. On average, only one false alarm is triggered every five weeks. The results from the real-life dataset confirm those of the simulated dataset. CONCLUSIONS: The system presented in this paper is able to detect both positive and negative trends in the transfer times of older adults, therefore automatically triggering an alarm when changes in transfer times occur. These changes can be gradual as well as abrupt.

Automated walking aid detector based on indoor video recordings.

Due to the rapidly aging population, developing automated home care systems is a very important step in taking care of elderly people. This will enable us to automatically monitor the health of senior citizens in their own living environment and prevent problems before they happen. One of the challenging tasks is to actively monitor walking habits of elderlies, who alternate between the use of different walking aids, and to combine this with automated fall risk assessment systems. We propose a camera based system that uses object categorization techniques to robustly detect walking aids, like a walker, in order to improve the classification of the fall risk. By automatically integrating the application specific scenery knowledge like camera position and used walker type, we succeed in detecting walking aids within a single frame with an accuracy of 68% for trajectory A and 38% for trajectory B. Furthermore, compared to current state of the art detection systems, we use a rather limited set of training data to achieve this accuracy and thus create a system that is easily adaptable for other applications. Moreover, we applied spatial constraints between detections to optimize the object detection output and to limit the amount of false positive detections. Finally, we evaluate the output on a walking sequence base, leading up to a 92.3% correct classification rate of walking sequences. It can be noted that adapting this approach to other walking aids, like a walking cane, is quite straightforward and opens up the door for many future applications.

Automatic detection of health changes using statistical process control techniques on measured transfer times of elderly.

It has been shown that gait speed and transfer times are good measures of functional ability in elderly. However, data currently acquired by systems that measure either gait speed or transfer times in the homes of elderly people require manual reviewing by healthcare workers. This reviewing process is time-consuming. To alleviate this burden, this paper proposes the use of statistical process control methods to automatically detect both positive and negative changes in transfer times. Three SPC techniques: tabular CUSUM, standardized CUSUM and EWMA, known for their ability to detect small shifts in the data, are evaluated on simulated transfer times. This analysis shows that EWMA is the best-suited method with a detection accuracy of 82% and an average detection time of 9.64 days.

Camera-based fall detection using a particle filter.

More than thirty percent of persons over 65 years fall at least once a year and are often not able to get up again. The lack of timely aid after such a fall incident can lead to severe complications. This timely aid can however be assured by a camera-based fall detection system triggering an alarm when a fall occurs. Most algorithms described in literature use the biggest object detected using background subtraction to extract the fall features. In this paper we compare the performance of our state-of-the-art fall detection algorithm when using only background subtraction, when using a particle filter to track the person and a hybrid method in which the particle filter is only used to enhance the background subtraction and not for the feature extraction. We tested this using our simulation data set containing reenactments of real-life falls. This comparison shows that this hybrid method significantly increases the sensitivity and robustness of the fall detection algorithm resulting in a sensitivity of 76.1% and a PPV of 41.2%.

Validation of the kinect for gait analysis using the GAITRite walkway.

Accurate, non-intrusive and straightforward techniques for gait quality analysis can provide important information concerning the fall risk of a person. For this purpose an algorithm was developed which can measure step length and step time using the Kinect depth image. The validity of the measured step length and time is determined using the GAITRite walkway as a ground truth. The results of this validation confirm that the Kinect is well-suited for determining general parameters of a walking sequence (a Spearmans Correlation Coefficient (SCC) of 0.94 for average step length and 0.75 for average step time per walk), but we furthermore show that determining accurate results for single steps is more difficult (SCC of 0.74 for step length and 0.43 for step time for each step), making it harder to measure more complex gait parameters such as e.g. gait symmetry.