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Shwetak Patel

Shwetak Patel contributes to research discovery and scholarly infrastructure.

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Published work

12 published item(s)

preprint2026arXiv

SymptomAI: Toward a Conversational AI Agent for Everyday Symptom Assessment

Language models excel at diagnostic assessments on curated medical case-studies and vignettes, performing on par with, or better than, clinical professionals. However, existing studies focus on complex scenarios with rich context making it difficult to draw conclusions about how these systems perform for patients reporting symptoms in everyday life. We deployed SymptomAI, a set of conversational AI agents for end-to-end patient interviewing and differential diagnosis (DDx), via the Fitbit app in a study that randomized participants (N=13,917) to interact with five AI agents. This corpus captures diverse communication and a realistic distribution of illnesses from a real world population. A subset of 1,228 participants reported a clinician-provided diagnosis, and 517 of these were further evaluated by a panel of clinicians during over 250 hours of annotation. SymptomAI DDx were significantly more accurate (OR = 2.56, p < 0.001) than those from independent clinicians given the same dialogue in a blinded randomized comparison. Moreover, agentic strategies which conduct a dedicated symptom interview that elicit additional symptom information before providing a diagnosis, perform substantially better than baseline, user-guided conversations (p < 0.001). An auxiliary analysis on 1,509 conversations from a general US population panel validated that these results generalize beyond wearable device users. We used SymptomAI diagnoses as labels for all 13,917 participants to analyze over 500,000 days of wearable metrics across nearly 400 unique conditions. We identified strong associations between acute infections and physiological shifts (e.g., OR > 7 for influenza). While limited by self-reported ground truth, these results demonstrate the benefits of a dedicated and complete symptom interview compared to a user-guided symptom discussion, which is the default of most consumer LLMs.

preprint2026arXiv

WavesFM: Hierarchical Representation Learning for Longitudinal Wearable Sensor Waveforms

Wearable sensors enable the continuous acquisition of high-resolution physiological waveforms, such as photoplethysmography and accelerometry, under free-living conditions. However, inferring health-related phenotypes from these signals presents significant challenges due to high sampling frequencies, multimodal dependencies, and extreme sequence lengths (e.g., weeks of recordings), compounded by a scarcity of ground-truth labels. To address these challenges, existing self-supervised learning (SSL) methodologies typically follow two paradigms: (1) learning rich morphological representations from short waveform segments while collapsing longitudinal dynamics through simple aggregation, or (2) modeling behavioral patterns from coarse, hand-crafted features (e.g. heart rate, step counts) spanning longer horizons but foregoing subtle, predictive signatures in raw waveforms. To bridge this gap, we propose WavesFM, a foundation model utilizing a two-stage SSL framework for longitudinal physiological data. Specifically, we decompose the learning problem into two stages: first, a segment-level encoder is pretrained to extract local embeddings from short waveforms; subsequently, a temporal encoder is trained to model the sequence of these embeddings across a multi-day horizon. This hierarchical approach overcomes the computational complexity of high-resolution, long-sequence data, allowing the overall model to capture both local signal semantics and the complex circadian and inter-day variations governing physiological dynamics. Pretrained on over 6.8M hours (N=324k individuals) of recordings for the first stage and 5.3M hours (N=10k) for the second stage, WavesFM demonstrates superior performance across 58 diverse tasks spanning demographics, lifestyle, health conditions, and medications.

preprint2022arXiv

ClearBuds: Wireless Binaural Earbuds for Learning-Based Speech Enhancement

We present ClearBuds, the first hardware and software system that utilizes a neural network to enhance speech streamed from two wireless earbuds. Real-time speech enhancement for wireless earbuds requires high-quality sound separation and background cancellation, operating in real-time and on a mobile phone. Clear-Buds bridges state-of-the-art deep learning for blind audio source separation and in-ear mobile systems by making two key technical contributions: 1) a new wireless earbud design capable of operating as a synchronized, binaural microphone array, and 2) a lightweight dual-channel speech enhancement neural network that runs on a mobile device. Our neural network has a novel cascaded architecture that combines a time-domain conventional neural network with a spectrogram-based frequency masking neural network to reduce the artifacts in the audio output. Results show that our wireless earbuds achieve a synchronization error less than 64 microseconds and our network has a runtime of 21.4 milliseconds on an accompanying mobile phone. In-the-wild evaluation with eight users in previously unseen indoor and outdoor multipath scenarios demonstrates that our neural network generalizes to learn both spatial and acoustic cues to perform noise suppression and background speech removal. In a user-study with 37 participants who spent over 15.4 hours rating 1041 audio samples collected in-the-wild, our system achieves improved mean opinion score and background noise suppression. Project page with demos: https://clearbuds.cs.washington.edu

preprint2022arXiv

FaceOri: Tracking Head Position and Orientation Using Ultrasonic Ranging on Earphones

Face orientation can often indicate users&#39; intended interaction target. In this paper, we propose FaceOri, a novel face tracking technique based on acoustic ranging using earphones. FaceOri can leverage the speaker on a commodity device to emit an ultrasonic chirp, which is picked up by the set of microphones on the user&#39;s earphone, and then processed to calculate the distance from each microphone to the device. These measurements are used to derive the user&#39;s face orientation and distance with respect to the device. We conduct a ground truth comparison and user study to evaluate FaceOri&#39;s performance. The results show that the system can determine whether the user orients to the device at a 93.5% accuracy within a 1.5 meters range. Furthermore, FaceOri can continuously track the user&#39;s head orientation with a median absolute error of 10.9 mm in the distance, 3.7 degrees in yaw, and 5.8 degrees in pitch. FaceOri can allow for convenient hands-free control of devices and produce more intelligent context-aware interaction.

preprint2022arXiv

Federated Remote Physiological Measurement with Imperfect Data

The growing need for technology that supports remote healthcare is being acutely highlighted by an aging population and the COVID-19 pandemic. In health-related machine learning applications the ability to learn predictive models without data leaving a private device is attractive, especially when these data might contain features (e.g., photographs or videos of the body) that make identifying a subject trivial and/or the training data volume is large (e.g., uncompressed video). Camera-based remote physiological sensing facilitates scalable and low-cost measurement, but is a prime example of a task that involves analysing high bit-rate videos containing identifiable images and sensitive health information. Federated learning enables privacy-preserving decentralized training which has several properties beneficial for camera-based sensing. We develop the first mobile federated learning camera-based sensing system and show that it can perform competitively with traditional state-of-the-art supervised approaches. However, in the presence of corrupted data (e.g., video or label noise) from a few devices the performance of weight averaging quickly degrades. To address this, we leverage knowledge about the expected noise profile within the video to intelligently adjust how the model weights are averaged on the server. Our results show that this significantly improves upon the robustness of models even when the signal-to-noise ratio is low

preprint2022arXiv

MobilePhys: Personalized Mobile Camera-Based Contactless Physiological Sensing

Camera-based contactless photoplethysmography refers to a set of popular techniques for contactless physiological measurement. The current state-of-the-art neural models are typically trained in a supervised manner using videos accompanied by gold standard physiological measurements. However, they often generalize poorly out-of-domain examples (i.e., videos that are unlike those in the training set). Personalizing models can help improve model generalizability, but many personalization techniques still require some gold standard data. To help alleviate this dependency, in this paper, we present a novel mobile sensing system called MobilePhys, the first mobile personalized remote physiological sensing system, that leverages both front and rear cameras on a smartphone to generate high-quality self-supervised labels for training personalized contactless camera-based PPG models. To evaluate the robustness of MobilePhys, we conducted a user study with 39 participants who completed a set of tasks under different mobile devices, lighting conditions/intensities, motion tasks, and skin types. Our results show that MobilePhys significantly outperforms the state-of-the-art on-device supervised training and few-shot adaptation methods. Through extensive user studies, we further examine how does MobilePhys perform in complex real-world settings. We envision that calibrated or personalized camera-based contactless PPG models generated from our proposed dual-camera mobile sensing system will open the door for numerous future applications such as smart mirrors, fitness and mobile health applications.

preprint2021arXiv

MetaPhys: Few-Shot Adaptation for Non-Contact Physiological Measurement

There are large individual differences in physiological processes, making designing personalized health sensing algorithms challenging. Existing machine learning systems struggle to generalize well to unseen subjects or contexts and can often contain problematic biases. Video-based physiological measurement is not an exception. Therefore, learning personalized or customized models from a small number of unlabeled samples is very attractive as it would allow fast calibrations to improve generalization and help correct biases. In this paper, we present a novel meta-learning approach called MetaPhys for personalized video-based cardiac measurement for contactless pulse and heart rate monitoring. Our method uses only 18-seconds of video for customization and works effectively in both supervised and unsupervised manners. We evaluate our proposed approach on two benchmark datasets and demonstrate superior performance in cross-dataset evaluation with substantial reductions (42% to 44%) in errors compared with state-of-the-art approaches. We have also demonstrated our proposed method significantly helps reduce the bias in skin type.

preprint2021arXiv

Multi-Task Temporal Shift Attention Networks for On-Device Contactless Vitals Measurement

Telehealth and remote health monitoring have become increasingly important during the SARS-CoV-2 pandemic and it is widely expected that this will have a lasting impact on healthcare practices. These tools can help reduce the risk of exposing patients and medical staff to infection, make healthcare services more accessible, and allow providers to see more patients. However, objective measurement of vital signs is challenging without direct contact with a patient. We present a video-based and on-device optical cardiopulmonary vital sign measurement approach. It leverages a novel multi-task temporal shift convolutional attention network (MTTS-CAN) and enables real-time cardiovascular and respiratory measurements on mobile platforms. We evaluate our system on an Advanced RISC Machine (ARM) CPU and achieve state-of-the-art accuracy while running at over 150 frames per second which enables real-time applications. Systematic experimentation on large benchmark datasets reveals that our approach leads to substantial (20%-50%) reductions in error and generalizes well across datasets.

preprint2021arXiv

Online Mobile App Usage as an Indicator of Sleep Behavior and Job Performance

Sleep is critical to human function, mediating factors like memory, mood, energy, and alertness; therefore, it is commonly conjectured that a good night&#39;s sleep is important for job performance. However, both real-world sleep behavior and job performance are hard to measure at scale. In this work, we show that people&#39;s everyday interactions with online mobile apps can reveal insights into their job performance in real-world contexts. We present an observational study in which we objectively tracked the sleep behavior and job performance of salespeople (N = 15) and athletes (N = 19) for 18 months, using a mattress sensor and online mobile app. We first demonstrate that cumulative sleep measures are correlated with job performance metrics, showing that an hour of daily sleep loss for a week was associated with a 9.0% and 9.5% reduction in performance of salespeople and athletes, respectively. We then examine the utility of online app interaction time as a passively collectible and scalable performance indicator. We show that app interaction time is correlated with the performance of the athletes, but not the salespeople. To support that our app-based performance indicator captures meaningful variation in psychomotor function and is robust against potential confounds, we conducted a second study to evaluate the relationship between sleep behavior and app interaction time in a cohort of 274 participants. Using a generalized additive model to control for per-participant random effects, we demonstrate that participants who lost one hour of daily sleep for a week exhibited 5.0% slower app interaction times. We also find that app interaction time exhibits meaningful chronobiologically consistent correlations with sleep history, time awake, and circadian rhythms. Our findings reveal an opportunity for online app developers to generate new insights regarding cognition and productivity.

preprint2021arXiv

Optical Gaze Tracking with Spatially-Sparse Single-Pixel Detectors

Gaze tracking is an essential component of next generation displays for virtual reality and augmented reality applications. Traditional camera-based gaze trackers used in next generation displays are known to be lacking in one or multiple of the following metrics: power consumption, cost, computational complexity, estimation accuracy, latency, and form-factor. We propose the use of discrete photodiodes and light-emitting diodes (LEDs) as an alternative to traditional camera-based gaze tracking approaches while taking all of these metrics into consideration. We begin by developing a rendering-based simulation framework for understanding the relationship between light sources and a virtual model eyeball. Findings from this framework are used for the placement of LEDs and photodiodes. Our first prototype uses a neural network to obtain an average error rate of 2.67° at 400Hz while demanding only 16mW. By simplifying the implementation to using only LEDs, duplexed as light transceivers, and more minimal machine learning model, namely a light-weight supervised Gaussian process regression algorithm, we show that our second prototype is capable of an average error rate of 1.57° at 250 Hz using 800 mW.

preprint2021arXiv

SplitSR: An End-to-End Approach to Super-Resolution on Mobile Devices

Super-resolution (SR) is a coveted image processing technique for mobile apps ranging from the basic camera apps to mobile health. Existing SR algorithms rely on deep learning models with significant memory requirements, so they have yet to be deployed on mobile devices and instead operate in the cloud to achieve feasible inference time. This shortcoming prevents existing SR methods from being used in applications that require near real-time latency. In this work, we demonstrate state-of-the-art latency and accuracy for on-device super-resolution using a novel hybrid architecture called SplitSR and a novel lightweight residual block called SplitSRBlock. The SplitSRBlock supports channel-splitting, allowing the residual blocks to retain spatial information while reducing the computation in the channel dimension. SplitSR has a hybrid design consisting of standard convolutional blocks and lightweight residual blocks, allowing people to tune SplitSR for their computational budget. We evaluate our system on a low-end ARM CPU, demonstrating both higher accuracy and up to 5 times faster inference than previous approaches. We then deploy our model onto a smartphone in an app called ZoomSR to demonstrate the first-ever instance of on-device, deep learning-based SR. We conducted a user study with 15 participants to have them assess the perceived quality of images that were post-processed by SplitSR. Relative to bilinear interpolation -- the existing standard for on-device SR -- participants showed a statistically significant preference when looking at both images (Z=-9.270, p<0.01) and text (Z=-6.486, p<0.01).

preprint2020arXiv

Safety, Security, and Privacy Threats Posed by Accelerating Trends in the Internet of Things

The Internet of Things (IoT) is already transforming industries, cities, and homes. The economic value of this transformation across all industries is estimated to be trillions of dollars and the societal impact on energy efficiency, health, and productivity are enormous. Alongside potential benefits of interconnected smart devices comes increased risk and potential for abuse when embedding sensing and intelligence into every device. One of the core problems with the increasing number of IoT devices is the increased complexity that is required to operate them safely and securely. This increased complexity creates new safety, security, privacy, and usability challenges far beyond the difficult challenges individuals face just securing a single device. We highlight some of the negative trends that smart devices and collections of devices cause and we argue that issues related to security, physical safety, privacy, and usability are tightly interconnected and solutions that address all four simultaneously are needed. Tight safety and security standards for individual devices based on existing technology are needed. Likewise research that determines the best way for individuals to confidently manage collections of devices must guide the future deployments of such systems.