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DOE OSTI2026

Emerging anomaly detection techniques for electronic health records: A survey

Background Anomaly detection in electronic health records (EHRs) is a cornerstone of biomedical informatics, with direct implications for patient safety, clinical decision-making, and the prevention of healthcare fraud. Once guided primarily by simple rule-based methods, the field has advanced rapidly, driven by increased computing power, richer and more detailed health data, and the rise of machine learning and deep learning techniques. The objective of this paper is to provide a comprehensive overview of modern approaches to detecting anomalies in EHRs, outlining their strengths, limitations, and relevance to key healthcare challenges. We review traditional statistical methods alongside newer ML- and DL-based strategies and hybrid models, with particular attention to how these techniques support transparency and build clinical trust. Methods This paper presents a thorough and critical survey through systematic review (PRISMA-based) of the latest anomaly detection strategies in time-sequence data domains within electronic health record systems. Results We explore a broad spectrum of methodologies, including statistical models, supervised and unsupervised learning approaches, hybrid frameworks, and state-of-the-art ML-based techniques that collectively advance the precision and scalability of detecting anomalies in complex clinical datasets. In addition to mapping current capabilities, we address the enduring challenges that hinder widespread implementation and provide a forward-looking perspective on the future of anomaly detection in the data-rich landscape of modern healthcare. Summary The advancement in AI-based approaches is reported along with the basic principles of the individual approaches and their applicability. The increased availability of high-quality data, advancements in DL approaches, and enhanced computation power are leading to more frequent adaptation of DL-based approaches. Emerging DL-based approaches that have been adapted in other domains or recently applied in the EHR domain are also discussed in detail. Although DL-based approaches can improve model predictions by incorporating comorbidities, their application is limited in low-frequency data domains (e.g., when the total available data remains in the single digits). Therefore, the user must carefully consider the application based on data availability.

Anomaly detection↗

DOE OSTI2012

Quantifying uncertainties in global and regional temperature change using an ensemble of observational estimates: The HadCRUT4 data set

Recent developments in observational near-surface air temperature and sea-surface temperature analyses are combined to produce HadCRUT4, a new data set of global and regional temperature evolution from 1850 to the present. This includes the addition of newly digitized measurement data, both over land and sea, new sea-surface temperature bias adjustments and a more comprehensive error model for describing uncertainties in sea-surface temperature measurements. An ensemble approach has been adopted to better describe complex temporal and spatial interdependencies of measurement and bias uncertainties and to allow these correlated uncertainties to be taken into account in studies that are based upon HadCRUT4. Climate diagnostics computed from the gridded data set broadly agree with those of other global near-surface temperature analyses. Fitted linear trends in temperature anomalies are approximately 0.07°C/decade from 1901 to 2010 and 0.17°C/decade from 1979 to 2010 globally. Northern/southern hemispheric trends are 0.08/0.07°C/decade over 1901 to 2010 and 0.24/0.10°C/decade over 1979 to 2010. Linear trends in other prominent near-surface temperature analyses agree well with the range of trends computed from the HadCRUT4 ensemble members.

54 ENVIRONMENTAL SCIENCES↗

DOE OSTI2022

Waveform processing using neural network algorithms on the front-end electronics

In a multi-channel radiation detector readout system, waveform sampling, digitization, and raw data transmission to the data acquisition system constitute a conventional processing chain. The deposited energy on the sensor is estimated by extracting peak amplitudes, area under pulse envelopes from the raw data, and starting times of signals or time of arrivals. However, such quantities can be estimated using machine learning algorithms on the front-end Application-Specific Integrated Circuits (ASICs), often termed as “edge computing”. Edge computation offers enormous benefits, especially when the analytical forms are not fully known or the registered waveform suffers from noise and imperfections of practical implementations. In this work, we aim to predict peak amplitude from a single waveform snippet whose rising and falling edges containing only 3 to 4 samples. We thoroughly studied two well-accepted neural network algorithms, Multi-Layer Perceptron (MLP) and Convolutional Neural Network (CNN) by varying their model sizes. Further, to better fit front-end electronics, neural network model reduction techniques, such as network pruning methods and variable-bit quantization approaches, were also studied. By combining pruning and quantization, our best performing model has the size of 1.5 KB, reduced from 16.6 KB of its full model counterpart. It can reach mean absolute error of 0.034 comparing to that of a naive baseline of 0.135. Such parameter-efficient and predictive neural network models established feasibility and practicality of their deployment on front-end ASICs.

47 OTHER INSTRUMENTATION↗

DOE OSTI2026

Diagonal state designs with reconfigurable real-time circuits

Unitary designs are widely used in quantum computation, but in many practical settings it suffices to construct a diagonal state design generated with unitary gates diagonal in the computational basis. In this work, we introduce a simple and efficient diagonal state 3-design based on real-time evolutions under 2-local Hamiltonians. Our construction is inspired by the classical Girard-Hutchinson trace estimator in that it involves the stochastic preparation of many random-phase states. Though the exact Girard-Hutchinson states are not tractably implementable on a quantum computer, we can construct states that match the statistical moments of the Girard-Hutchinson states with real-time evolution. Importantly, our random states are all generated using the same Hamiltonians for real-time evolution, with the randomness arising solely from stochastic variations in the durations of the evolutions. In this sense, the circuit is fully reconfigurable and thus suited for near-term realizations on both digital and analog platforms. Moreover, we show how to extend our construction to achieve diagonal state designs of arbitrarily high order.

Shen, Yizhi [LBL, Berkeley] (ORCID:000000024160548↗

DOE OSTI2024

Achieving Cyber-Resilience for Power Systems using a Learning, Model-Assisted Blockchain Framework

The secure integration and management of distributed energy resources (DER) and power aggregators in the electric grid requires secure communications and a physics-aware Command and Control (C2) strategy. A Blockchain (BC)-based overlay network was developed to provide a security layer for the existing power grid network that mitigates risks in current and legacy network and C2 protocols. By integrating a Model-Assisted Machine Learning (MAML) framework with a Secure Blockchain Overlay Network (SBON) a defense-in-depth strategy was achieved. In our approach, the MAML framework leveraged a smart contract framework to gather network data and learn the dynamics of DER to develop detection strategies for attacks targeting sensors and actuators used by DER. The MAML framework learned dynamical systems models for individual DERs to detect sensor attacks. For DER we utilized a Digital Twin (DT) to accelerate the learning process for a model resistant to stealthy attacks. The project created DT for PV inverters and BESS. The DTs were coupled with a model-assisted, data-driven learning of DER behavior. Specifically, we evaluated architectures for model-based learning with model-free fine-tuning. Additionally, differential privacy techniques were used to obfuscate data, while still allowing the computation of attack detection results based on obfuscated data. The SBON developed leverages a private permissioned blockchain network orchestrated with the Hyperledger Fabric framework. To connect the cyber world, which orchestrates the blockchain fabric, and the physical world where the power network resides, we developed a system implementation to enable the secure interaction of the physical world and the abstracted blockchain.

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2024

Progress Report for W911NF-23-1-0323: Development of Scalable Three-Dimensional Ion Traps for Quantum Information Processing

Trapped atomic ions are a promising platform for scalable quantum information processing. They lead in many key metrics such as single and two qubit gate fidelities, as well as quantum volume. We recently realized novel 3D ion traps with a high resolution 3D-printing process. The traps combine the scalability potential of surface chip traps with the superior trap performance of macroscopic 3D ion traps. Like photolithography, 3D-printing is a digitally defined process and hence allows for rapid iteration between design and fabrication. In contrast to photolithography, it also allows for fully defined 3D structures and, thus, is an ideal process to develop large, well-defined trap arrays with complex 3D electrode structures. Our current goal is to implement key procedures and perform critical measurements that justify incorporation of 3D-printed traps into large-scale quantum computing efforts. En route, we recently realized trapping in horizontal traps that are operating at cryogenic temperatures.

74 ATOMIC AND MOLECULAR PHYSICS↗

DOE OSTI2026

Event-Driven 3D Sensing Architecture

Some events happen too quickly to capture twice. Whether tracking satellites, monitoring aircraft, observing autonomous systems, or recording high speed industrial processes, imaging systems often have only one opportunity to collect the right information. If a camera is focused on the wrong distance, uses the wrong exposure, or cannot keep pace with rapid motion, important details may be lost forever. Los Alamos National Laboratory has developed an event-driven imaging architecture that preserves more information during data collection than a conventional camera. Instead of committing to a single image, the system captures data that can later be used to digitally adjust focus and exposure while reconstructing the scene in three dimensions. The result is a more flexible approach for imaging dynamic environments where conventional cameras can struggle.

42 ENGINEERING↗

DOE OSTI2019

Investigation of assumptions and approximations in the virtual fields method for a viscoplastic material model

The Virtual Fields Method (VFM) is an inverse technique used for parameter estimation and calibration of constitutive models. Many assumptions and approximations—such as plane stress, incompressible plasticity, and spatial and temporal derivative calculations—are required to use VFM with full-field deformation data, for example, from Digital Image Correlation (DIC). Here, this work presents a comprehensive discussion of the effects of these assumptions and approximations on parameters identified by VFM for a viscoplastic material model for 304L stainless steel. We generated synthetic data from a Finite-Element Analysis (FEA) in order to have a reference solution with a known material model and known model parameters, and we investigated four cases in which successively more assumptions and approximations were included in the data. We found that VFM is tolerant to small deviations from the plane stress condition in a small region of the sample, and that the incompressible plasticity assumption can be used to estimate thickness changes with little error. A local polynomial fit to the displacement data was successfully employed to compute the spatial displacement gradients. The choice of temporal derivative approximation (i.e., backwards difference versus central difference) was found to have a significant influence on the computed rate of deformation and on the VFM results for the rate-dependent model used in this work. Finally, the noise introduced into the displacement data from a stereo-DIC simulator was found to have negligible influence on the VFM results. Evaluating the effects of assumptions and approximations using synthetic data is a critical first step for verifying and validating VFM for specific applications. Finally, the results of this work provide the foundation for confidently using VFM for experimental data.

304L stainless steel↗

DOE OSTI2017

Distortion of Digital Image Correlation (DIC) Displacements and Strains from Heat Waves

“Heat waves” is a colloquial term used to describe convective currents in air formed when different objects in an area are at different temperatures. In the context of Digital Image Correlation (DIC) and other optical-based image processing techniques, imaging an object of interest through heat waves can significantly distort the apparent location and shape of the object. We present that there are many potential heat sources in DIC experiments, including but not limited to lights, cameras, hot ovens, and sunlight, yet error caused by heat waves is often overlooked. This paper first briefly presents three practical situations in which heat waves contributed significant error to DIC measurements to motivate the investigation of heat waves in more detail. Then the theoretical background of how light is refracted through heat waves is presented, and the effects of heat waves on displacements and strains computed from DIC are characterized in detail. Finally, different filtering methods are investigated to reduce the displacement and strain errors caused by imaging through heat waves. The overarching conclusions from this work are that errors caused by heat waves are significantly higher than typical noise floors for DIC measurements, and that the errors are difficult to filter because the temporal and spatial frequencies of the errors are in the same range as those of typical signals of interest. In conclusion, eliminating or mitigating the effects of heat sources in a DIC experiment is the best solution to minimizing errors caused by heat waves.

42 ENGINEERING↗

DOE OSTI2012

An Atlas-Based Electron Density Mapping Method for Magnetic Resonance Imaging (MRI)-Alone Treatment Planning and Adaptive MRI-Based Prostate Radiation Therapy

Purpose: Prostate radiation therapy dose planning directly on magnetic resonance imaging (MRI) scans would reduce costs and uncertainties due to multimodality image registration. Adaptive planning using a combined MRI-linear accelerator approach will also require dose calculations to be performed using MRI data. The aim of this work was to develop an atlas-based method to map realistic electron densities to MRI scans for dose calculations and digitally reconstructed radiograph (DRR) generation. Methods and Materials: Whole-pelvis MRI and CT scan data were collected from 39 prostate patients. Scans from 2 patients showed significantly different anatomy from that of the remaining patient population, and these patients were excluded. A whole-pelvis MRI atlas was generated based on the manually delineated MRI scans. In addition, a conjugate electron-density atlas was generated from the coregistered computed tomography (CT)-MRI scans. Pseudo-CT scans for each patient were automatically generated by global and nonrigid registration of the MRI atlas to the patient MRI scan, followed by application of the same transformations to the electron-density atlas. Comparisons were made between organ segmentations by using the Dice similarity coefficient (DSC) and point dose calculations for 26 patients on planning CT and pseudo-CT scans. Results: The agreement between pseudo-CT and planning CT was quantified by differences in the point dose at isocenter and distance to agreement in corresponding voxels. Dose differences were found to be less than 2%. Chi-squared values indicated that the planning CT and pseudo-CT dose distributions were equivalent. No significant differences (p > 0.9) were found between CT and pseudo-CT Hounsfield units for organs of interest. Mean {+-} standard deviation DSC scores for the atlas-based segmentation of the pelvic bones were 0.79 {+-} 0.12, 0.70 {+-} 0.14 for the prostate, 0.64 {+-} 0.16 for the bladder, and 0.63 {+-} 0.16 for the rectum. Conclusions: The electron-density atlas method provides the ability to automatically define organs and map realistic electron densities to MRI scans for radiotherapy dose planning and DRR generation. This method provides the necessary tools for MRI-alone treatment planning and adaptive MRI-based prostate radiation therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

DOE OSTI2020

Horizons of modern molecular dynamics simulation in digitalized solid freeform fabrication with advanced materials

Our ability to shape and finish a component by combined methods of fabrication including (but not limited to) subtractive, additive and/or no theoretical mass-loss/addition during the fabrication is now popularly known as solid free form fabrication. Fabrication of a telescope mirror is a typical example where grinding and polishing processes are first applied to shape the mirror and thereafter an optical coating is usually applied to enhance its optical performance. The area of nanomanufacturing cannot grow without a deep knowledge of the fundamentals of materials and consequently, the use of computer simulations is becoming ubiquitous. This article is intended to introduce the most recent advances in the computation benefit specific to the area of solid free form fabrication as these systems are traversing through the journey of digitalisation and Industry-4.0. Specifically, this article demonstrates that the application of the latest materials modelling approaches, based on techniques such as molecular dynamics, are enabling breakthroughs in applied precision manufacturing techniques.

36 MATERIALS SCIENCE↗

DOE OSTI2015

WE-D-303-01: Development and Application of Digital Human Phantoms

Modern medical physics deals with complex problems such as 4D radiation therapy and imaging quality optimization. Such problems involve a large number of radiological parameters, and anatomical and physiological breathing patterns. A major challenge is how to develop, test, evaluate and compare various new imaging and treatment techniques, which often involves testing over a large range of radiological parameters as well as varying patient anatomies and motions. It would be extremely challenging, if not impossible, both ethically and practically, to test every combination of parameters and every task on every type of patient under clinical conditions. Computer-based simulation using computational phantoms offers a practical technique with which to evaluate, optimize, and compare imaging technologies and methods. Within simulation, the computerized phantom provides a virtual model of the patient’s anatomy and physiology. Imaging data can be generated from it as if it was a live patient using accurate models of the physics of the imaging and treatment process. With sophisticated simulation algorithms, it is possible to perform virtual experiments entirely on the computer. By serving as virtual patients, computational phantoms hold great promise in solving some of the most complex problems in modern medical physics. In this proposed symposium, we will present the history and recent developments of computational phantom models, share experiences in their application to advanced imaging and radiation applications, and discuss their promises and limitations. Learning Objectives: Understand the need and requirements of computational phantoms in medical physics research Discuss the developments and applications of computational phantoms Know the promises and limitations of computational phantoms in solving complex problems.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2024

Estimating scalar turbulent fluxes with slow-response sensors in the stable atmospheric boundary layer

Conventional and recently developed approaches for estimating turbulent scalar fluxes under stable atmospheric conditions are evaluated, with a focus on gases for which fast sensors are not readily available. First, the relaxed eddy accumulation (REA) classical approach and a recently proposed mixing length parameterization, labeled A22, are tested against eddy-covariance computations. Using high-frequency measurements collected from two contrasting sites (the frozen tundra near Utqiaġvik, Alaska, and a sparsely vegetated grassland in Wendell, Idaho, during winter), it is shown that the REA and A22 models outperform the conventional Monin–Obukhov similarity theory (MOST) utilized widely to infer fluxes from mean gradients. Second, scenarios where slow trace gas sensors are the only viable option in field measurements are investigated using digital filtering applied to fast-response sensors to simulate their slow-response counterparts. With a filtered scalar signal, the observed filtered eddy-covariance fluxes are referred to here as large-eddy-covariance (LEC) fluxes. A virtual eddy accumulation (VEA) approach, akin to the REA model but not requiring a mechanical apparatus to separate the gas flows, is also formulated and tested. A22 outperforms VEA and LEC in predicting the observed unfiltered (total) eddy-covariance (EC) fluxes; however, VEA can still capture the LEC fluxes well. This finding motivates the introduction of a sensor response time correction into the VEA formulation to offset the effect of sensor filtering on the underestimated net averaged fluxes. The only needed parameter for this correction is the mean velocity at the instrument height, a surrogate of the advective timescale. The VEA approach is very suitable and simple to use with gas sensors of intermediate speed (∼ 0.5 to 1 Hz) and with conventional open- or closed-path setups.

58 GEOSCIENCES↗

DOE OSTI2016

Bringing Fenton Hill into the Digital Age: Data Conversion in Support of the Geothermal Technologies Office Code Comparison Study Challenge Problems

The Geothermal Technologies Office Code Comparison Study (GTO-CCS) was established by the U.S. Department of Energy to facilitate collaboration among members of the geothermal modeling community and to evaluate and improve upon the ability of existing codes to simulate thermal, hydrological, mechanical, and chemical processes associated with complex enhanced geothermal systems (EGS). The first stage of the project, which has been completed, involved comparing simulations for seven benchmark problems that were primarily designed using well-prescribed, simplified data sets. In the second stage, the participating teams are tackling two challenge problems based on the EGS research conducted in hot dry rock (HDR) at Fenton Hill, near Los Alamos, New Mexico. The Fenton Hill project, conducted by Los Alamos National Laboratory (LANL) from 1970 to 1995, was the world’s first HDR demonstration project. One of the criteria for selecting this experiment as the basis for the challenge problems was the amount and availability of data for generating model inputs. The Fenton Hill HDR system consisted of two reservoirs – an earlier Phase I reservoir tested from 1974 to 1981 and a deeper Phase II reservoir tested from 1980 to 1995. Detailed accounts of both phases of the HDR project have been presented in a number of books and reports, including a recently published summary of the lessons learned and a final report with a chronological description of the Fenton Hill project, prepared by LANL. Project documents and records have been archived and made public through the National Geothermal Data System (NGDS). Some of the data acquired from Phase II are available in electronic format readable on modern computers. These include the microseismic data from some of the important experiments (e.g. the massive hydraulic fracturing test conducted in 1983) and the injection/production wellhead data from the circulation tests conducted between 1992-1995. However, much of the data collected during the project, while publicly available, currently only exist in the form of tables or graphs within scanned documents. Therefore, in support of the GTO-CCS, the data needed for developing simulation inputs are being compiled and converted to platform independent, open readable formats so that all participating teams will have access to the same electronic data set. In some cases this requires conversion using optical character recognition, digitizing existing images, and generating the appropriate metadata from project documents. The GTO-Velo knowledge management framework, developed by Pacific Northwest National Laboratory (PNNL), was used for the benchmark problem stage of the comparison study and will also be used as the data repository for the challenge problem data sets. It is staggering and impractical to convert all published data for the Fenton Hill site, so the focus is on data that supports simulations for the three topical areas defined by the study for the challenge problems: 1) reservoir creation/stimulation, 2) reactive and passive transport, and 3) thermal recovery. Conversion of these data provide value not only to GTO-CCS participants, but also to members of the geothermal community at large who may be interested in revisiting the Fenton Hill experiment in the future.

Code Comparison Study↗

DOE OSTI2024

Quantum error thresholds for gauge-redundant digitizations of lattice field theories

In the quantum simulation of lattice gauge theories, gauge symmetry can be either fixed or encoded as a redundancy of the Hilbert space. While gauge-fixing reduces the number of qubits, keeping the gauge redundancy can provide code space to mitigate and correct quantum errors by checking and restoring Gauss’s law. In this work, we consider the correctable errors for generic finite gauge groups and design the quantum circuits to detect and correct them. We calculate the error thresholds below which the gauge-redundant digitization with Gauss’s law error correction has better fidelity than the gauge-fixed digitization involving only gauge-invariant states. Our results provide guidance for fault-tolerant quantum simulations of lattice gauge theories. Published by the American Physical Society 2024

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2017

SymPLe 1131: A novel architectural solution for the realization of verifiable digital I and C systems and embedded digital devices - 387

One of the main reasons for the increasing popularity of FPGAs in embedded systems and digital I and C systems is that they provide many of the advantages from both hardware and software components. FPGAs provide configurability approaching that of SW, while at the same time delivering deterministic behavior of pure hardware solutions. However, with regard to Software Common Cause Failures (CCF), the use of FPGAs in digital I and C platforms should not be seen as plug-in remedy for reduction or elimination of CCF. To address CCF, we argue that it is not enough to manage the complexity of an I and C device or system, but we must also have the ability to constrain complexity (as needed) and rigorously reason about execution and device functionality. This paper presents the work done regarding an FPGA overlay architecture called SymPLe. SymPLe is designed to reduce the gap between software and hardware approaches for digital I and C systems and increases deterministic behavior and verifiability of the application, architecture and safety-critical system while reasoning about CCF. (authors)

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

DOE OSTI2020

Discretization limits of lattice‐Boltzmann methods for studying immiscible two‐phase flow in porous media

Summary Digital images of porous media often include features approaching the image resolution length scale. The behavior of numerical methods at low resolution is therefore important even for well‐resolved systems. We study the behavior of the Shan‐Chen (SC) and Rothman‐Keller (RK) multicomponent lattice‐Boltzmann models in situations where the fluid‐fluid interfacial radius of curvature and/or the feature size of the medium approaches the discrete unit size of the computational grid. Various simple, small‐scale test geometries are considered, and a drainage test is also performed in a Bentheimer sandstone sample. We find that both RK and SC models show very high ultimate limits: in ideal conditions the models can simulate static fluid configuration with acceptable accuracy in tubes as small as three lattice units across for RK model (six lattice units for SC model) and with an interfacial radius of curvature of two lattice units for RK and SC models. However, the stability of the models is affected when operating in these extreme discrete limits: in certain circumstances the models exhibit behaviors ranging from loss of accuracy to numerical instability. We discuss the circumstances where these behaviors occur and the ramifications for larger‐scale fluid displacement simulations in porous media, along with strategies to mitigate the most severe effects. Overall we find that the RK model, with modern enhancements, exhibits fewer instabilities and is more suitable for systems of low fluid‐fluid miscibility. The shortcomings of the SC model seem to arise predominantly from the high, strongly pressure‐dependent miscibility of the two fluid components.

Li, Zhe↗

DOE OSTI2023

Universal Fourier Attack for Time Series

A wide variety of adversarial attacks have been proposed and explored using image and audio data. These attacks are notoriously easy to generate digitally when the attacker can directly manipulate the input to a model, but are much more difficult to implement in the real-world. In this paper we present a universal, time invariant attack for general time series data such that the attack has a frequency spectrum primarily composed of the frequencies present in the original data. The universality of the attack makes it fast and easy to implement as no computation is required to add it to an input, while time invariance is useful for real-world deployment. Additionally, the frequency constraint ensures the attack can withstand filtering. We demonstrate the effectiveness of the attack in two different domains, speech recognition and unintended radiated emission, and show that the attack is robust against common transform-and-compare defense pipelines.

97 MATHEMATICS AND COMPUTING↗