AI on the Pulse: Real-Time Health Anomaly Detection with Wearable and Ambient Intelligence

We introduce AI on the Pulse, a real-world-ready anomaly detection system that continuously monitors patients using a fusion of wearable sensors, ambient intelligence, and advanced AI models. Powered by UniTS, a state-of-the-art (SoTA) universal time-series model, our framework autonomously learns each patient's unique physiological and behavioral patterns, detecting subtle deviations that signal potential health risks. Unlike classification methods that require impractical, continuous labeling in real-world scenarios, our approach uses anomaly detection to provide real-time, personalized alerts for reactive home-care interventions. Our approach outperforms 12 SoTA anomaly detection methods, demonstrating robustness across both high-fidelity medical devices (ECG) and consumer wearables, with a ~22% improvement in F1 score. However, the true impact of AI on the Pulse lies in @HOME, where it has been successfully deployed for continuous, real-world patient monitoring. By operating with non-invasive, lightweight devices like smartwatches, our system proves that high-quality health monitoring is possible without clinical-grade equipment. Beyond detection, we enhance interpretability by integrating LLMs, translating anomaly scores into clinically meaningful insights for healthcare professionals.

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Publication Details

Published
2025-11-08
DOI
https://doi.org/10.1145/3746252.3760799
Citations
4
Primary Topic
Anomaly Detection Techniques and Applications
Type
article
Field-Weighted Citation Impact
9.92
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article

AI on the Pulse: Real-Time Health Anomaly Detection with Wearable and Ambient Intelligence

Bardh Prenkaj, Stefano Faralli, Paola Velardi, Davide Gabrielli
4 citations
Anomaly Detection Techniques and Applications
9.92
article

AI on the Pulse: Real-Time Health Anomaly Detection with Wearable and Ambient Intelligence

Bardh Prenkaj, Stefano Faralli, Paola Velardi, Davide Gabrielli
article en
4 citations

Abstract

We introduce AI on the Pulse, a real-world-ready anomaly detection system that continuously monitors patients using a fusion of wearable sensors, ambient intelligence, and advanced AI models. Powered by UniTS, a state-of-the-art (SoTA) universal time-series model, our framework autonomously learns each patient's unique physiological and behavioral patterns, detecting subtle deviations that signal potential health risks. Unlike classification methods that require impractical, continuous labeling in real-world scenarios, our approach uses anomaly detection to provide real-time, personalized alerts for reactive home-care interventions. Our approach outperforms 12 SoTA anomaly detection methods, demonstrating robustness across both high-fidelity medical devices (ECG) and consumer wearables, with a ~22% improvement in F1 score. However, the true impact of AI on the Pulse lies in @HOME, where it has been successfully deployed for continuous, real-world patient monitoring. By operating with non-invasive, lightweight devices like smartwatches, our system proves that high-quality health monitoring is possible without clinical-grade equipment. Beyond detection, we enhance interpretability by integrating LLMs, translating anomaly scores into clinically meaningful insights for healthcare professionals.

Sapienza University of Rome (IT)
Openalex Percentile: Top 2%
Anomaly Detection Techniques and Applications
9.92
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