PhysOnline: An Open Source Machine Learning Pipeline for Real-Time Analysis of Streaming Physiological Waveform.

Real-time analysis of streaming physiological data to identify earlier abnormal conditions is an important aspect of precision medicine. However, open-source systems supporting this workflow are lacking. In this paper, we present PhysOnline, a pipeline built on the open-source Apache Spark platform to ingest streaming physiological data for online feature extraction and machine learning. We consider scalability factors for horizontal deployment to support growing analysis requirements. We further integrate real-time feature extraction, including pattern recognition methods as well as descriptive statistical components to identify temporal characteristics of waveform signals. These generated features are then used for machine learning and for real-time classification of abnormal conditions. As a case study, we present the online classification of electrocardiography recordings for screening Paroxysmal Atrial Fibrillation (PAF) and demonstrate that our pipeline can predict persons developing PAF at least 45 min. before an episode of that condition. This pipeline can be applied in domains where pattern matching, temporal abstractions, and morphological characteristics can be used for real-time classification of streaming time-series data.1.