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A Novel Approach for Detection of Optic Disc and Lesion Location for Screening Diabetic Retinopathy 一种筛查糖尿病视网膜病变视盘及病变位置的新方法
Pub Date : 2021-10-01 DOI: 10.4018/IJHISI.20211001.OA20
A. Mahajan, Vasudha Vashisht, Rohit Bansal
Diabetic retinopathy is not typically perceivable in diabetic patients at the initial stage. Their first signs, like micro-aneurysms, often go unnoticed in preliminary testing by specialists. Additionally, its presence is difficult to detect as there are other pathologies that may also lead to induce similar signs and symptoms. Until the detection of the presence of exudates, a specialist cannot simply deduce the presence of diabetic retinopathy. This paper presents a method to assist in the identification and differentiation of exudates on colour retinal images based on a variety of k-nearest neighbour filters. The proposed method proved to be a rational approach to detect bright lesions with sufficient certainty, yielding a possible injury with a specificity of 99%. KeywORDS Circular Hough Transform (CHT), Diabetic Retinopathy (DR), Exudates, K-Nearest Neighbour (KNN), Retinal
糖尿病视网膜病变在糖尿病患者的初始阶段通常是不可见的。他们的最初症状,如微动脉瘤,通常在专家的初步测试中被忽视。此外,它的存在是难以检测的,因为有其他病理也可能导致诱发类似的体征和症状。在检测到渗出物的存在之前,专家不能简单地推断糖尿病视网膜病变的存在。本文提出了一种基于各种k近邻滤波器的彩色视网膜图像渗出物识别和鉴别方法。所提出的方法被证明是一种合理的方法,以足够的确定性检测明亮病变,产生可能的损伤,特异性为99%。关键词:圆霍夫变换,糖尿病视网膜病变,渗出物,k近邻,视网膜
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引用次数: 0
A Novel Machine Learning-Based Approach for Outlier Detection in Smart Healthcare Sensor Clouds 基于机器学习的智能医疗传感器云异常点检测新方法
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.20211001.oa26
Rajendra Kumar Dwivedi, R. Kumar, R. Buyya
A smart healthcare sensor cloud is an amalgamation of the body sensor networks and the cloud that facilitates the early diagnosis of diseases and the real-time monitoring of patients. Sensitive data of the patients which are stored in the cloud must be free from outliers that may be caused by malfunctioned hardware or the intruders. This paper presents a machine learning-based scheme for outlier detection in smart healthcare sensor clouds. The proposed scheme is a hybrid of clustering and classification techniques in which a two-level framework is devised to identify the outliers precisely. At the first level, a density-based scheme is used for clustering while at the second level, a Gaussian distribution-based approach is used for classification. This scheme is implemented in Python and compared with a clustering-based approach (Mean Shift) and a classification-based approach (Support Vector Machine) on two different standard datasets. The proposed scheme is evaluated on various performance metrics. Results demonstrate the superiority of the proposed scheme over the existing ones.
智能医疗传感器云是身体传感器网络和云的融合,有助于疾病的早期诊断和患者的实时监控。存储在云中的患者敏感数据必须不存在可能由硬件故障或入侵者造成的异常值。本文提出了一种基于机器学习的智能医疗传感器云异常点检测方案。提出的方案是聚类和分类技术的混合,其中设计了一个两级框架来精确识别异常值。在第一级,使用基于密度的方案进行聚类,而在第二级,使用基于高斯分布的方法进行分类。该方案在Python中实现,并在两个不同的标准数据集上与基于聚类的方法(Mean Shift)和基于分类的方法(支持向量机)进行比较。根据各种性能指标对所提出的方案进行了评估。结果表明,该方案优于现有方案。
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引用次数: 2
A Blockchain-Based Distributed Authentication System for Healthcare 基于区块链的医疗保健分布式认证系统
Pub Date : 2021-10-01 DOI: 10.4018/IJHISI.20211001.OA12
Soumyashree S. Panda, Debasish Jena, Priti Das
The use of digital health records, stricter health laws, and the growing need for health records exchange point towards the need for an efficient security and privacy preserving mechanism. For health insurance management systems, multiple entities exchange health information, which is used for decision making. Since multiple authoritative entities are involved, a secure and efficient information sharing protocol is required as extremely sensitive health information is exchanged among the entities. Hence, this paper aims to put forward a novel a decentralized authentication system based on blockchain known as insurance claim blockchain (ICBChain) system. The proposed system ensures privacy of patients and provides secure information exchange and authentication of entities. An implementation of the proposed system is provided using Ethereum blockchain. The security and performance analysis of the system shows its potential to satisfy healthcare security requirements and its efficiency, respectively.
数字健康记录的使用、更严格的健康法律以及对健康记录交换日益增长的需求表明,需要一种有效的安全和隐私保护机制。对于健康保险管理系统,多个实体交换用于决策的健康信息。由于涉及多个权威实体,因此在实体之间交换极其敏感的健康信息时,需要安全高效的信息共享协议。因此,本文旨在提出一种新的基于区块链的去中心化认证系统,即保险理赔区块链(ICBChain)系统。该系统确保了患者的隐私,并提供了安全的信息交换和实体认证。使用以太坊区块链提供了拟议系统的实现。系统的安全性和性能分析分别显示了其满足医疗安全需求和效率的潜力。
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引用次数: 2
Virtual Interface With Kinect 3D Sensor for Interaction With Bedridden People: First Insights 与卧床病人互动的Kinect 3D传感器的虚拟界面:第一见解
Pub Date : 2021-10-01 DOI: 10.4018/ijhisi.294114
Vítor H. Carvalho, José Eusébio
The human-machine interaction has evolved significantly in the last years, allowing a new range of opportunities for developing solutions for people with physical limitations. Natural user interfaces (NUI) allow bedridden and/or physically disabled people to perform a set of actions trough gestures thus increasing their quality of life and autonomy. This paper presents a solution based on image processing and computer vision using the Kinect 3D sensor for development of applications that recognize gestures made by the human hand. The gestures are then identified by a software application that triggers a set of actions of upmost importance for the bedridden person, for example, trigger the emergency, switch on/off the TV or control the bed slope. It was used a shape matching technique for six gestures recognition, being the final actions activated by the Arduino platform. The results show a success rate of 96%. This system can improve the quality of life and autonomy of bedridden people, being able to be adapted for the specific necessities of an individual subject.
人机交互在过去几年中发生了重大变化,为有身体限制的人提供了一系列新的解决方案。自然用户界面(NUI)允许卧床和/或身体残疾的人通过手势执行一组动作,从而提高他们的生活质量和自主性。本文提出了一种基于图像处理和计算机视觉的解决方案,利用Kinect 3D传感器开发识别人手手势的应用程序。然后,一个软件应用程序识别这些手势,触发一系列对卧床不起的人最重要的动作,例如,触发紧急情况,开关电视或控制床的坡度。使用形状匹配技术进行六种手势识别,是Arduino平台激活的最终动作。结果显示,成功率为96%。该系统可以提高卧床病人的生活质量和自主性,能够适应个体的特定需求。
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引用次数: 0
Dermatoscopy Using Multi-Layer Perceptron, Convolution Neural Network, and Capsule Network to Differentiate Malignant Melanoma From Benign Nevus 多层感知机、卷积神经网络和胶囊网络在皮肤镜下区分恶性黑色素瘤和良性痣的应用
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa4
Shamik Tiwari
Epiluminescence microscopy, more simply, dermatoscopy, entails a process using imaging to examine skin lesions. Various sorts of skin ailments, for example, melanoma, may be differentiated via these skin images. With the adverse possibilities of malignant melanoma causing death, an early diagnosis of melanoma can impact on the survival, length, and quality of life of the affected victim. Image recognition-based detection of different tissue classes is significant to implementing computer-aided diagnosis via histological images. Conventional image recognition require handcrafted feature extraction before the application of machine learning. Today, deep learning is offering significant choices with the progression of artificial learning to defeat the complications of the handcrafted feature extraction methods. A deep learning-based approach for the recognition of melanoma via the Capsule network is proposed here. The novel approach is compared with a multi-layer perceptron and convolution network with the Capsule network model yielding the classification accuracy at 98.9%.
脱毛显微镜,更简单地说,皮肤镜检查,需要一个过程使用成像检查皮肤病变。各种各样的皮肤疾病,例如黑色素瘤,可以通过这些皮肤图像来区分。由于恶性黑色素瘤有可能导致死亡,早期诊断黑色素瘤会影响患者的生存、寿命和生活质量。基于图像识别的组织分类检测对于实现组织图像的计算机辅助诊断具有重要意义。传统的图像识别需要在应用机器学习之前进行手工特征提取。如今,随着人工学习的发展,深度学习为克服手工特征提取方法的复杂性提供了重要的选择。本文提出了一种基于深度学习的方法,通过Capsule网络来识别黑色素瘤。将该方法与多层感知器和卷积网络进行了比较,得到了98.9%的分类准确率。
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引用次数: 18
Localization in Wireless Sensor Networks for Accurate Event Detection 基于无线传感器网络的精确事件检测定位
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa5
Amit Sharma, P. Singh
Event detection at its initial stage is considerably most demanding and more importantly challenging to reduce the causes and damages. The GPS-enabled sensor nodes are possibly a solution for the location estimation, but having GPS receiver in each sensor node makes the network costly. In this paper, the authors have presented a UNL, unknown node localization, method for the estimation of sensor location. The proposed method is based on RSSI, and there is no requirement of extra hardware and communication of data among the sensor nodes. The experiments are conducted in order to investigate the localization accuracy of UNL method, and they analyzed that the proposed method is simple as there is less computation and communication overhead. The proposed algorithm is further compared with other existing localization methods for the accurate estimation of unknown nodes. The experimental results show the effectiveness of the algorithm and its capability for locating the unknown nodes in a network more accurately.
在其初始阶段的事件检测是相当苛刻的,更重要的是具有挑战性的减少原因和损害。启用GPS的传感器节点可能是位置估计的一种解决方案,但在每个传感器节点中都有GPS接收器会使网络成本增加。本文提出了一种未知节点定位(UNL)方法来估计传感器的位置。该方法基于RSSI,不需要额外的硬件和传感器节点之间的数据通信。为了研究UNL方法的定位精度,他们进行了实验,分析了该方法的简单性,计算量和通信开销较少。并将该算法与现有的定位方法进行比较,对未知节点进行准确估计。实验结果表明了该算法的有效性,能够更准确地定位网络中的未知节点。
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引用次数: 6
Risk Reduction Privacy Preserving Approach for Accessing Electronic Health Records 访问电子健康记录的降低风险、保护隐私的方法
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa3
V. Saxena, Shashank Pushkar
In the healthcare field, preserving privacy of the patient's electronic health records has been an elementary issue. Numerous techniques have been emerged to maintain privacy of the susceptible information. Acting as a first line of defence against illegal access, traditional access control schemes fall short of defending against misbehaviour of the already genuine and authoritative users: a risk that can harbour overwhelming consequences upon probable data release or leak. This paper introduces a novel risk reduction strategy for the healthcare domain so that the risk related with an access request is evaluated against the privacy preferences of the patient who is undergoing for the medical procedure. The proposed strategy decides the set of data objects that can be safely uncovered to the healthcare service provider such that unreasonably repeated tests and measures can be avoided and the privacy preferences of the patient are preserved.
在医疗保健领域,保护患者电子健康记录的隐私一直是一个基本问题。已经出现了许多技术来维护易受影响信息的隐私。作为防止非法访问的第一道防线,传统的访问控制方案无法防范已经真实和权威的用户的不当行为:这种风险可能会在可能的数据发布或泄漏时造成严重后果。本文为医疗保健领域引入了一种新的风险降低策略,以便根据正在接受医疗程序的患者的隐私偏好评估与访问请求相关的风险。所提议的策略决定可以安全地向医疗保健服务提供商公开的数据对象集,从而可以避免不合理的重复测试和措施,并保留患者的隐私偏好。
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引用次数: 1
The Nature and Role of Perceived Threats in User Resistance to Healthcare Information Technology: A Psychological Reactance Theory Perspective 感知威胁在用户抵制医疗信息技术中的性质和作用:心理抗拒理论视角
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa2
Madison N. Ngafeeson, J. Manga
The efforts of the United States government in the past 15 years have included harnessing the power of health information technology (HIT) to improve legibility, lessen medical errors, keep costs low, and elevate the quality of healthcare. However, user resistance is still a barrier to overcome in order to achieve desired outcomes. Understanding the nature of resistance is key to successfully increasing the adoption of HIT systems. Previous research has showed that perceived threats are a significant antecedent of user resistance; however, its nature and role have remained vastly unexplored. This study uses the psychological reactance theory to explain both the nature and role of perceived threats in HIT-user resistance. The study shows that perceived helplessness over process and perceived dissatisfaction over outcomes are two unique instances of perceived threats. Additionally, the results reveal that resistance to healthcare information systems can manifest as reactance, distrust, scrutiny, or inertia. The theoretical and practical implications of the findings are discussed.
美国政府在过去15年中所做的努力包括利用医疗信息技术(HIT)的力量来提高易读性、减少医疗差错、降低成本和提高医疗质量。然而,为了实现预期的结果,用户的阻力仍然是一个需要克服的障碍。了解耐药性的本质是成功增加HIT系统采用的关键。先前的研究表明,感知到的威胁是用户抵抗的重要先决条件;然而,它的性质和作用仍未被广泛探索。本研究使用心理抗拒理论来解释感知威胁在hit用户抗拒中的性质和作用。研究表明,对过程的感知无助和对结果的感知不满是感知威胁的两个独特实例。此外,结果显示,对医疗保健信息系统的抵制可以表现为抗拒、不信任、审查或惰性。讨论了研究结果的理论和实践意义。
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引用次数: 6
Brain Tumour Segmentation in FLAIR MRI Using Sliding Window Texture Feature Extraction Followed by Fuzzy C-Means Clustering 基于滑动窗纹理特征提取和模糊c均值聚类的FLAIR MRI脑肿瘤分割
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa1
Sanjay Saxena, N. Kumari, S. Pattnaik
In this paper, a hybrid approach using sliding window mechanism followed by fuzzy c means clustering is proposed for the automated brain tumour extraction. The proposed method consists three phases. The first phase is used for detecting the tumorous brain MR scans by implementing pre-processing techniques followed by texture features extraction and classification. Further, this phase also compares the performance of different classifiers. The second phase consists of the localization of the tumorous region using sliding window mechanism, in which a sized window sweeps through the whole tumorous MR scan and the window is classified as tumorous or non-tumorous. The third phase consists of fuzzy c means clustering to get the exact location of the tumour by removing the misclassified windows obtained from Phase 2. 2D single-spectral anatomical FLAIR MRI scans are considered for experiment. Outcomes demonstrate significant results in terms of sensitivity, specificity, accuracy, dice similarity coefficient in comparison with the other existing methods.
本文提出了一种基于滑动窗口机制和模糊c均值聚类的脑肿瘤自动提取混合方法。该方法分为三个阶段。第一阶段通过实现预处理技术,然后进行纹理特征提取和分类,用于检测肿瘤脑磁共振扫描。此外,这个阶段还比较了不同分类器的性能。第二阶段包括使用滑动窗口机制定位肿瘤区域,其中一个大小的窗口扫描整个肿瘤MR扫描,并将窗口分类为肿瘤或非肿瘤。第三阶段由模糊c均值聚类组成,通过去除从阶段2获得的错误分类窗口来获得肿瘤的确切位置。二维单光谱解剖FLAIR MRI扫描被认为是实验。结果表明,与其他现有方法相比,该方法在敏感性、特异性、准确性、骰子相似系数等方面均有显著的结果。
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引用次数: 6
Estimation of Medication Dispensing Errors (MDEs) as Tracked by Passive RFID-Based Solution 基于被动式射频识别的药品调剂错误(MDEs)跟踪估计
Pub Date : 2021-07-01 DOI: 10.4018/ijhisi.20210701.oa6
Anas Mouattah, Khalid Hachemi
Errors from dispensing medicines, as part of medication errors, can have deadly consequences. Notwithstanding the occasional incidental reports, the impact of such errors remains significant given the high amount of medicines distributed daily. Here, the authors case studied the medication dispensing errors and the resulting impact on patient safety vis-à-vis a medico-surgical emergency department of a local university hospital center. The approach comprises two parts: first, an estimation of medication dispensing error rates; and second, a suggested passive radio frequency identification based solution aimed to reduce such incidents. The benefits of the adapted novel solution relative to the commonly used systems will be highlighted. They conclude with an overview of the study results and provides insights on how attending to this key challenge of medication dispensing errors will further enhance future health informatics practices and research.
作为用药错误的一部分,配药错误可能会造成致命的后果。尽管偶尔有意外报告,但鉴于每天分发的大量药品,这种错误的影响仍然很大。本文以-à-vis某地方大学医院中心内外科急诊科为案例,研究了配药失误及其对患者安全的影响。该方法包括两个部分:第一,药物调剂错误率的估计;其次,提出了一种基于被动射频识别的解决方案,旨在减少此类事件。与常用系统相比,改编的新解决方案的好处将被强调。他们总结了研究结果的概述,并提供了如何解决药物分配错误这一关键挑战的见解,将进一步加强未来的卫生信息学实践和研究。
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引用次数: 1
期刊
Int. J. Heal. Inf. Syst. Informatics
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