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2022 IEEE International Symposium on Medical Measurements and Applications (MeMeA)最新文献

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Optical Tracker Assessment for Image Guided Surgical Interventions 影像引导手术介入的光学追踪器评估
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856439
M. Naheem, Andal Amirthavarshini G, S. A, P. Dumpuri, Manojkumar Lakshmanan, M. Sivaprakasam
Optical tracking systems are extensively used in minimally invasive image-guided surgeries. The efficiency of such a system depends on the precise tracking of surgical tools. The optimal setup of the navigation system and calibration of the tool are the predominant factors that affect the tracking accuracy. We have developed and implemented customized filtering and calibration algorithms on a cost-effective camera, the fusionTrack 500 manufactured by Atracsys. Deployment of these in-house algorithms and protocols have shown a significant increase in the tracking accuracy. Extensive validations were conducted on fusionTrack 500 and benchmarked against NDI Polaris Vega, an industrial standard camera. ASTM phantom was used to validate the tracking accuracy of the navigation system. A Deldrin-based phantom was designed particularly to evaluate the Target Registration Error. Further, a volumetric study was carried out to assess the relative position error between cameras, using a 3D FARO arm CMM. The proposed calibration method implemented on the Atracsys camera shows a 33.7% improvement in the tracking accuracy compared to its native algorithm. Target Registration Error for NDI camera was observed to be 1.2 mm and Atracsys was 0.8 mm, which depicts a 0.4 mm enhancement. Incorporating these algorithms would allow us to effectively integrate cost-effective optical tracking systems into image-guided navigation systems.
光学跟踪系统广泛应用于微创图像引导手术。这种系统的效率取决于手术工具的精确跟踪。导航系统的优化设置和刀具的标定是影响跟踪精度的主要因素。我们已经开发并实施了定制滤波和校准算法在一个具有成本效益的相机,fusionTrack 500由Atracsys制造。这些内部算法和协议的部署显示出跟踪精度的显着提高。在fusionTrack 500上进行了广泛的验证,并与NDI Polaris Vega(一款工业标准相机)进行了基准测试。采用ASTM模型验证导航系统的跟踪精度。设计了一个基于deldrin的模型来评估目标定位误差。此外,使用3D FARO臂式三坐标测量机进行了体积研究,以评估相机之间的相对位置误差。本文提出的标定方法在Atracsys相机上实现,与原有算法相比,标定精度提高了33.7%。NDI相机的目标配准误差为1.2 mm, Atracsys为0.8 mm,增强了0.4 mm。结合这些算法将使我们能够有效地将具有成本效益的光学跟踪系统集成到图像制导导航系统中。
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引用次数: 1
Epileptic Seizure Detection Using Convolution Neural Networks 利用卷积神经网络检测癫痫发作
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856458
William Sukaria, James Malasa, Shiu Kumar, Rahul Kumar, M. Assaf, V. Groza, E. Petriu, Sunil R. Das
Epilepsy is a central nervous system disorder that affects a substantial number of world's population and disrupts the quality of life of the sufferers. A number of diagnostic techniques evolved over the years for the detection of epileptic seizures using encephalograms. The subject paper presents design and implementation of a classification model based on convolution neural networks that is capable of detecting epileptic seizures using computational methods utilizing encephalogram data. The study used convolution neural networks that have unique characteristics for recognizing patterns and images and in classifying their features. The neural network architecture proposed herein comprises of layers for input and output with several hidden convolution layers. The electroencephalogram database that was used in this work is the freely accessible CHB-MIT scalp encephalogram database. The developed approach was implemented using the 22 subject database and testing was carried out on patients a few days after the withdrawal of the anti-seizure medications. The test subjects were composed of 5 males and 17 females from various age groups. It was observed that the suggested algorithm could detect about 94.6 percent of the 198 tested seizure records, indicating a good performance of the proposed seizure detection algorithm.
癫痫是一种中枢神经系统疾病,影响着世界上相当数量的人口,并扰乱患者的生活质量。多年来发展了许多诊断技术,用于使用脑电图检测癫痫发作。主题论文提出了一个基于卷积神经网络的分类模型的设计和实现,该模型能够使用利用脑电图数据的计算方法检测癫痫发作。这项研究使用了卷积神经网络,它在识别模式和图像以及对其特征进行分类方面具有独特的特点。本文提出的神经网络结构由输入层和输出层组成,其中包含若干隐卷积层。在这项工作中使用的脑电图数据库是免费访问的CHB-MIT头皮脑电图数据库。开发的方法使用22个受试者数据库实施,并在停用抗癫痫药物几天后对患者进行测试。测试对象由不同年龄段的5名男性和17名女性组成。观察到,该算法可以检测198个测试的癫痫记录中的94.6%,表明所提出的癫痫检测算法具有良好的性能。
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引用次数: 1
Feasibility of Blood Pressure Measurement through Wearable Devices: Analysis of Smartwatches Performance 可穿戴设备测量血压的可行性:智能手表性能分析
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856533
A. Poli, G. Cosoli, Grazia Iadarola, S. Spinsante, L. Scalise
Abnormal changes in blood pressure (BP) values can result in hypertension, one of the most serious cardiovascular risk factors. For this reason, it is important to regularly monitor the BP changes. Wearable devices, such as smartwatches, enable the BP values recording during daily activities, enhancing the prevention and management of several diseases. However, data quality can be lower than the one provided by a medical-grade instrument. The aim of this study is to compare the BP values obtained by three commercial smartwatches to those obtained by an automatic sphygmomanometer, adopted as a reference device. Nineteen healthy subjects were enrolled to collect BP values in this study. Results show that blood pressure can be tracked, with certain precision and accuracy, using a wrist-worn wearable device. Among the tested smartwatches, the Omron HeartGuide resulted the most accurate to detect the systolic BP values, SBP (bias, $mu_{SBP}=0.60$ mmHg), while the Samsung Galaxy Watch3 showed the highest accuracy for the systolic BP values and the highest precision (confidence intervals for systolic and diastolic BP, DBP, CI95%SBP = [−9.70; 10.91] mmHg; $text{CI}95%_{DBP}=[-4.68;7.57]$ mmHg), with respect to the accuracy of the sphygmomanometer (± 3 mmHg).
血压(BP)值的异常变化可导致高血压,这是最严重的心血管危险因素之一。因此,定期监测血压变化是很重要的。智能手表等可穿戴设备可以在日常活动中记录血压值,加强对多种疾病的预防和管理。但是,数据质量可能低于医疗级仪器提供的数据质量。本研究的目的是将三款商用智能手表获得的血压值与作为参考设备的自动血压计获得的血压值进行比较。19名健康受试者在本研究中采集血压值。结果表明,使用手腕上的可穿戴设备可以以一定的精度和准确性跟踪血压。在测试的智能手表中,欧姆龙心脏指南对收缩压值SBP的检测最准确(偏差,$mu_{SBP}=0.60$ mmHg),而三星Galaxy Watch3对收缩压值的检测精度最高(收缩压和舒张压的置信区间,DBP, CI95%SBP = - 9.70;10.91毫米汞柱;$text{CI}95%_{DBP}=[-4.68;7.57]$ mmHg),相对于血压计的精度(±3 mmHg)。
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引用次数: 2
A preliminary study on a novel approach to the assessment of the sample volume length and registration accuracy in PW Doppler quality control PW多普勒质量控制中样本体积长度和配准精度评估新方法的初步研究
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856474
Giorgia Fiori, A. Scorza, M. Schmid, J. Galo, S. Conforto, S. Sciuto
Sample volume (SV) in PW Doppler is usually characterized by two main factors, i.e., sample volume size and range gate registration accuracy, which have been included among the recommended Quality Control (QC) Doppler tests commonly proposed in the literature. However, most of the studies focusing on these two factors date back to the last years of the XX century. In this context, the present preliminary study proposes and investigates a novel approach for the automatic analysis of faults in both sample volume length and registration accuracy through the post-processing of PW Doppler spectrograms. In particular, a Velocity Profile Discrepancy Index (VPDI) has been defined and assessed under the hypothesis of laminar flow and parabolic velocity profiles in the examined conduct. According to the definition hereby proposed, VPDI is expected to be as close as possible to 0 for a good agreement between theoretical and measured velocity profile, therefore suggesting that the displayed PW spectrogram is not affected by significant SV error sources. A single ultrasound (US) system of intermediate technology level, equipped with three probe models, has been used to acquire the PW spectrograms obtained for six different SV positions (i.e., six sample volume depths) with respect to the tube diameter of a Doppler flow phantom. Tests have been repeated for all the US probes operating at two Doppler frequencies each. Based on the preliminary promising outcomes, further studies may be needed that include (i) increasing the number of diagnostic systems, (ii) exploring different US system settings, (iii) improving the test protocol to estimate the two error sources separately.
PW多普勒的样本量(SV)通常由两个主要因素表征,即样本量大小和量程门配准精度,这两个因素已被纳入文献中通常提出的推荐的质量控制(QC)多普勒测试。然而,大多数关注这两个因素的研究都可以追溯到20世纪的最后几年。在此背景下,本初步研究提出并探讨了一种通过对PW多普勒谱图进行后处理,在样本体积长度和配准精度两方面自动分析故障的新方法。特别地,在层流和抛物速度分布的假设下,定义和评估了速度分布差异指数(VPDI)。根据本文提出的定义,为了使理论速度剖面与实测速度剖面很好地吻合,VPDI应尽可能接近于0,这表明显示的PW谱图不受显著SV误差源的影响。采用中等技术水平的单超声(US)系统,配备三种探头模型,获得了相对于多普勒流模管径的六个不同SV位置(即六个样品体积深度)的PW谱图。所有在两个多普勒频率下工作的美国探测器都进行了重复测试。基于初步的有希望的结果,可能需要进一步的研究,包括(i)增加诊断系统的数量,(ii)探索不同的美国系统设置,(iii)改进测试方案以分别估计两个错误源。
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引用次数: 1
Evaluation of Acoustic Coupler for Audiometric Tests of Newborns 新生儿听力测试声学耦合器的评价
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856492
B. Karaboce
The acoustic coupler designed for newborn hearing assessments has been studied and used in in vitro tests. The acoustic transfer impedance (ATI) of the coupler was determined and compared with the theoretical model. In addition, its sensitivity to environmental conditions such as temperature and pressure was investigated at frequencies between 100 Hz and 10 kHz. Ear coupler has been compared with the IEC 60318–4 ear simulator and a 2 cm3 coupler and the results have been investigated. This paper reports on the results of experimental investigations for the new neonatal occluded ear simulator including in various atmospheric pressure and temperature conditions which was applied in automatic controlled environmental chambers. The uncertainty in the calibration is calculated in accordance with the methods specified in the “Guide to the Expression of Uncertainty in Measurement (GUM, ISO, 2nd edition, 1995)” and EA-4/02 (EA, 1999). A model function based on error has been created for the uncertainty calculations in the acoustic transfer impedance calculations and a detailed uncertainty budget has been given.
研究了用于新生儿听力评估的声学耦合器,并在体外试验中使用。测定了该耦合器的声传递阻抗,并与理论模型进行了比较。此外,在100 Hz和10 kHz之间的频率范围内,研究了其对温度和压力等环境条件的敏感性。将耳型耦合器与IEC 60318-4耳型模拟器和2 cm3的耳型耦合器进行了比较,并对结果进行了分析。本文报道了应用于自动控制环境室的新型新生儿闭塞耳模拟器在不同大气压和温度条件下的实验研究结果。校准中的不确定度按照“测量不确定度表达指南(GUM, ISO,第二版,1995)”和EA-4/02 (EA, 1999)中规定的方法计算。针对声传递阻抗计算中的不确定性计算,建立了基于误差的模型函数,并给出了详细的不确定性预算。
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引用次数: 0
Benzene and Toluene Detection with a Quartz-Enhanced Photoacoustic Sensor 用石英增强光声传感器检测苯和甲苯
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856434
Francesco Paciolla, A. Zifarelli, V. Spagnolo, P. Patimisco, A. Sampaolo, M. Giglio, K. Kinjalk, R. Teissier, A. Baranov
The analysis of Volatile Organic Compounds (VOCs) concentration in exhaled breath can be a promising approach for early and non-invasive diagnosis of different diseases. This work reports the detection of benzene and toluene molecules using a Quartz-Enhanced PhotoAcoustic Spectroscopy (QEPAS) sensor. These two molecules are VOCs commonly found in part-per-billion (ppb) level in the human exhaled breath.
呼气中挥发性有机化合物(VOCs)的浓度分析是一种有前途的方法,可以早期和无创地诊断各种疾病。这项工作报告了使用石英增强光声光谱(QEPAS)传感器检测苯和甲苯分子。这两种分子是挥发性有机化合物,通常在人类呼出的气体中以十亿分之一(ppb)的水平存在。
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引用次数: 0
Analysis of Rise Time Responses of a Smart Infusion Pump for the Control of Dopamine Drug Flow Rate 控制多巴胺药物流速的智能输液泵上升时间响应分析
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856447
J. Alamelu, Mythili Asaithambi, Swaminathan Ramakrishnan
The smart infusion pumps are prominently used to administer drug effectively for the patient. The usage is increased, as the patient safety is critical, and the reduction of medication errors are necessary. The control of drug flow rate in infusion pumps are crucial as it can have substantial impact on patient safety. The implementation of control system model and tuning of the related control parameters are desired. In this paper, an attempt has been made to analyze the rise time (RT) responses of a representative smart infusion pump. The syringe and volumetric administration of Dopamine drug are considered for this study. The examination of the desired target flow rate is accomplished by using different control tuning schemes such as Proportional Integral Derivative (PID) and Internal Mode Controller (IMC). The evaluation of the control strategy is demonstrated with parameters such as RT and settling time (ST). Results show that it is possible to achieve desired RT for the considered infusion conditions by tuning both PID and IMC. The values of RT obtained are 0.215 and 0.383 s respectively. Further, as it is often important to tune RT for patient specific Dopamine administration, the study seems to be relevant for the design of automated drug infusion systems.
智能输液泵显著地用于有效地给药的病人。由于患者安全至关重要,减少用药错误是必要的,因此使用量增加。输液泵中药物流速的控制对患者的安全有着重要的影响。需要实现控制系统模型和相关控制参数的整定。本文对一种具有代表性的智能输液泵的上升时间响应进行了分析。本研究考虑了多巴胺药物的注射和体积给药。通过使用比例积分导数(PID)和内模控制器(IMC)等不同的控制调谐方案来完成所需目标流量的检查。用RT和沉降时间(ST)等参数对控制策略进行了评价。结果表明,在考虑的输注条件下,通过调整PID和IMC可以实现所需的RT。得到的RT值分别为0.215和0.383 s。此外,由于调整患者特异性多巴胺给药的RT通常很重要,因此该研究似乎与自动药物输注系统的设计有关。
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引用次数: 1
A Localized and Minimally Invasive Tumor Treatment Based on a Frequency Adjustable Microwave Ablation Method 一种基于频率可调微波消融的肿瘤局部微创治疗方法
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856429
Li Wang, X. Bao, Yafei Wang, G. Crupi, A. Zhang
As a minimally invasive surgery, microwave ablation (MWA) has been widely used in tumor treatment. However, the electromagnetic properties of tissue will change with temperature during operation, which may lead to unstable performance or even failure of the antenna. In this paper, we preliminarily verified the feasibility of improving the stability of microwave ablation antenna by adjusting the frequency. Experimental results show that the ablation zone is change form 16 mm × 40 mm to 20 mm × 35 mm with frequency adjustment, showing larger and more localized ablation zone. In addition, the $S_{11}$ keeps remaining lower than −10dB during the operation, while the $S_{11}$ at 2.45 GHz without frequency adjustment is expanded to −8.5dB at the end of the experiment.
微波消融术作为一种微创手术,在肿瘤治疗中得到了广泛的应用。然而,在工作过程中,组织的电磁特性会随着温度的变化而变化,这可能导致天线的性能不稳定甚至失效。本文初步验证了通过调整频率来提高微波消融天线稳定性的可行性。实验结果表明,随着频率的调整,烧蚀区域由16 mm × 40 mm变为20 mm × 35 mm,烧蚀区域更大、更局部化。此外,$S_{11}$在工作过程中一直保持在- 10dB以下,而在2.45 GHz无频率调整时的$S_{11}$在实验结束时扩展到- 8.5dB。
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引用次数: 2
Rehabilitation Monitoring of Post-Laryngectomy Patients through the Extraction of Vocal Parameters 喉切除术后声带参数提取的康复监测
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856487
A. Carullo, A. Atzori, L. Midolo, A. Vallan, M. Fantini, G. Succo
This paper deals with the analysis of substitution voices of post-laryngectomy patients with the aim of identifying a methodology to track the effectiveness of rehabilitation therapies. The available data-set includes 22 patients that had undergone Open Partial Horizontal Laryngectomy (OPHL) of type II and 10 patients that had undergone OPHL of type III. A pre-processing algorithm that relies on the spectral kurtosis has been designed to remove non-harmonic frames from the available recordings of patients, thus minimizing the number of outliers among the extracted parameters. Such an algorithm has been tuned starting form the results of a control group of 10 healthy subjects. After this preliminary step, from the harmonic frames a series of parameters have been extracted that belong to spectral domain (tilt, kurtosis, entropy and Soft Phonation Index) and cepstral domain (Mel-Frequency Cepstral Coefficients, MFCCs, and Cepstral Peak Prominence Smoothed, CPPS). Then, the patients have been subdivided into two classes according to the index I (Intelligibility) of the auditory perceptual scale INFVo and a Kolmogorov-Smirnov two-samples test has been run, which has highlighted that low-band MFCCs, spectral entropy and spectral kurtosis show the best discrimination capability of substitution voices. This outcome has been confirmed by an alternative method that is based on the performance of classification algorithms. A classification accuracy of about 81% has been obtained using a logistic regression model that was trained with median of MFCC3, range of MFCC4 and 95° percentiles of MFCC6 and MFCC9. The same accuracy has been provided by a coarse decision tree algorithm trained with skewness of MFCC1, median of MFCC3 and 95° percentile of spectral entropy.
本文分析了喉切除术后患者的替代声音,目的是确定一种方法来跟踪康复治疗的有效性。现有数据集包括22例II型开放式部分水平喉切除术(OPHL)患者和10例III型OPHL患者。一种基于谱峰度的预处理算法被设计用于从患者的可用记录中去除非谐波帧,从而最大限度地减少提取参数中的异常值的数量。这种算法是从10名健康受试者的对照组的结果开始调整的。在这一初步步骤之后,从谐波帧中提取了一系列属于谱域(倾斜、峰度、熵和软音指数)和倒谱域(Mel-Frequency cepstral Coefficients, MFCCs,和cepstral Peak珥Smoothed, CPPS)的参数。然后,根据听觉感知量表(INFVo)的可理解性指数I将患者细分为两类,并进行Kolmogorov-Smirnov双样本检验,结果表明低频mfcc、谱熵和谱峰度表现出最佳的替代语音识别能力。这一结果已被一种基于分类算法性能的替代方法所证实。使用MFCC3的中位数、MFCC4的极差以及MFCC6和MFCC9的95°百分位数训练的逻辑回归模型,获得了约81%的分类准确率。用MFCC1的偏度、MFCC3的中位数和谱熵的95°百分位数训练的粗糙决策树算法也能提供相同的精度。
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引用次数: 1
Measuring insulin absorption by impedance spectroscopy. A feasibility study 阻抗光谱法测定胰岛素吸收。可行性研究
Pub Date : 2022-06-22 DOI: 10.1109/MeMeA54994.2022.9856505
G. Annuzzi, P. Arpaia, L. Bozzetto, Giusy Carleo, O. Cuomo, Francesca Mancino, N. Moccaldi, P. Ramos, M. Taglialatela
An on chip-transducer based on bioimpedance spectroscopy for monitoring insulin absorption after subcutaneous administration is presented. The measurement of impedance variation allows to detect the disappearance of the drug from administration site, thus providing an indirect measure of drug absorption. In the first part of this paper, the hardware, firmware, and software of the transducer are presented. Then, the results from tests on eggplants are reported comparing their electrical response to vehicle and insulin administration. When the amount of solution increased, impedance variation was lower with insulin compared to vehicle. As matter of fact, in case of insulin, a sensitivity of 62.88 ml-1 and 44.07 ml-1was calculated for impedance magnitude and phase, respectively. In case of vehicle, a sensitivity of 171.21 ml-1 was calculated for impedance magnitude, whereas, a variation of 88.91 ml-1was observed for the impedance phase. Despite these differences, the same impedance magnitude and phase monotonous trend emerged. Based on the evidence emerged from in-vitro test, a preliminary experimental on a human subject was performed to investigate tissue impedance variation due to vehicle absorption. Vehicle administration produced a decrease in impedance magnitude of the injection site. After vehicle administration, the impedance magnitude showed a tendency to return to the baseline value. This study demonstrated the feasibility of indirect drug absorption assessment by measuring the amount of drug disappearing from the site of administration in terms of impedance variation.
提出了一种基于生物阻抗光谱的皮下胰岛素吸收监测芯片传感器。阻抗变化的测量允许检测药物从给药部位消失,从而提供药物吸收的间接测量。在本文的第一部分,介绍了传感器的硬件、固件和软件。然后,报告了对茄子的测试结果,比较了它们对车辆和胰岛素管理的电反应。当溶液量增加时,胰岛素对阻抗变化的影响小于对照。事实上,以胰岛素为例,阻抗大小和相位的敏感性分别为62.88 ml-1和44.07 ml-1。以车辆为例,阻抗幅值的灵敏度为171.21 ml-1,阻抗相位的灵敏度为88.91 ml-1。尽管存在这些差异,但阻抗大小相同,相位单调。在体外实验的基础上,对人体进行了初步实验,以研究由于吸收剂引起的组织阻抗变化。给药后注射部位的阻抗减小。在给药后,阻抗值有恢复到基线值的趋势。本研究通过阻抗变化测量药物从给药部位消失的量,证明了间接药物吸收评价的可行性。
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引用次数: 2
期刊
2022 IEEE International Symposium on Medical Measurements and Applications (MeMeA)
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