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2022 IEEE International Conference on Digital Health (ICDH)最新文献

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Computer Vision Based Cognition Assessment for Developmental-Behavioral Screening 基于计算机视觉的发育行为筛查认知评估
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00031
Chi-yu Chen, Po-Chien Hsu, Tao Chang, Huan Ho, Min-Chun Hu, Chi-Chun Lee, Hui-Ju Chen, M. Ko, Chia-Fan Lee, Pei-Yi Wang
Common screening tasks for developmental-behavioral disabilities require human judgement to decide pass/fail on checklists, which possibly causes subjective biases. On the other hand, professional requirements for an assessment build a barrier for the accessibility to such screening tests. Therefore, we applied a combination of computer vision techniques to automatically perform cognition assessment on toddlers. To tackle insufficient data, multi-person scene, and unexpected movements of toddlers, YOLOv5, Mediapipe, LOFTR, and depth prediction model trained from Mannequin Challenge dataset are utilized to accurately focus our detection model on assigned areas to generate better results. We believe that similar concepts could be further extended to other sub-fields in childhood developmental-behavioral screening and improve clinical practice.
发育-行为障碍的常见筛查任务需要人类的判断来决定检查表的通过/不通过,这可能会导致主观偏见。另一方面,对评估的专业要求为获得这种筛选试验造成了障碍。因此,我们结合计算机视觉技术对幼儿进行自动认知评估。为了解决数据不足、多人场景和幼儿意外动作等问题,利用YOLOv5、Mediapipe、LOFTR和从人体模型挑战数据集训练的深度预测模型,将我们的检测模型准确地集中在指定区域,以产生更好的结果。我们相信类似的概念可以进一步扩展到儿童发育-行为筛查的其他子领域,并改善临床实践。
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引用次数: 0
Extracting, Visualizing, and Learning from Dynamic Data: Perfusion in Surgical Video for Tissue Characterization 从动态数据中提取、可视化和学习:用于组织表征的外科视频灌注
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00009
J. Epperlein, N. Hardy, Pól Mac Aonghusa, R. Cahill
Intraoperative assessment of tissue can be guided through fluorescence imaging which involves systemic dosing with a fluorophore and subsequent examination of the tissue region of interest with a near-infrared camera. This typically involves administering indocyanine green (ICG) hours or even days before surgery and intraoperative visualization at the time predicted for steady-state signal-to-background status. Here, we describe our efforts to capture and utilize the information contained in the first few minutes after ICG administration from the perspective of both signal processing and surgical practice. We prove a method for characterization of cancerous versus benign rectal lesions now undergoing further development and validation via multicenter clinical phase studies.
术中组织评估可以通过荧光成像来指导,其中包括用荧光团全身给药,随后用近红外相机检查感兴趣的组织区域。这通常包括在手术前数小时甚至数天给予吲哚菁绿(ICG),并在预测稳态信号-背景状态时进行术中可视化。在这里,我们从信号处理和手术实践的角度描述了我们在ICG给药后最初几分钟内捕获和利用信息的努力。我们证明了一种表征直肠癌变与良性病变的方法,目前正通过多中心临床阶段研究进一步发展和验证。
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引用次数: 0
Preliminary Data Collection for Collaborative Emergency Department Crowd Management using Wearable Devices 基于可穿戴设备的协同急诊室人群管理的初步数据收集
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00013
Victoire Metuge, Maria Valero, Liang Zhao, Valentina Nino, David Claudio
Emergency department (ED) visits have risen to more than 60% since 1997, with more than 90% of U.S EDs being over-stretched due to overcrowding which has only been compounded by the recent pandemic. Consequences for ED overcrowding range from less severe effects such as patient inconvenience to more severe outcomes such as patient fatality. Research shows poor crowd management at the ED does not only affect patients but takes a toll on ED staff as well. To attempt to address this issue, our study researches how patient vitals collected and transmitted in real time to ED staff can help manage patients in the ED using a triage system that orders vitals in an urgent priority listing. We gathered data from participants using non-invasive wearable devices (CareTaker4 & Oximeter) to collect vital signs information such as heart rate, respiratory rate, blood pressure, and oxygen levels. We aim to use the data to feed a mathematical model that will create a priority algorithm that can sort patients in an ED according to the urgency of their vital signs and transmit the data in real time to health personnel. This way, the patients can be moved automatically in the list as they deteriorate while waiting. We were able to plot the data to show which patients' health are deteriorating quickly and that would require immediate attention. This will be instrumental by helping ED staff attend to pressing cases faster and help control crowds according to medical urgency instead of a first come first serve basis which is not always effective.
自1997年以来,急诊科(ED)的访问量上升到60%以上,由于过度拥挤,美国90%以上的急诊科超负荷工作,而最近的大流行又加剧了这种情况。急诊科过度拥挤的后果从不太严重的影响(如患者不便)到更严重的结果(如患者死亡)不等。研究表明,急诊室糟糕的人群管理不仅会影响病人,也会对急诊室的工作人员造成伤害。为了尝试解决这一问题,我们的研究研究了如何收集患者的生命体征并将其实时传输给急诊科工作人员,从而帮助管理急诊科的患者,使用分诊系统将生命体征按紧急优先顺序排列。我们使用无创可穿戴设备(CareTaker4 &血氧计)收集参与者的数据,以收集心率、呼吸频率、血压和氧气水平等生命体征信息。我们的目标是利用这些数据来建立一个数学模型,该模型将创建一个优先算法,该算法可以根据患者生命体征的紧急程度对急诊科的患者进行排序,并将数据实时传输给卫生人员。这样,当病人在等待期间病情恶化时,就可以在名单中自动移动。我们能够绘制出数据,显示哪些病人的健康状况正在迅速恶化,需要立即关注。这将有助于帮助急诊科工作人员更快地处理紧急病例,并帮助根据医疗紧急情况控制人群,而不是总是有效的先到先得原则。
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引用次数: 1
Deep Learning-Based Discrete Calibrated Survival Prediction 基于深度学习的离散校准生存预测
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00034
Patrick Fuhlert, Anne Ernst, Esther Dietrich, Fabian Westhaeusser, K. Kloiber, Stefan Bonn
Deep neural networks for survival prediction outperform classical approaches in discrimination, which is the ordering of patients according to their time-of-event. Conversely, classical approaches like the Cox Proportional Hazards model display much better calibration, the correct temporal prediction of events of the underlying distribution. Especially in the medical domain, where it is critical to predict the survival of a single patient, both discrimination and calibration are important performance metrics. Here we present Discrete Calibrated Survival (DCS), a novel deep neural network for discriminated and calibrated survival prediction that outperforms competing survival models in discrimination on three medical datasets, while achieving best calibration among all discrete time models. The enhanced performance of DCS can be attributed to two novel features, the variable temporal output node spacing and the novel loss term that optimizes the use of uncensored and censored patient data. We believe that DCS is an important step towards clinical application of deep-learning-based survival prediction with state-of-the-art discrimination and good calibration.
用于生存预测的深度神经网络在区分方面优于经典方法,即根据患者的事件时间对患者进行排序。相反,像Cox比例风险模型这样的经典方法显示出更好的校准,对潜在分布事件的正确时间预测。特别是在医疗领域,预测单个患者的生存至关重要,区分和校准都是重要的性能指标。在这里,我们提出了离散校准生存(DCS),这是一种用于判别和校准生存预测的新型深度神经网络,在三个医疗数据集的判别方面优于竞争生存模型,同时在所有离散时间模型中实现最佳校准。DCS的增强性能可归因于两个新的特征,可变时间输出节点间隔和新的损失项,优化了未审查和审查的患者数据的使用。我们认为DCS是迈向基于深度学习的生存预测临床应用的重要一步,具有最先进的识别和良好的校准。
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引用次数: 1
A New Low-Cost and Accurate Diagnostic mHealth System for Patients with COVID-19 Pneumonia 针对COVID-19肺炎患者的新型低成本、准确诊断移动医疗系统
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00027
Tarek El Salti, E. Sykes, Javier Nievas, Chen Tong
Over the last two years, COVID-19 pneumonia has killed more than six million people worldwide. To self-triage pneumonia patients, many mobile Health (mHealth) solutions have been developed. Some of these solutions only provide guidelines and trace outbreaks. Others collect inaccurate vitals and/or are considered costly. To address these challenges, a cost-effective and accurate mHealth system was designed in this paper. The system consists of several biosensors (e.g., oxygen saturation) as they are considered significant for the disease assessment. In addition, a new mobile application was developed to collect biometric vitals and transmit them to a HIPPA compliant server. Our real-world experiments demonstrated that the new system was strongly correlated with the gold standard systems in terms of pulse rate and temperature (e.g., 90%). Moreover, the difference in the rate of change between the two systems for the measurements were mostly insignificant (e.g., $p-text{value} approx 0.77$). Lastly, the prototype cost is approximately $20 USD.
在过去两年中,COVID-19肺炎已在全球造成600多万人死亡。为了对肺炎患者进行自我分类,已经开发了许多移动医疗(mHealth)解决方案。其中一些解决方案仅提供指导方针和跟踪爆发。其他采集不准确的生命体征和/或被认为代价高昂。为了解决这些挑战,本文设计了一个具有成本效益和精确的移动医疗系统。该系统由几个生物传感器(例如,氧饱和度)组成,因为它们被认为对疾病评估很重要。此外,还开发了一个新的移动应用程序来收集生物特征并将其传输到符合HIPPA的服务器。我们的实际实验表明,新系统在脉冲速率和温度方面与金标准系统有很强的相关性(例如,90%)。此外,两种测量系统之间的变化率差异大多不显著(例如,$p-text{value} 约0.77$)。最后,原型成本约为20美元。
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引用次数: 0
The Classification of Multiple Interacting Gait Abnormalities Using Insole Sensors and Machine Learning 利用鞋垫传感器和机器学习对多种交互步态异常进行分类
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00020
Alexander Turner, David Scott, S. Hayes
In this work we investigate the effectiveness of a wireless in-shoe pressure sensing system used in combination with a type of machine learning referred to as long term short term memory networks (LSTMs) to classify multiple interacting gait perturbations. Artificially induced gait perturbations consisted of restricted knee extension and altered under foot centre of pressure (COP). The primary aim was to assess the capacity to diagnose gait abnormalities without the need to attend a gait laboratory or visit a clinical healthcare professional, through the use of technology. Ultimately, such a system could be used to autonomously generate therapeutic guidance and provide healthcare professionals with accurate up to date information about a patients gait. The results show that LSTMs are capable of classifying complex interacting gait perturbations using in-shoe pressure data. When testing, 11 of 12 perturbation conditions were correctly classified overall and 58.8% of all data instances were correctly classified (8.3% is random classification). This work illustrates that an automated low cost, non-invasive gait diagnosis system with minimal sensors can be used to identify interacting gait abnormalities in individuals and has further potential to be used in a healthcare setting.
在这项工作中,我们研究了无线鞋内压力传感系统与一种被称为长短期记忆网络(LSTMs)的机器学习相结合的有效性,以分类多种相互作用的步态扰动。人工诱导的步态扰动包括膝关节伸展受限和足部压力中心(COP)下的改变。主要目的是评估通过使用技术来诊断步态异常的能力,而不需要参加步态实验室或拜访临床医疗保健专业人员。最终,这样的系统可以用于自主生成治疗指导,并为医疗保健专业人员提供有关患者步态的准确最新信息。结果表明,LSTMs能够利用鞋内压力数据对复杂的交互步态扰动进行分类。测试时,12个扰动条件中有11个总体正确分类,58.8%的数据实例正确分类(8.3%为随机分类)。这项工作表明,一种自动化的低成本、无创步态诊断系统可以用最小的传感器来识别个体的相互作用步态异常,并有进一步的潜力在医疗保健环境中使用。
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引用次数: 2
Digital Health Security & Privacy Symposium 数字健康安全与隐私研讨会
Pub Date : 2022-07-01 DOI: 10.1109/icdh55609.2022.00052
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引用次数: 0
Digital Health Promotion For Fitness Enthusiasts In Africa 非洲健身爱好者的数字健康推广
Pub Date : 2022-07-01 DOI: 10.1109/ICDH55609.2022.00017
Oritsetimevin Arueyinzho, Korede Sanyaolu
Health promotion involves intentional activities geared towards enabling and empowering persons to have better control over their health. The management of health has evolved from being drug centered to patient centered, andwithin the auspices of patient-centeredness it is becoming the focus of a lot of health promotion programs. Self-care encourages disease management or lifestyle modifications outside formal clinical settings, in different contexts of the everyday life of an average person. Recently, innovative digitalhealth tools have been used to encourage action on the determinants of health, self-care, and overall health promotion. The fitness industry is not left behind in this trend of self-care as key players are investing in the creation of digital health tools for this purpose. This review aims to summarize digital health technologies being used by fitness enthusiasts in Africa, and health promotion strategies (if there are any) for encouraging the use of these tools by fitness enthusiasts
促进健康涉及旨在使人们有能力更好地控制自己健康的有意活动。健康管理已经从以药物为中心发展到以患者为中心,并且在以患者为中心的支持下,它正在成为许多健康促进计划的重点。自我保健鼓励在正式临床环境之外,在普通人日常生活的不同环境中进行疾病管理或改变生活方式。最近,创新的数字卫生工具已被用于鼓励就健康决定因素、自我保健和整体健康促进采取行动。健身行业并没有落后于这种自我保健的趋势,因为主要参与者正在为此目的投资创建数字健康工具。本综述旨在总结非洲健身爱好者正在使用的数字健康技术,以及鼓励健身爱好者使用这些工具的健康促进策略(如果有的话)
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引用次数: 2
Message from the Organizing Committee 2022 IEEE International Conference on Digital Health 2022年IEEE数字健康国际会议组委会致辞
Pub Date : 2022-07-01 DOI: 10.1109/icdh55609.2022.00051
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引用次数: 0
Welcome Message from the General Co-Chair of the IEEE Services 2022 IEEE服务2022大会联合主席致欢迎辞
Pub Date : 2022-07-01 DOI: 10.1109/icdh55609.2022.00049
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引用次数: 0
期刊
2022 IEEE International Conference on Digital Health (ICDH)
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