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Proceedings. 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB '98 (Cat. No.98EX188)最新文献

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A Web-based Approach To Distance Learning And Student Collaboration 基于网络的远程学习与学生合作方法
R. Alonso
In this talk we describe an ongoing effort at Sarnoff Corporation to develop distance learning and collaboration tools as part of a large scale project on Web-based education. We will describe the goals of the project and the current tasks under way. We will also describe some of the tools being created, concentrating specially on Cartopapher, a novel distance leaming tool now under development. Cartographer has several interesting features, including: helping the teacher organize Web-based courses; providing the student with a dynamic course map that is m&ed and augmented as the student progresses through the course; and providing teacher feedback on student progress and leaming behavior.
在这次演讲中,我们描述了Sarnoff公司正在进行的开发远程学习和协作工具的工作,这些工具是基于网络教育的大型项目的一部分。我们将描述项目的目标和目前正在进行的任务。我们还将介绍一些正在创建的工具,特别关注Cartopapher,这是一种正在开发的新型远程学习工具。Cartographer有几个有趣的功能,包括:帮助老师组织网络课程;为学生提供一个动态的课程地图,随着学生在课程中的进步,该地图会被修改和扩充;并为老师提供学生进步和学习行为的反馈。
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引用次数: 1
Web-based monitoring of asthma severity: a new approach to ambulatory management 基于网络的哮喘严重程度监测:一种新的门诊管理方法
J. Finkelstein, M. Cabrera, G. Hripcsak
We developed a Web based system for ambulatory monitoring of pulmonary function and tested it in a home setting in 14 asthma patients. The system uses a portable spirometer for patient self testing and a palmtop computer that transmits the results from patients' homes to a hospital information system via phone or wireless network. The results are immediately available to physicians on a Web site, accessible via an Internet Web browser from any location. The system provides daily monitoring of 29 indices of Forced Vital Capacity test (FVC), the flow-volume loop and symptom scores. It generates alerts based on changes in data trends and exchanges messages between patients and physicians. All patients successfully uploaded their FVC data including the flow-volume loop and symptom scores from their homes to our central repository. The flow-volume loop and FVC parameters provided a more accurate assessment of the patients' asthma, and uncovered previously unrecognized nocturnal asthma and small airway obstruction. We believe our approach will be useful for asthma management on a day-to-day basis and in clinical research.
我们开发了一个基于网络的肺功能动态监测系统,并在14名哮喘患者的家庭环境中进行了测试。该系统使用便携式肺活量计进行患者自我检测,并使用掌上电脑通过电话或无线网络将结果从患者家中传输到医院信息系统。医生可以在网站上立即获得结果,可以在任何地点通过互联网浏览器访问。该系统提供强制肺活量试验(FVC) 29项指标、流量-容量循环和症状评分的日常监测。它根据数据趋势的变化生成警报,并在患者和医生之间交换信息。所有患者均成功将其FVC数据(包括流量-容量循环和症状评分)从家中上传至我们的中央存储库。流量-容量环和FVC参数提供了对患者哮喘更准确的评估,并发现了以前未被识别的夜间哮喘和小气道阻塞。我们相信我们的方法将对哮喘的日常管理和临床研究有用。
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引用次数: 17
Wavelet compression of ultrasound video streams for teleradiology 远程放射学超声视频流的小波压缩
R.K. Andrew, B. Stewart, S. Langer, K. Stegbauer
Future developments in teleradiology hinge on the delivery of real or near real-time images, sometimes across less than optimal bandwidth communication channels. Ultrasound, to achieve its greatest diagnostic value, needs to transmit not just still images but video as well. A significant amount of compression, however, may be required to achieve near real-time video across limited bandwidths. This will inevitably result in degraded video quality. A variety of compression algorithms are in widespread use including H.261, H.323, JPEG (Joint Photographic Experts Group), MPEG (Motion Picture Expert Group) and most recently wavelets. We have developed a suite of tools to evaluate each of these methods, and to identify potential areas where wavelet compression may have an advantage. In this particular study, we compare motion wavelet compression to motion JPEG compression using the standard correlation coefficient and the normalized mean squared error, and found the motion wavelet technique slightly better.
远程放射学的未来发展取决于真实或接近实时图像的传输,有时会通过低于最佳带宽的通信信道。超声要实现最大的诊断价值,不仅需要传输静止图像,还需要传输视频。然而,为了在有限的带宽上实现接近实时的视频,可能需要大量的压缩。这将不可避免地导致视频质量下降。各种各样的压缩算法被广泛使用,包括H.261, H.323, JPEG(联合摄影专家组),MPEG(电影专家组)和最近的小波。我们已经开发了一套工具来评估这些方法,并确定小波压缩可能具有优势的潜在领域。在这个特殊的研究中,我们使用标准相关系数和归一化均方误差将运动小波压缩与运动JPEG压缩进行比较,发现运动小波技术稍好一些。
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引用次数: 7
Mechatronics Devices In Medicine And Surgery 医学和外科中的机电一体化设备
P. Brett
At the University of Bristol., research on Mechatronics has focused on the control of contact between machines and non-rigid materials. The research has focused on this field over the last decade in automating applications in industrial sectors such as handling and cutting operations in the Aerospace, and Food processing and preparation. The work was initiated through recognition that most products are indeed nonrigid and that the extent to which automation could be applied was limited by the availability of appropriate technologies. In paaicular the requirements for new sensing, and actuation methods were identified. These needed integration with software programs for interpretation of state of the ControUed medium and for selection and implementation of controlled strategies. Many o f the tasks in the processing of non-rigid mediums can be identified as skilled tasks. These require both p igment and dexterity appropriate to the task Over the last 8 years the studies have focused on the precision control of tools with respect to soft and deforming tissues in medicine and surgery where similar requirements also apply. Both automated and tele-operated machines for surgery have been devised that incorporate novel sensing and actuation techniques. This paper focuses on two example mechatronic devices that have been devised in medicine and surgery. One to control tool progress in flexible tissue and the second to control contact over surfaces. The examples relate to precision microdrillkg a delicate flexible bone tissue with control of break-out and a method for controlling a flexible actuator in contact with a flexible tissue surface. This can be used for remote palpation. The schemes used for the interpretation of sensory data information and the resulting machine performance are described and will illustrate how machines can be devised to interpret complex state with respect to soft mediums, by using low-cost sensory schemes with an emphasis on simplicity and reliability. The design of the user interface for mechatronic devices in Medicine and Surgery is regarded as an important function that needs the carefid control of information. Mechatronic tools can provide a wealth of infannation to aid the perception of conditions at the working site. Investigations, at Bristol are Considering a COmbiDation of haptic and visual stimulus in the feedback to the surgeon operator in the control of mechatronic tools.
在布里斯托大学。在美国,机电一体化的研究主要集中在机器与非刚性材料接触的控制上。在过去的十年中,研究主要集中在工业领域的自动化应用,如航空航天中的处理和切割操作,以及食品加工和准备。这项工作是通过认识到大多数产品确实是非刚性的,并且自动化可以应用的程度受到适当技术的可用性的限制而开始的。特别指出了对新型传感和驱动方法的要求。这些需要与软件程序集成,以解释受控介质的状态,并选择和实施受控策略。非刚性介质加工中的许多任务可以确定为技术任务。在过去的8年里,研究的重点是针对医学和外科中柔软和变形组织的工具的精确控制,其中类似的要求也适用。自动化和远程操作的手术机器都被设计成结合了新颖的传感和驱动技术。本文重点介绍了在医学和外科领域设计的两个机电一体化装置实例。一是控制刀具在柔性组织中的进展,二是控制表面接触。所述实施例涉及精密微钻、具有破裂控制的精致柔性骨组织和用于控制与柔性组织表面接触的柔性致动器的方法。这可以用于远程触诊。描述了用于解释感官数据信息和由此产生的机器性能的方案,并将说明如何设计机器来解释相对于软介质的复杂状态,通过使用强调简单性和可靠性的低成本感官方案。摘要医药外科机电设备的用户界面设计是一项重要的功能,需要对信息进行细致的控制。机电工具可以提供丰富的信息,以帮助感知工作现场的条件。布里斯托尔的研究人员正在考虑将触觉和视觉刺激结合起来,反馈给外科医生,以控制机电工具。
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引用次数: 0
Workflow models of hospital discharge communications 出院沟通的工作流程模型
R. Summers, A.P. Cloke, D. Nurse, J. Kay
The discharge communications between the John Radcliffe Hospital, Oxford, and its referring General Practitioner's (GPs) in the community are investigated. These documents are known by a variety of names. To prevent confusion two descriptors are introduced: the immediate discharge document (IDD), and full discharge document (FDD). From a survey of different Hospital Units, four patterns of workflow are identified. A common IDD that meets the majority of the needs of the GP is suggested; this will also allow for a distributed computerized solution to improve workflow processes. Initial results do indicate an increase in efficiency and effectiveness of hospital discharge communications due to the technocentric intervention.
本研究调查了牛津约翰拉德克利夫医院与其社区全科医生(gp)之间的出院通讯。这些文件有各种各样的名称。为了防止混淆,引入了两个描述符:立即出院文件(IDD)和完全出院文件(FDD)。通过对不同医院单位的调查,确定了四种工作流程模式。建议采用一种能满足全科医生大部分需要的普通IDD;这也将允许分布式计算机化解决方案来改进工作流程。初步结果确实表明,由于以技术为中心的干预,医院出院沟通的效率和效果有所提高。
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引用次数: 3
Impact of telematic technologies on image-guided medicine 远程信息处理技术对图像引导医学的影响
H. Lemke
Biomedical image computing is advancing rapidly as a result of fundamental new developments in many areas of informatics. Enabling technologies, such as digital imaging, multimedia, virtual reality, broadband communications, the World Wide Web, computational intelligence and others are destined to profoundly change medicine. The impact on healthcare is still unimaginable. New imaging tools fundamentally effect the way physicians will carry out their diagnostic and therapeutic activities. Some key telematic technologies which need to be considered when assessing the impact on image guided medicine are: direct digital radiography, special processors for application-specific PCs, flat panel displays, 3D computer graphics technology, and Internet and intranet technologies. Considering that information systems are multi layered (there may be more than 10 hardware and software layers), the relatively low level technologies produce bottom-up ripple effects to the top application level, for example in radiology and surgery or healthcare generally. A few examples are presented.
由于信息学许多领域的基础性新发展,生物医学图像计算正在迅速发展。数字成像、多媒体、虚拟现实、宽带通信、万维网、计算智能等赋能技术注定会深刻改变医学。对医疗保健的影响仍然难以想象。新的成像工具从根本上影响了医生进行诊断和治疗活动的方式。在评估对图像引导医学的影响时需要考虑的一些关键远程信息处理技术有:直接数字放射照相、专用pc专用处理器、平板显示器、3D计算机图形技术以及互联网和内部网技术。考虑到信息系统是多层的(可能有超过10个硬件和软件层),相对较低层次的技术会产生自下而上的连锁反应,从而影响到顶层应用程序,例如放射学和外科或医疗保健。给出了几个例子。
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引用次数: 0
Computerized biofeedback systems for treating dysphagic patients for traditional and teletherapy applications 计算机生物反馈系统用于治疗吞咽困难患者的传统和远程治疗应用
N. P. Reddy, V. Gupta, A. Das, R. Unnikrishnan, G. Song, D. Simcox, H.P. Reddy, S.K. Sukthankar, E. P. Canilang
We have developed computerized biofeedback systems for treating dysphagic patients. These systems provide real time audiovisual feedback of patient performance. Key parameters extracted from the patient data are fed to a database system. The computerized biofeedback systems facilitate telemedical and teletherapy applications. Patent applications are being pursued.
我们开发了电脑化的生物反馈系统来治疗吞咽困难的病人。这些系统提供病人表现的实时视听反馈。从患者数据中提取的关键参数被馈送到数据库系统。计算机化的生物反馈系统促进了远程医疗和远程治疗的应用。正在申请专利。
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引用次数: 6
Prevention Will Rely On Delivery Of "just In Time" Information 预防将依赖于“及时”信息的传递
M. LaVenture, L. Gatewood
Our challenge and opportunity is to achieve an unprecedented information linkage between public health and private providers to electronically exchange "just in time" community-based prevention information. This includes both real-time capture of relevant clinical data and delivery of "just-in-time" prevention guidelines to providers during clinical encounters. An enhanced public health information system infrastructure is critical to achieving this level of prevention.
我们面临的挑战和机遇是在公共卫生和私营提供者之间实现前所未有的信息联系,以便“及时”以电子方式交换基于社区的预防信息。这包括实时获取相关临床数据,并在临床接触期间向提供者提供“及时”预防指南。加强公共卫生信息系统基础设施对于实现这一预防水平至关重要。
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引用次数: 1
High performance feedback system for auditory stimulus optimization 听觉刺激优化的高性能反馈系统
M. Anderson, E. Micheli-Tzanakou
An automated system to optimize auditory stimuli based on neuronal response feedback has been developed. The ALOPEX (algorithm of pattern extraction) algorithm uses responses recorded from auditory neurons as feedback to optimize sound stimuli. This computer based system works in real time to iteratively find the optimal combination of tones for the neurons being studied. Fuzzy logic is used to classify extracellular neuronal responses for investigation of connectivity. Normalized tones used to excite the auditory neurons are produced by a Yamaha (YMF262) FM-chip on board a Sound Blaster 16 card. The response and stimuli are captured by a Dataq (DI-300F) high speed analog and digital I/O board. Results from the frog (Rana Pipien) auditory system showed that the setup is able to converge within 100 iterations. The system dynamics and reliability were also tested with the response computed as a parabolic function of frequency. A companion demonstration that uses the parabolic equation to simulate response has been developed and is presented as a demo.
建立了一种基于神经元反应反馈的听觉刺激自动优化系统。ALOPEX(算法模式提取)算法使用从听觉神经元记录的响应作为反馈来优化声音刺激。这个基于计算机的系统实时工作,迭代地为所研究的神经元找到最佳的音调组合。利用模糊逻辑对细胞外神经元反应进行分类,研究细胞外神经元的连通性。用于刺激听觉神经元的标准化音调是由Sound Blaster 16卡上的Yamaha (YMF262) fm芯片产生的。响应和刺激由Dataq (DI-300F)高速模拟和数字I/O板捕获。青蛙(Rana Pipien)听觉系统的结果表明,该设置能够在100次迭代内收敛。对系统的动力学和可靠性进行了测试,并将响应计算为频率的抛物线函数。一个使用抛物方程来模拟响应的配套演示已经开发出来,并作为一个演示。
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引用次数: 0
Computer models of the heart: from single beat to fatal arrhythmias 心脏的计算机模型:从单次跳动到致命的心律失常
N. Thakor
Supercomputers have greatly influenced the studies of biological cells and cellular networks. Electrophysiological properties of the cells are now known in great detail. Therefore, computer models are constructed to simulate the electrical activity of single heart cells and networks of coupled heart cells. These simulations are used to mimic the rhythms of the heart, including arrhythmias such as ventricular fibrillation (VF). Computer simulations require very large scale computational resources, with parallel or vector architectures offering distinct benefits in terms of the ease of coding the algorithms and in terms of computational performance. Three models, one implemented on a personal computer, the second on a Connection Machine and the third on a Cray C90, are reported. The computer simulations reveal the mechanism of generation of VF-like rhythms in the form of wavelets and spiral waves and suggest novel strategies for terminating these arrhythmias.
超级计算机极大地影响了生物细胞和细胞网络的研究。这些细胞的电生理特性现在已经非常详细了。因此,建立了计算机模型来模拟单个心脏细胞和耦合心脏细胞网络的电活动。这些模拟被用来模拟心脏的节律,包括心律失常,如心室颤动(VF)。计算机模拟需要非常大规模的计算资源,并行或矢量架构在算法编码和计算性能方面提供了明显的优势。报道了三种模型,一种在个人电脑上实现,第二种在连接机上实现,第三种在Cray C90上实现。计算机模拟揭示了以小波和螺旋波形式产生vf样心律的机制,并提出了终止这些心律失常的新策略。
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引用次数: 0
期刊
Proceedings. 1998 IEEE International Conference on Information Technology Applications in Biomedicine, ITAB '98 (Cat. No.98EX188)
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