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2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)最新文献

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Non-local means kernel regression based despeckling of B-mode ultrasound images 基于非局部均值核回归的b超图像去斑
R. Bharath, P. Rajalakshmi
Medical ultrasound scanning is a widely used diagnostic imaging modality in health-care. Speckle is inherent noise present in ultrasound images reducing the diagnostic accuracy of ultrasound scanning. Speckle noise contributes to high variance between pixels and delineates boundaries of the organs. Effective despeckling involves reducing the variance between pixels corresponding to homogeneous region and to preserve anatomical details simultaneously. Non-Local Means filters are highly successful and produced state of the art results in despeckling ultrasound images. In this paper, we show the effectiveness of Non-Local Means filter with polynomial regression kernel in despeckling ultrasound images. The proposed algorithm is evaluated on software simulated and real time ultrasound images and proved very effective in both despeckling and edge preservation.
医学超声扫描是一种广泛应用于医疗保健的诊断成像方式。斑点是超声图像中存在的固有噪声,降低了超声扫描的诊断准确性。散斑噪声有助于像素之间的高方差,并划定了器官的边界。有效去斑包括减少均匀区域对应像素间的方差,同时保留解剖细节。非局部均值滤波器是非常成功的,并产生的最先进的结果去斑超声图像。本文证明了多项式回归核非局部均值滤波器对超声图像去斑的有效性。在软件模拟和实时超声图像上对该算法进行了评价,结果表明该算法在去斑和边缘保持方面都非常有效。
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引用次数: 0
Potential redundant link fail-over strategies for uptime-sensitive medical telemetry applications 对正常运行时间敏感的医疗遥测应用的潜在冗余链路故障转移策略
I. True, G. Armitage
For some devices and services, a consistently reliable connection to the internet is crucial; a failure to report to an internet service could result in significant financial or property damage or loss of life. We propose a solution through the development and testing of a “High-availability Internet Gateway” (HaIG) which can be installed into a network and utilise multiple redundant internet connections in order to guarantee uptime for a secure tunnel for medical devices. Three potential solutions are evaluated: Layer 2 Bonding (L2B), Multipath TCP (MPTCP) and Stream Control Transport Protocol (SCTP). MPTCP and L2B were found to be less suitable than SCTP at providing a reliable, high-availability fail-over solution. We incorporated the SCTP-based solution into a consumer networking device running OpenWRT, and used controlled testbed trials to demonstrate the use of redundant internet connections for providing a high-availability connection for applications such as remote cardiac monitoring.
对于一些设备和服务来说,始终可靠的互联网连接至关重要;未能向互联网服务报告可能会导致重大的财务或财产损失或生命损失。我们通过开发和测试“高可用性互联网网关”(HaIG)提出了一个解决方案,该网关可以安装在网络中,并利用多个冗余的互联网连接,以保证医疗设备的安全隧道的正常运行时间。评估了三种可能的解决方案:第二层绑定(L2B),多路径TCP (MPTCP)和流控制传输协议(SCTP)。在提供可靠、高可用性的故障转移解决方案方面,MPTCP和L2B不如SCTP合适。我们将基于sctp的解决方案整合到运行OpenWRT的消费者网络设备中,并使用受控的测试平台试验来演示使用冗余互联网连接为远程心脏监测等应用程序提供高可用性连接。
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引用次数: 0
Health 4.0: The case of multiple sclerosis 健康4.0:多发性硬化症病例
N. Grigoriadis, C. Bakirtzis, C. Politis, K. Danas, Christoph Thuemmler
Multiple sclerosis is a chronic and variable disease in matters of symptoms, clinical course and outcome. The ultimate goal of currently used drugs and therapeutic strategies is the control of disease activity and the delay of the ongoing disability. During the last decades, a number of disease-modifying drugs (DMDs), all products of advanced biotechnology are being used. However, these DMDs are yet partially effective since the ongoing disability progression may hardly be prevented. There is growing evidence that these DMDs might be more effective if more accurate monitoring of the disease itself throughout a period of time might be available. In the new era of MS treatment and on the basis of our current knowledge about MS management, it became pretty clear that the overall therapeutic strategy should always be scheduled on strictly individualized basis. To this, MS patients should be encouraged to take control over their own disease and collaborate more effectively with their doctors. The advent of the IoT (Internet of Things) and 5G mobile technologies can support patients in this direction. Since a snapshot of the overall patient's condition during a regular follow-up visit may not represent the every day reality of the patient, the advice given under these conditions may not be that effective. However, if hard data on the patient's motoric and cognitive performance were available “theragnostics” might be much more effective and efficient and a typical flare-up of the condition might be recognized much earlier - or even anticipated. Health 4.0 is the translation of Industrie 4.0 design principles into the health domain [36]. Health 4.0 is based on the utilization of the Internet of Things (IoT) and the use of cyber-physical systems to connect the physical and the virtual world. The use of smart pharmaceuticals bio-sensors and cyber-physical systems in the management of MS could optimize the accuracy and allow for a precise mapping of symptoms over time which is an inevitable prerequisite for personalization of care. Ideally captured data would be processed in real time in order to flag problems up to the care team and on an individual basis anticipate motoric and / or cognitive deficits in an attempt to compensate for neurological deficits. 5G networks are expected to provide the infrastructure and ease in supporting various parameters recording on a real time basis. Relevant clinical studies may further highlight the need of information communication technology in MS management, thus contributing to the overall improvement of patent's quality of life (QoL). This is an absolute necessity for a variable, fluctuating and largely unpredictable disease such as MS.
多发性硬化症是一种慢性和可变的疾病,在症状,临床过程和结果方面。目前使用的药物和治疗策略的最终目标是控制疾病活动和延迟正在发生的残疾。在过去的几十年里,一些疾病缓解药物(dmd),所有先进的生物技术产品正在使用。然而,这些dmd仍然部分有效,因为持续的残疾进展可能很难阻止。越来越多的证据表明,如果能够在一段时间内对疾病本身进行更准确的监测,这些dmd可能会更有效。在MS治疗的新时代,根据我们目前对MS管理的了解,很明显,总体治疗策略应该始终严格地以个体化为基础。为此,应该鼓励多发性硬化症患者控制自己的疾病,并更有效地与医生合作。物联网(IoT)和5G移动技术的出现可以在这方面为患者提供支持。由于定期随访期间对患者整体状况的快照可能不能代表患者每天的真实情况,因此在这些情况下给出的建议可能不那么有效。然而,如果病人的运动和认知表现的硬数据是可用的,“治疗诊断”可能会更有效和高效,一个典型的病症爆发可能会被识别得更早,甚至预期。健康4.0是工业4.0设计原则在健康领域的转化[36]。健康4.0的基础是利用物联网(IoT)和使用网络物理系统连接物理世界和虚拟世界。在MS管理中使用智能药物、生物传感器和网络物理系统可以优化准确性,并允许随着时间的推移精确绘制症状图,这是个性化护理的不可避免的先决条件。理想情况下,捕获的数据将被实时处理,以便向护理团队提出问题,并在个人基础上预测运动和/或认知缺陷,试图弥补神经缺陷。预计5G网络将提供基础设施和便利,支持实时记录各种参数。相关的临床研究可以进一步强调信息通信技术在MS管理中的必要性,从而有助于全面提高患者的生活质量(QoL)。对于像多发性硬化症这样多变、波动和很大程度上不可预测的疾病来说,这是绝对必要的。
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引用次数: 11
Human-machine interface based on multi-channel single-element ultrasound transducers: A preliminary study 基于多通道单元件超声换能器的人机界面初步研究
Yuefeng Li, Keshi He, Xueli Sun, Honghai Liu
Ultrasound (US) imaging is a promising sensing technique in the field of human-machine interface, and many positive results have been reported in literature on hand gesture recognition or finger angle prediction based on US imaging. However, in most of these studies, linear array ultrasound probes were used to generate US images, which made the US device expensive and bulky. In this paper, a method of extracting forearm muscle information via multiple single-element US transducers is proposed. By using this kind of transducers, a low-cost and small-size human-machine interface can be expected. Preliminary results show that an average recognition accuracy of 96% can be achieved for six motions, including five finger flexions and rest state.
超声成像技术是一种很有前途的人机界面传感技术,在基于超声成像技术的手势识别或手指角度预测等方面已经取得了许多积极的成果。然而,在这些研究中,大多数使用线性阵列超声探头来生成超声图像,这使得超声设备昂贵且笨重。本文提出了一种利用多个单元件US传感器提取前臂肌肉信息的方法。通过使用这种传感器,可以期望低成本和小尺寸的人机界面。初步结果表明,该方法对五种手指屈曲和静止状态等六种动作的平均识别准确率达到96%。
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引用次数: 26
Data fusion for predicting ARDS using the MIMIC II physiological database 使用MIMIC II生理数据库预测ARDS的数据融合
Taoum Aline, Farah Mourad, Amoud Hassan, A. Chkeir, Ziad Fawal, Jacques Duchêne
This study aims to predict Acute Respiratory Distress Syndrome (ARDS) in hospitalized patients using their physiological signals such as heart rate, breathing rate, peripheral arterial oxygen saturation and mean airway blood pressure. A data fusion approach based on hypothesis testing was developed, and applied to mechanically ventilated subjects in the MIMIC II database. By combining the information extracted from the signals using an aggregation rule, we are able to enhance the sensitivity of the ARDS prediction process. As a result, we obtained a sensitivity of up to 85% for individual signals, reaching approximately 92% using the data fusion rule.
本研究旨在通过心率、呼吸频率、外周动脉血氧饱和度、平均气道血压等生理信号预测住院患者急性呼吸窘迫综合征(Acute Respiratory Distress Syndrome, ARDS)的发生。开发了一种基于假设检验的数据融合方法,并将其应用于MIMIC II数据库中的机械通气受试者。利用聚合规则对信号中提取的信息进行组合,可以提高ARDS预测过程的灵敏度。结果,我们获得了单个信号高达85%的灵敏度,使用数据融合规则达到约92%。
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引用次数: 0
Towards rehabilitative e-Health by introducing a new automatic scoring system 引入新的自动评分系统,迈向康复电子健康
T. Lee, J. G. Lim, K. Leo, S. Sanei, P. Y. Lew, E. Chew, L. Zhao
The global adoption of consumer devices capable of wide connectivity like smartphones and tablets have led to improvements in their support infrastructure. These make e-health systems for rehabilitation entirely feasible. Current assessments of patient condition can be subjective and inconsistent as the monotony of repetitious tasks lowers alertness. We propose a system to automate the scoring process for the patient's state. This is performed by embedding widely available sensors such as accelerometers sensors into the objects used in a rehabilitative assessment. These sensors introduce signal distortions such as drift and noise which require data driven filtering as the trajectories of human motion are statistically nonstationary. Building on previous work, we compare the use of time and transform domain processing of motion signals by using splines and singular spectrum analysis on the signals and use data analytic techniques for deriving the assessment scores with good results. These form the basis of an e-health system which is evidence-based, and provides the basis for gains in efficiency and a higher level of healthcare.
智能手机和平板电脑等具有广泛连接能力的消费设备的全球采用,导致了其支持基础设施的改进。这使得康复电子卫生系统完全可行。目前对患者状况的评估可能是主观的和不一致的,因为重复性任务的单调性降低了警觉性。我们提出了一个系统,以自动评分过程的病人的状态。这是通过将广泛可用的传感器(如加速度计传感器)嵌入康复评估中使用的物体来实现的。这些传感器引入信号畸变,如漂移和噪声,需要数据驱动滤波,因为人体运动轨迹在统计上是非平稳的。在之前工作的基础上,我们通过对信号使用样条和奇异谱分析来比较运动信号的时间和变换域处理的使用,并使用数据分析技术来获得良好的评估分数。这些构成了以证据为基础的电子卫生系统的基础,并为提高效率和更高水平的卫生保健提供了基础。
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引用次数: 1
Easy fall risk assessment by estimating the Mini-BES test score 通过估算Mini-BES测试分数,轻松评估跌倒风险
Giovanna Sannino, I. D. Falco, G. Pietro
The aim of this study is to identify an explicit relationship between life-style and the risk of falling under the form of a mathematical model. Starting from some personal and behavioral information as, e.g., weight, height, age, data about physical activity habits, and concern about falling, the model would easily estimate the score of the Mini-Balance Evaluation Systems (Mini-BES) test. This would make fall risk assessment less invasive, because subjects would not need to undergo the classical Mini-BES test, rather they could estimate it at home by answering some questionnaires. The mathematical model obtained in this study has been tested over a subset of unseen subjects and the results show an average error of ±2.74.
这项研究的目的是在数学模型的形式下确定生活方式和风险之间的明确关系。该模型从一些个人和行为信息出发,如体重、身高、年龄、体育活动习惯数据和对摔倒的担忧,可以很容易地估计出Mini-Balance Evaluation Systems (Mini-BES)测试的分数。这将使跌倒风险评估的侵入性更小,因为受试者不需要进行经典的Mini-BES测试,而是可以在家中通过回答一些问卷来评估。本文所建立的数学模型已在一组未见对象上进行了测试,结果显示平均误差为±2.74。
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引用次数: 1
Reliable listen-before-talk mechanism for medical implant communication systems 用于医疗植入物通信系统的可靠先听后说机制
S. Kulaç, H. Arslan
Health care applications of wireless communication have been finding places dramatically. One of these applications is communication of implantable medical devices (IMD)s. It is expected that the number of IMDs will increase greatly in the near future. As a result, significant congestion will be experienced in medical implant communication service (MICS) band, leading to interference problems. In this study, we propose reliable listen-before-talk (LBT) mechanism at low signal-to-noise ratios (SNR)s for medical implant communication systems in order to mitigate the interference effects. In our method, we have just brought out power difference between mean peak and mean lowest power spectral values and it provides reliable and simple monitoring of MICS channels' occupation fastly. Our proposed method has superior performance when threshold power level is considered according to the federal communication commission (FCC) Part 95 regulatory standard.
无线通信在医疗保健方面的应用已经得到了极大的发展。其中一个应用是植入式医疗设备(IMD)的通信。预计在不久的将来,imd的数量将大大增加。因此,医疗植入通信服务(MICS)频段将出现严重的拥塞,从而导致干扰问题。在本研究中,我们提出了一种可靠的低信噪比(SNR)下的先听后讲(LBT)机制,用于医疗植入物通信系统,以减轻干扰效应。在我们的方法中,我们只是得到了平均峰值和平均最低功率谱值之间的功率差,它提供了可靠和简单的快速监测MICS信道占用情况。根据美国联邦通信委员会(FCC)第95部分监管标准考虑阈值功率电平时,我们提出的方法具有优越的性能。
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引用次数: 1
Dynamic EEG compression approach with optimized distortion level for mobile health solutions 动态脑电图压缩方法与优化失真水平的移动医疗解决方案
Mohammad H. Nassralla, Ahmad M. El-Hajj, Fady Baly, Z. Dawy
The development of a neurologically-oriented mobile health system involves significant challenges in terms of the proper sensing and efficient transmission of electroencephalogram (EEG) signals, and the faithful reconstruction of these signals at the receiving node. EEG compression has been widely used to reduce storage requirements, improve the real time processing of the sensed signals, and provide a better and timely feedback to the concerned patients. The non-stationarity of the EEG signals and the large volumes of data being continuously processed mandate the development of data reduction schemes that provide a good tradeoff between compression performance and the preservation of the signal quality and integrity. To this end, we propose in this work a dynamic and effective compression approach for EEG data that relies on a sequence of compression and decompression phases to optimize the compression rate while maintaining a distortion level below a target threshold. Simulation results using real EEG data segments show that even with stringent quality requirements, a notable compression ratio can be attained with minimal processing overhead.
以神经系统为导向的移动医疗系统的发展涉及到脑电图信号的正确感知和有效传输以及这些信号在接收节点的忠实重建方面的重大挑战。脑电图压缩被广泛应用于降低存储需求,提高感知信号的实时性,为相关患者提供更好、及时的反馈。脑电信号的非平稳性和连续处理的大量数据要求开发数据约简方案,在压缩性能和保持信号质量和完整性之间提供良好的权衡。为此,我们在这项工作中提出了一种动态有效的脑电图数据压缩方法,该方法依赖于一系列压缩和解压阶段来优化压缩率,同时保持低于目标阈值的失真水平。使用真实脑电数据段的仿真结果表明,即使在严格的质量要求下,也可以在最小的处理开销下获得显著的压缩比。
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引用次数: 1
PhysioVR: A novel mobile virtual reality framework for physiological computing PhysioVR:一个用于生理计算的新型移动虚拟现实框架
John Edison Muñoz Cardona, T. Paulino, H. Vasanth, Karolina Baras
Virtual Reality (VR) is morphing into a ubiquitous technology by leveraging of smartphones and screenless cases in order to provide highly immersive experiences at a low price point. The result of this shift in paradigm is now known as mobile VR (mVR). Although mVR offers numerous advantages over conventional immersive VR methods, one of the biggest limitations is related with the interaction pathways available for the mVR experiences. Using physiological computing principles, we created the PhysioVR framework, an Open-Source software tool developed to facilitate the integration of physiological signals measured through wearable devices in mVR applications. PhysioVR includes heart rate (HR) signals from Android wearables, electroencephalography (EEG) signals from a low-cost brain computer interface and electromyography (EMG) signals from a wireless armband. The physiological sensors are connected with a smartphone via Bluetooth and the PhysioVR facilitates the streaming of the data using UDP communication protocol, thus allowing a multicast transmission for a third party application such as the Unity3D game engine. Furthermore, the framework provides a bidirectional communication with the VR content allowing an external event triggering using a real-time control as well as data recording options. We developed a demo game project called EmoCat Rescue which encourage players to modulate HR levels in order to successfully complete the in-game mission. EmoCat Rescue is included in the PhysioVR project which can be freely downloaded. This framework simplifies the acquisition, streaming and recording of multiple physiological signals and parameters from wearable consumer devices providing a single and efficient interface to create novel physiologically-responsive mVR applications.
虚拟现实(VR)正在成为一种无处不在的技术,利用智能手机和无屏幕外壳,以低价格提供高度身临其境的体验。这种模式转变的结果现在被称为移动VR (mVR)。尽管与传统的沉浸式VR方法相比,mVR提供了许多优势,但最大的限制之一是与mVR体验可用的交互途径有关。利用生理计算原理,我们创建了PhysioVR框架,这是一个开源软件工具,旨在促进通过mVR应用中可穿戴设备测量的生理信号的集成。PhysioVR包括来自Android可穿戴设备的心率(HR)信号、来自低成本脑机接口的脑电图(EEG)信号和来自无线臂带的肌电图(EMG)信号。生理传感器通过蓝牙与智能手机连接,PhysioVR使用UDP通信协议促进数据流,从而允许第三方应用程序(如Unity3D游戏引擎)进行多播传输。此外,该框架提供了与VR内容的双向通信,允许使用实时控制和数据记录选项触发外部事件。我们开发了一款名为《EmoCat Rescue》的演示游戏项目,鼓励玩家调整人力资源等级以成功完成游戏内任务。EmoCat Rescue包含在PhysioVR项目中,可以免费下载。该框架简化了来自可穿戴消费设备的多种生理信号和参数的采集、流式传输和记录,提供了一个单一而高效的接口,以创建新颖的生理响应mVR应用。
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引用次数: 33
期刊
2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)
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