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Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems最新文献

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A prognosis system for colorectal cancer 结直肠癌的预后系统
Tiago Oliveira, E. Barbosa, Sandra F. Martins, A. Goulart, J. Neves, P. Novais
The level of uncertainty and incompleteness in the information upon which healthcare professionals have to make judgments has been a subject of discussion in the past, and more nowadays, with the advent of the so-called Clinical Decision Support Systems. This work addresses uncertainty in the postoperative prognosis for colorectal cancer. The interdependence and synergistic effect of different clinical features comes into play when it is necessary to predict how a patient will react to this type of surgery. Using a probabilistic based knowledge representation, a decision support system was conceived in order to provide support for physicians under these circumstances, in particular to surgeons. The solution proposed is based on machine learning on records of cancer patients, incorporating explicit knowledge of experts about the domain. To facilitate access and thus increase its dissemination in the healthcare community, the system is integrated in a wider platform available through a web application.
在过去,医疗保健专业人员必须做出判断的信息的不确定性和不完整性一直是讨论的主题,而现在,随着所谓的临床决策支持系统的出现,讨论的主题更多。这项工作解决了结直肠癌术后预后的不确定性。当需要预测患者对这类手术的反应时,不同临床特征的相互依赖和协同作用就会发挥作用。利用基于概率的知识表示,设想了一个决策支持系统,以便在这些情况下为医生,特别是外科医生提供支持。提出的解决方案是基于癌症患者记录的机器学习,结合专家对该领域的明确知识。为方便市民取用及在医疗界推广该系统,系统已整合在一个更广泛的平台内,可透过网页应用程式使用。
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引用次数: 6
A system for the automatic measurement of the nuchal translucency thickness from ultrasound video stream of the foetus 一种用于从胎儿超声视频流中自动测量颈部半透明厚度的系统
A. Anzalone, Giovanni Fusco, F. Isgrò, E. Orlandi, R. Prevete, G. Sciortino, D. Tegolo, Cesare Valenti
Nowadays the measurement of the nuchal translucency thickness is being used as part of routine ultrasound scanning during the end of the first trimester of pregnancy, for the screening of chromosomal defects, as trisomy 21. Currently, the measurement is being performed manually by physicians. The measurement can take a long time for being accomplished, needs to be performed by highly skilled operators, and is prone to errors. Semi-automated methods requires that the user manually selects a region of the image containing the nuchal translucency, procedure that is somewhat time consuming. In this paper we present a complete system prototype that is able to perform the measurement of the nuchal translucency thickness without any manual intervention from the operator, operating on the video stream coming out from the ultrasound machine.
如今,测量颈部半透明厚度被用作妊娠前三个月末期常规超声扫描的一部分,用于筛查染色体缺陷,如21三体。目前,测量是由医生手动执行的。测量可能需要很长时间才能完成,需要由高度熟练的操作人员执行,并且容易出错。半自动方法要求用户手动选择图像中包含颈半透明的区域,这一过程有些耗时。在本文中,我们提出了一个完整的系统原型,它能够在没有操作员任何人工干预的情况下进行颈部半透明厚度的测量,操作从超声机输出的视频流。
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引用次数: 12
A web-based medical multimedia visualisation interface for personal health records 一个基于web的医疗多媒体可视化界面,用于个人健康记录
M. D. Ridder, Liviu Constantinescu, Lei Bi, Younhyun Jung, Ashnil Kumar, Jinman Kim, D. Feng, M. Fulham
The healthcare industry has begun to utilise web-based systems and cloud computing infrastructure to develop an increasing array of online personal health record (PHR) systems. Although these systems provide the technical capacity to store and retrieve medical data in various multimedia formats, including images, videos, voice, and text, individual patient use remains limited by the lack of intuitive data representation and visualisation techniques. As such, further research is necessary to better visualise and present these records, in ways that make the complex medical data more intuitive. In this study, we present a web-based PHR visualisation system, called the 3D medical graphical avatar (MGA), which was designed to explore web-based delivery of a wide array of medical data types including multi-dimensional medical images; medical videos; text-based data; and spatial annotations. Mapping information was extracted from each of the data types and was used to embed spatial and textual annotations, such as regions of interest (ROIs) and time-based video annotations. Our MGA itself is built from clinical patient imaging studies, when available. We have taken advantage of the emerging web technologies of HTML5 and WebGL to make our application available to a wider base of users and devices. We analysed the performance of our proof-of-concept prototype system on mobile and desktop consumer devices. Our initial experiments indicate that our system can render the medical data in a fashion that enables interactive navigation of the MGA.
医疗保健行业已经开始利用基于web的系统和云计算基础设施来开发越来越多的在线个人健康记录(PHR)系统。尽管这些系统提供了以各种多媒体格式(包括图像、视频、语音和文本)存储和检索医疗数据的技术能力,但由于缺乏直观的数据表示和可视化技术,个体患者的使用仍然受到限制。因此,进一步的研究是必要的,以更好地可视化和呈现这些记录,使复杂的医疗数据更加直观。在这项研究中,我们提出了一个基于网络的PHR可视化系统,称为3D医学图形头像(MGA),旨在探索基于网络的各种医疗数据类型的交付,包括多维医学图像;医疗视频;基于文本的数据;还有空间注释。从每种数据类型中提取映射信息,并用于嵌入空间和文本注释,如感兴趣区域(roi)和基于时间的视频注释。我们的MGA本身是建立在临床患者成像研究的基础上的。我们利用了新兴的HTML5和WebGL网络技术,使我们的应用程序面向更广泛的用户和设备。我们分析了我们的概念验证原型系统在移动和桌面消费设备上的性能。我们的初步实验表明,我们的系统可以以一种使MGA交互式导航成为可能的方式呈现医疗数据。
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引用次数: 14
Combination of engineering and medical education using an active mechanical lung simulator 利用主动机械肺模拟器进行工程与医学教育的结合
S. Krueger-Ziolek, C. Knöbel, C. Schranz, K. Möller
In the presented project, engineering and medical education is combined by the development of an active mechanical lung simulator for clinical training by medical engineering students. The active lung simulator should be capable of simulating various lung conditions during mechanical ventilation to provide medical students with a realistic training environment. The setup includes a cylinder-piston system representing respiratory mechanics, a control unit, measurement equipment and a mechanical ventilator. The project complements the skills of engineering students by applying learning contents and gaining additional knowledge in medicine. Simultaneously, it offers a training possibility for medical students to practice mechanical ventilation in a safe and controlled environment.
在这个项目中,工程和医学教育结合了一个主动机械肺模拟器的开发,用于医学工程专业学生的临床训练。活动性肺模拟器应能够模拟机械通气过程中各种肺状态,为医学生提供真实的训练环境。该装置包括一个代表呼吸力学的气缸-活塞系统、一个控制单元、测量设备和一个机械呼吸机。该项目通过应用学习内容和获得额外的医学知识来补充工科学生的技能。同时,为医学生在安全可控的环境中进行机械通气实践提供了训练的可能性。
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引用次数: 2
Simulation of soft tissue deformation: A new approach 软组织变形模拟:一种新方法
Ana Cláudia Melo Tiessi Gomes de Oliveira, R. Tori, Wyllian Brito, J. D. Santos, H. Bíscaro, Fátima L. S. Nunes
An approach is presented in this paper, combining methods and models that are efficient enough to simulate elastic deformation, obtaining equilibrium between visual and haptic realism. Many medical training computational applications manipulate 3D objects that represent organs and human tissues. These representations, in function of the training requirements for which they are meant, may include parameter such as shape, topology, color, volume texture and, in certain cases, physical properties such as elasticity and stiffness. Based on this model, visual and/or haptic outputs are generated for users, and need to be realistic. In other words, they need to provide the learner with sensations close enough to those they would have if the training were provided with real life objects. However, its computational cost is too high to simultaneously provide visual and haptic realism in real-time. The results from deformation response time are compatible with those required for haptic interaction and the visual results from using meshes composed of a large number of polygons.
本文提出了一种方法,结合有效的方法和模型来模拟弹性变形,在视觉真实感和触觉真实感之间取得平衡。许多医学训练计算应用程序操作代表器官和人体组织的3D对象。这些表示,在它们所代表的训练要求的功能中,可能包括诸如形状、拓扑、颜色、体积纹理等参数,在某些情况下,还包括诸如弹性和刚度等物理特性。基于这个模型,为用户生成视觉和/或触觉输出,并且需要是真实的。换句话说,他们需要为学习者提供足够接近于他们在现实生活中训练时所拥有的感觉。然而,它的计算成本太高,无法同时提供实时的视觉和触觉真实感。变形响应时间的结果与触觉交互所需的结果和使用由大量多边形组成的网格的视觉结果是一致的。
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引用次数: 5
A statistical decision tree algorithm for medical data stream mining 医疗数据流挖掘的统计决策树算法
M. Cazzolato, M. X. Ribeiro
The use of computational resources can improve the diagnosis of medical diseases as a second opinion. Due to the large amount of data obtained daily, incremental techniques have been proposed to process medical data stream. In this paper we present an incremental decision tree classifier called StARMiner Tree (ST), which is based on Very Fast Decision Tree (VFDT) technique, to mine medical data. Different from VFDT, our proposed method ST does not depend on the number of reading samples to split a node. Because of it, ST is less conservative and describes the data since their first samples, being appropriate to be employed in medical environment, where not always a large number of data samples are available. We applied ST to four medical datasets, comparing the ST performance to the VFDT. The results indicated that ST is well-suited to deal with medical data streams, presenting high accuracy and low execution time.
计算资源的使用可以作为第二意见改善医学疾病的诊断。由于每天获得的数据量很大,人们提出了增量技术来处理医疗数据流。本文提出了一种基于快速决策树(VFDT)技术的增量式决策树分类器——StARMiner树(ST),用于医学数据的挖掘。与VFDT不同的是,我们提出的方法ST不依赖于读取样本的数量来分割节点。正因为如此,ST不那么保守,并且描述了他们的第一个样本以来的数据,适合在医疗环境中使用,其中并不总是有大量的数据样本可用。我们将ST应用于四个医疗数据集,将ST的性能与VFDT进行比较。结果表明,该算法具有处理医疗数据流精度高、执行时间短等优点。
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引用次数: 11
ALI: An assisted living system for persons with mild cognitive impairment ALI:为轻度认知障碍患者提供的辅助生活系统
Esteban Guerrero, J. Nieves, H. Lindgren
We introduce the Assisted Living system ALI, which is a novel approach to providing assistance and support in activities of daily life. We integrate a human behavior theory with a default reasoning decision making framework. This integration allows us to model a decision making problem from a human activity centric point of view and at the same time, formalize these elements using a possibilistic argumentation theory. ALI sends personalized notifications suggesting the most suitable activities to perform and determines what activities were performed during a time period.
我们介绍了辅助生活系统ALI,这是一种为日常生活活动提供帮助和支持的新方法。我们将人类行为理论与默认推理决策框架相结合。这种整合使我们能够从以人类活动为中心的角度对决策问题进行建模,同时使用可能性论证理论形式化这些元素。ALI发送个性化通知,建议执行最合适的活动,并确定在一段时间内执行了哪些活动。
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引用次数: 6
Smart technologies for long-term stress monitoring at work 用于长期工作压力监测的智能技术
Rafal Kocielnik, N. Sidorova, F. Maggi, M. Ouwerkerk, J. Westerink
Due to the growing pace of life, stress became one of the major factors causing health problems. We have developed a framework for measuring stress in real-life conditions continuously and unobtrusively. In order to provide meaningful, useful and actionable information, we present stress information, derived from sensor measurements, in the context of person's activities. In this paper, we describe our framework, discuss how we address arising challenges and evaluate our approach on basis of the field studies we have conducted. The main results of the evaluation are that the results of long-term measurements of stress reveal people information about their behavioral patterns that they perceive as meaningful and useful, and trigger their ideas about behavioral changes necessary to achieve a better stress balance.
由于生活节奏的加快,压力成为导致健康问题的主要因素之一。我们已经开发了一个框架,可以在现实生活条件下连续而不显眼地测量压力。为了提供有意义的、有用的和可操作的信息,我们在人的活动背景下呈现来自传感器测量的压力信息。在本文中,我们描述了我们的框架,讨论了我们如何应对出现的挑战,并根据我们进行的实地研究评估了我们的方法。评估的主要结果是,压力的长期测量结果揭示了人们认为有意义和有用的行为模式的信息,并引发了他们对实现更好的压力平衡所必需的行为改变的想法。
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引用次数: 129
Hurst exponent and intrapartum fetal heart rate: Impact of decelerations 赫斯特指数和产时胎儿心率:减速的影响
P. Abry, S. Roux, V. Chudácek, P. Borgnat, Paulo Gonçalves, M. Doret
Intrapartum fetal heart rate monitoring constitutes an important stake aiming at early acidosis detection. Measuring heart rate variability is often considered a powerful tool to assess the intrapartum health status of fetus and has been envisaged using various techniques. In the present contribution, scale invariance parameters, such as the Hurst exponent and the global regularity exponent, are estimated from wavelet coefficients of intrapartum fetal heart rate time series. Their ability to evaluate the health status of fetuses is quantified from a case study database, constituted at a French Academic Hospital in Lyon. Notably, the ability of such parameters to discriminate subjects incorrectly classified according to FIGO rules as abnormal is discussed. Also, the impact of the occurrence of decelerations identified as complicated by obstetricians on the values taken by Hurst parameter is investigated in detail.
产时胎儿心率监测是早期发现酸中毒的重要手段。测量心率变异性通常被认为是评估胎儿产时健康状况的有力工具,并已设想使用各种技术。本文从产时胎儿心率时间序列的小波系数中估计出Hurst指数和全局正则性指数等尺度不变性参数。他们评估胎儿健康状况的能力是根据里昂一家法国学术医院建立的案例研究数据库进行量化的。值得注意的是,这些参数区分根据FIGO规则被错误分类为异常的对象的能力进行了讨论。此外,减速的发生确定为复杂的产科医生对赫斯特参数采取的值的影响进行了详细的调查。
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引用次数: 20
Segmentation of gastroenterology images: A comparison between clustering and fitting models approaches 胃肠病学图像分割:聚类和拟合模型方法的比较
F. Riaz, P. Pimentel-Nunes, M. Dinis-Ribeiro, M. Coimbra
Segmentation is a vital step for pattern recognition systems used in in-body imaging scenarios. In this paper we compare the performance of three popular segmentation algorithms (mean shift, normalized cuts, level-sets) when applied to two distinct in-body imaging scenarios: chromoen-doscopy and narrow-band imaging. Observation shows that the model-based algorithm did not perform well, when compared to its segmentation by clustering alternatives. Normalized cuts obtained the best performance although future work hints that texture similarity should be further explored in order to increase segmentation performance in this type of scenarios.
分割是用于人体成像场景的模式识别系统的关键步骤。在本文中,我们比较了三种流行的分割算法(均值移位,归一化切割,水平集)在两种不同的体内成像场景下的性能:彩色内镜和窄带成像。观察表明,与聚类分割相比,基于模型的分割算法表现不佳。归一化切割获得了最好的性能,尽管未来的工作表明,为了提高这类场景下的分割性能,纹理相似性需要进一步探索。
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引用次数: 0
期刊
Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems
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