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

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Towards organ-centric compositional development of safe networked supervisory medical systems 迈向以器官为中心的安全网络化医疗监控系统的组件化发展
Woochul Kang, Po-Liang Wu, M. Rahmaniheris, L. Sha, Richard B. Berlin, J. Goldman
Medical devices are increasingly capable of interacting with each other by leveraging network connectivity and interoperability, promising a great benefit for patient safety and effectiveness of medical services. However, ad-hoc integration of medical devices through networking can significantly increase the complexity of the system and make the system more vulnerable to potential errors and safety hazards. In this paper, we address this problem and introduce an organ-centric compositional development approach. In our approach, medical devices are composed into semi-autonomous clusters according to organ-specific physiology in a network-fail-safe manner. Each organ-centric cluster captures common device interaction patterns of sensing and control to support human physiology. The library of these formally verified organ-centric architectural patterns enables rapid and safe composition of supervisory controllers, which are specialized for specific medical scenarios. Using airway-laser surgery as a case study of practical importance, we demonstrate the feasibility of our approach under Simulink's model-driven development framework.
通过利用网络连接性和互操作性,医疗设备之间的交互能力越来越强,这对患者安全和医疗服务的有效性有很大的好处。然而,通过网络对医疗设备进行临时集成会大大增加系统的复杂性,使系统更容易受到潜在错误和安全隐患的影响。在本文中,我们解决了这个问题,并介绍了一种以器官为中心的成分开发方法。在我们的方法中,医疗设备以网络故障安全的方式根据器官特异性生理组成半自主集群。每个以器官为中心的集群捕获感知和控制的共同设备交互模式,以支持人体生理学。这些经过正式验证的以器官为中心的体系结构模式库可以快速安全地组合专门用于特定医疗场景的监督控制器。使用气道激光手术作为一个具有实际重要性的案例研究,我们在Simulink的模型驱动开发框架下证明了我们的方法的可行性。
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引用次数: 7
Peer-to-peer data discovery in health centers 医疗中心的点对点数据发现
M. Mirto, M. Cafaro, G. Aloisio
The sharing and integration of health care data such as medical history, pathology, therapy, radiology images, etc., is a key requirement for improving the patient diagnosis and in general the patient care. Today, many EPR (Electronic Patient Record) systems are present both in the same or different health centers and record a huge amount of data regarding a patient. In most cases the care treatment of a patient involves different healthcare facilities, including the cares provided by the family doctors. Managing these data, typically petabytes or terabytes in size, and optimizing the applications (image analysis, data mining, etc.) for these architectures is one of the challenges that must be tackled. Therefore, there is a clear need for the design and implementation of new scalable approaches to deal with the associated information overload and cognitive complexity issues. A possible solution involves considering a simplification of data coming from different EPRs, in a structured schema, typically called a meta-EPR. Owing to the security of patient data, each health center manages its own meta-EPR whereas a framework integrates these data among different sites. This work addresses the issue of sharing and integrating health care data, proposing a meta-EPR, based on Peer-to-peer (P2P) technology for data fusion. We describe an implementation of a distributed information service, that shares meta-EPRs and provides aggregation of relevant clinical information about patients based on a structured P2P overlay.
医疗保健数据的共享和集成,如病史、病理、治疗、放射图像等,是提高患者诊断和总体患者护理的关键要求。今天,许多EPR(电子病历)系统存在于同一或不同的医疗中心,并记录有关患者的大量数据。在大多数情况下,病人的护理治疗涉及不同的保健设施,包括由家庭医生提供的护理。管理这些数据(通常是pb级或tb级),并为这些架构优化应用程序(图像分析、数据挖掘等)是必须解决的挑战之一。因此,显然需要设计和实现新的可伸缩方法来处理相关的信息过载和认知复杂性问题。一种可能的解决方案涉及考虑在结构化模式中简化来自不同epr的数据,通常称为元epr。由于患者数据的安全性,每个医疗中心管理自己的元epr,而框架在不同站点之间集成这些数据。这项工作解决了共享和整合医疗保健数据的问题,提出了一个基于点对点(P2P)数据融合技术的元epr。我们描述了一个分布式信息服务的实现,它共享meta- epr,并基于结构化的P2P覆盖提供有关患者的相关临床信息的聚合。
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引用次数: 1
Examining the learning effects of a low-cost haptic-based virtual reality simulator on laparoscopic cholecystectomy 基于触觉的低成本虚拟现实模拟器在腹腔镜胆囊切除术中的学习效果研究
C. Park, K. Wilson, A. Howard
Virtual reality (VR) surgical training can be a potentially useful method for improving practicing surgical skills. However, the current literature on VR training has not discussed the efficacy of VR systems that are useful outside of the training facility. As such, the goal of this study is to evaluate the benefits of using a low-cost VR simulation system for providing a method to increase the learning of surgical skills. Our pilot case focuses on laparoscopic cholecystectomy, which is one of the most common surgeries currently performed in the United States and is often used as the training case for laparoscopy due to its high frequency and perceived low risk. The specific aim of this study is to examine the efficacy of a low-cost haptic-based VR surgical simulator on improving practicing surgical skills, measured by the change in the learning effect of students.
虚拟现实(VR)外科训练可能是一种潜在的有用方法,以提高实践手术技能。然而,目前关于虚拟现实训练的文献并没有讨论虚拟现实系统在训练设施之外的有效性。因此,本研究的目的是评估使用低成本VR模拟系统的好处,以提供一种增加手术技能学习的方法。我们的试点病例主要是腹腔镜胆囊切除术,这是目前在美国最常见的手术之一,由于其频率高,风险低,经常被用作腹腔镜手术的培训病例。本研究的具体目的是通过学生学习效果的变化来检验低成本的基于触觉的VR外科模拟器在提高外科实践技能方面的功效。
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引用次数: 12
Personal Health Information detection in unstructured web documents 非结构化web文档中的个人健康信息检测
A. H. Razavi, Kambiz Ghazinour
This paper describes our study of the incidence of Personal Health Information (PHI) on the Web. PHI is usually shared under conditions of confidentiality, protection and trust, and should not be disclosed or available to unrelated third parties or the general public. We first analyzed the characteristics that potentially make systems successful in identification of unsolicited or unjustified PHI disclosures. In the next stage, we designed and implemented an integrated Natural Language Processing/Machine Learning (NLP/ML)-based system that detects disclosures of personal health information, specifically according to the above characteristics including detected patterns. This research is regarded as the first step toward a learning system that will be trained based on a limited training set built on the result of the processing chain described in the paper in order to generally detect the PHI disclosures over the web.
本文描述了我们对网络上个人健康信息(PHI)发生率的研究。PHI通常在保密、保护和信任的条件下共享,不应向无关的第三方或公众披露或获取。我们首先分析了可能使系统成功识别未经请求或不合理的PHI披露的特征。在下一阶段,我们设计并实现了一个基于自然语言处理/机器学习(NLP/ML)的集成系统,该系统可以根据上述特征(包括检测到的模式)检测个人健康信息的泄露。这项研究被认为是迈向学习系统的第一步,该系统将基于基于本文中描述的处理链的结果构建的有限训练集进行训练,以便在网络上普遍检测PHI披露。
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引用次数: 4
Cost sensitive adaptive random subspace ensemble for computer-aided nodule detection 计算机辅助结节检测的代价敏感自适应随机子空间集成
Peng Cao, Dazhe Zhao, Osmar R Zaiane
Many lung nodule computer-aided detection methods have been proposed to help radiologists in their decision making. Because high sensitivity is essential in the candidate identification stage, there are countless false positives produced by the initial suspect nodule generation process, giving more work to radiologists. The difficulty of false positive reduction lies in the variation of the appearances of the potential nodules, and the imbalance distribution between the amount of nodule and non-nodule candidates in the dataset. To solve these challenges, we extend the random subspace method to a novel Cost Sensitive Adaptive Random Subspace ensemble (CSARS), so as to increase the diversity among the components and overcome imbalanced data classification. Experimental results show the effectiveness of the proposed method in terms of G-mean and AUC in comparison with commonly used methods.
许多肺结节计算机辅助检测方法已被提出,以帮助放射科医生在他们的决策。由于高灵敏度在候选诊断阶段至关重要,因此在最初的可疑结节产生过程中产生了无数的假阳性,这给放射科医生带来了更多的工作。减少假阳性的困难在于潜在结节的外观变化,以及数据集中结节和非结节候选数量分布的不平衡。为了解决这些问题,我们将随机子空间方法扩展为一种新的代价敏感自适应随机子空间集成(CSARS),以增加组件之间的多样性,克服数据分类的不平衡。实验结果表明,与常用方法相比,该方法在g均值和AUC方面是有效的。
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引用次数: 7
Parallel multi-material decomposition of Dual-Energy CT data 双能CT数据并行多材料分解
R. Maia, C. Jacob, J. R. Mitchell, A. Hara, Alvin C. Silva, W. Pavlicek
Dual-Energy Computed Tomography (DECT) is a new modality of CT where two images are acquired simultaneously at two energy levels, and then decomposed into two material density images. It is also possible to further decompose these images into volume fraction images that approximate the percentage of a given material at each pixel. Here, we describe a novel parallel version of the multilateral decomposition algorithm proposed by Mendonça et al., which is used to obtain volume fraction images. Our parallel version accelerates decomposition by 200x. We also discuss some of the algorithm limitations.
双能CT (Dual-Energy Computed Tomography, DECT)是一种新的CT处理方式,它在两个能级上同时获取两幅图像,然后将其分解为两幅物质密度图像。还可以进一步将这些图像分解为体积分数图像,这些图像近似于给定材料在每个像素处的百分比。在这里,我们描述了一种新的并行版本的多边分解算法,由mendonpada等人提出,用于获得体积分数图像。我们的并行版本将分解速度加快了200倍。我们还讨论了一些算法的局限性。
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引用次数: 5
HL7 FHIR: An Agile and RESTful approach to healthcare information exchange HL7 FHIR:用于医疗保健信息交换的敏捷和RESTful方法
D. Bender, K. Sartipi
This research examines the potential for new Health Level 7 (HL7) standard Fast Healthcare Interoperability Resources (FHIR, pronounced “fire”) standard to help achieve healthcare systems interoperability. HL7 messaging standards are widely implemented by the healthcare industry and have been deployed internationally for decades. HL7 Version 2 (“v2”) health information exchange standards are a popular choice of local hospital communities for the exchange of healthcare information, including electronic medical record information. In development for 15 years, HL7 Version 3 (“v3”) was designed to be the successor to Version 2, addressing Version 2's shortcomings. HL7 v3 has been heavily criticized by the industry for being internally inconsistent even in it's own documentation, too complex and expensive to implement in real world systems and has been accused of contributing towards many failed and stalled systems implementations. HL7 is now experimenting with a new approach to the development of standards with FHIR. This research provides a chronicle of the evolution of the HL7 messaging standards, an introduction to HL7 FHIR and a comparative analysis between HL7 FHIR and previous HL7 messaging standards.
本研究考察了新的健康级别7 (HL7)标准快速医疗保健互操作性资源(FHIR,发音为“fire”)标准在帮助实现医疗保健系统互操作性方面的潜力。HL7消息传递标准被医疗保健行业广泛实现,并且已经在国际上部署了几十年。HL7 Version 2(“v2”)健康信息交换标准是当地医院社区交换医疗保健信息(包括电子病历信息)的常用选择。经过15年的开发,HL7版本3(“v3”)被设计为版本2的继承者,解决了版本2的缺点。HL7 v3受到业界的严厉批评,因为它内部甚至在自己的文档中也不一致,在现实世界的系统中实现过于复杂和昂贵,并被指责导致了许多失败和停滞的系统实现。HL7目前正在试验一种利用FHIR制定标准的新方法。本研究提供了HL7消息传递标准演进的编年史、HL7 FHIR的介绍以及HL7 FHIR与以前的HL7消息传递标准之间的比较分析。
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引用次数: 396
ECG delineation and morphological analysis for firefighters tasks differentiation 消防员任务区分的心电图描绘与形态学分析
Susana Brás, J. Fernandes, J. Cunha
Between first responder professionals, firefighters registered the highest number of deaths on duty. An abnormal high proportion is associated with cardiovascular events. Our main goal is to identify fatigue/stress during daily routine activities, focusing on the cardiovascular analysis. To accomplish this purpose, ECG wave morphological alterations are analyzed. It was observed that the RR, PP and ST segment significantly differentiate the most stressful tasks from the others.
在急救专业人员中,消防员在岗死亡人数最多。异常高的比例与心血管事件相关。我们的主要目标是识别日常活动中的疲劳/压力,重点是心血管分析。为了达到这个目的,我们分析了心电波形的形态学变化。研究发现,RR、PP和ST段显著区分了压力最大的任务。
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引用次数: 4
Physician's awareness of e-prescribing security risks 医生对电子处方安全风险的认识
H. Rodrigues, L. Antunes, C. Costa-Santos, M. Correia, Tiago Miguel Pinho, H. G. Magalhaes
New governmental legislation introduced e-prescription as mandatory in the Portuguese health system. This changes consequences were not properly considered, which caused security problems related to patient and prescriber's data, such as digital identity fraud or access to prescriptions history to build clinical profiles. In order to evaluate the e-prescribing software users awareness to those risks, a survey took place, and the results revealed ignorance of certain obligations and procedures of the e-prescribing process. A significant part of doctors are not conscious about where the patient's data is stored neither about the risks related with prescription's information.
新的政府立法将电子处方作为葡萄牙卫生系统的强制性规定。这种变化的后果没有得到适当考虑,这导致了与患者和处方者数据相关的安全问题,例如数字身份欺诈或访问处方历史以建立临床档案。为了评估电子处方软件用户对这些风险的意识,我们进行了一项调查,结果显示他们对电子处方过程的某些义务和程序一无所知。很大一部分医生不知道病人的数据存储在哪里,也不知道处方信息的相关风险。
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引用次数: 0
Evaluation of SIRIUS retinal vessel width measurement in REVIEW dataset REVIEW数据集中SIRIUS视网膜血管宽度测量的评价
S. G. Vázquez, N. Barreira, M. G. Penedo, M. Pena-Seijo, F. Gómez-Ulla
This paper focuses on evaluating a method for measuring the retinal vessel widths in a recently publicly available database (REVIEW). The algorithm is based on deformable models and it constitutes an essential step in a methodology to compute the AVR automatically. This methodology is part of a web-based framework aimed to integrate diverse techniques in the field of retinal image analysis. The results achieved in the REVIEW database indicate the method is comparable or, in some cases, improves the accuracy of other techniques for measuring the vessel widths.
本文的重点是评估一种测量视网膜血管宽度的方法在最近公开可用的数据库(综述)。该算法基于可变形模型,是自动计算AVR的关键步骤。该方法是基于网络的框架的一部分,旨在整合视网膜图像分析领域的各种技术。REVIEW数据库中获得的结果表明,该方法与其他测量血管宽度的技术具有可比性,或者在某些情况下提高了准确性。
{"title":"Evaluation of SIRIUS retinal vessel width measurement in REVIEW dataset","authors":"S. G. Vázquez, N. Barreira, M. G. Penedo, M. Pena-Seijo, F. Gómez-Ulla","doi":"10.1109/CBMS.2013.6627767","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627767","url":null,"abstract":"This paper focuses on evaluating a method for measuring the retinal vessel widths in a recently publicly available database (REVIEW). The algorithm is based on deformable models and it constitutes an essential step in a methodology to compute the AVR automatically. This methodology is part of a web-based framework aimed to integrate diverse techniques in the field of retinal image analysis. The results achieved in the REVIEW database indicate the method is comparable or, in some cases, improves the accuracy of other techniques for measuring the vessel widths.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"37 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80580520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
期刊
Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems
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