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

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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
Predicting visualization of hospital clinical reports using survival analysis of access logs from a virtual patient record 使用对来自虚拟患者记录的访问日志的生存分析来预测医院临床报告的可视化
P. Rodrigues, C. Dias, Diana Rocha, Isabel Boldt, A. Teixeira-Pinto, R. Cruz-Correia
The amount of data currently being produced, stored and used in hospital settings is stressing information technology infrastructure, making clinical reports to be stored in secondary memory devices. The aim of this work was to develop a model that predicts the probability of visualization, within a certain period after production, of each clinical report. We collected log data, from January 2013 till May 2011, from an existing virtual patient record, in a tertiary university hospital in Porto, Portugal, with information on report creation and report first-time visualization dates, along with contextual information. The main factors associated with visualization were defined using logistic regression. These factors were then used as explanatory variables for predicting the probability of a piece of information being accessed after production, using Kaplan-Meier analysis and the Weibull probability distribution. Clinical department, type of encounter and report type were found significantly associated with time-to-visualization and probability of visualization.
目前在医院环境中产生、存储和使用的数据量正在给信息技术基础设施带来压力,使得临床报告必须存储在二级存储设备中。这项工作的目的是开发一个模型,预测可视化的概率,在生产后的一定时期内,每个临床报告。从2013年1月至2011年5月,我们收集了葡萄牙波尔图一家三级大学医院现有的虚拟患者记录的日志数据,其中包括报告创建和报告首次可视化日期的信息,以及上下文信息。使用逻辑回归定义与可视化相关的主要因素。然后,使用Kaplan-Meier分析和威布尔概率分布,将这些因素用作解释变量,用于预测一条信息在生产后被访问的概率。临床科室、遭遇类型和报告类型与可视化时间和可视化概率显著相关。
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引用次数: 2
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
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
An adaptive method for the recovery of missing samples from FHR time series FHR时间序列中缺失样本的自适应恢复方法
V. Oikonomou, J. Spilka, C. Stylios, L. Lhotská
Missing data cause serious problem for automatic evaluation of the fetal heart rate(FHR) series. In this work we present an algorithm to surpress this problem. More specifically, an adaptive approach is proposed based on two steps. The first step concerns the reconstruction step where we obtain an estimate of the missing data using an empirical dictionary. The second step consists from the construction of the dictionary using the updated values from the first step. The above two steps are applied iteratively until convergence. The method adapts each time the dictionary and the reconstructed time series to the new information that we gain. Results on real and simulated experiments have shown the usefullness of our approach. More specifically, a comparison with cubic spline interpolation is performed and have shown that the proposed approach achieved 4 to 9dB better reconstruction ability.
缺失的数据导致严重的问题,自动评估胎儿心率(FHR)系列。在这项工作中,我们提出了一个算法来抑制这个问题。具体地说,提出了一种基于两个步骤的自适应方法。第一步涉及重建步骤,我们使用经验字典获得缺失数据的估计。第二步包括使用第一步更新的值构造字典。上述两个步骤迭代应用,直到收敛。该方法每次对字典和重构的时间序列进行调整,以适应我们获得的新信息。实际和模拟实验的结果表明了该方法的有效性。具体而言,与三次样条插值方法进行了比较,结果表明该方法的重建能力提高了4 ~ 9dB。
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引用次数: 14
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
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
Validation of microaneurysm-based diabetic retinopathy screening across retina fundus datasets 基于微动脉瘤的糖尿病视网膜病变筛查的视网膜眼底数据集验证
L. Giancardo, T. Karnowski, K. Tobin, F. Mériaudeau, E. Chaum
In recent years, automated retina image analysis (ARIA) algorithms have received increasing interest by the medical imaging analysis community. Particular attention has been given to techniques able to automate the pre-screening of Diabetic Retinopathy (DR) using inexpensive retina fundus cameras. With the growing number of diabetics worldwide, these techniques have the potential benefits of broad-based, inexpensive screening. The contribution of this paper is twofold: first, we propose a straightforward pipeline from microaneurysm (an early sign of DR) detection to automatic classification of DR without employing any additional features; then, we quantify the generalisation ability of the MA detection method by employing synthetic examples and, more importantly, we experiment with two public datasets which consist of more than 1,350 images graded as normal or showing signs of DR. With cross-datasets tests, we obtained results better or comparable to other recent methods. Since our experiments are performed only on publicly available datasets, our results are directly comparable with those of other research groups.
近年来,自动视网膜图像分析(ARIA)算法受到了医学成像分析界越来越多的关注。特别关注的是能够使用廉价的视网膜眼底相机自动预筛查糖尿病视网膜病变(DR)的技术。随着世界范围内糖尿病患者数量的增加,这些技术具有广泛、廉价筛查的潜在好处。本文的贡献是双重的:首先,我们提出了一个简单的管道,从微动脉瘤(DR的早期征兆)检测到DR的自动分类,而不使用任何额外的特征;然后,我们通过使用合成示例来量化MA检测方法的泛化能力,更重要的是,我们用两个公共数据集进行了实验,这两个数据集由超过1,350张被分级为正常或显示dr迹象的图像组成。通过交叉数据集测试,我们获得了比其他最新方法更好或相当的结果。由于我们的实验只在公开可用的数据集上进行,我们的结果可以直接与其他研究小组的结果进行比较。
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引用次数: 16
Towards medical device behavioural validation using Petri nets 使用Petri网进行医疗器械行为验证
Paulo E. S. Barbosa, M. Morais, K. Galdino, Melquisedec Andrade, L. Gomes, F. Moutinho, J. Figueiredo
Medical devices development and validation are difficult activities due to the critical nature of these products, involving risks to the human lives. Moreover, regulatory agencies are increasing the control over companies because of the still huge number of harms caused for several reasons, having software failures as one of the main causes. Thus it is clear that more formal and sophisticated software development techniques should be investigated. In this paper, we show how Petri nets can play the role of a generic framework for architectural decisions for control systems, allowing besides verification/simulation, an important bridge in the requested traceability by regulatory bodies. We claim that it is possible to satisfy traceability from architectural elements to code, test cases, functional and safety requirements and so on. In order to make clear our point, we conducted a case study from a generic infusion pump specification.
医疗器械的开发和验证是困难的活动,因为这些产品的关键性质,涉及到对人类生命的风险。此外,监管机构正在加强对公司的控制,因为由于多种原因造成的大量危害,软件故障是主要原因之一。因此,很明显,应该研究更正式和复杂的软件开发技术。在本文中,我们展示了Petri网如何扮演控制系统架构决策的通用框架的角色,除了允许验证/模拟之外,还允许监管机构要求的可追溯性中的重要桥梁。我们声称有可能满足从架构元素到代码、测试用例、功能和安全需求等的可追溯性。为了明确我们的观点,我们从通用输液泵规范进行了案例研究。
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引用次数: 13
Reducing the complexity of k-nearest diverse neighbor queries in medical image datasets through fractal analysis 利用分形分析降低医学图像数据集中k近邻查询的复杂度
Rafael L. Dias, Renato Bueno, M. X. Ribeiro
Content-Based Image Retrieval (CBIR) Systems allow the search of images by similarity employing a numeric representation automatically or semi-automatically obtained from them to perform the search. Nevertheless, the query result does not always bring what the user expected. In this sense, CBIR systems face the semantic gap problem. One way of overcoming this problem is by the addition of diversity in query execution, so that the user can ask the system to return the most varied images regarding some similarity criteria. However, applying diversity on large datasets has a prohibitive computational cost and, moreover, the result often differs from the expected with a resulting subset that has images with high dissimilarity to the query image. In this paper we propose an approach to reduce the computational cost of Content-Based Image Retrieval systems regarding similarity and diversity criteria. The proposed approach employs dataset fractals analysis to estimate a suitable radius for a database subset to perform a similarity query regarding diversity. It selects closer images to the query center and applies the diversity factor to the subset, providing not only a better comprehension of the impact of the diversity factor to the query result, but also an improvement in execution time.
基于内容的图像检索(CBIR)系统允许使用从图像中自动或半自动获得的数字表示进行相似度搜索图像。然而,查询结果并不总是如用户所愿。从这个意义上说,CBIR系统面临着语义缺口问题。克服这个问题的一种方法是在查询执行中增加多样性,这样用户就可以要求系统根据某些相似性标准返回变化最大的图像。然而,在大型数据集上应用多样性具有令人难以承受的计算成本,而且,结果往往与预期的结果不同,结果子集的图像与查询图像具有高度的不相似性。本文提出了一种基于相似性和多样性标准的基于内容的图像检索系统的计算成本降低方法。该方法采用数据集分形分析来估计数据库子集的合适半径,以执行关于多样性的相似性查询。它选择离查询中心更近的图像,并将多样性因子应用于子集,不仅可以更好地理解多样性因子对查询结果的影响,还可以提高执行时间。
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引用次数: 7
期刊
Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems
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