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19th IEEE Symposium on Computer-Based Medical Systems (CBMS'06)最新文献

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Asymmetric Affinity in Fuzzy Connectedness Segmentation for Oral Contrast-Enhances CT Colonography 口腔增强CT结肠镜模糊连通性分割中的不对称亲和力
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.49
M. Franaszek, R. Summers
In oral contrast-enhanced CT colonography, patients are given barium- or iodine-containing solutions to drink to tag out remnants of stool and residual fluid in the colon. Frequently, residual fecal matter absorbs more tagging material and appears much brighter on CT images than surrounding opacified fluid. This may cause even advanced segmentation procedures, like fuzzy connectedness, to miss local regions of colonic lumen. This in turn leads to spurious deformations of the reconstructed colonic wall and impairs interpretation. We show that these problems may be avoided when the properly designed asymmetric affinities are used for segmenting air- and fluid-filled parts of the colon. After this improvement, the segmented volume does not contain holes of missed regions and resulting colonic surface is smooth and free from undesired distortion
在口服对比增强CT结肠镜检查中,患者被给予含钡或含碘的溶液喝,以标记粪便残留物和结肠中残留的液体。通常情况下,残留的粪便吸收了更多的标记物质,在CT图像上比周围浑浊的液体更亮。这可能导致即使是高级分割程序,如模糊连接,也会错过结肠腔的局部区域。这反过来又导致重建结肠壁的虚假变形,并损害解释。我们表明,当适当设计的不对称亲和力用于分割结肠的空气和液体填充部分时,这些问题可以避免。经过这种改进,分割的体积不包含缺失区域的孔,从而使结肠表面光滑,没有不必要的扭曲
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引用次数: 0
Biomathematics Oriented Machine Learning System for Reconstructing Temporal Profiles of Biological or Clinical Markers 面向生物数学的机器学习系统,用于重建生物或临床标记物的时间剖面
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.61
Ronen Tal-Botzer, Nir Hadaya, Rachel S. Levy-Drummer, Ariel Feiglin, David H. Shalom, A. Neumann
Time series reconstruction algorithms are widely used to create temporal profiles from data series. However, in many clinical fields, e.g., viral kinetics, the data is noisy and sparse, making it difficult to use standard algorithms. We developed PROFILASE, which combines advanced multi-objective genetic algorithm search with machine learning architecture to harvest experts' decision-making considerations. Furthermore, PROFILASE implements additional scoring considerations, more biological in nature, thus further exploits domain expertise. We tested our system against a standard bottom-up algorithm by reconstruction of time series sparsely sampled with noise from simulated profiles. PROFILASE obtained RMS distance 2.5 fold lower (P<0.0001) than the standard algorithm, 93% correct identification rate of segment number and 88% correct profile classification rate (versus 68%). The additional considerations were found to have a significant effect on the success of reconstruction. Finally, PROFILASE was generalized to evaluate additional considerations from different fields, thus allowing better understanding of other diseases
时间序列重构算法被广泛用于从数据序列中创建时间剖面。然而,在许多临床领域,例如病毒动力学,数据是嘈杂和稀疏的,使得很难使用标准算法。我们开发了PROFILASE,它结合了先进的多目标遗传算法搜索和机器学习架构来收集专家的决策考虑。此外,PROFILASE实现了额外的评分考虑,本质上更具有生物学性,因此进一步利用了领域专业知识。我们用标准的自底向上算法对系统进行了测试,方法是对时间序列进行稀疏采样,并从模拟剖面中提取噪声。PROFILASE的RMS距离比标准算法低2.5倍(P<0.0001),对片段数量的正确率为93%,对剖面的正确率为88%(标准算法为68%)。人们发现,这些额外的考虑因素对重建的成功有重大影响。最后,对PROFILASE进行了推广,以评估不同领域的其他考虑因素,从而更好地了解其他疾病
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引用次数: 1
MS2DB: An Algorithmic Approach to Determine Disulfide Linkage Patterns MS2DB:确定二硫键模式的算法方法
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.119
Timothy Lee, Rahul Singh, T. Yen, B. Macher
Determining the number and location of disulfide bonds within a protein provide valuable insight into the protein's three-dimensional structure. Purely computational methods that predict the bonded cysteine pairings given a protein's primary structure have limitations in both prediction correctness and the number of bonds that can be predicted. Our approach utilizes tandem mass spectrometric (MS/MS) experimental procedures that produce spectra of protein fragments joined by a disulfide bond. This allows the limitations in correctness and scaling to be overcome. The algorithmic problem then becomes how to match a theoretical mass space of all possible bonded fragments against the MS/MS data. In our algorithm, which we call the indexed approach, the regions of the mass space that contain masses comparable to the MS/MS spectrum masses are located before the match is determined. We have developed a software package, MS2DB, which implements this approach. A performance study shows that the indexed approach determines disulfide bond linkage patterns both correctly and efficiently
确定蛋白质中二硫键的数量和位置,为了解蛋白质的三维结构提供了有价值的见解。根据蛋白质的一级结构预测结合的半胱氨酸配对的纯计算方法在预测的正确性和可以预测的键的数量上都有局限性。我们的方法利用串联质谱(MS/MS)实验程序,产生由二硫键连接的蛋白质片段的光谱。这可以克服正确性和可伸缩性方面的限制。然后,算法问题就变成了如何将所有可能粘合碎片的理论质量空间与MS/MS数据相匹配。在我们的算法中,我们称之为索引方法,在确定匹配之前,质量空间中包含与MS/MS谱质量相当的质量的区域被定位。我们开发了一个软件包MS2DB来实现这种方法。性能研究表明,索引方法确定二硫键连接模式是正确和有效的
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引用次数: 3
Pulse Contour Variability Before and After Exercise 运动前后脉搏轮廓变化
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.136
Lisheng Xu, Kuanquan Wang, Lu Wang, Naimin Li
This paper compares the radial artery pulses of 105 young graduate students. The radial artery pulses after performing progressive ergometer for five minutes are different from those at rest. All the pulses become floating and fast. The contours of pulses have three kinds of variability. The incisures of 39 subjects become especially low; sometimes the incisures are lower than the onset of pulse waveform. The tidal waves and dicrotic waves of 32 subjects become higher. The pulses of 34 subjects become smooth. Their incisures and dicrotic waves become lower. These changes can instruct the exercise and training of the young students and athletes
本文对105名青年研究生的桡动脉脉搏进行了比较。进行渐进式测力仪5分钟后的桡动脉搏动与休息时不同。所有的脉冲都变得飘浮而快速。脉冲的轮廓有三种可变性。39个科目的发生率特别低;有时切口小于脉冲波形的起始点。32名受试者的潮汐波和二向波均升高。34名受试者的脉冲变得平滑。它们的夹角和二向波变得更低。这些变化可以指导青年学生和运动员的运动和训练
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引用次数: 27
Soft Tissue Deformation and Cutting Simulation for the Multimodal Surgery Training 多模态外科训练中软组织变形与切割模拟
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.145
Y. Lim, John Hu, Chu-Yin Chang, N. Tardella
Energid is developing a realistic surgery simulator that delivers high fidelity visual and haptic feedback based on the physics of deformable objects. Modeling the interaction of surgical tools with soft biological tissue in real time poses challenges because the precise physical models of organs are not readily available, and the simulation of the behavior of tissue has a high computational burden. In this paper we present a realistic surgery simulation technique which includes novel algorithms for simulating surgical palpation and cutting. We implement a meshfree numerical technique for realistic surgery palpation simulation. Simulation of surgical cutting is one of the most challenging tasks in the development of a surgery simulator. Changes in topology during simulation render precomputed data unusable. Moreover, the process is nonlinear and the underlying physics is complex. We propose a hybrid approach to the simulation of surgical cutting procedures by combining a node snapping technique with a physically based meshfree computational scheme
energd正在开发一种逼真的手术模拟器,该模拟器可以根据可变形物体的物理特性提供高保真的视觉和触觉反馈。由于精确的器官物理模型并不容易获得,并且组织行为的模拟具有很高的计算负担,因此对手术工具与软生物组织的实时相互作用进行建模提出了挑战。在本文中,我们提出了一种真实的手术模拟技术,其中包括模拟手术触诊和切割的新算法。我们实现了一种无网格数值技术,用于真实的外科触诊模拟。外科手术切割的模拟是外科手术模拟器开发中最具挑战性的任务之一。仿真过程中拓扑结构的变化使预先计算的数据无法使用。此外,这个过程是非线性的,其基础物理是复杂的。我们提出了一种混合方法,通过结合节点捕捉技术和基于物理的无网格计算方案来模拟手术切割过程
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引用次数: 30
Automatic Medical Image Annotation and Retrieval Using SECC 基于SECC的医学图像自动标注与检索
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.57
Jian Yao, Sameer Kiran Antani, L. Long, G. Thoma, Zhongfei Zhang
The demand for automatically annotating and retrieving medical images is growing faster than ever. In this paper, we present a novel medical image annotation method based on the proposed semantic error-correcting output codes (SECC). With this annotation method, we present a new semantic image retrieval method, which exploits the high level semantic similarity. For example, a user may query the system using an image of arm while he/she expects images of hand. This cannot be realized by traditional retrieval methods. The experimental results on the IMAGECLEF 2005 annotation data set clearly show the strength and the promise of the presented methods
对自动注释和检索医学图像的需求比以往任何时候都增长得更快。本文提出了一种基于语义纠错输出码(SECC)的医学图像标注方法。利用这种标注方法,我们提出了一种新的利用高水平语义相似度的语义图像检索方法。例如,用户可能使用手臂的图像查询系统,而他/她期望的是手的图像。这是传统检索方法无法实现的。在IMAGECLEF 2005标注数据集上的实验结果清楚地表明了所提方法的有效性和应用前景
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引用次数: 19
A System for Patient Management Based Discrete-Event Simulation and Hierarchical Clustering 基于离散事件模拟和分层聚类的患者管理系统
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.31
A. Virtue, T. Chaussalet, P. Millard, P. Whittlestone, J. Kelly
Hospital Accident and Emergency (A&E) departments in England have a 4 hour target to treat 98% of patients from arrival to discharge, admission or transfer. Managing resources to meet the target and deliver care across the range of A&E services is a huge challenge for A&E managers. This paper develops an intelligent patient management tool to help managers and clinicians better understand patient length of stay and resources within an A&E area. The developed discrete-event simulation model gives a highlevel representation of ambulance arrivals into A&E. The model facilitates analysis in the following ways: visually interactive software showing patient length of stay in the A&E area; patient activity broken down into sub-groups so that intelligence might be gathered on how sub-groups affect the overall length of stay; understanding the number of patient treatment places and nurse resources required. To support ease of inputs for scenario and sensitivity testing, data is entered into the simulation model (SimulS) via Excel spreadsheets. The model discussed in this paper used patient length of stay grouped by A&E diagnosis codes and was limited to ambulance arrivals. The analysis was derived from A&E attendance in 2004 from an English hospital
英国医院急症室(A&E)的目标是在4小时内治疗98%的病人,从到达医院到出院、入院或转院。管理资源,以满足目标,并提供护理的范围内的急症室服务是一个巨大的挑战,急症室经理。本文开发了一种智能患者管理工具,以帮助管理人员和临床医生更好地了解患者在A&E区域的住院时间和资源。所开发的离散事件仿真模型给出了救护车到达急诊室的高级表示。该模型通过以下方式便于分析:可视化交互软件显示患者在急诊科区的住院时间;把病人的活动分成几个小组,这样就可以收集到关于小组如何影响总住院时间的情报;了解病人治疗名额和所需护士资源的数量。为了方便场景和灵敏度测试的输入,数据通过Excel电子表格输入到模拟模型(SimulS)中。本文讨论的模型使用按急诊诊断代码分组的患者住院时间,并且仅限于救护车到达。该分析来源于2004年一家英国医院急诊室的出诊情况
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引用次数: 17
Automated MRI-Based Quantification of the Cerebral Atrophy Providing Diagnostic Information on Mild Cognitive Impairment and Alzheimer’s Disease 基于自动mri的脑萎缩量化提供轻度认知障碍和阿尔茨海默病的诊断信息
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.52
K. Fritzsche, A. V. Wangenheim, R. Dillmann, R. Unterhinninghofen
Alzheimer's disease (AD) is a major public health challenge as the median age of the industrialized world's population is increasing gradually. No cure for this disease has yet been found and the development of new treatments has become a topic of major research interest. This paper aims to propose a sequence of fully automated MRI-based image analysis steps to measure the development stage of atrophy in the brain. The results have been validated on a mixed group of 68 subjects by distinguishing between AD patients, MCIs and health controls using linear classifiers and ANNs. The best classifier identified unseen AD patients correctly in 80% of the cases and control subjects in 85%. Recognizing more than 8 out of 10 MCI subjects, the method also yields an early indication of AD. This simple yet powerful analysis can compete with other more time-consuming and semi-automatic methodologies. It could abet an AD diagnosis and provide a tool for measuring the success of therapies
随着工业化世界人口的中位年龄逐渐增加,阿尔茨海默病(AD)是一个重大的公共卫生挑战。目前还没有找到治愈这种疾病的方法,开发新的治疗方法已成为主要研究兴趣的话题。本文旨在提出一系列全自动的基于mri的图像分析步骤来测量脑萎缩的发展阶段。通过使用线性分类器和人工神经网络区分AD患者、MCIs和健康对照,在68名受试者的混合组中验证了结果。最佳分类器在80%的病例和85%的对照组中正确识别了未见的AD患者。该方法可以识别出10名轻度认知障碍患者中的8名以上,还可以发现AD的早期迹象。这种简单但功能强大的分析可以与其他更耗时和半自动的方法竞争。它可以帮助诊断阿尔茨海默病,并提供一种衡量治疗成功的工具
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引用次数: 9
Intelligent Patient Management using Dynamic Models of Clinical Variables 使用临床变量动态模型的智能患者管理
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.101
A. Marshall, R. Donaghy
The ability to model and predict the progression of disease in a patient can have wide ranging benefits, including the ability to successfully manage bed allocation in hospitals or the increase understanding of the evolution of the disease. This paper describes a new method of modelling the progression of a disease through different stages called a Coxian hidden Markov model. This model can be used to increase understanding of the characteristics of the different stages of the disease and to predict patient survival time given repeated measurements of dynamically changing clinical variables. This knowledge could then be used to provide better patient management
建模和预测患者疾病进展的能力可以带来广泛的好处,包括成功管理医院床位分配的能力或增加对疾病演变的了解。本文描述了一种新的方法,通过不同的阶段来建模疾病的进展称为Coxian隐马尔可夫模型。该模型可用于增加对疾病不同阶段特征的理解,并通过反复测量动态变化的临床变量来预测患者的生存时间。这些知识可以用来提供更好的病人管理
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引用次数: 1
How to Break Access Control in a Controlled Manner 如何以可控的方式打破访问控制
Pub Date : 2006-06-22 DOI: 10.1109/CBMS.2006.95
A. Ferreira, R. Correia, L. Antunes, Pedro Farinha, E. Oliveira-Palhares, D. Chadwick, A. Pereira
The electronic medical record (EMR) integrates heterogeneous information within a healthcare institution stressing the need for security and access control. The Biostatistics and Medical Informatics Department from Porto Faculty of Medicine has recently implemented a virtual EMR (VEMR) in order to integrate patient information and clinical reports within a university hospital. With more than 500 medical doctors using the system on a daily basis, an access control policy and model were implemented. However, the healthcare environment has unanticipated situations (i.e. emergency situations) where access to information is essential. Most traditional policies do not allow for overriding. A policy that allows for "Break-The-Glass (BTG)" was implemented in order to override access control whilst providing for non-repudiation mechanisms for its usage. The policy was easily integrated within the model confirming its modularity and the fact that user intervention in defining security procedures is crucial to its successful implementation and use
电子医疗记录(EMR)在医疗机构内集成了异构信息,强调了对安全性和访问控制的需求。波尔图医学院的生物统计和医学信息系最近实施了一个虚拟电子病历(VEMR),以便在大学医院内整合患者信息和临床报告。由于每天有500多名医生使用该系统,因此实施了访问控制策略和模型。然而,在医疗保健环境中会出现无法预料的情况(即紧急情况),在这种情况下获取信息至关重要。大多数传统策略不允许重写。一个允许“打破玻璃(BTG)”的策略被实现,以便覆盖访问控制,同时为其使用提供不可否认机制。该策略很容易集成到模型中,这证实了它的模块化,并且用户在定义安全过程中的干预对其成功实现和使用至关重要
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引用次数: 136
期刊
19th IEEE Symposium on Computer-Based Medical Systems (CBMS'06)
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