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2015 Pan American Health Care Exchanges (PAHCE)最新文献

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Algorithm to estimate the level of elasticity of biological tissue with ultrasound elastography images 基于超声弹性成像的生物组织弹性水平估计算法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173317
J. J. Diaz, N. P. Castellanos, C. Pineda, C. Hernández, L. Ventura, J. Gutierrez
The paper presents an algorithm to evaluate the elasticity of biological tissues from an ultrasound acquired elastography images to enhance the diagnostic capabilities. The algorithm was applied to RGB images of four healthy subjects; including pre-processing, filtering, region of interest selection, segmentation and pixel computing stages. A Repeatability and Reproducibility method (R&R) based on average and range technique is used to validate the procedure. For this test, two physicians acquired the US elastography images from the same subjects in the same anatomic region, at the same time. An elastometry graph is obtained after interpolation of the three color maps is applied. According R&R guidelines, the results for repeatability and reproducibility for each plane (red, green and blue) were less to 10%. These results are indicative of an algorithm with good performance. This proposal represents a promising diagnostic tool to evaluate objectively the elasticity of biological tissue for diagnostic, treatment follow-up and research purposes.
本文提出了一种基于超声弹性成像图像的生物组织弹性评估算法,以提高诊断能力。将该算法应用于4名健康受试者的RGB图像;包括预处理、滤波、兴趣区域选择、分割和像素计算等阶段。采用基于平均和极差技术的重复性和再现性方法(R&R)对该方法进行了验证。在这项测试中,两位医生在同一时间从同一解剖区域的同一受试者获得了美国弹性成像图像。对三种颜色贴图进行插值后得到弹性图。根据R&R指南,每个平面(红、绿、蓝)的可重复性和再现性的结果小于10%。这些结果表明该算法具有良好的性能。这一建议代表了一个有希望的诊断工具,客观地评估生物组织的弹性,用于诊断,治疗随访和研究目的。
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引用次数: 1
Power meter for HIFU transducers using logarithmic amplifiers 使用对数放大器的HIFU换能器功率计
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173353
S. Delgado, L. Leija, A. Vera
High Intensity Focused Ultrasound (HIFU) is a non-invasive technique used for oncology treatment through tumor ablation. When an impedance mismatch is present between the ultrasound transducer and the excitation device, a reflected wave is produced which can damage the excitation device. To avoid this possible damage is important to know the forward and reflected power of ultrasound transducers. The purpose of this work is to develop a power meter which can measure the forward and reflected power of ultrasound transducers and calculate the Standing Wave Ratio with the finality to avoid damage at the excitation device.
高强度聚焦超声(HIFU)是一种通过肿瘤消融进行肿瘤治疗的非侵入性技术。当超声换能器和激励装置之间存在阻抗不匹配时,产生的反射波会损坏激励装置。为了避免这种可能的损害,了解超声波换能器的正向和反射功率是很重要的。本工作的目的是研制一种能够测量超声换能器的正向和反射功率的功率计,并计算出最终的驻波比,以避免对激励装置的损坏。
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引用次数: 0
Methodology for metrological confirmation in health care institutions 卫生保健机构计量确认方法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173342
J. H. García, A. M. Hernandez, J. G. Barreneche
The metrological confirmation is one of the most widely used methodologies for guaranteeing the correct performance of biomedical equipment. This methodology consists of calibration, maintenance, and set-up with recalibration. Also, the correct selection of the equipment to be calibrated, maintenance frequencies, maximum allowed error and actions to be taken, makes crucial to have accurate methodologies for decision making, due to the high economic and social costs that a failure represents. The metrological confirmation model proposed in this paper is presented through following sections: (i) the characteristics of the equipment to be evaluated are defined, (ii) parameters for selecting the equipment to be calibrated, calibration frequencies and actions to be taken are established; and (iii) the cost of the metrological control is evaluated and the most convenient modality for the institution is defined. As a result, a model that allows designing and controlling the metrology process is proposed; also, this model permits simulating the creation of a laboratory, and taking decisions to make changes from processed real data.
计量确认是保证生物医学设备正确性能的最广泛使用的方法之一。该方法包括校准、维护和重新校准的设置。此外,正确选择要校准的设备、维护频率、最大允许误差和采取的措施,对于拥有准确的决策方法至关重要,因为故障代表着高昂的经济和社会成本。本文提出的计量确认模型通过以下几个部分进行介绍:(1)定义待评估设备的特性;(2)确定待校准设备的选择参数、校准频率和要采取的行动;(三)评估计量控制成本,确定单位最方便的计量控制方式。在此基础上,提出了计量过程的设计与控制模型;此外,该模型允许模拟实验室的创建,并根据处理过的真实数据做出更改决策。
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引用次数: 0
Raman spectroscopy analysis of a flexible and electrically conductive material with applications as ECG electrode 拉曼光谱分析一种具有柔性和导电性的材料,应用于ECG电极
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173332
L. M. Rivera, A. Betancur, J. Bustamante, L. Hoyos
This article presents the Raman spectroscopy analysis of a polymeric, flexible and electrically conductive material which can be used to fabricate a dry ECG electrode. For the development of this material, polyaniline (Pani) was used as main matrix, the host matrix was an acrylic resin; and the material was reinforced with carbon nanotubes (MWCNTs) doped with Ag, and functionalized with Cl. It was found that the final composite material (FCM) had an electric resistance of 1000 Ω and an electrical conductivity of 0,002 S cm-1 for a material area of 0,01 m2. This FCM is being tested as a dry electrode for a new ECG system which is also being developed at the Centro de Bioingenieria of the Universidad Pontificia Bolivariana.
本文介绍了一种可用于制造干法ECG电极的聚合物柔性导电材料的拉曼光谱分析。该材料以聚苯胺(Pani)为主要基体,以丙烯酸树脂为基体;用掺杂Ag的碳纳米管(MWCNTs)增强材料,并用Cl进行功能化。结果发现,最终的复合材料(FCM)在材料面积为0.01 m2时,电阻为1000 Ω,电导率为0.002 S cm-1。这种FCM正在作为一种新的ECG系统的干电极进行测试,该系统也正在玻利维亚玻利瓦尔大学生物工程中心开发。
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引用次数: 5
HMM-GMM model's size selection methodology for bioacoustics-based diagnostic classification 基于生物声学诊断分类的HMM-GMM模型尺寸选择方法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173331
P. Mayorga, D. Ibarra, C. Druzgalski, V. Zeljkovic
This paper presents a methodology for optimized utilization of merged Hidden Markov Models and Mixed Gaussian Model to classify lung sounds (LS) and heart sounds (HS) as a part of cardiopulmonary diagnostic assessment. Specifically this method was used as a criterion to determine most advantageous number of clusters for the HMMGMM model calculation. For this purpose, the LS and HS characteristics were evaluated in terms of MFCC (Melfrequency cepstral coefficients) and Quantile vectors. The analysis for the number of clusters was based on utilization of dendrograms, silhouettes, and the Bayesian Information Criterion (BIC). The merged HMM-GMM models for LS signals with Quartiles offered excellent results, while for HS signals, the best results were obtained with MFCC vectors. In both groups of LS and HS signals, a high degree classification efficiency was obtained reaching 100% for studied sets of signals. In particular, the results demonstrate that utilizing BIC or dendrograms as a part of optimized criterion enhances efficiency of merged HMM-GMM models in diagnostic classification of cardiopulmonary acoustic signals.
本文提出了一种优化利用隐马尔可夫模型和混合高斯模型对肺音(LS)和心音(HS)进行分类的方法,作为心肺诊断评估的一部分。具体来说,将该方法作为确定HMMGMM模型计算中最有利簇数的标准。为此,利用melfcc (Melfrequency倒谱系数)和分位数向量对LS和HS特性进行了评价。聚类数量的分析是基于树形图、轮廓和贝叶斯信息准则(BIC)的利用。合并的HMM-GMM模型对于LS信号的四分位数具有很好的效果,而对于HS信号,使用MFCC向量获得了最好的效果。在LS和HS两组信号中,所研究的信号集都获得了很高的分类效率,达到100%。特别是,研究结果表明,利用BIC或树形图作为优化标准的一部分,可以提高合并HMM-GMM模型在心肺声信号诊断分类中的效率。
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引用次数: 1
Coherent self-averaging for the pre-processing of surface electromyography signals in the detection of nociceptive withdrawal reflexes 损伤性戒断反射检测中表面肌电信号预处理的相干自平均
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173324
R. Espinosa, C. Tabernig
This work presents an alternative method for the pre-processing of surface electromyography signals of nociceptive withdrawal reflexes, with the goal of improving the reflexes detection in the records. The withdrawal reflex appears when a painful stimulus activates the nociceptors, the generated potential travels to the spinal cord and then the withdrawal of member exposed to painful stimulus is happened. The method used in this study to pre-process these reflexes is called a Coherent Self-Averaging method which attenuates the fluctuations of the random values of high frequency. The smoothing produced by the method is controlled by setting of two parameters: m and k. To demonstrate the performance in the detection of the reflex, 90 reflex signals of 15 healthy subjects were used. Its detection performance was compared with the one of the method called Teager-Kaiser energy operator. The reflex detection performance of algorithms was analyzed using the receiver operating characteristic curve. This showed that the Coherent Self-Averaging method, had a higher sensitivity and specificity than the Teager-Kaiser energy operator. Smoothing of signal, artifact attenuation (by electric stimulation) and reflex enhancement also was observed.
本研究提出了一种对伤害性戒断反射表面肌电信号进行预处理的方法,目的是改善记录中的反射检测。当疼痛刺激激活痛觉感受器时,就会出现退缩反射,产生的电位传递到脊髓,然后受到疼痛刺激的成员就会发生退缩。本研究中对这些反射进行预处理的方法称为相干自平均法,它可以减弱高频随机值的波动。该方法产生的平滑通过设置m和k两个参数来控制。为了证明该方法在反射检测中的性能,我们使用了15名健康受试者的90个反射信号。将该方法与Teager-Kaiser能量算子的检测性能进行了比较。利用接收机工作特性曲线分析了算法的反射检测性能。这表明相干自平均法比Teager-Kaiser能量算子具有更高的灵敏度和特异性。信号平滑、伪影衰减(通过电刺激)和反射增强也被观察到。
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引用次数: 0
Respiratory muscle activity in patients with acute organophosphorus poisoning 急性有机磷中毒患者的呼吸肌活动
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173341
M. B. S. Sánchez, A. Hernandez, C. Cortés, A. Serpa, M. Mananas, Y. Agudelo
Organophosphorus (OP) insecticides are widely used as pesticides and produce neuromuscular compromise after acute exposure, paralyzing the rib cage muscles and other muscles. The aim of this study was to evaluate respiratory muscle activity during a weaning test (WT) using eletromyographic signals from a group of six OP poisoned patients (29.5 ± 13.2 years, 68.0 ± 13.9 kg, 162.8 ± 10.6 cm height). High levels of spectral energy at low frequencies in the diaphragm muscle and weak synchronization with the sternocleidomastoid, which is an accessory respiratory muscle, correlated with the success of a weaning test.
有机磷(OP)杀虫剂作为农药被广泛使用,急性暴露后产生神经肌肉损害,使胸腔肌和其他肌肉麻痹。本研究的目的是利用肌电图信号评估6例OP中毒患者(29.5±13.2岁,68.0±13.9 kg,身高162.8±10.6 cm)在断奶试验(WT)期间的呼吸肌活动。膈肌低频高水平的频谱能量和胸锁乳突肌(一种副呼吸肌)的弱同步与断奶测试的成功相关。
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引用次数: 0
Force control and haptic interface applied to prototype of myoelectric prosthetic hand 力控制与触觉界面在肌电假手原型中的应用
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173344
E. R. Mancipe-Toloza, S. A. Salinas
Development of a force control hardware embedded system for a Prototype of Prosthetic Gripper Hand with 1 grade of liberty is shown. A myoelectric signal is used to enable a servo motor movement which permits opening and closing the prosthesis. The prosthesis force is controlled with a Proportional and Integrative (PI) incremental control. Furthermore, a little vibrator motor acts like a haptic interface and it is put on the user arm; the prosthesis force applied against an object is related with the vibrator motor frequency.
介绍了一种用于1自由度假肢手样机的力控制硬件嵌入式系统的开发。肌电信号用于使伺服电机运动,从而允许打开和关闭假体。采用比例积分(PI)增量控制方法控制假肢力。此外,一个小的振动电机就像一个触觉界面,它被放在用户的手臂上;施加在物体上的假体力与振动器电机频率有关。
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引用次数: 2
Analysis of total cost of ownership (TCO) applied to processes of biomedical technology acquisition competitive intelligence 总拥有成本(TCO)在生物医学技术获取竞争情报过程中的应用
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173325
J. G. Barreneche, A. M. Hernandez, J. H. García
The assessment of biomedical technology framed in the Ministry of Social Protection Decree # 4725 of 2005 performed as part of the acquisition processes is of great importance for health care institutions in Colombia.. Medical technology, being costly and complex, requires detailed processes with rigorous methodologies that guarantee an accurate assessment and transparent acquisition process. The most important aspects to consider, although not the only one is the economic assessment, which has always had a great weight in the assessment processes, even when not many variables are considered and financial projections over time are not always carried out. This paper aims to incorporate variables as the Total Cost of Ownership (TCO), the technology life cycle, and the Net Present Value, in the process of economic evaluation. Additionally, the paper presents one of the most representative results obtained in the acquisition processes carried out during the last five years in different health care institutions in Colombia, the assessment of a PET-CT using the proposed methodology.
作为收购过程的一部分,对社会保障部2005年第4725号法令所规定的生物医学技术进行的评估对哥伦比亚的卫生保健机构非常重要。医疗技术既昂贵又复杂,需要详细的流程和严格的方法,以保证准确的评估和透明的获取过程。要考虑的最重要的方面,虽然不是唯一的方面,是经济评估,它在评估过程中一直占有很大的份量,即使在没有考虑很多变数和不总是进行长期的财政预测时也是如此。本文旨在将总拥有成本(TCO)、技术生命周期和净现值等变量纳入经济评估过程。此外,该文件还介绍了过去五年中在哥伦比亚不同保健机构进行的采购过程中获得的最具代表性的结果之一,即使用拟议方法对PET-CT进行评估。
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引用次数: 3
Development of fabrication method for a phantom emulating breast tumor tissue for percutaneous antenna coupling measurements in microwave thermotherapy 微波热疗中用于经皮天线耦合测量的模拟乳腺肿瘤组织的制作方法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173352
J. López, L. Leija, A. Vera
Breast cancer is one of the most common diseases and has high mortality among Mexican women. Thermic therapies are one of the most promising techniques these days. Microwave ablation transmits electromagnetic energy inducing a focalized temperature increment to achieve tumor necrosis in a minimally invasive way. One of the main limitations in the development of thermotherapy percutaneous applicators is the measurement of certain parameters in biological tissue. The proposed solution is the fabrication of a phantom that emulates the dielectric properties (permittivity and conductivity) of breast tumor tissue in order to make coupling measurements of the applicator in an experimental setting. A methodology for the fabrication and measurement of a breast tumor phantom was developed, achieving, with low error, the imitation of dielectric properties of the breast tumor tissue reported in the literature. The use of low-cost materials and the simplicity of the methodology allow reproducibility of the phantom for experimentation in the fields of diagnostic and treatment of breast cancer through RF in the microwave range.
乳腺癌是墨西哥妇女中最常见的疾病之一,死亡率很高。热疗法是目前最有前途的技术之一。微波消融术通过传输电磁能,引起局部温度的升高,以微创的方式实现肿瘤坏死。热疗法经皮应用器发展的主要限制之一是测量生物组织中的某些参数。提出的解决方案是制造一个模拟乳房肿瘤组织介电特性(介电常数和电导率)的幻影,以便在实验环境中对涂抹器进行耦合测量。开发了一种制作和测量乳腺肿瘤假体的方法,以低误差模拟了文献中报道的乳腺肿瘤组织的介电特性。低成本材料的使用和方法的简单性允许通过微波范围内的射频在乳腺癌诊断和治疗领域的实验中再现模型。
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引用次数: 1
期刊
2015 Pan American Health Care Exchanges (PAHCE)
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