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Introduction to the Special Issue on Internet-of-Medical-Things 《医疗物联网专题导论
Pub Date : 2022-07-31 DOI: 10.1145/3547656
P. Bogdan, R. Grosu, Insup Lee
The Internet-of-Medical Things (IoMT) paradigm paves the foundations for an intelligent and reliable per-sonalized precision medicine. This embedded computing paradigm aims to offer accurate multiscale medical monitoring through smart sensing, advanced analytics, and enabling continuous and rigorous medical diagno-sis, and on-the-fly communication with medical experts. It leverages mathematical and physical modeling of human anatomy and physiology to provide hyperspectral and hyperdimensional processing and restores health through precise patient-specific actuation. Along these lines of providing advanced analytics for early detection and injury of falls, in “Pervasive Pose Estimation for Fall Detection”, Luo et al. proposed a pervasive pose estimation strategy for fall detection (P2Est) on a mobile portable device (e.g., smartphone) capable to quantify changes in tilt angle and height of the human body. To quantify the tilt measurement, the P2Est exploits the pointing of the mobile device to associate the device coordinate system with the world coordinate system. To gauge the height changes, the P2Est considers that the person’s height remains relatively unchanged while walking to calibrate the pressure difference between the device and the floor. Luo et al. implemented the P2Est strategy and tested it in various environments demonstrating that it can track the body orientation irrespective of which pocket the phone is placed in. The authors also report that P2Est strategy exploits the phone’s barometer to detect falls in various environments with decimeter-level accuracy.
医疗物联网(IoMT)范式为智能可靠的个性化精准医疗奠定了基础。这种嵌入式计算范例旨在通过智能传感、高级分析、实现连续和严格的医疗诊断以及与医疗专家的实时通信,提供准确的多尺度医疗监测。它利用人体解剖学和生理学的数学和物理建模来提供高光谱和高维处理,并通过精确的患者特定驱动来恢复健康。在为摔倒的早期检测和伤害提供高级分析的思路中,Luo等人在“摔倒检测的普普性姿势估计”中提出了一种基于移动便携式设备(例如智能手机)的摔倒检测的普普性姿势估计策略(P2Est),该设备能够量化人体倾斜角度和高度的变化。为了量化倾斜测量,P2Est利用移动设备的指向将设备坐标系统与世界坐标系统相关联。为了测量高度的变化,P2Est认为人在行走时高度保持相对不变,以校准设备与地板之间的压力差。Luo等人实施了P2Est策略,并在各种环境中进行了测试,证明无论手机放在哪个口袋中,它都可以跟踪身体方向。作者还报告说,P2Est策略利用手机的气压计在各种环境中以分米级的精度检测摔倒。
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引用次数: 0
Automatic Extraction of Nested Entities in Clinical Referrals in Spanish 自动提取西班牙语临床转诊信息中的嵌套实体
Pub Date : 2022-04-07 DOI: 10.1145/3498324
P. Baez, Felipe Bravo-Marquez
Here we describe a new clinical corpus rich in nested entities and a series of neural models to identify them. The corpus comprises de-identified referrals from the waiting list in Chilean public hospitals. A subset of 5,000 referrals (58.6% medical and 41.4% dental) was manually annotated with 10 types of entities, six attributes, and pairs of relations with clinical relevance. In total, there are 110,771 annotated tokens. A trained medical doctor or dentist annotated these referrals, and then, together with three other researchers, consolidated each of the annotations. The annotated corpus has 48.17% of entities embedded in other entities or containing another one. We use this corpus to build models for Named Entity Recognition (NER). The best results were achieved using a Multiple Single-entity architecture with clinical word embeddings stacked with character and Flair contextual embeddings. The entity with the best performance is abbreviation, and the hardest to recognize is finding. NER models applied to this corpus can leverage statistics of diseases and pending procedures. This work constitutes the first annotated corpus using clinical narratives from Chile and one of the few in Spanish. The annotated corpus, clinical word embeddings, annotation guidelines, and neural models are freely released to the community.
在这里,我们描述了一个富含嵌套实体的新临床语料库,以及一系列用于识别嵌套实体的神经模型。该语料库由智利公立医院候诊名单中去标识化的转诊病例组成。在 5,000 份转诊病例(58.6% 为医学病例,41.4% 为牙科病例)的子集中,人工标注了 10 种实体、6 种属性以及与临床相关的成对关系。总共有 110,771 个注释标记。一名训练有素的医生或牙医对这些转介进行了注释,然后与其他三名研究人员一起对每个注释进行了合并。注释过的语料中有 48.17% 的实体嵌入了其他实体或包含了另一个实体。我们利用该语料库建立了命名实体识别(NER)模型。通过使用临床词嵌入与字符和 Flair 上下文嵌入堆叠的多重单实体架构,我们取得了最佳结果。效果最好的实体是缩写,最难识别的实体是查找。应用于该语料库的 NER 模型可以利用疾病和待定程序的统计数据。这项工作构成了第一个使用智利临床叙述的注释语料库,也是为数不多的西班牙语注释语料库之一。注释语料库、临床词嵌入、注释指南和神经模型均免费向社会发布。
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引用次数: 11
Pervasive Pose Estimation for Fall Detection 基于普适姿态估计的跌倒检测
Pub Date : 2022-04-07 DOI: 10.1145/3478027
Jia-qin Luo, Ruiyu Bai, Suining He, K. Shin
Falls are the second leading cause of accidental or unintentional injuries/deaths worldwide. Accurate pose estimation using commodity mobile devices will help early detection and injury assessment of falls, which are essential for the first aid of elderly falls. By following the definition of fall, we propose a Pervasive Pose Estimation scheme for fall detection (P ( ^2 ) Est), which measures changes in tilt angle and height of the human body. For the tilt measurement, P ( ^2 ) Est leverages the pointing of the mobile device, e.g., the smartphone, when unlocking to associate the Device coordinate system with the World coordinate system. For the height measurement, P ( ^2 ) Est exploits the fact that the person’s height remains unchanged while walking to calibrate the pressure difference between the device and the floor. We have prototyped and tested P ( ^2 ) Est in various situations and environments. Our extensive experimental results have demonstrated that P ( ^2 ) Est can track the body orientation irrespective of which pocket the phone is placed in. More importantly, it enables the phone’s barometer to detect falls in various environments with decimeter-level accuracy.
跌倒是全世界意外或非故意伤害/死亡的第二大原因。使用商品移动设备进行准确的姿势估计将有助于早期发现和评估跌倒的伤害,这对老年人跌倒的急救至关重要。根据跌倒的定义,我们提出了一种用于跌倒检测的普适姿势估计方案(P ( ^2 ) Est),该方案测量人体倾斜角度和高度的变化。对于倾斜测量,P ( ^2 ) Est在解锁时利用移动设备(例如智能手机)的指向将device坐标系与World坐标系关联起来。对于身高测量,P ( ^2 ) Est利用人在走路时身高保持不变的事实来校准设备和地板之间的压力差。我们已经在各种情况和环境中制作了原型并测试了P ( ^2 ) Est。我们广泛的实验结果表明,P ( ^2 ) Est可以跟踪身体方向,而不管手机放在哪个口袋里。更重要的是,它使手机的气压计能够以分米级的精度检测各种环境中的跌倒。
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引用次数: 2
Improving Early Prognosis of Dementia Using Machine Learning Methods 使用机器学习方法改善痴呆症的早期预后
Pub Date : 2022-04-07 DOI: 10.1145/3502433
Georgios Katsimpras, F. Aisopos, P. Garrard, M. Vidal, G. Paliouras
Early and precise prognosis of dementia is a critical medical challenge. The design of an optimal computational model that addresses this issue, and at the same time explains the underlying mechanisms that lead to output decisions, is an ongoing challenge. In this study, we focus on assessing the risk of an individual converting to Dementia in the short (next year) and long (one to five years) term, given only a few early-stage observations. Our goal is to develop a machine learning model that could assist the prediction of dementia from regular clinical data. The results show that combining various machine learning techniques together can successfully define ways to identify the risks of developing dementia over the following five years with accuracies considerably above average rates. These findings suggest that accurately developed models can be considered as a promising tool to improve early dementia prognosis.
痴呆症的早期准确预后是一项关键的医学挑战。设计一个解决这个问题的最优计算模型,同时解释导致输出决策的潜在机制,是一个持续的挑战。在这项研究中,我们专注于评估个人在短期(明年)和长期(一到五年)转变为痴呆症的风险,只给出一些早期观察。我们的目标是开发一种机器学习模型,可以帮助从常规临床数据中预测痴呆症。结果表明,将各种机器学习技术结合在一起可以成功地确定在接下来的五年内识别患痴呆症风险的方法,其准确性大大高于平均水平。这些发现表明,准确开发的模型可以被认为是改善早期痴呆预后的有希望的工具。
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引用次数: 3
iNAP: A Hybrid Approach for NonInvasive Anemia-Polycythemia Detection in the IoMT iNAP:一种用于IoMT无创贫血-红细胞增多症检测的混合方法
Pub Date : 2022-04-07 DOI: 10.1145/3503466
Sagnik Ghosal, Debanjan Das, Venkanna Udutalapally, P. Wasnik
The paper presents a novel, self-sufficient, Internet of Medical Things-based model called iNAP to address the shortcomings of anemia and polycythemia detection. The proposed model captures eye and fingernail images using a smartphone camera and automatically extracts the conjunctiva and fingernails as the regions of interest. A novel algorithm extracts the dominant color by analyzing color spectroscopy of the extracted portions and accurately predicts blood hemoglobin level. A less than 11.5 gdL ( ^{-1} ) value is categorized as anemia while a greater than 16.5 gdL ( ^{-1} ) value as polycythemia. The model incorporates machine learning and image processing techniques allowing easy smartphone implementation. The model predicts blood hemoglobin to an accuracy of ( pm ) 0.33 gdL ( ^{-1} ) , a bias of 0.2 gdL ( ^{-1} ) , and a sensitivity of 90 ( % ) compared to clinically tested results on 99 participants. Furthermore, a novel brightness adjustment algorithm is developed, allowing robustness to a wide illumination range and the type of device used. The proposed IoMT framework allows virtual consultations between physicians and patients, as well as provides overall public health information. The model thereby establishes itself as an authentic and acceptable replacement for invasive and clinically-based hemoglobin tests by leveraging the feature of self-anemia and polycythemia diagnosis.
本文提出了一种新颖的、自给自足的、基于医疗物联网的模型,称为iNAP,以解决贫血和红细胞增多症检测的缺点。该模型使用智能手机相机捕捉眼睛和指甲图像,并自动提取结膜和指甲作为感兴趣的区域。一种新的算法通过分析提取部分的颜色光谱来提取主色,并准确预测血液血红蛋白水平。小于11.5 gdL ( ^{-1} )值为贫血,大于16.5 gdL ( ^{-1} )值为红细胞增多症。该模型结合了机器学习和图像处理技术,允许智能手机轻松实现。该模型预测血红蛋白的准确度为( pm ) 0.33 gdL ( ^{-1} ),偏差为0.2 gdL ( ^{-1} ),与99名参与者的临床测试结果相比,灵敏度为90 ( % )。此外,开发了一种新的亮度调节算法,使其对宽照明范围和使用的设备类型具有鲁棒性。拟议的IoMT框架允许医生和患者之间进行虚拟咨询,并提供总体公共卫生信息。因此,该模型利用自身贫血和红细胞增多症诊断的特点,确立了自己作为侵入性和基于临床的血红蛋白检测的真实和可接受的替代品。
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引用次数: 1
Clean Vibes: Hand Washing Monitoring Using Structural Vibration Sensing 清洁振动:使用结构振动传感的洗手监测
Pub Date : 2022-03-15 DOI: 10.1145/3511890
Jonathon Fagert, Amelie Bonde, Sruti Srinidhi, Sarah Hamilton, Pei Zhang, Hae Young Noh
We present a passive and non-intrusive sensing system for monitoring hand washing activity using structural vibration sensing. Proper hand washing is one of the most effective ways to limit the spread and transmission of disease, and has been especially critical during the COVID-19 pandemic. Prior approaches include direct observation and sensing-based approaches, but are limited in non-clinical settings due to operational restrictions and privacy concerns in sensitive areas such as restrooms. Our work introduces a new sensing modality for hand washing monitoring, which measures hand washing activity-induced vibration responses of sink structures, and uses those responses to monitor the presence and duration of hand washing. Primary research challenges are that vibration responses are similar for different activities, occur on different surfaces/structures, and tend to overlap/coincide. We overcome these challenges by extracting information about signal periodicity for similar activities through cepstrum-based features, leveraging hierarchical learning to differentiate activities on different surfaces, and denoting “primary/secondary” activities based on their relative frequency and importance. We evaluate our approach using real-world hand washing data across four different sink structures/locations, and achieve an average F1-score for hand washing activities of 0.95, which represents an 8.8X and 10.2X reduction in error over two different baseline approaches.
我们提出了一种被动和非侵入式传感系统,用于监测洗手活动使用结构振动传感。正确洗手是限制疾病传播的最有效方法之一,在2019冠状病毒病大流行期间尤为重要。先前的方法包括直接观察和基于传感的方法,但由于操作限制和敏感区域(如洗手间)的隐私问题,在非临床环境中受到限制。我们的工作引入了一种新的洗手监测传感模式,该模式测量洗涤槽结构的洗手活动引起的振动响应,并使用这些响应来监测洗手的存在和持续时间。主要的研究挑战是不同活动的振动响应是相似的,发生在不同的表面/结构上,并且往往重叠/重合。我们通过基于倒谱的特征提取类似活动的信号周期性信息,利用分层学习来区分不同表面上的活动,并根据其相对频率和重要性表示“主要/次要”活动,从而克服了这些挑战。我们使用四个不同水槽结构/位置的真实洗手数据来评估我们的方法,并获得洗手活动的平均f1得分为0.95,这意味着两种不同基线方法的误差减少了8.8倍和10.2倍。
{"title":"Clean Vibes: Hand Washing Monitoring Using Structural Vibration Sensing","authors":"Jonathon Fagert, Amelie Bonde, Sruti Srinidhi, Sarah Hamilton, Pei Zhang, Hae Young Noh","doi":"10.1145/3511890","DOIUrl":"https://doi.org/10.1145/3511890","url":null,"abstract":"We present a passive and non-intrusive sensing system for monitoring hand washing activity using structural vibration sensing. Proper hand washing is one of the most effective ways to limit the spread and transmission of disease, and has been especially critical during the COVID-19 pandemic. Prior approaches include direct observation and sensing-based approaches, but are limited in non-clinical settings due to operational restrictions and privacy concerns in sensitive areas such as restrooms. Our work introduces a new sensing modality for hand washing monitoring, which measures hand washing activity-induced vibration responses of sink structures, and uses those responses to monitor the presence and duration of hand washing. Primary research challenges are that vibration responses are similar for different activities, occur on different surfaces/structures, and tend to overlap/coincide. We overcome these challenges by extracting information about signal periodicity for similar activities through cepstrum-based features, leveraging hierarchical learning to differentiate activities on different surfaces, and denoting “primary/secondary” activities based on their relative frequency and importance. We evaluate our approach using real-world hand washing data across four different sink structures/locations, and achieve an average F1-score for hand washing activities of 0.95, which represents an 8.8X and 10.2X reduction in error over two different baseline approaches.","PeriodicalId":288903,"journal":{"name":"ACM Transactions on Computing for Healthcare (HEALTH)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134128691","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: 2
Flexibility Versus Routineness in Multimodal Health Indicators: A Sensor-based Longitudinal in Situ Study of Information Workers 多模式健康指标的灵活性与常规性:一项基于传感器的信息工作者纵向原位研究
Pub Date : 2022-03-15 DOI: 10.1145/3514259
M. J. Amon, Stephen M. Mattingly, Aaron Necaise, Gloria Mark, N. Chawla, Anindya Dey, Sidney K. D’Mello
Although some research highlights the benefits of behavioral routines for individual functioning, other research indicates that routines can reflect an individual's inflexibility and lower well-being. Given conflicting accounts on the benefits of routine, research is needed to examine how routineness versus flexibility in health-related behaviors correspond to personality traits, health, and occupational outcomes. We adopt a nonlinear dynamical systems approach to understanding routine using automatically sensed health-related behaviors collected from 483 information workers over a roughly two-month period. We utilized multidimensional recurrence quantification analysis to derive a measure of health regularity (routineness) from measures of daily step count, sleep duration, and heart rate variability (which relates to stress). Participants also completed measures of personality, health, and job performance at the start of the study and for two months via Ecological Momentary Assessments. Greater regularity was associated with higher neuroticism, lower agreeableness, and greater interpersonal and organizational deviance. Importantly, these results were independent of overall levels of each health indicator in addition to demographics. It is often believed that routine is desirable, but the results suggest that associations with routineness are more nuanced, and wearable sensors can provide insights into beneficial health behaviors.
尽管一些研究强调了行为惯例对个人功能的好处,但其他研究表明,惯例可能反映了个人的不灵活性和较低的幸福感。考虑到关于常规的好处的相互矛盾的说法,需要研究来检验与健康相关的行为中的常规与灵活性如何对应于人格特征、健康和职业结果。我们采用一种非线性动态系统方法,利用在大约两个月的时间里从483名信息工作者收集的自动感知健康相关行为来理解日常行为。我们利用多维递归量化分析,从每日步数、睡眠时间和心率变异性(与压力有关)的测量中得出健康规律性(例行性)的测量。参与者还在研究开始时完成了性格、健康和工作表现的测量,并通过生态瞬间评估进行了两个月的测试。规律性越强,神经质程度越高,宜人性越低,人际关系和组织越轨行为越严重。重要的是,除了人口统计数据外,这些结果与每个健康指标的总体水平无关。人们通常认为常规是可取的,但研究结果表明,与常规的联系更为微妙,可穿戴传感器可以提供对有益健康行为的见解。
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引用次数: 3
Facial Expression Modeling and Synthesis for Patient Simulator Systems: Past, Present, and Future 面部表情建模和合成的病人模拟器系统:过去,现在和未来
Pub Date : 2022-03-03 DOI: 10.1145/3483598
Maryam Pourebadi, L. Riek
Clinical educators have used robotic and virtual patient simulator systems (RPS) for dozens of years, to help clinical learners (CL) gain key skills to help avoid future patient harm. These systems can simulate human physiological traits; however, they have static faces and lack the realistic depiction of facial cues, which limits CL engagement and immersion. In this article, we provide a detailed review of existing systems in use, as well as describe the possibilities for new technologies from the human–robot interaction and intelligent virtual agents communities to push forward the state of the art. We also discuss our own work in this area, including new approaches for facial recognition and synthesis on RPS systems, including the ability to realistically display patient facial cues such as pain and stroke. Finally, we discuss future research directions for the field.
几十年来,临床教育工作者一直使用机器人和虚拟患者模拟器系统(RPS)来帮助临床学习者(CL)获得关键技能,以帮助避免未来对患者的伤害。这些系统可以模拟人类的生理特征;然而,他们的脸是静态的,缺乏对面部线索的真实描绘,这限制了CL的沉浸感。在本文中,我们详细回顾了现有系统的使用情况,并描述了人机交互和智能虚拟代理社区的新技术推动技术发展的可能性。我们还讨论了我们在这一领域的工作,包括在RPS系统上进行面部识别和合成的新方法,包括真实显示患者面部线索(如疼痛和中风)的能力。最后,对该领域未来的研究方向进行了展望。
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引用次数: 7
Non-invasive Techniques for Monitoring Different Aspects of Sleep: A Comprehensive Review 无创技术监测睡眠的不同方面:一个全面的回顾
Pub Date : 2022-03-03 DOI: 10.1145/3491245
Z. Hussain, Quan Z. Sheng, W. Zhang, Jorge Ortiz, Seyedamin Pouriyeh
Quality sleep is very important for a healthy life. Nowadays, many people around the world are not getting enough sleep, which has negative impacts on their lifestyles. Studies are being conducted for sleep monitoring and better understanding sleep behaviors. The gold standard method for sleep analysis is polysomnography conducted in a clinical environment, but this method is both expensive and complex for long-term use. With the advancements in the field of sensors and the introduction of off-the-shelf technologies, unobtrusive solutions are becoming common as alternatives for in-home sleep monitoring. Various solutions have been proposed using both wearable and non-wearable methods, which are cheap and easy to use for in-home sleep monitoring. In this article, we present a comprehensive survey of the latest research works (2015 and after) conducted in various categories of sleep monitoring, including sleep stage classification, sleep posture recognition, sleep disorders detection, and vital signs monitoring. We review the latest research efforts using the non-invasive approach and cover both wearable and non-wearable methods. We discuss the design approaches and key attributes of the work presented and provide an extensive analysis based on ten key factors, with the goal to give a comprehensive overview of the recent developments and trends in all four categories of sleep monitoring. We also collect publicly available datasets for different categories of sleep monitoring. We finally discuss several open issues and future research directions in the area of sleep monitoring.
高质量的睡眠对健康的生活非常重要。如今,世界上许多人睡眠不足,这对他们的生活方式产生了负面影响。人们正在进行睡眠监测和更好地理解睡眠行为的研究。睡眠分析的金标准方法是在临床环境中进行的多导睡眠图,但这种方法既昂贵又复杂,无法长期使用。随着传感器领域的进步和现成技术的引入,不引人注目的解决方案正成为家庭睡眠监测的替代方案。已经提出了各种解决方案,使用可穿戴和非可穿戴方法,这些方法便宜且易于用于家庭睡眠监测。在本文中,我们对2015年及以后在睡眠监测的各个领域的最新研究工作进行了全面的综述,包括睡眠阶段分类、睡眠姿势识别、睡眠障碍检测和生命体征监测。我们回顾了使用非侵入性方法的最新研究成果,涵盖了可穿戴和非可穿戴方法。我们讨论了所提出的工作的设计方法和关键属性,并基于十个关键因素进行了广泛的分析,目的是对所有四类睡眠监测的最新发展和趋势进行全面概述。我们还收集了不同类别睡眠监测的公开可用数据集。最后讨论了睡眠监测领域的几个开放性问题和未来的研究方向。
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引用次数: 16
A Systematic Literature Review of Virtual, Augmented, and Mixed Reality Game Applications in Healthcare 虚拟、增强和混合现实游戏在医疗保健中的应用的系统文献综述
Pub Date : 2022-03-03 DOI: 10.1145/3472303
Yu Fu, Yan Hu, V. Sundstedt
Virtual reality, augmented reality, and mixed reality (VR/AR/MR) as information and communication technologies have been recognised and implemented in healthcare in recent years. One of the popular application ways is games, due to the potential benefits of providing an engaging and immersive experience in a virtual environment. This study presents a systematic literature review that evaluates the state-of-the-art on VR/AR/MR game applications in healthcare by collecting and analysing related journal and conference papers published from 2014 through to the first half of 2020. After retrieving more than 3,000 papers from six databases, 88 articles, from both computer science and medicine, were selected and analysed in the review. The articles are classified and summarised based on their (1) publication information, (2) design, implementation, and evaluation, and (3) application. The presented review is beneficial for both researchers and developers interested in exploring current research and future trends in VR/AR/MR in healthcare.
近年来,虚拟现实、增强现实和混合现实(VR/AR/MR)作为信息和通信技术在医疗保健领域得到了认可和应用。游戏是最受欢迎的应用方式之一,因为它可以在虚拟环境中提供引人入胜的沉浸式体验。本研究通过收集和分析2014年至2020年上半年发表的相关期刊和会议论文,对VR/AR/MR游戏在医疗保健领域的最新应用进行了系统的文献综述。在从6个数据库中检索了3000多篇论文后,从计算机科学和医学领域选择了88篇论文,并在综述中进行了分析。文章根据其(1)发表信息,(2)设计、实现和评估,(3)应用进行分类和总结。本文的综述对于有兴趣探索医疗保健领域VR/AR/MR的当前研究和未来趋势的研究人员和开发人员都是有益的。
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引用次数: 16
期刊
ACM Transactions on Computing for Healthcare (HEALTH)
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