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2016 IEEE Healthcare Innovation Point-Of-Care Technologies Conference (HI-POCT)最新文献

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An instrumented glove for improving spasticity assessment 用于改善痉挛评估的器械手套
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797723
P. Jonnalagedda, Fei Deng, Kyle Douglas, L. Chukoskie, Michael C. Yip, T. Ng, Truong Nguyen, A. Skalsky, H. Garudadri
An instrumented glove worn by caregivers that can augment subjective assessments of spasticity with an objective, repeatable metric with reduced inter- and intra-rater variability and improved resolution over existing standards is highly desirable. We present the design and preliminary results of such a system using commercial, off the shelf (COTS) components. The glove includes spatially-resolved, force-dependent resistive sensor elements and an inertial measurement unit. We developed a mock patient that is equipped with a mechanism to adjust the arm stiffness, a load-cell and a potentiometer to measure the work done to move the arm. The mock patient provides ground truth to validate the proposed concept. We report the power measured by the sensors in the mock patient to move the arm and the power estimated by the glove in moving the arm and show Pearson correlation coefficient of 0.64. We observe that raw sensor data and instrumentation errors contributed to significant outliers in these experiments. Initial assessments by clinician show promise of the proposed approach to improve spasticity assessment. Future work includes improvements to instrumentation and further clinical evaluations.
一种由护理人员佩戴的仪器手套,可以通过客观的、可重复的度量来增强对痉挛的主观评估,减少内部和内部的可变性,提高现有标准的分辨率,是非常可取的。我们提出了这样一个系统的设计和初步结果,使用商业,现成的(COTS)组件。该手套包括空间分辨的、力相关的电阻传感器元件和惯性测量单元。我们开发了一个模拟病人,配备了一个调节手臂刚度的机构,一个称重传感器和一个电位器来测量移动手臂所做的功。模拟患者提供了验证所提出概念的基本事实。我们报告了模拟病人的传感器测量到的移动手臂的功率和手套在移动手臂时估计的功率,Pearson相关系数为0.64。我们观察到原始传感器数据和仪器误差在这些实验中产生了显著的异常值。临床医生的初步评估表明,提出的方法有望改善痉挛评估。未来的工作包括仪器的改进和进一步的临床评估。
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引用次数: 6
A mathematical framework for analyzing drug combination toxicity for personalized medicine applications 一个分析药物联合毒性的数学框架,用于个性化医疗应用
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797685
Raziur Rahman, R. Pal
The use of drug combinations to increase efficacy and lower resistance to therapy for personalized cancer medicine is being commonly recognized. Approaches have been recently designed to address the selection of drug combinations that can be highly effective across tumor cells but limited research have been conducted on the toxicity of these unique drug combinations. In this article, we approach this problem of combination drug toxicity by analyzing drug synergy over in vitro normal cell lines and generate combination drug concentrations whose combined effect on normal cell lines is less than the maximum monotherapy effect at approved concentrations. We present a mathematical framework for combination response estimation among multiple cell cultures along with stochastic analysis of prediction uncertainty. Results indicate the ability of the proposed framework to generate feasibly combination drug concentrations satisfying monotherapy toxicity constraints.
使用药物组合来提高疗效和降低对个性化癌症药物治疗的耐药性正在得到普遍认可。最近已经设计了一些方法来解决选择对肿瘤细胞非常有效的药物组合的问题,但对这些独特药物组合的毒性进行的研究有限。在本文中,我们通过分析药物在体外正常细胞系上的协同作用来解决联合药物毒性问题,并产生联合药物浓度,其对正常细胞系的联合作用小于在批准浓度下的最大单药治疗效果。我们提出了多细胞培养组合响应估计的数学框架以及预测不确定性的随机分析。结果表明,所提出的框架能够产生可行的联合药物浓度,满足单一疗法的毒性限制。
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引用次数: 4
Ankle positions classification using force myography: An exploratory investigation 利用肌力图进行踝关节位置分类的探索性研究
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797689
Xianta Jiang, Hon T. Chu, Z. Xiao, Lukas-Karim Merhi, C. Menon
Monitoring the movements of the ankle may be highly relevant for applications such as sport injury prevention, rehabilitation, and gait analysis. This paper explores the feasibility of employing force myography (FMG) on the distal end of the lower leg to detect ankle position. FMG signals corresponding to 7 different ankle positions were recorded from three healthy volunteers. Using a linear discriminant analysis (LDA) classifier, the system achieved averaged prediction accuracies of 94% and 85% in cross validation and cross-trial evaluation, respectively. The results of this proof-of-concept study demonstrate the feasibility of using FMG to detect ankle position and its consequent potential use for acquiring information relevant to leg movement and gait.
监测踝关节的运动可能与运动损伤预防、康复和步态分析等应用高度相关。本文探讨了利用下肢远端肌力图(FMG)检测踝关节位置的可行性。记录3名健康志愿者7种不同踝关节位置对应的FMG信号。使用线性判别分析(LDA)分类器,该系统在交叉验证和交叉试验评估中分别实现了94%和85%的平均预测准确率。这项概念验证研究的结果证明了使用FMG检测脚踝位置的可行性,以及它随后在获取与腿部运动和步态相关的信息方面的潜在用途。
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引用次数: 10
Pilot study on strategies in sensor placement for robust hand/wrist gesture classification based on movement related changes in forearm volume 基于前臂体积运动相关变化的稳健手/手腕手势分类传感器放置策略的初步研究
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797693
Ra'na Chengani, M. L. Delva, Maram Sakr, C. Menon
Force Myography (FMG) is novel method of tracking functional motor activity using volumetric changes associated with muscle function. With comparable accuracy and multiple advantages over traditional methods of functional motor activity tracking, FMG has made leaps and bounds in terms of applications in human-machine interfaces and healthcare devices. As a field that is rapidly gaining popularity in health innovation, the aim of this paper is to contribute to our understanding of the nature FMG methods and establish it as a robust and reliable technique. The main point of exploration for this study is the impact of sensor placement and spatial coverage on FMG methods. Five participants were invited to perform a series of isolated wrist motions and hand gestures while wearing custom built FMG devices. Linear Discriminant Analysis (LDA) machine learning models were developed using 80% of the data for training and 20% for testing. Overall, the accuracy of the LDA models ranged from 75% to 100% across all subjects and dimensions of FMG data. The model accuracy improved when increasing the spatial coverage from 1 FMG band to 2, but it did not increase further with additions. The results also showed that the improved accuracy offered by a large spatial coverage of FMG data can be approximated by lower spatial coverage if sensors were place in an optimal location. This location was indicated to be midway between the wrist and the collective muscle bellies of intrinsic forearm muscles. The knowledge generated from this work aims serve as a guide towards the development of portable FMG based technology for widespread deployment in the general population. The hope is that the long-term benefits of continued FMG research will address issues in healthcare associated with disparities in access to medical technologies.
力肌图(FMG)是一种利用与肌肉功能相关的体积变化来追踪功能性运动活动的新方法。与传统的功能性运动活动跟踪方法相比,FMG具有相当的准确性和多种优势,在人机界面和医疗保健设备的应用方面取得了飞跃式的发展。作为一个在健康创新中迅速普及的领域,本文的目的是帮助我们理解FMG方法的本质,并将其建立为一种稳健可靠的技术。本研究的主要探索点是传感器放置和空间覆盖对FMG方法的影响。五名参与者被邀请在佩戴定制的FMG设备时进行一系列孤立的手腕运动和手势。线性判别分析(LDA)机器学习模型使用80%的数据进行训练,20%用于测试。总体而言,LDA模型在FMG数据的所有受试者和维度上的准确率在75%到100%之间。当空间覆盖从1 FMG波段增加到2 FMG波段时,模型精度有所提高,但随着空间覆盖的增加,模型精度没有进一步提高。结果还表明,如果传感器放置在最佳位置,则大空间覆盖FMG数据所提供的提高精度可以通过较低的空间覆盖来近似。这个位置显示在手腕和前臂固有肌肉的集体肌腹之间。从这项工作中产生的知识旨在为开发便携式FMG技术提供指导,以便在一般人群中广泛部署。希望继续进行FMG研究的长期利益将解决与获得医疗技术的差距相关的医疗保健问题。
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引用次数: 10
Mobile all-in-one malaria molecular diagnosis for field deployment in resource-limited areas 用于资源有限地区现场部署的移动一体化疟疾分子诊断
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797734
G. Choi, Daniel Song, J. Miao, L. Cui, W. Guan
This paper presents a "sample-in-answer-out" molecular diagnostic system (AnyMDx) for blood-born malaria detection at the point of care, especially in resource-limiting settings. AnyMDx consists of a microfluidic reagent compact disk incorporating seamlessly integrated steps of DNA extraction, purification, elution, and amplification, as well as a mobile battery-powered analyzer. Low power thermal module and novel fluorescence sensing module are integrated into the analyzer for real-time monitoring of loop-mediated isothermal nucleic acid amplification (LAMP). The AnyMDx has an assay detection limit of ~0.6 parasites/μL against blood P. falciparum parasites, much lower than conventional microscope-based method (~50 parasites/μL) and immunoassay based RTD (~100 parasites/μL). AnyMDx is fully automated and thus is easily accessible to non-specialist with minimal molecular training. The sample-to-answer turnaround time for AnyMDx is less than 40 minutes.
本文提出了一种用于在医疗点,特别是在资源有限的环境中检测血源性疟疾的“样本输入-答案输出”分子诊断系统(AnyMDx)。AnyMDx包括一个微流体试剂光盘,整合了DNA提取、纯化、洗脱和扩增的无缝集成步骤,以及一个移动电池供电的分析仪。低功耗热模块和新型荧光传感模块集成到分析仪中,用于实时监测环介导的等温核酸扩增(LAMP)。AnyMDx对血液恶性疟原虫的检测限为~0.6个寄生虫/μL,远低于传统的显微镜法(~50个寄生虫/μL)和免疫分析法(~100个寄生虫/μL)。AnyMDx是完全自动化的,因此非专业人员只需最少的分子训练就可以轻松访问。AnyMDx从样本到答案的周转时间不到40分钟。
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引用次数: 1
A complex systems framework approach towards multidisciplinary tumor boards 面向多学科肿瘤委员会的复杂系统框架方法
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797724
R. Salla, R. Pahle, Ashish Amresh
Multidisciplinary tumor boards (MTBs) are universally recommended and have been used in treatment of late stage cancers. Tumor boards have the advantage of including all the stakeholders in the decision making process and improving quality of care, however several studies have pointed to their lack of efficiency and tend to be lackluster while not producing the desired benefits for the participants. In this paper we present the design of a web based immersive framework for collaborative decision making that has the potential to improve several inefficiencies in conducting tumor boards and improve overall clinical outcomes. We present the design of our framework and use late stage cancer treatment as an example to explain its software components and its role in improving communication, treatment time and the overall decision making process. The framework which has been successfully used in other collaborative decision-making environments has the potential to transform how tumor boards could dramatically improve the quality of cancer care in the future.
多学科肿瘤委员会(MTBs)被普遍推荐,并已用于治疗晚期癌症。肿瘤委员会具有将所有利益相关者纳入决策过程和提高护理质量的优势,然而,一些研究指出,他们缺乏效率,往往是平淡无奇的,而不是为参与者产生预期的利益。在本文中,我们提出了一个基于网络的沉浸式协作决策框架的设计,该框架有可能改善指导肿瘤委员会的几个低效率,并改善整体临床结果。我们展示了我们的框架的设计,并以晚期癌症治疗为例来解释其软件组件及其在改善沟通,治疗时间和整体决策过程中的作用。该框架已在其他协作决策环境中成功使用,具有改变肿瘤委员会未来如何显著提高癌症护理质量的潜力。
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引用次数: 0
Assessing health trends of college students using smartphones 大学生使用智能手机的健康趋势评估
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797699
Sudip Vhaduri, A. Munch, C. Poellabauer
Health, fitness, and overall wellbeing of college students depend on a variety of factors and a greater understanding of these factors will ensure that health and wellness interventions directed at students are effective. The widespread use of smartphones provides an opportunity to continuously track students and assess their behaviors and habits, such as mobility trends, social interactions, and academic activities. In this work, we analyze data collected from almost 200 students over three semesters and examine how health and mobility habits differ between Spring semester and Fall semester and how they are impacted by academic and social events. Our analysis shows that social events such as football games increase the students' mobility, but also decrease their usage of athletic facilities. In our study, students are significantly less mobile during the Spring semester compared to the Fall semester and their visits to athletic and spiritual places reduce significantly during exam times. Students' mobility is positively correlated with social event count; however, visits to athletic places are negatively correlated with event count and evening events have the strongest correlation with both mobility and visits to athletic places. These findings will provide useful guidelines for the design of interventions that aim to increase students' mobility and healthy choices during times when attention to health and wellness may suffer otherwise.
大学生的健康、健身和整体幸福感取决于多种因素,对这些因素的更深入了解将确保针对学生的健康和健康干预措施是有效的。智能手机的广泛使用为持续跟踪学生并评估他们的行为和习惯提供了机会,例如移动趋势、社交互动和学术活动。在这项工作中,我们分析了近200名学生在三个学期中收集的数据,并研究了春季学期和秋季学期之间健康和活动习惯的差异,以及它们如何受到学术和社会事件的影响。我们的分析表明,像足球比赛这样的社会活动增加了学生的流动性,但也减少了他们对体育设施的使用。在我们的研究中,与秋季学期相比,学生在春季学期的流动性明显减少,他们在考试期间访问体育和精神场所的次数明显减少。学生流动性与社会事件数呈正相关;然而,体育场馆的访问量与赛事数量呈负相关,而晚间赛事与流动性和体育场馆访问量的相关性最强。这些发现将为干预措施的设计提供有用的指导方针,这些干预措施旨在增加学生的流动性和健康选择,而此时对健康和健康的关注可能会受到影响。
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引用次数: 26
Development of the VitalFlow® magnetic facial nerve stimulator as an emergency treatment for stroke 作为中风紧急治疗的VitalFlow®磁面神经刺激器的开发
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797682
E. Sacristán, M. Borsody, M. Groh
Magnetic stimulation of the facial nerve has been shown to dilate cerebral arteries and increase cerebral blood flow. We began proof-of-concept testing of a magnetic stimulator as an early clinical treatment for stroke in 2010. In 2014 we founded Nervive, Inc., to develop a commercial clinical device we called the VitalFlow stimulator, which is currently undergoing clinical trials under FDA oversight for a PMA approval. The VitalFlow story is presented as a case study in moving discovery from bench to market, and how regulatory and funding considerations influence the R&D process.
磁刺激面神经可以扩张大脑动脉,增加脑血流量。2010年,我们开始对磁刺激器进行概念验证测试,将其作为中风的早期临床治疗。2014年,我们成立了Nervive, Inc.,开发一种商业临床设备,我们称之为VitalFlow刺激器,目前正在FDA监督下进行PMA批准的临床试验。VitalFlow的故事是将发现从实验台转移到市场的案例研究,以及监管和资金考虑如何影响研发过程。
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引用次数: 0
Point-of-care neurophysiology: Assessing neural function in the acute stroke patient 即时护理神经生理学:评估急性脑卒中患者的神经功能
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797730
Andrew Kostiuk, F. Bui, J. Norton
Assessing the neural function in acute stroke patients in a timely manner is important to identify time sensitive treatment. While a hospital may have clinical neurophysiology machines, these are complex to use and crucially expensive to own. A low-cost point-of-care system for assessing the neural function in such patients would have value in many clinical centers, and also potentially with EMS teams. A study to determine the effectiveness of such an approach, especially with a limited number of EEG channels, requires suitable devices to provide this functionality. This paper focuses on the design and performance considerations for such a system which will be used in this study. Of interest is the use of the devices the clinicians already have (e.g. smartphone, tablet) to access and control the system as well as real-time performance of sampling on low-cost commodity hardware and the provision of an extensible platform that can be upgraded and take advantage of cloud computing resources.
及时评估急性脑卒中患者的神经功能对确定时间敏感治疗方案具有重要意义。虽然医院可能有临床神经生理学仪器,但这些仪器使用起来很复杂,而且非常昂贵。一种低成本的即时护理系统,用于评估这类患者的神经功能,将在许多临床中心有价值,也可能在EMS团队中有价值。为了确定这种方法的有效性,特别是在EEG通道数量有限的情况下,需要合适的设备来提供这种功能。本文重点介绍了该系统的设计和性能考虑因素,该系统将用于本研究。感兴趣的是使用临床医生已经拥有的设备(例如智能手机,平板电脑)来访问和控制系统,以及在低成本商品硬件上的实时采样性能,以及提供可以升级和利用云计算资源的可扩展平台。
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引用次数: 0
Automated nuclear segmentation in skin histopathological images using multi-scale radial line scanning 基于多尺度径向线扫描的皮肤组织病理图像自动核分割
Pub Date : 2016-11-01 DOI: 10.1109/HIC.2016.7797725
Hongming Xu, Huiquan Wang, R. Berendt, N. Jha, M. Mandai
Segmentation of cell nuclei is an important step towards automatic analysis of microscopic images. This paper presents an automated technique for nuclear segmentation in skin histopathological images. The proposed technique first detects nuclear seeds using a bank of generalized Laplacian of Gaussian (gLoG) kernels. Based on the detected nuclear seeds, a multi-scale radial line scanning (mRLS) method combined with dynamic programming (DP) is utilized to delineate a set of candidate nuclear boundaries. The gradient, intensity and shape information are then integrated to determine the optimal boundary for each nucleus in the image. Experimental results on 28 H&E stained skin histopathological images show that the proposed technique is superior to conventional schemes in nuclear segmentation.
细胞核分割是实现显微图像自动分析的重要步骤。提出了一种自动分割皮肤组织病理图像核的方法。该技术首先使用一组广义拉普拉斯高斯(gLoG)核来检测核种子。基于检测到的核种子,采用多尺度径向线扫描(mRLS)和动态规划(DP)相结合的方法来划分候选核边界。然后综合梯度、强度和形状信息,确定图像中每个核的最佳边界。对28张H&E染色皮肤组织病理图像的实验结果表明,该方法在核分割方面优于传统方法。
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引用次数: 2
期刊
2016 IEEE Healthcare Innovation Point-Of-Care Technologies Conference (HI-POCT)
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