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Generative AI as Virtual Healthcare Assistant for Enhancing Patient Care Quality 生成式人工智能作为虚拟医疗助手提高患者护理质量
Pub Date : 2024-03-15 DOI: 10.3991/ijoe.v20i05.45937
A. Samala, Soha Rawas
This study investigates the potential of Chat Generative Pre-Trained Transformer (ChatGPT) as a virtual healthcare assistant to enhance the quality of patient care. Inadequate patient care within healthcare systems is a key issue that has resulted in lower satisfaction and medical errors. Virtual healthcare assistants, exemplified by ChatGPT, have emerged as a promising solution to mitigate these challenges. A comprehensive literature review compares the benefits and drawbacks of using virtual healthcare assistants with those of human healthcare providers to assess their effectiveness in enhancing patient care. The article discusses the ChatGPT development process, including the data sources used, training and validation, and the integration of this technology into healthcare systems. The results of testing ChatGPT in patient care, including patient feedback, are provided. The study interprets these findings and indicates that ChatGPT can significantly enhance patient care. The implications of implementing virtual healthcare assistants in the healthcare sector are also explored, along with potential future research areas for enhancing ChatGPT. This study provides important new insights into how virtual healthcare assistants might enhance patient care and offers recommendations for healthcare organizations and legislators on leveraging ChatGPT. It shows that the astonishing development in patient care, known as ChatGPT, has the potential to revolutionize the healthcare industry.
本研究探讨了聊天生成预训练转换器(ChatGPT)作为虚拟医疗助手在提高病人护理质量方面的潜力。医疗保健系统中病人护理不足是导致满意度降低和医疗失误的一个关键问题。以 ChatGPT 为代表的虚拟医疗助手已成为缓解这些挑战的一种有前途的解决方案。一篇全面的文献综述比较了使用虚拟医疗助理和人类医疗服务提供者的利弊,以评估其在加强患者护理方面的有效性。文章讨论了 ChatGPT 的开发过程,包括使用的数据源、培训和验证,以及将该技术整合到医疗保健系统中。文章提供了在病人护理中测试 ChatGPT 的结果,包括病人的反馈。研究对这些结果进行了解释,并指出 ChatGPT 可以显著提高病人护理水平。研究还探讨了在医疗保健领域实施虚拟医疗保健助理的意义,以及未来加强 ChatGPT 的潜在研究领域。这项研究为虚拟医疗助理如何加强病人护理提供了重要的新见解,并为医疗机构和立法者利用 ChatGPT 提供了建议。它表明,被称为 ChatGPT 的病人护理领域的惊人发展有可能彻底改变医疗保健行业。
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引用次数: 0
IoT Control and Visualization System with Digital Twins and Augmented Reality in a Digital Transformation Space 数字化转型空间中的物联网控制和可视化系统与数字双胞胎和增强现实技术
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.46773
Ricardo Yauri, Gerson Mallqui
This paper describes the use of Internet of Things (IoT) technologies, digital twins (DT), and augmented reality (AR) to raise awareness and disseminate the use of digital services within the INICTEL-UNI institutional project financed by the Inter-American Development Bank to strengthen technological services and satisfy the technological needs of companies, promoting digital transformation in Peru. Within various fields, such as technical education, construction, and manufacturing, challenges are faced related to the adoption of advanced technologies and the need to improve efficiency. The main objective of this paper is to implement an IoT control and visualization system with DT and AR in a digital transformation space. A system is shown to create a technological demonstrator environment that visualizes and monitors sensor data on physical IoT devices in real time, allowing users to interact and operate them through an ESP32 module with data transmission with the MQTT protocol and an AR application developed in Unity and Vuforia. The study results successfully demonstrated the efficiency of real-time communication between the IoT device and the AR application, as well as the efficient ability to perform tasks, validated by users with no prior experience.
本文介绍了物联网(IoT)技术、数字双胞胎(DT)和增强现实(AR)在 INICTEL-UNI 机构项目中的应用,该项目由美洲开发银行资助,旨在加强技术服务,满足企业的技术需求,促进秘鲁的数字化转型。在技术教育、建筑和制造业等各个领域,都面临着采用先进技术和提高效率的挑战。本文的主要目的是在数字化转型空间内,利用 DT 和 AR 实现物联网控制和可视化系统。该系统创建了一个技术演示环境,可实时可视化和监控物理物联网设备上的传感器数据,允许用户通过使用 MQTT 协议传输数据的 ESP32 模块以及使用 Unity 和 Vuforia 开发的 AR 应用程序进行交互和操作。研究结果成功证明了物联网设备与 AR 应用程序之间的实时通信效率,以及执行任务的高效能力,并得到了无经验用户的验证。
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引用次数: 0
Human Activity Recognition Using Convolutional Autoencoder and Advanced Preprocessing 利用卷积自动编码器和高级预处理识别人类活动
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.43623
Chaimae Zaoui, F. Benabbou, Abdelaziz Ettaoufik, K. Sabiri
E-health systems rely on information and communication technology to support and improve various aspects of health services, delivery, and management. The success of artificial intelligence techniques has led to the emergence of a variety of systems designed to address a wide range of healthcare issues. In particular, gathering data on patient activity and behavior has enabled the development of reliable predictive systems for detecting chronic diseases and forecasting their progression. Human activity detection is a vast and emerging field, and various datasets have been collected for training different machine learning and deep learning (DL) models. The University of Milano Bicocca smartphone-based human activity recognition (UniMiB-SHAR) dataset is widely used for analyzing and recognizing human actions, including walking, running, and other daily activities. However, the autoencoder (AE) technique trained on this dataset yields poor performance. This paper aims to enhance the performance of AEs on the challenging UniMiB-SHAR dataset by introducing a convolutional AE model and employing novel preprocessing techniques, including normalization, magnitude, principal component analysis (PCA), and balancing methods such as SMOTEEN and ADASYNE. The experimental results demonstrate that the proposed AE model achieved successful performance, surpassing the state-of-the-art methods, with accuracies of 96.56% for activities of daily living (ADL), 98.86% for Fall, and 88.47% for the full dataset.
电子医疗系统依靠信息和通信技术来支持和改善医疗服务、提供和管理的各个方面。人工智能技术的成功使各种旨在解决广泛医疗保健问题的系统应运而生。特别是通过收集病人活动和行为数据,开发出了可靠的预测系统,用于检测慢性疾病并预测其发展。人类活动检测是一个广阔的新兴领域,已经收集了各种数据集,用于训练不同的机器学习和深度学习(DL)模型。米兰比可卡大学基于智能手机的人类活动识别(UniMiB-SHAR)数据集被广泛用于分析和识别人类行动,包括行走、跑步和其他日常活动。然而,在该数据集上训练的自动编码器(AE)技术性能不佳。本文旨在通过引入卷积自动编码器模型,并采用新颖的预处理技术,包括归一化、幅度、主成分分析(PCA)以及 SMOTEEN 和 ADASYNE 等平衡方法,提高自动编码器在具有挑战性的 UniMiB-SHAR 数据集上的性能。实验结果表明,所提出的 AE 模型取得了成功的性能,超越了最先进的方法,日常生活活动(ADL)的准确率为 96.56%,跌倒的准确率为 98.86%,整个数据集的准确率为 88.47%。
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引用次数: 0
CNN-Based Approach for Non-Invasive Estimation of Breast Tumor Size and Location Using Thermographic Images 基于 CNN 的方法,利用热成像图像无创估计乳腺肿瘤大小和位置
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.46387
Zakaryae Khomsi, Mohamed El Fezazi, L. Bellarbi
The characterization of tumors is crucial for guiding appropriate treatment strategies and enhancing patient survival rates. Surface thermography shows promise in the non-invasive detection of thermal patterns associated with the existence of breast tumors. Nevertheless, the precise prediction of both tumor size and location using temperature characteristics presents a critical challenge. This is due to the limited availability of thermal images labeled with the corresponding tumor size and location. This work proposes a deep learning approach based on convolutional neural networks (CNN) in combination with thermographic images for estimating breast tumor size and location. Successive COMSOL-based simulations are conducted, including a 3D breast model with various tumor scenarios. Thus, different noise levels were included in the development of the thermographic image dataset. Every image was accordingly labeled with the corresponding tumor location and size to train the CNN model. Mean absolute error (MAE) and the coefficient of determination (R²) were considered as evaluation metrics. The results show that the proposed CNN model achieved a reasonable prediction performance with MAE–R² values of 0.872–98.6% for tumor size, 1.161–96.8% for x location, 1.086–97.1% for y location, and 0.954–96.7% for z location. This study indicates that the combination of surface thermography and deep learning is a convenient tool for predicting breast tumor parameters.
肿瘤的特征对于指导适当的治疗策略和提高患者存活率至关重要。表面热成像技术在无创检测与乳腺肿瘤存在相关的热模式方面大有可为。然而,利用温度特征精确预测肿瘤大小和位置是一项严峻的挑战。这是因为标有相应肿瘤大小和位置的热图像有限。这项研究提出了一种基于卷积神经网络(CNN)的深度学习方法,结合热成像图像来估计乳腺肿瘤的大小和位置。我们进行了基于 COMSOL 的连续模拟,包括具有各种肿瘤情况的三维乳房模型。因此,在开发热成像图像数据集时包含了不同的噪声水平。每张图像都相应地标注了相应的肿瘤位置和大小,以训练 CNN 模型。平均绝对误差(MAE)和决定系数(R²)被视为评估指标。结果表明,所提出的 CNN 模型取得了合理的预测性能,肿瘤大小的 MAE-R² 值为 0.872-98.6%,X 位置的 MAE-R² 值为 1.161-96.8%,Y 位置的 MAE-R² 值为 1.086-97.1%,Z 位置的 MAE-R² 值为 0.954-96.7%。这项研究表明,表面热成像与深度学习的结合是预测乳腺肿瘤参数的一种便捷工具。
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引用次数: 0
The Role of Artificial Intelligence in the Diagnosis of Neoplastic Diseases: A Systematic and Bibliometric Review 人工智能在肿瘤性疾病诊断中的作用:系统和文献计量学综述
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.45429
Hector Espinoza Villavicencio, Javier Gamboa-Cruzado, Jefferson López-Goycochea, Luis Soto Soto
Artificial intelligence (AI) has significantly transformed the medical field, especially in the diagnosis, treatment, and management of oncological diseases. It has had a profound impact on clinical decision-making and has enhanced the quality of life for various populations. This study aims to comprehensively assess the inherent relationship between AI and medicine and to uncover both its positive and negative implications. To achieve a comprehensive understanding, a thorough systematic review of articles was conducted, examining a total of 80 papers published between 2017 and 2023. These articles were carefully selected from well-known open-access databases, such as Scopus, IOPscience, IEEE Xplore, Google Scholar, ResearchGate, and ProQuest. A key finding from this review is that the majority of research on this topic has been published in scientific journals ranked in the first-quartile (Q1), underscoring the importance and high quality of research in this field. The United States, China, India, the United Kingdom, and Canada are the foremost countries in publishing on this topic. Most of the research is published in first-quartile (Q1) journals, representing 51% of the studies. Only 1% of articles appear in third-quartile (Q3) journals. IEEE Xplore is renowned as the primary database for accessing high-impact studies in this field. Future research should prioritize investigating the long-term impact of AI on patient clinical outcomes. International collaborative research could promote innovation and fairness in the implementation of artificial intelligence (AI) in oncology.
人工智能(AI)极大地改变了医疗领域,尤其是在肿瘤疾病的诊断、治疗和管理方面。它对临床决策产生了深远影响,并提高了不同人群的生活质量。本研究旨在全面评估人工智能与医学之间的内在关系,并揭示其积极和消极影响。为了达到全面了解的目的,我们对文章进行了全面系统的回顾,共研究了 80 篇发表于 2017 年至 2023 年之间的论文。这些文章是从 Scopus、IOPscience、IEEE Xplore、Google Scholar、ResearchGate 和 ProQuest 等知名开放获取数据库中精心挑选出来的。本综述的一个重要发现是,有关该主题的大多数研究都发表在排名第一四分位数(Q1)的科学期刊上,这凸显了该领域研究的重要性和高质量。美国、中国、印度、英国和加拿大是在这一领域发表论文最多的国家。大部分研究发表在第一四分位数(Q1)期刊上,占研究总数的 51%。只有 1%的文章发表在第三档(Q3)期刊上。IEEE Xplore 是获取该领域高影响力研究的主要数据库。未来的研究应优先调查人工智能对患者临床结果的长期影响。国际合作研究可以促进人工智能(AI)在肿瘤学领域的创新和公平应用。
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引用次数: 0
AT: Asynchronous Teleconsultation for Health Centers in Rural Areas of Peru AT:秘鲁农村地区医疗中心的异步远程咨询
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.44511
David Mauricio, Walter Bendita, Ronaldo Flores, Pedro Segundo Castañeda Vargas, Roberth Chuquimbalqui-Maslucán, L. Rojas-Mezarina, Nelson Maculan
Currently, telehealth services in rural regions of Peru primarily rely on telephone and text message communication between rural physicians and specialists based in cities, leading to delays in accessing specialized healthcare services. To overcome this limitation, we propose an information and communication technology (ICT) model for asynchronous teleconsultation in rural areas of Peru. This model, implemented through a system called SITEA, coordinates city-based specialists with treating physicians in rural areas and integrates care phases along with electronic clinical records. A case study conducted in a rural Peruvian healthcare facility, which had limited Internet connectivity and lacked teleconsultation services, revealed significant outcomes. Within 23 days of implementing SITEA, the facility began offering specialized care services, leading to a 60% reduction in patient transfers to specialized urban healthcare facilities. Furthermore, a satisfaction survey conducted with 50 patients resulted in overwhelmingly positive feedback regarding the quality of medical care and future expectations for healthcare services. These positive outcomes can be attributed to the implementation of specialized services, the shift from physical to electronic records, and improved diagnostic accuracy. Importantly, healthcare personnel found the system easy to navigate and highly beneficial, despite the area’s connectivity limitations.
目前,秘鲁农村地区的远程医疗服务主要依赖于农村医生与城市专家之间的电话和短信沟通,这导致了获得专业医疗服务的延迟。为了克服这一限制,我们提出了一种信息和通信技术(ICT)模式,用于秘鲁农村地区的异步远程会诊。该模式通过一个名为 SITEA 的系统实施,协调城市专家与农村地区的主治医生,并将护理阶段与电子临床记录整合在一起。在互联网连接有限、缺乏远程会诊服务的秘鲁农村医疗机构开展的一项案例研究显示,该模式取得了显著成效。在实施 SITEA 的 23 天内,该医疗机构就开始提供专门的护理服务,从而使转往城市专门医疗机构的病人减少了 60%。此外,在对 50 名患者进行的满意度调查中,绝大多数患者都对医疗质量和未来的医疗服务期望做出了积极反馈。这些积极成果可归功于专业服务的实施、从实物记录到电子记录的转变以及诊断准确性的提高。重要的是,尽管该地区的连通性有限,但医护人员认为该系统易于浏览且非常有益。
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引用次数: 0
Implementing a Risk Assessment System of Electric Welders’ Muscle Injuries for Working Posture Detection with AI Technology 利用人工智能技术实现工作姿势检测电焊工肌肉损伤风险评估系统
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.46465
Chayapol Ruengdech, S. Howimanporn, Thanasan Intarakumthornchai, S. Chookaew
Maintaining health and safety is essential for workers’ quality of life, and thus, this has become one of the main priorities for industrial enterprises. Electric welders want required safety precautions to be implemented during work in industries with safety risks, especially muscle injuries. This challenge needs to be addressed by the safety officer, who should suggest a way to decrease the risk for workers. However, traditional assessment based on human evaluation and the need for expertise and accuracy in risk assessment have produced muscle injuries. Thus, using artificial intelligence (AI) technology to mitigate risk assessment is cost-effective and accurate. This study proposed a risk assessment system for muscle injuries (RASMI) with AI technology to assess electric welder postures with rapid entire body assessment (REBA) standards to identify the cause of muscle injuries and to warn electric welders when their pose may be a risk. The findings showed that the system can effectively and precisely evaluate the risk assessment of electric welders’ muscle injuries. Additional results showed that they perceive using AI technology to enhance wellness positively in terms of working with warnings for posture adjustment or behavior that can significantly affect an operator’s long-term health and well-being.
维护健康和安全对工人的生活质量至关重要,因此,这已成为工业企业的主要优先事项之一。电焊工希望在有安全风险(尤其是肌肉损伤)的行业工作时,能采取必要的安全预防措施。这一难题需要由安全员来解决,安全员应提出降低工人风险的方法。然而,传统的评估以人工评估为基础,风险评估需要专业知识和准确性,这就造成了肌肉损伤。因此,使用人工智能(AI)技术来降低风险评估的成本效益和准确性。本研究提出了一种采用人工智能技术的肌肉损伤风险评估系统(RASMI),以快速全身评估(REBA)标准评估电焊工的姿势,从而找出肌肉损伤的原因,并在电焊工的姿势可能存在风险时发出警告。研究结果表明,该系统能够有效、准确地评估电焊工肌肉损伤的风险。其他结果表明,他们认为使用人工智能技术可以积极提高健康水平,在工作中发出姿势调整或行为警告,这可能会严重影响操作员的长期健康和福祉。
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引用次数: 0
Enhancing Classification Performance through FeatureBoostThyro: A Comparative Study of Machine Learning Algorithms and Feature Selection 通过 FeatureBoostThyro 提高分类性能:机器学习算法和特征选择的比较研究
Pub Date : 2024-03-04 DOI: 10.3991/ijoe.v20i04.45413
D. Bhende, Gopal Sakarkar, Punam Khandar, Satyajit S. Uparkar, Arvind Bhave
Early-stage prediction of a disease is an important and challenging task. The application of machine learning techniques is playing an important role in this era. Thyroid is one of the chronic endocrine diseases, and approximately 42 million people in India are affected by this disease. This paper presents a comprehensive investigation into the enhancement of classification performance through the novel ‘FeatureBoostThyro’ (FBT) model. The study evaluates various machine learning algorithms, including stochastic gradient descent (SGD), K nearest neighbor (KNN), logistic regression (LR), naive bayes (NB), and support vector machine (SVM), in conjunction with diverse feature selection methods. The research systematically explores the impact of feature selection techniques such as information gain, relief F, chi-square, gini index, forward selection, backward selection, recursive feature elimination, and LASSO on model performance across the chosen algorithms. The analysis reveals notable variations in performance metrics, including accuracy, precision, recall, and F1-score, providing valuable insights into the interplay between algorithm and feature selection. One main contribution of this research is the introduction of the FBT model, which consistently outperforms other models across various feature selection methods, making it a promising tool for addressing complex classification tasks. The findings contribute to a broader understanding of model selection and optimization in machine learning applications. The proposed model undergoes evaluation using two distinct datasets: the primary dataset acquired from Lata Mangeshkar Hospital in Nagpur and the secondary dataset obtained from the UCI dataset.
疾病的早期预测是一项重要而具有挑战性的任务。机器学习技术的应用在这个时代发挥着重要作用。甲状腺是慢性内分泌疾病之一,印度约有 4200 万人受到这种疾病的影响。本文对通过新颖的 "FeatureBoostThyro"(FBT)模型提高分类性能进行了全面研究。研究评估了各种机器学习算法,包括随机梯度下降算法(SGD)、K 近邻算法(KNN)、逻辑回归算法(LR)、奈夫贝叶斯算法(NB)和支持向量机算法(SVM),并结合了各种特征选择方法。研究系统地探讨了信息增益、浮动 F、奇偶校验、基尼指数、前向选择、后向选择、递归特征消除和 LASSO 等特征选择技术对所选算法模型性能的影响。分析揭示了准确度、精确度、召回率和 F1 分数等性能指标的显著差异,为了解算法与特征选择之间的相互作用提供了宝贵的见解。本研究的主要贡献之一是引入了 FBT 模型,该模型在各种特征选择方法中的表现始终优于其他模型,使其成为解决复杂分类任务的一种有前途的工具。研究结果有助于更广泛地理解机器学习应用中的模型选择和优化。提议的模型使用两个不同的数据集进行评估:从那格浦尔的拉塔-曼格什卡医院获得的主要数据集和从 UCI 数据集获得的次要数据集。
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引用次数: 0
Electronic Health Record Interoperability System in Peru Using Blockchain 秘鲁使用区块链的电子健康记录互操作性系统
Pub Date : 2024-02-27 DOI: 10.3991/ijoe.v20i03.44507
David Mauricio, Paulo César Llanos-Colchado, Leandro Sebastián Cutipa-Salazar, Pedro Castañeda, Roberth Chuquimbalqui-Maslucán, L. Rojas-Mezarina, J. Castillo-Sequera
In Peru, there is currently no integrated electronic health record (EHR) system that can be automatically shared between healthcare facilities. This leads to increased service costs due to duplicated examinations and records, as well as additional time required to manage patients’ clinical information. One alternative for ensuring the secure interoperability of EHRs while preserving data privacy is the use of blockchain technology. However, existing works consider a pre-established format for exchanging EHRs, which is not applicable when systems have different formats, as is the case in Peru. This work proposes an architecture and a web application for exchanging EHRs in heterogeneous systems. The proposed system includes the homologation of an EHR with rapid interoperability resources for medical attention using FHIR HL7, and vice versa, to achieve interoperability. Additionally, it utilizes blockchain technology to ensure data security and privacy. The web application was tested using a case simulation to demonstrate EHR interoperability between clinics in a clear, secure, and efficient manner. In addition, a survey was conducted with 30 patients regarding adoption, and another survey was conducted with 10 doctors from a public hospital in Peru regarding usability. The results demonstrate a very high level of adoption and usability for them all. Unlike other studies, the proposal does not necessitate alterations to existing EHR systems for interoperability. In other words, the proposal presents a feasible and cost-effective alternative to addressing the EHR interoperability issue in clinics and hospitals in Peru.
在秘鲁,目前还没有可以在医疗机构之间自动共享的综合电子健康记录(EHR)系统。这导致因重复检查和记录而增加的服务成本,以及管理患者临床信息所需的额外时间。要确保电子病历的安全互操作性,同时保护数据隐私,一种替代方法是使用区块链技术。然而,现有的工作考虑了一种预先确定的电子病历交换格式,当系统具有不同的格式时,这种格式就不适用了,秘鲁的情况就是如此。这项工作提出了一种在异构系统中交换电子病历的架构和网络应用程序。拟议的系统包括使用 FHIR HL7 的电子病历与快速互操作性资源的同源,以实现医疗关注的互操作性,反之亦然。此外,该系统还利用区块链技术确保数据安全和隐私。该网络应用程序通过案例模拟进行了测试,以清晰、安全和高效的方式展示了诊所之间的电子病历互操作性。此外,还就采用情况对 30 名患者进行了调查,并就可用性问题对秘鲁一家公立医院的 10 名医生进行了调查。结果表明,他们的采用率和可用性都非常高。与其他研究不同的是,为了实现互操作性,该建议不需要对现有的电子病历系统进行改动。换句话说,该建议为解决秘鲁诊所和医院的电子病历互操作性问题提供了一个可行且具有成本效益的替代方案。
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引用次数: 0
Design of a Sign Language-to-Natural Language Translator Using Artificial Intelligence 利用人工智能设计手语到自然语言翻译器
Pub Date : 2024-02-27 DOI: 10.3991/ijoe.v20i03.46765
Hernando Gonzalez, Silvia Hernández, Oscar Calderón
This paper describes the results obtained from the design and validation of translation gloves for Colombian sign language (LSC) to natural language. The MPU6050 sensors capture finger movements, and the TCA9548a card enables data multiplexing. Additionally, an Arduino Uno board preprocesses the data, and the Raspberry Pi interprets it using central tendency statistics, principal component analysis (PCA), and a neural network structure for pattern recognition. Finally, the sign is reproduced in audio format. The methodology developed below focuses on translating specific preselected words, achieving an average classification accuracy of 88.97%.
本文介绍了从哥伦比亚手语(LSC)到自然语言的翻译手套的设计和验证结果。MPU6050 传感器捕捉手指动作,TCA9548a 卡实现数据复用。此外,Arduino Uno 板会对数据进行预处理,Raspberry Pi 会使用中心倾向统计、主成分分析 (PCA) 和模式识别神经网络结构对数据进行解释。最后,符号以音频格式再现。下面开发的方法侧重于翻译特定的预选单词,平均分类准确率达到 88.97%。
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引用次数: 0
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International Journal of Online and Biomedical Engineering (iJOE)
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