{"title":"Performing and optimizing individualized actuarial prediction of post-prostatectomy PSA control with a Clinical Outcome Prediction Expert (COPE)","authors":"R. Cheung, R. Whittington, M. Altschuler","doi":"10.1109/CBMS.2000.856885","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856885","url":null,"abstract":"Rational treatment decision requires accurate projection of the clinical course of a patient. Current methods in clinical outcome analysis mostly focus on population data. We investigated the applicability and optimization of the widely used actuarial method to project an individual's clinical outcome. We designed and implemented COPE (Clinical Outcome Prediction Expert), which performs, assesses and optimizes individualized actuarial prediction. The program was applied to analyze a post-prostatectomy database. Stratified actuarial curves are used to project individual outcomes. The area under the receiver operator characteristic (ROC) curve was used to measure predictive performance. We applied COPE to search for the optimal cut-off time and cut-off probability for prediction. The pre-treatment PSA (prostate-specific antigen), the Gleason score and the AJCC (American Joint Commission on Cancer) clinical T-stage were used as predictors. We found that the optimal range of the cut-off probability was 65% to 75% and the cut-off time was 44 to 52 months for all predictors. Optimization greatly simplifies the risk stratification and improves the predictive power of the Gleason score. The optimized multivariate risk score has the highest ROC area of 0.77 among all predictors. This study shows that ROC-optimized risk stratification improves the accuracy of clinical outcome prediction.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130848768","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}
Lilian H. Y. Tang, R. Hanka, H. Ip, Kent K. T. Cheung, R. Lam
{"title":"Integration of intelligent engines for a large scale medical image database","authors":"Lilian H. Y. Tang, R. Hanka, H. Ip, Kent K. T. Cheung, R. Lam","doi":"10.1109/CBMS.2000.856905","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856905","url":null,"abstract":"We present a semantic content representation scheme and the associated techniques for supporting (a) query by image examples or by natural language in a histological image database and (b) automatic annotation generation for images through image semantic analysis. In this research, various types of query are analysed by either a semantic analyser or a natural language analyser to extract high level concepts and histological information, which are subsequently converted into an internal semantic-content representation structure code-named \"Papillon\". Papillon serves not only as an intermediate representation scheme but also stores the semantic content of the image that will be used to match against the semantic index structure within the image database during query processing. During the image database population phase, all images that are going to be put into the database will go through the same processing so that every image would have its semantic content represented by a Papillon structure. Since the Papillon structure for an image contains high level semantic information of the image, it forms the basis of the technique that automatically generates textual annotation for the input images. Papillon bridges the gap between different media in the database, allows complicated intelligent browsing to be carried out efficiently and also provides a well-defined semantic content representation scheme for different content processing engines developed for content-based retrieval.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122688023","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}
M. Zorman, V. Podgorelec, P. Kokol, Margaret G. E. Peterson, Joseph M. Lane
{"title":"Decision tree's induction strategies evaluated on a hard real world problem","authors":"M. Zorman, V. Podgorelec, P. Kokol, Margaret G. E. Peterson, Joseph M. Lane","doi":"10.1109/CBMS.2000.856866","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856866","url":null,"abstract":"Decision trees have been already been successfully used in medicine, but as in traditional statistics, some hard real-world problems cannot be solved successfully using the traditional method of induction. In our experiments, we tested various methods for building univariate decision trees in order to find the best induction strategy. On a hard real-world problem concerning orthopaedic fracture data, with 2637 cases described by 23 attributes and a decision with three possible values, we built decision trees with four classical approaches, with a hybrid approach (where we combined neural networks and decision trees) and with an evolutionary approach. The results show that all the approaches had problems with either accuracy or decision tree size. The comparison shows that the best compromise in hard real-world decision-tree building is the evolutionary approach.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114149780","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}
{"title":"Mathematical modeling of nonlinear coupling mechanisms of gastric slow wave propagation and its SIMULINK simulation for investigating gastric dysrhythmia and pacing","authors":"Z. Wang, Jing Chen","doi":"10.1109/CBMS.2000.856884","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856884","url":null,"abstract":"Gastric electrical activity controls gastric peristalsis and plays an important role in the digestive process of the stomach. Gastric dysrhythmia has been reported to be associated with gastric functional diseases. The aim of this paper is to understand possible mechanisms involved in the generation of gastric electrical dysrhythmia and the feasibility of gastric pacing for the normalization of gastric dysrhythmia. First, a mathematical model is established to stimulate normal and abnormal gastric electrical activities, and then its SIMULINK circuit implementation is applied to simulate the effect of gastric pacing for the normalization of gastric dysrhythmia.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130955838","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}
{"title":"Segmentation of magnetic resonance images using a neuro-fuzzy algorithm","authors":"R. Castellanos, S. Mitra","doi":"10.1109/CBMS.2000.856901","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856901","url":null,"abstract":"Evaluates a segmentation technique for magnetic resonance (MR) images of the brain based on the adaptive fuzzy leader clustering (AFLC) algorithm. This approach performs vector quantization by updating the winning prototype of a competitive network through an unsupervised learning process. Segmentation of MR images is formulated as an unsupervised vector quantization process, where the valve of a vigilance parameter restricts the number of prototypes representing the feature vectors. The choice of the misclassification rate (MCR) as a quantitative measure shows that AFLC outperforms other existing segmentation methods.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115024548","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}
{"title":"Linking clinical, research and administrative computer systems","authors":"M. Krol, H. Fong, Marcus Gauzza, D. Reich","doi":"10.1109/CBMS.2000.856914","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856914","url":null,"abstract":"Historically, clinical, research and administrative functions were carried out by independent computer-based medical systems. Even today, clinical and health care systems often remain separated by boundaries between medical sub-specialties. They are based on different application software packages and are built on different computer platforms. Success in the development of electronic medical records depends, to a large part, on progress in the linking and integration of existing systems in medicine and health care. We were successful in integrating various systems using desktop tools, LANs and mainframe interfaces. This allowed us to obtain useful scientific results, reduce administrative expenses and increase overall productivity.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132198980","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}
Yu Wang, Sabine Van Huÿel, L. Vanhamme, N. Mastronardi, P. Hecke
{"title":"Advanced signal processing methods for quantitation of resonances in magnetic resonance spectra","authors":"Yu Wang, Sabine Van Huÿel, L. Vanhamme, N. Mastronardi, P. Hecke","doi":"10.1109/CBMS.2000.856877","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856877","url":null,"abstract":"A careful comparison between principal component analysis (PCA) and Hankel total least squares (HTLS) based methods for estimating the resonances in sets of magnetic resonance (MR) spectra is presented. After a description of the methods, we compare their performance on simulated data sets and discuss their advantages and limitations.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132586170","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}
{"title":"Simulation of the Na/sup +/-Ca/sup ++/ exchanger response to electrical and ionic stimulation in spherical-type cells","authors":"V. González-Vélez, J. R. Godínez-Fernández","doi":"10.1109/CBMS.2000.856883","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856883","url":null,"abstract":"The Na/sup +/-Ca/sup ++/ exchanger plays a fundamental role in the regulation of the intracellular calcium concentration (Ca/sub i/) in several animal cell types, like axons, heart muscle, cardiac cells and reconstituted vesicles. It shows a dual operation, extruding or introducing Ca/sup ++/ through the cell membrane, depending on the electrochemical gradients, which in turn applies a membrane potential and ionic concentrations both inside and outside of the cell. We are interested on the dependence of calcium movement through the cell as well as the reversible behaviour of the exchanger. With the aid of a Ca/sup ++/ regulation simulator for spherical-type cells, where we can apply the stimuli at the membrane level, we have been able to verify the presence of inward-outward exchanging currents. Our model includes the diffusion process as a function of time in the cell, and the presence of a Ca/sup ++/ buffer (parvalbumin), both collaborating with the Na/sup +/-Ca/sup ++/ exchanger. This is only a part of the complete model that we have developed, because we were interested only in verifying the role of the exchanger during the presence of different Na/sup +/ and Ca/sup ++/ concentrations.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130984070","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}
M. Sung, Moon Suck Kim, Myung-Whun Sung, Eom Joon Kim, J. Yoo
{"title":"CoMed: a real-time collaborative medicine system","authors":"M. Sung, Moon Suck Kim, Myung-Whun Sung, Eom Joon Kim, J. Yoo","doi":"10.1109/CBMS.2000.856902","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856902","url":null,"abstract":"CoMed is a World Wide Web-based real-time collaborative medical system that allows medical specialists to share patient records and to communicate with each other on the Internet. CoMed consists of a multimedia object database containing relevant information about laryngeal diseases and a real-time multimedia collaboration system. The latter includes a teleconferencing system, a whiteboard and chatting system, and a multi-agent system for conference calling. We adopted the object database O/sub 2/ and CORBA technologies for the multimedia database. This provides the flexibility, extensibility and location transparency of the databases. We implemented SeeYou ActiveX control for the teleconferencing and a Java applet for the whiteboard and chatting system, as well as a session manager which integrates these two systems that are based on different technologies. Moreover, our multi-agent system for conference calling makes our system more advantageous by allowing the convener to minimize the effort needed to call a conference.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"37 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126600325","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}
{"title":"Tissue mechanical attributes imaging: principles and methods","authors":"F. Kallel, J. Ophir","doi":"10.1109/CBMS.2000.856893","DOIUrl":"https://doi.org/10.1109/CBMS.2000.856893","url":null,"abstract":"We review the principles of MR and ultrasonic approaches proposed for imaging the mechanical attributes or properties of tissues. We identify two groups of methods. One group of methods is based on the use of applied vibration to obtain information about tissue mechanical properties. The second group of methods is based on the application of quasi-static compression as a stimulus to map distribution of tissue mechanical attributes. Appropriate theoretical models are presented to explain both groups of methods. Finally, the principles of elastography are detailed with emphasis on its potential clinical applications.","PeriodicalId":189930,"journal":{"name":"Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116643998","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}