Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems最新文献

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Can we distinguish between benign and malignant breast tumors in DCE-MRI by studying a tumor's most suspect region only? 在DCE-MRI中,我们能否仅通过研究肿瘤最可疑的区域来区分乳腺肿瘤的良恶性?
S. Glaßer, Uli Niemann, B. Preim, M. Spiliopoulou
{"title":"Can we distinguish between benign and malignant breast tumors in DCE-MRI by studying a tumor's most suspect region only?","authors":"S. Glaßer, Uli Niemann, B. Preim, M. Spiliopoulou","doi":"10.1109/CBMS.2013.6627768","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627768","url":null,"abstract":"We investigate the task of breast tumor classification based on dynamic contrast-enhanced magnetic resonance image data (DCE-MRI). Our objective is to study how the formation of regions of similar voxels contributes to distinguishing between benign and malignant tumors. First, we perform clustering on each tumor with different algorithms and parameter settings, and then combine the clustering results to identify the most suspect region of the tumor and derive features from it. With these features we train classifiers on a set of tumors that are difficult to classify, even for human experts. We show that the features of the most suspect region alone cannot distinguish between benign and malignant tumors, yet the properties of this region are indicative of tumor malignancy for the dataset we studied.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"92 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83446234","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: 21
ACLAC: An approach for adaptive closed-loop anesthesia control ACLAC:一种自适应闭环麻醉控制方法
Ayoze Marrero, J. A. Méndez, Alexandr V. Maslov, Mykola Pechenizkiy
{"title":"ACLAC: An approach for adaptive closed-loop anesthesia control","authors":"Ayoze Marrero, J. A. Méndez, Alexandr V. Maslov, Mykola Pechenizkiy","doi":"10.1109/CBMS.2013.6627803","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627803","url":null,"abstract":"In current practice, to control the anesthetic process, the anesthetist delivers drugs according to the surgery procedure and to the current patient characteristics and state. This is an open-loop procedure requiring an active participation of the medical expert. We propose an adaptive closed-loop controller for the regulation of hypnosis for patients undergoing general anesthesia. One of the main problems arising when designing such a controller is related to the intra- and inter-patient variability. We employ a simple regression model to make prediction of patient's response and to compute the adequate doses of propofol to keep the patient in the specified Bispectral Index target. To make our model adaptive, we continuously monitor the patient behavior and detect changes in patient response to update the identification model. Experimental evaluation on real patients data shows that we can effectively detect change points. Simulation of the adaptive closed-loop control with the change detection mechanism also suggests that the use of the adaptation mechanism improves the control.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"20 1","pages":"285-290"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83752383","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: 4
Remote supported trauma care: Understanding the situation from afar 远程支持的创伤护理:从远处了解情况
M. Nilsson, Alexander Yngling, K. Groth, F. Hammarqvist, Christoffer Jernling
{"title":"Remote supported trauma care: Understanding the situation from afar","authors":"M. Nilsson, Alexander Yngling, K. Groth, F. Hammarqvist, Christoffer Jernling","doi":"10.1109/CBMS.2013.6627766","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627766","url":null,"abstract":"We present results from a study of information needs when teleconsultation is used in trauma resuscitation. Three trauma team training sessions including 14 patient cases were observed together with field studies at emergency units. Technology probes like headcams and visualization of data usually available in the trauma room were used to better understand what information that is important or not for the remote expert to achieve a satisfactory Situation Awareness to support the trauma resuscitation. It was found that the two major information sources that the remote expert relies on are the vital signs and an overview, not necessarily with high video quality, of the team in the trauma room.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"47 4 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89536007","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: 0
Data reliability in home healthcare services 家庭保健服务中的数据可靠性
Sokratis Vavilis, Nicola Zannone, M. Petkovic
{"title":"Data reliability in home healthcare services","authors":"Sokratis Vavilis, Nicola Zannone, M. Petkovic","doi":"10.1109/CBMS.2013.6627820","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627820","url":null,"abstract":"Home healthcare services are emerging as a new frontier in healthcare practices. Data reliability, however, is crucial for the acceptance of these new services. This work presents a semi-automated system to evaluate the quality of medical measurements taken by patients. The system relies on data qualifiers to evaluate various quality aspects of measurements. The overall quality of measurements is determined on the basis of these qualifiers enhanced with a troubleshooting mechanism. Namely, the troubleshooting mechanism guides healthcare professionals in the investigation of the root causes of low quality values.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"3 1","pages":"377-380"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90382619","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: 6
Cloud framework for real-time synchronous physiological streams to support rural and remote Critical Care 用于实时同步生理流的云框架,以支持农村和远程重症监护
R. Kamaleswaran, A. Thommandram, Qi Zhou, J. M. Eklund, Yun Cao, W. Wang, C. McGregor
{"title":"Cloud framework for real-time synchronous physiological streams to support rural and remote Critical Care","authors":"R. Kamaleswaran, A. Thommandram, Qi Zhou, J. M. Eklund, Yun Cao, W. Wang, C. McGregor","doi":"10.1109/CBMS.2013.6627844","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627844","url":null,"abstract":"We present a method for transmission and processing of real-time trans-continental medical data streams. We apply fundamentals of existing network technologies to create a secure tunnel from a remote hospital through an open-network to the Artemis Cloud. We capture and store incoming 1Hz data stream in our real-time event stream processor to allow for online real-time monitoring of the patient status. The contributions of this paper extend the Critical Care as a Service paradigm by incorporating remote monitoring centers. The results establish feasibility of the system to support real-time monitoring. However, existing protocols were required significant optimization to account for variability in throughput and availability of the network.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"34 1","pages":"473-476"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76107272","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: 5
A process mining analysis on a Virtual Electronic Patient Record system 虚拟电子病案系统的流程挖掘分析
Álvaro Rebuge, L. Lapão, A. Freitas, R. Cruz-Correia
{"title":"A process mining analysis on a Virtual Electronic Patient Record system","authors":"Álvaro Rebuge, L. Lapão, A. Freitas, R. Cruz-Correia","doi":"10.1109/CBMS.2013.6627874","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627874","url":null,"abstract":"Process mining can be used to extract healthcare processes related information from event logs by performing analysis exploiting the information recorded in it. We report a process mining analysis made to an event log containing traces on user activity recorded by a Virtual Electronic Patient Record (VEPR) system of a Central Hospital. A set of technical analyses were performed. Results from the discovery and characterization of global behavior and from a time series analysis on observed user tasks are reported. Process mining was applied successfully to discover, characterize and analyze user behavior recorded from VEPR. Worth noting the execution of tasks profile observed after log out, revealing significant security problems.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"31 1","pages":"554-555"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74032638","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: 12
Peer-to-peer data discovery in health centers 医疗中心的点对点数据发现
M. Mirto, M. Cafaro, G. Aloisio
{"title":"Peer-to-peer data discovery in health centers","authors":"M. Mirto, M. Cafaro, G. Aloisio","doi":"10.1109/CBMS.2013.6627813","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627813","url":null,"abstract":"The sharing and integration of health care data such as medical history, pathology, therapy, radiology images, etc., is a key requirement for improving the patient diagnosis and in general the patient care. Today, many EPR (Electronic Patient Record) systems are present both in the same or different health centers and record a huge amount of data regarding a patient. In most cases the care treatment of a patient involves different healthcare facilities, including the cares provided by the family doctors. Managing these data, typically petabytes or terabytes in size, and optimizing the applications (image analysis, data mining, etc.) for these architectures is one of the challenges that must be tackled. Therefore, there is a clear need for the design and implementation of new scalable approaches to deal with the associated information overload and cognitive complexity issues. A possible solution involves considering a simplification of data coming from different EPRs, in a structured schema, typically called a meta-EPR. Owing to the security of patient data, each health center manages its own meta-EPR whereas a framework integrates these data among different sites. This work addresses the issue of sharing and integrating health care data, proposing a meta-EPR, based on Peer-to-peer (P2P) technology for data fusion. We describe an implementation of a distributed information service, that shares meta-EPRs and provides aggregation of relevant clinical information about patients based on a structured P2P overlay.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"125 1","pages":"343-348"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85641250","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: 1
Computer-aided capsule endoscopy images evaluation based on color rotation and texture features: An educational tool to physicians 基于颜色旋转和纹理特征的计算机辅助胶囊内窥镜图像评估:医生的教育工具
V. Charisis, Christina Katsimerou, L. Hadjileontiadis, C. Liatsos, G. Sergiadis
{"title":"Computer-aided capsule endoscopy images evaluation based on color rotation and texture features: An educational tool to physicians","authors":"V. Charisis, Christina Katsimerou, L. Hadjileontiadis, C. Liatsos, G. Sergiadis","doi":"10.1109/CBMS.2013.6627789","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627789","url":null,"abstract":"Wireless capsule endoscopy (WCE) is a revolutionary, patient-friendly imaging technique that enables non-invasive visual inspection of the patient's digestive tract and, especially, small intestine. However, reviewing the endoscopic data is time consuming and requires intense labor of highly experienced physicians. These limitations were the motive to propose a novel strategy for automatic discrimination of WCE images related to ulcer, the most common finding of digestive tract. Towards this direction, WCE data are color-rotated in order to boost the chromatic attributes of ulcer regions. Then, texture information is extracted by utilizing the local binary pattern operator that analyses the spatial structure of the images at a very local level. Experimental results demonstrated promising classification accuracy (91.1%) exhibiting high potential towards a complete computer-aided diagnosis system that will not only reduce WCE data reviewing time, but also serve as an assisting tool for the training of inexperienced physicians.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"85 1","pages":"203-208"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80979300","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: 34
HL7 FHIR: An Agile and RESTful approach to healthcare information exchange HL7 FHIR:用于医疗保健信息交换的敏捷和RESTful方法
D. Bender, K. Sartipi
{"title":"HL7 FHIR: An Agile and RESTful approach to healthcare information exchange","authors":"D. Bender, K. Sartipi","doi":"10.1109/CBMS.2013.6627810","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627810","url":null,"abstract":"This research examines the potential for new Health Level 7 (HL7) standard Fast Healthcare Interoperability Resources (FHIR, pronounced “fire”) standard to help achieve healthcare systems interoperability. HL7 messaging standards are widely implemented by the healthcare industry and have been deployed internationally for decades. HL7 Version 2 (“v2”) health information exchange standards are a popular choice of local hospital communities for the exchange of healthcare information, including electronic medical record information. In development for 15 years, HL7 Version 3 (“v3”) was designed to be the successor to Version 2, addressing Version 2's shortcomings. HL7 v3 has been heavily criticized by the industry for being internally inconsistent even in it's own documentation, too complex and expensive to implement in real world systems and has been accused of contributing towards many failed and stalled systems implementations. HL7 is now experimenting with a new approach to the development of standards with FHIR. This research provides a chronicle of the evolution of the HL7 messaging standards, an introduction to HL7 FHIR and a comparative analysis between HL7 FHIR and previous HL7 messaging standards.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"30 1","pages":"326-331"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83404496","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: 396
Creating openEHR content to different moments of care: Obstetrics emergency scenario 创建针对不同护理时刻的开放式电子病历内容:产科急诊方案
G. Bacelar-Silva, R. Sousa-Santos, R. Correia
{"title":"Creating openEHR content to different moments of care: Obstetrics emergency scenario","authors":"G. Bacelar-Silva, R. Sousa-Santos, R. Correia","doi":"10.1109/CBMS.2013.6627816","DOIUrl":"https://doi.org/10.1109/CBMS.2013.6627816","url":null,"abstract":"Introduction: If health information systems used a common reference model to store patient data it would ease health data exchange and achievement of semantic interoperability. Aim: To describe the process and the issues related to developing openEHR content to be used during different moments in the Obstetrics scenario, namely to retrieve patient's data. Methods: It was conducted a search on two major repositories - openEHR and National E-Health Transition Authority (NEHTA) - for archetypes to represent clinical concepts defined in a previous study (Obstetrics Scenario). The better-suited archetypes were chosen to design the templates. Results: 22 clinical concepts were identified and 21 of them could be covered by the archetypes. It was necessary 28 archetypes (23 openEHR / 5 NEHTA) to represent them (13 openEHR / 8 NEHTA). Discussion and Conclusion: This paper demonstrates that it was possible to create an openEHR template to describe the information needs during different moments of an Obstetrics scenario. A possible application is to use them to retrieve patient's data from external systems.","PeriodicalId":20519,"journal":{"name":"Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems","volume":"64 1","pages":"361-364"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79133093","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: 3
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