Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)最新文献
K. Diamantaras, E. Bacharakis, I. Kamilatos, M. Strintzis, N. Maglaveras, A. Armaganidis
{"title":"Signal integration and tele-cooperation in a critical care unit","authors":"K. Diamantaras, E. Bacharakis, I. Kamilatos, M. Strintzis, N. Maglaveras, A. Armaganidis","doi":"10.1109/IEMBS.1997.756509","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.756509","url":null,"abstract":"The data related to a patient in a critical care unit (CCU) consists of biosignals obtained from devices such as the monitor, the respirator and other monitoring equipment. In addition to this data, an image archive is maintained in the radiology department (RD), composed mainly of CT and MRI scans. The major tasks of a CCU information system are to acquire the necessary biosignals from a variety of instruments, to integrate them into a single environment and to communicate with the RD image archiving system in an efficient manner that allows the doctors to collaborate, minimizing the virtual distance between the CCU and the RD. Signal integration specifically in the CCU amounts to a number of smaller subtasks: (a) signal processing for computing useful derived parameters which are not immediately available from the data, (b) smart alarms which enhance the reliability and sensitivity of the available alarms by combining signals from different sources, and (c) the potential of archiving the signals and computing long-term trends which are particularly useful in clinical practice.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131630658","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}
T. Stieglitz, C. Seif, S. Schumacher, S. Bross, K. Juenemann, J. Meyer
{"title":"Selective activation of the urinary bladder with quasi-trapezoidal pulses in sacral anterior root stimulation in the dog","authors":"T. Stieglitz, C. Seif, S. Schumacher, S. Bross, K. Juenemann, J. Meyer","doi":"10.1109/IEMBS.1997.757079","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.757079","url":null,"abstract":"Experiments have been performed to receive a selective stimulation of the urinary bladder in sacral anterior root stimulation in the foxhound dog. A computer controlled stimulator system has been developed to create arbitrary shaped current pulses using a commercially available universal source. Different monophasic and biphasic quasitrapezoidal (QT-) pulses have been created to investigate the influence of slew rates and pulse shapes on the selectivity of myelinated and unmyelinated nerve fibers. Following bilateral deafferentation of the sacral roots S1 to S3, the anterior roots S2 were placed into tripolar book electrodes with one cathode and two adjacent anodes. The pressure of the urethral sphincter and the detrusor were monitored during experiments by urodynamic investigation (microtip-catheter). Short stimulation pulse trains were applied and the sphincter response was monitored at six different pulse shapes. At some pulse shapes, an anodal block of the urethral sphincter was observed. In these cases longer pulse trains were applied to monitor the bladder response. A positive pressure difference could be observed in mono- and biphasic QT-pulses. In one case, a non-intermitting voiding in continuous bilateral stimulation of the anterior roots S2 was seen.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132943233","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}
I. Rousselle, J. Rousseau, B. Castelain, T. Sarrazin, X. Marchandise, D. Gibon
{"title":"Design of radiosensitive gels and phantoms for irradiation assessment using MRI measurement: case of glottic cancer","authors":"I. Rousselle, J. Rousseau, B. Castelain, T. Sarrazin, X. Marchandise, D. Gibon","doi":"10.1109/IEMBS.1997.757648","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.757648","url":null,"abstract":"Chemical dosimetry is a technique allowing tridimensional assessment of dose in radiotherapy. Magnetic resonance imaging provides 3D dose mapping of irradiated gels. Those gels are composed of an aqueous gel matrix containing radiosensitive compounds such as ferrous ions that are radio-oxidized or vinyl monomers that polymerize. There are specific requirements about soft-tissue equivalence that don't necessarily matched with MRI requirements, The differences between the parameters defining soft-tissue equivalence for the different gels are small enough to choose a gel not considering its tissue equivalence but considering its MRI T/sub 1/ or T/sub 2/ sensitivities, its linearity vs dose, etc. An important parameter to consider is the phantom morphology. Use of radiosensitive gels is interesting to simulate the irradiation of a part of the body with tissue/air interfaces and to study the 3D dose mapping in the case of a glottic tumor for example. Thus, it will be much easier to make that phantom if the gel is not oxygen sensitive.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132809860","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}
S. Semenov, A. Bulyshev, A. E. Souvorov, A. Nazarov, R. H. Svenson, V. Posukh, Y. Sizov, G. Tatsis
{"title":"Iterative algorithm for 3D EIT","authors":"S. Semenov, A. Bulyshev, A. E. Souvorov, A. Nazarov, R. H. Svenson, V. Posukh, Y. Sizov, G. Tatsis","doi":"10.1109/IEMBS.1997.754571","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.754571","url":null,"abstract":"A new reconstruction algorithm for 3D Electrical Impedance Tomography and the reconstructed images which were obtained using the 3D Electrical Impedance Tomographic System are presented. A special method of supplying voltage to driver electrodes was employed. This method allowed the authors to obtain 3D tomograms contained 10/sup 4/ voxels. The analysis of the model phantom images allowed conclusions to be made about the abilities of this approach to create biological object tomograms.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130776935","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":"Spectral characterization of neonatal arterial blood pressure associated with surfactant therapy for respiratory distress syndrome","authors":"A. Talati, M. Daley, C. Leffler, H. Bada","doi":"10.1109/IEMBS.1997.756550","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.756550","url":null,"abstract":"The authors' goal was to characterize the effect of surfactant instillation on arterial blood pressure in premature infants with respiratory distress syndrome to develop prognostic indicators of short term outcome. Twelve infants with birth weights between 500 to 2000 grams were enrolled. All infants received the first dose of surfactant within the first six hours of life. Arterial pressure signals were recorded 30 min. Before and after surfactant administration and later analyzed for spectral composition. The spectral power at the frequency of positive pressure ventilation markedly increased after surfactant therapy in seven patients who survived with the majority demonstrating a significant increase in PaO/sub 2/. In the authors' other five patients spectral power decreased or remained unchanged; these patients died within the first week of life. These findings suggest that the change in the direction of spectral power at the ventilator frequency following the first dose of surfactant may have prognostic significance in infants with respiratory distress syndrome.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131159731","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":"Mapping knee torques evoked by intraspinal microstimulation","authors":"W. Grill, Bao-zhen Wang","doi":"10.1109/IEMBS.1997.758721","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.758721","url":null,"abstract":"The purpose of this study is to evaluate the feasibility of motor system neural prostheses based on intraspinal microstimulation. The isometric torque generated about the knee joint by microstimulation of the lumbar spinal cord were mapped systematically in acute experiments on adult cats anesthetized with /spl alpha/-chlorolose. Electrode locations in the ventral horn generated the largest torques, and there was both mediolateral and dorsoventral segregation of the torque responses in the rostrocaudal plane. Smaller torques were generated by microstimulation in the dorsal part of the spinal cord, and these responses were strongly dependent on stimulus frequency. These results indicate that microstimulation of the spinal cord allows selective activation of knee flexors and extensors by both direct and indirect activation of spinal motoneurons. Anatomically defined segregation between the innervation of flexors and extensors was reproduced in these mapping experiments.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130723809","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":"Automatic detection of PVCs using autoregressive models","authors":"J. Paul, M. Reddy, V.J. Kumar","doi":"10.1109/IEMBS.1997.754465","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.754465","url":null,"abstract":"An algorithm is presented for the identification of ventricular ectopic beats (PVC) by performing a beat by beat analysis of the electrocardiogram (ECG). The discrete cosine transform (DCT) of a windowed ECG cycle is decomposed into spectra of system and excitatory functions representing action potential and excitation pattern of the heart muscle during the cardiac cycle. The autoregressive (AR) modeling of the system function provides necessary information for identification of PVCs. The partial energy spectrum derived from the DCT coefficients characterises the decay rate of DCT of the system function and is related to bandwidths of resonances in the AR spectrum. The algorithm was able to successfully identify PVCs from the recordings of MIT-BIH database. Under noisy conditions, the algorithm clearly distinguishes PVC patterns from those of normal beats up to a signal to noise ratio (SNR) of 10 dB.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131089300","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":"Colour segmentation for lesion classification","authors":"A. Round, A. Duller, P. Fish","doi":"10.1109/IEMBS.1997.757677","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.757677","url":null,"abstract":"The incidence of skin cancer is increasing globally. Prognosis falls quickly as malignant skin cancers develop and so early detection is paramount in the fight against this disease. Colour is an important feature in the differential diagnosis of skin cancers in particular malignant melanoma. This paper describes a region based approach to segmentation of lesion images into areas of differing colour. The process initially divides the image into rectangular regions small enough to be considered as having only a single colour. This is then followed by conservative merging, where adjacent regions whose colours are very similar are coalesced. The segmentation is then completed by an iterative optimal merging process, the two most similar regions being merged at each step until the stopping condition is reached. Results show that the method produces a robust segmentation of regions of high colour contrast.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132821650","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":"A comparison of neural spike classification techniques [caterpillar taste organs application]","authors":"J. Stitt, R. Gaumond, J. L. Frazier, F. Hanson","doi":"10.1109/IEMBS.1997.756540","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.756540","url":null,"abstract":"This paper presents an Artificial Neural Network (ANN) capable of sorting neural spikes contained in a single-channel multiunit recording. The ANN performs very well when compared with Template Matching and Principal Components, two of the conventional optimal spike classification methods that have been widely used for sorting action potentials.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133360568","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":"Two automatic training-based forced calibration algorithms for left ventricle boundary estimation in cardiac images","authors":"J. Suri, R. Haralick, F. Sheehan","doi":"10.1109/IEMBS.1997.757665","DOIUrl":"https://doi.org/10.1109/IEMBS.1997.757665","url":null,"abstract":"Pixel classification algorithms based on temporal information, edge detection algorithms based on spatial information when used in combination are not sufficient for boundary estimation of the left ventricle (LV) in cardiovascular X-ray images. Poor contrast in the LV apex zone the fuzzy region in the inferior wall due to the overlap of the LV with the diaphragm, the inherent noise, and the variability of the modulation transfer function in X-ray imaging systems causes great difficulties in LV segmentation. To overcome the above problems, calibration algorithms were developed by Suri et al. (1996). These algorithms are training-based and provides a correction to the pixel-based classification or edge detection raw boundaries. This paper presents two training-based forced calibration algorithms for correcting the raw boundaries produced by classifiers. The authors force the raw LV contour to pass through the LV apex and then perform the calibration. Over a database of 377 patient studies having end-diastole and end-systole frames, the mean boundary error for the classifier system is 5.20 mm, the two forced calibration algorithms yield an error of 3.14 mm and 3.04 mm with a standard deviation of 2.73 mm and 2.89 mm.","PeriodicalId":342750,"journal":{"name":"Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136)","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133600960","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}