{"title":"Analysis of medical signals by an automatic method of segmentation and classification without any a-priori knowledge","authors":"M. Bernard, M. Bouchoucha, P. Cugnenc","doi":"10.1109/CBMSYS.1990.109423","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109423","url":null,"abstract":"An automatic system for the segmentation and analysis of biomedical signals is developed. These signals must be of an impulsive type, and they can be highly nonstationary. Two main parts exist in the proposed method: first, segmentation of the several tracks constituting the signal, and second, classification of the results of this segmentation. All these processings are automatic and do not need any prior statistical knowledge of the signal. The first field of application for this method is the study of esophageal peristalsis.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116987246","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":"Software crisis and new development paradigms or how to design reliable medical software","authors":"P. Kokol, B. Stiglic, V. Zumer, B. Novak","doi":"10.1109/CBMSYS.1990.109391","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109391","url":null,"abstract":"The extended operational paradigm (EOP) is a software development paradigm for dealing with the emerging software crisis in the field of medical software development. This crisis is a result of using the waterfall paradigm, which neglects many dimensions of system design. The EOP paradigm is based on the multidimensional, multiview, multilingual, and user-oriented (M/sup 3/UO) framework. A CASE tool called the extended operational approach (EOA), developed to support EOP, is presented. EOA is based on JSP, SML, and spreadsheet software. EOP was successfully used in the development of a medical decision and information support system. Experience with using EOA has shown that it reduces the complexity of the specification. The semantic gap between users and development groups, and the effort results in increased productivity, user satisfaction, and more reliable systems.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"17 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123030131","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":"BrailleButler: a new approach to non-visual computer applications","authors":"Karl P. Durre","doi":"10.1109/CBMSYS.1990.109384","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109384","url":null,"abstract":"The BrailleButler system was designed to serve as an instrument to allow blind individuals easy interactive production, recognition, and manipulation of text. It has proven to be an efficient aid for the integration of blind and deaf-blind users, as it permits individuals with a visual impairment, as well as sighted persons, to produce text documents which are immediately available for both individuals. The underlying philosophy in the design was the need for a system to serve the blind computer layman that could be used by blind and sighted persons alike, either independently or simultaneously.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129454429","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":"How the insurance industry reviews new medical devices and technology for approval and reimbursement under indemnity and HMO contracts","authors":"William B. Spector","doi":"10.1109/CBMSYS.1990.109394","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109394","url":null,"abstract":"In the course of development of medical insurance as a product, the first policies were designed to address medical issues which, for all practical purposes, were simple in comparison to those today. In the 1940s and somewhat into the 1950s, technology did not have a tremendous impact on the cost of delivering health care. During the 1960s technology surged ahead, propelled by a great deal of grant monies, which continued to be readily obtainable into the 1970s. However, toward the middle-to-late portion of the 1970s and early 1980s this seemingly unlimited resource for funding came to an end. Insurance companies needed to change their methods of assessment of risk, and the medical profession was forced to change its methods of practicing medicine. These factors combined to contribute to the current climate, especially as it relates to the state of claims processing and reimbursement for health care technology. What the 1990s will bring, while not obvious, is still predictable based on history.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123597661","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}
N. Fumai, C. Collet, M. Petroni, A. Malowany, F. Carnevale, R. Gottesman, A. Rousseau
{"title":"The design of a simulator for an intensive care unit patient data management system","authors":"N. Fumai, C. Collet, M. Petroni, A. Malowany, F. Carnevale, R. Gottesman, A. Rousseau","doi":"10.1109/CBMSYS.1990.109433","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109433","url":null,"abstract":"A patient data management system (PDMS) for use in the intensive care unit (ICU) of the Montreal Children's Hospital is described. The PDMS acquires real-time patient data from a network of physiological bedside monitors and facilitates the review and interpretation of this data by presenting it as graphical trends, charts, and plots on a color video display. A patient data simulator was developed for the purpose of complete testing of the PDMS. The simulator also allows for training the medical staff independently of hospital facilities and at a remote location from the ICU. This work outlines the design and functionality of the simulator and focuses on its implementation using OS/2's presentation manager window environment. Some experimental results and performance evaluations are presented, along with areas of future development and use.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126388202","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}
G. Abousleman, R. Jordan, A. Asgharzadeh, L. D. Canady, D. Koechner, R. Griffey
{"title":"A novel eigenvector-based technique for spectral estimation of time-domain data in medical imaging","authors":"G. Abousleman, R. Jordan, A. Asgharzadeh, L. D. Canady, D. Koechner, R. Griffey","doi":"10.1109/CBMSYS.1990.109429","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109429","url":null,"abstract":"The use of a complex MUSIC (multiple signal classification) algorithm to signal average MR spectroscopic data from a 1-cm/sup 3/ voxel of diseased brain tissue for only five min and obtain diagnostically useful studies is discussed. A complex eigenvector-based method for performing spectral analysis of time-domain data independent of the signal-to-noise ratio is demonstrated. The implementation of the procedure requires no preprocessing of the time-domain data record. The technique is well suited for magnetic resonance spectroscopy and imaging, where the signal available from small regions corresponding to areas of diseased tissue in patients presenting for diagnosis is always dominated by the Johnson noise present in the receiver circuit.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"1975 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130052475","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}
B. Hurwitz, L. Shyu, S. P. Reddy, N. Schneiderman, J. Nagel
{"title":"Coherent ensemble averaging techniques for impedance cardiography","authors":"B. Hurwitz, L. Shyu, S. P. Reddy, N. Schneiderman, J. Nagel","doi":"10.1109/CBMSYS.1990.109403","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109403","url":null,"abstract":"Ensemble averaging provides some improvement in the stability of the signal and signal-to-noise noise ratio under conditions of nonperiodic influences of respiration and motion. Coherent averaging techniques were developed to determine whether further enhancement of the impedance cardiogram could be obtained. Physiological signals were obtained from 16 male and female subjects during resting conditions, while delivering a speech, and while undergoing submaximal bicycle exercise. Results indicated that improved resolution of dZ/dt signal events could be obtained using coherent ensemble averaging. Although some improvement in precision of event location was obtained, most enhancement of the impedance cardiogram occurred in measurement of the amplitude of the dZ/dt maximum (ejection velocity) during speaking and exercise conditions. Validated increases in dZ/dt maximum exceeding 20% were obtained in some subjects with coherent averaging, suggesting that the diagnostic utility of impedance cardiography can be improved using this technique.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130097072","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":"The eye wink control interface: using the computer to provide the severely disabled with increased flexibility and comfort","authors":"R. Shaw, E. Crisman, A. Loomis, Z. Laszewski","doi":"10.1109/CBMSYS.1990.109386","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109386","url":null,"abstract":"The eye wink control interface was designed to enable severely handicapped individuals to control mechanical devices by using eye winks of varying duration without having their head motion or speech restricted. The advantages of this computer-based system are (1) an unobtrusive and inexpensive control device, (2) increased comfort for the user, and (3) an increase in the number and complexity of possible commands available to the user. The design of the infrared eye wink detector and the computerized signal interpreter, as well as the initial results obtained in testing the interface with simulation software are discussed. Plans for extensions to this research are also discussed.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131624899","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 medical care application using the integrated services digital network","authors":"W. W. Ellington","doi":"10.1109/CBMSYS.1990.109374","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109374","url":null,"abstract":"A medical-communications application which capitalizes on ISDN (integrated services digital network) strengths is presented. Some of the important features of the application are: it is focused on the concept of remote patient care; telecommunication connection is the key link; voice/image/data capability is inherent; flexibility of the circuit switched connection is vital; and portability of equipment to any ISDN port is very important. The application is practical due to the benefits provided by the new ISDN telecommunication service and can be applied to the home environment. The application holds the potential to offer health services to remote locations and to offer care to those in less critical medical conditions, while lessening the demands on in-patient care. It will also, hopefully, help to control costs.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132623625","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":"Application of artificial neural networks for tissue classification from multispectral magnetic resonance images of the head","authors":"J. D. Schellenberg, W. C. Naylor, L. Clarke","doi":"10.1109/CBMSYS.1990.109419","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109419","url":null,"abstract":"The suitability of artificial neural networks (ANNs) for the classification of multispectral magnetic resonance images (MSMRI) is explored. MSMRI feature space distributions of various tissues and phantoms were examined to determine if the data is more suitable for ANN classification, as opposed to classical Bayesian approaches for intensity-based classification. Additionally, MSMRI normalization methods were investigated to determine suitability for improving feature space distributions independent of classification methods.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134507775","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}