{"title":"A new multichannel bladder stimulator","authors":"M. Sawan, F. Duval, S. Pourmehdi, J. Mouine","doi":"10.1109/CBMSYS.1990.109399","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109399","url":null,"abstract":"An integrated circuit intended for neural stimulation applications is described. The device has been designed and implemented in CMOS 3- mu m technology. The major advantages of the chip are its programmability and versatility. The intensity, format, and timing of the current pulses available at the eight channel outputs are serially and fully programmable. The different components of the device are controlled by a finite-state machine implemented by a PLA (programmable logic array). This implant can be placed inside the human body for long-term neural stimulation, and it can be used for many neurologic stimulation applications with minor modification of the implant.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"66 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":"128753589","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}
V. Yoon, Robert W. Brobst, P. Bergstresser, L. Peterson
{"title":"Automatic generation of a knowledge-base for a dermatology expert system","authors":"V. Yoon, Robert W. Brobst, P. Bergstresser, L. Peterson","doi":"10.1109/CBMSYS.1990.109413","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109413","url":null,"abstract":"A connectionist expert system (ES) in the domain of dermatology which will ultimately be used for instruction of medical students in the diagnosis of papulosquamous skin diseases is presented. The ES performs as an apparatus for diagnosis and elucidates the effects of diagnostic parameters in the derivation of viable conclusions. The ES uses the back-propagation algorithm to automatically generate a knowledge base from patient cases, each consisting of a list of symptoms as input and the expert's diagnosis as the desired output. The knowledge base has the form of a multilayered network, and knowledge is distributed over the network so that a implicit specification of decision criteria. The ES uses this knowledge base for diagnosing a patient's disease given a list of symptoms.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"4 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":"114338545","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}
P. A. Michael, R. E. Kanich, C. P. Hall, S. H. Ruchte
{"title":"Computerized clinical histories: the development of an HIS subsystem in a community hospital","authors":"P. A. Michael, R. E. Kanich, C. P. Hall, S. H. Ruchte","doi":"10.1109/CBMSYS.1990.109434","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109434","url":null,"abstract":"In an effort to enhance medical decision support and assessment resources by providing faster, more convenient access to the clinical histories of hospitalized patients, Rex Hospital is in the process of developing a clinical history subsystem. In its initial phase, the subsystem creates a long-term clinical history file by extracting prior Rex admissions information (discharge diagnoses, medical and surgical procedures, allergies, and infectious disease alerts) from existing short-term database files. Qualified users may print this data on demand. A detailed description of the clinical history subsystem and its perceived role in the evolution toward a totally automated medical record are presented.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"60 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":"124647252","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":"VAD: ventilation management in the ICU","authors":"I. MacGill, J. Cade, R. Siganporia, J. Packer","doi":"10.1109/CBMSYS.1990.109418","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109418","url":null,"abstract":"VAD (ventilation advisor), an expert system intended to assist in the management of mechanical ventilation for critically ill patients, is discussed. The system continuously interprets patient data collected from standard intensive care unit (ICU) equipment to offer staff advice on the patient's status, unexpected ventilation events, and the appropriateness of current ventilator therapy. VAD's encoded medical expertise is provided by clinical and nursing specialists in intensive care. It has been implemented as a custom expert tool written in C, and run in real time on an IBM-AT-compatible computer. VAD is currently being tuned and evaluated in closely regulated clinical trials within the ICU.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"26 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134446068","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":"Extending a knowledge base to support explanations","authors":"Yuemei Zhang, M. Evens, J. Michael, A. Rovick","doi":"10.1109/CBMSYS.1990.109407","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109407","url":null,"abstract":"In order to support explanations in a knowledge-based system, a method is proposed to extend an existing knowledge base: adding more knowledge and including relations and their semantics among the different types of knowledge. The criterion followed to organize a knowledge base is to classify and represent knowledge according to different levels of application and abstraction. This criterion also facilitates future extension of a knowledge base for explanations of the procedure and heuristic knowledge.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"20 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":"132873531","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}
Zhi-Qiang Liu, Yuanting Zhang, K. Ladly, C. Frank, R. Rangayyan, G. D. Bell
{"title":"Reduction of interference in knee sound signals by adaptive filtering","authors":"Zhi-Qiang Liu, Yuanting Zhang, K. Ladly, C. Frank, R. Rangayyan, G. D. Bell","doi":"10.1109/CBMSYS.1990.109424","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109424","url":null,"abstract":"The effects of interfering signals in the knee and the need for an adaptive filtering scheme for knee-sound estimation are briefly discussed. A least-mean-squares algorithm has been used for adaptive cancellation of interfering signals in knee sounds. In the implementation, a two-stage adaptive scheme is used to cancel both muscle contraction and tremor artifacts. Experiments show that with the proposed filtering scheme the interfering signals are significantly reduced, while retaining the desired features of the knee-sound signals. This will subsequently allow accurate quantitative analysis and objective diagnosis of cartilage pathology.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"96 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":"122343924","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 low-cost personal computer-based radiology diagnostic expert system and image and text database","authors":"David Kowarski","doi":"10.1109/CBMSYS.1990.109412","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109412","url":null,"abstract":"A program for radiology differential diagnosis (DDX) using Prolog, a programming language for artificial intelligence applications is developed. The program uses a probabilistic model based on Bayes' theorem to arrive at and rank the relative probabilities of possible diagnosis. This model uses the prevalence of diagnoses and conditional probabilities of diagnostic features. It treats nonindependent diagnostic features by defining compound conditional probabilities to describe the interdependence of conditional probabilities. The program has an iterative mouse-controlled menu-driven interface that makes selecting more diagnostic features yield shorter DDX's. This process can be reversed by deselecting features, allowing what-if experimentation. The program ranks the DDX by relative probability and allows reviewing images or text descriptions of each diagnosis in the list. The program creates separate databases that users may alter, using terminology of their choosing for diagnoses and diagnostic features.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"38 1 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":"130983982","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":"Development of a microcomputer system for assessment of chronic compartment syndrome","authors":"R. Peindl, M. Hermann, K. Russell, A. McBryde","doi":"10.1109/CBMSYS.1990.109431","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109431","url":null,"abstract":"A microcomputer-based data acquisition and analysis system which is currently being developed and evaluated as a diagnostic tool for assessment of chronic compartment syndrome is described. System software provides information on compartment pulse pressure, both preexercise and postexercise, and muscle contraction and relaxation pressures during exercise in the anterior and deep posterior compartments of the lower leg. To date, 29 asymptomatic volunteers have been evaluated. The technical aspects of the system development are described, preliminary clinical findings are presented, and anticipated modifications necessary for utilization of the system in a clinical setting are discussed.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"16 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":"132322672","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":"Building a multi-purpose medical diagnostic system under uncertain and incomplete environment","authors":"Gwo-Haur Hwang, S. Tseng","doi":"10.1109/CBMSYS.1990.109415","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109415","url":null,"abstract":"A multipurpose medical diagnosis system, AEA (the acute exanthem advisor), is proposed. AEA offers a helpful environment for the diagnostician by providing reviewing, record keeping, and explanation functions. The diagnostician can use AEA as an assistant, record keeper, or education tool. It includes a statistical program to predict the number of patients who are going to have acute exanthemas. Test results show that the ability of AEA is almost the same as that of a diagnostician in diagnosing acute exanthemas.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"112 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":"124249552","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}
P. Santago, K. Link, W. Snyder, S. Rajala, J. Worley, Youn-Sik Han
{"title":"Restoration of cardiac magnetic resonance images","authors":"P. Santago, K. Link, W. Snyder, S. Rajala, J. Worley, Youn-Sik Han","doi":"10.1109/CBMSYS.1990.109379","DOIUrl":"https://doi.org/10.1109/CBMSYS.1990.109379","url":null,"abstract":"Motion artifacts due to heart motion and blood flow within the heart chambers are a significant barrier to accurate interpretation of cardiac magnetic resonance images (MRI). The post-processing techniques of Wiener filtering, alternating projections onto convex sets (POCS), and mean field annealing (MFA) to remove these artifacts are studied. Removal of noise from the images is accomplished with MFA by setting up a restoration problem whose objective function encapsulates both data-dependent and a priori knowledge about the image. Two important aspects of MFA are the use of a penalty rather than a constraint, and the fact that it converges twenty times as rapidly as normal simulated annealing. Images of the results of Wiener filtering and MFA are shown, and the methods of POCS and MFA are briefly explained.<<ETX>>","PeriodicalId":365366,"journal":{"name":"[1990] Proceedings. Third Annual IEEE Symposium on Computer-Based Medical Systems","volume":"137 9 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":"128718996","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}