Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Service oriented architecture to support real-time implementation of artifact detection in critical care monitoring.
The quality of automated real-time critical care monitoring is impacted by the degree of signal artifact present in clinical data. This is further complicated when different clinical rules applied for disease detection require source data at different frequencies and different signal quality. ⋯ The framework is instantiated through a Neonatal Intensive Care case study which assesses signal quality of physiological data streams prior to detection of late-onset neonatal sepsis. In this case study requirements and provisions of artifact and clinical event detection are determined for real-time clinical implementation, which forms the second important contribution of this paper.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Using ultrasound imaging to identify landmarks in vertebra models to assess spinal deformity.
Scoliosis is a type of spinal deformity that commonly develops in adolescents. Cobb angle, using the most tilted vertebrae, is the gold standard to assess scoliosis on radiographs. However, regularly taking radiographs introduces harmful ionizing radiation to patients, thus non-ionizing radiation methods have been explored for many years. ⋯ The second study showed laminae and transverse processes could be recognized from ultrasound images. The difference of the width of the laminae between the phantom and the ultrasound image was 0.3 mm. Therefore, it is feasible to use the proposed method and the laminae from the ultrasound images to assess the severity of scoliosis.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Detection and classification of hypovolaemia during anaesthesia.
In recent years, there has been a rapid growth in patient monitoring and medical data analysis using decision support systems, smart alarm monitoring, expert systems and many other computer aided protocols. The main goal of this study was to enhance the developed diagnostic alarm system for detecting critical events during anaesthesia. ⋯ The performance of the system was validated through a series of off-line tests. When detecting hypovolaemia a substantial level of agreement was observed between FLMS-2 and the human expert and it is shown that system has a better performance with sensitivity of 94%, specificity of 90% and predictability of 72%.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Sequential versus concurrent computation of complex model systems for medical decision support.
Medical Decision Support Systems employ mathematical models to optimize therapy settings. The mathematical models are used to predict patient reactions towards alteration in the therapy regime. This prediction should not be limited to one detail but should feature a broad picture. ⋯ Evaluation of the new approach showed that results feature a discrepancy lower than 2.5% compared to the results computed by the concurrent approach. Simulation error could be decreased to 2% by improving the precalculation of the interface signals. Computing costs have been decreased by a factor of 17.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Long-term performance of a CE-approved telemetric intracranial pressure monitoring.
Telemetric intracranial pressure (ICP) monitoring has been a challenge throughout several decades. Major obstruction was to minimize zero drift of absolute pressure sensors. A new promising product demonstrating in-vitro excellent long-term stability has been tested for its reliability in an animal model with a follow-up of up to 2 years. ⋯ The zero-shift was -1.7 ± 7.6 mm Hg (limits of agreement: 4.4 ± 1.9 mm Hg) and -3.0 ± 6.0 mm Hg (limits of agreement: 3.6 ± 2.6 mm Hg) in STel and PTel respectively meeting well the devices specification of ± 2 mm Hg drift per year. The reliability of both telemetric probes has been proved as quite comparable (p=0.2). These new telemetric ICP probes demonstrate reliable data during at least the first 6 months after implantation.