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 2014
Physiological trajectory of patients pre and post ICU discharge.
The intensive care unit (ICU) admits the most severely ill patients, and the goal of the unit can be interpreted as stabilizing patient physiology. Once these patients are discharged from the ICU to a step-down ward, they continue to have their vital signs monitored by nursing staff. ⋯ A model of physiological normality was developed using data from the day of hospital discharge, and patients were retrospectively evaluated throughout their stay using this model. We show that the physiology of patients being cared for in the ICU improves very rapidly in the three days prior to discharge, and furthermore, that this recovery continues during their stay on the ward, albeit at a slower rate.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2014
Computing network-based features from physiological time series: application to sepsis detection.
Sepsis is a systemic deleterious host response to infection. It is a major healthcare problem that affects millions of patients every year in the intensive care units (ICUs) worldwide. Despite the fact that ICU patients are heavily instrumented with physiological sensors, early sepsis detection remains challenging, perhaps because clinicians identify sepsis by using static scores derived from bed-side measurements individually, i.e., without systematically accounting for potential interactions between these signals and their dynamics. ⋯ Then, for each connectivity matrix, we computed the eigenvalue decomposition. We found that, even though raw PTS measurements may have indistinguishable distributions in non-sepsis and early sepsis states, the median /I of the eigenvalues computed from the same data is statistically different (p <; 0.001) in the two states and the evolution of /I may reflect the disease progression. Although preliminary, these findings suggest that network-based features computed from continuous PTS data may be useful for early sepsis detection.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2014
Mobile DIORAMA-II: infrastructure less information collection system for mass casualty incidents.
In this paper we introduce DIORAMA-II system that provides real time information collection in mass casualty incidents. Using a mobile platform that includes active RFID tags and readers as well as Smartphones, the system can determine the location of victims and responders. The system provides user friendly multi dimensional user interfaces as well as collaboration tools between the responders and the incident commander. ⋯ All responders that participated in all trials were very satisfied. They felt in control of the incident and mentioned that the system significantly reduced their stress level during the incident. They all mentioned that they would use the system in an actual incident.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2014
Human eyeball model reconstruction and quantitative analysis.
Determining shape of the eyeball is important to diagnose eyeball disease like myopia. In this paper, we present an automatic approach to precisely reconstruct three dimensional geometric shape of eyeball from MR Images. The model development pipeline involved image segmentation, registration, B-Spline surface fitting and subdivision surface fitting, neither of which required manual interaction. ⋯ In addition to the eight metrics commonly used by existing studies, we proposed two novel metrics, Gaussian Curvature Analysis and Sphere Distance Deviation, to quantify the cornea shape and the whole eyeball surface respectively. The experiment results showed that the reconstructed eyeball models accurately represent the complex morphology of the eye. The ten metrics parameterize the eyeball among different subjects, which can potentially be used for eye disease diagnosis.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2014
Rapid and low-invasive functional brain mapping by realtime visualization of high gamma activity for awake craniotomy.
For neurosurgery with an awake craniotomy, the critical issue is to set aside enough time to identify eloquent cortices by electrocortical stimulation (ECS). High gamma activity (HGA) ranging between 80 and 120 Hz on electrocorticogram (ECoG) is assumed to reflect localized cortical processing. In this report, we used realtime HGA mapping and functional magnetic resonance imaging (fMRI) for rapid and reliable identification of motor and language functions. ⋯ Specificities of the motor and language-fMRI, however, did not reach 85%. The results of HGA mapping was mostly consistent with those of ECS mapping, although fMRI tended to overestimate functional areas. This novel technique enables rapid and accurate functional mapping.