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
Towards an augmented ultrasound guided spinal needle insertion system.
We propose a haptic-based simulator for ultrasound-guided percutaneous spinal interventions. The system is composed of a haptic device to provide force feedback, a camera system to display video and augmented computed tomography (CT) overlay, a finite element model for tissue deformation and US simulation from a CT volume. ⋯ The simulated US images from CT closely resemble the vertebrae images captured in vivo. This is the first report of a system that provides a training environment to couple haptic feedback with a tracked mannequin, and a CT volume overlaid on a visual feed of the mannequin.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2011
Effect of functional electrical stimulation (FES) combined with robotically assisted treadmill training on the EMG profile.
Functional electrical stimulation (FES) is used to assist spinal cord injury patients during walking. However, FES has yet to be shown to have lasting effects on the underlying neurophysiology which lead to long-term rehabilitation. ⋯ Rats who received this FES therapy during a 2-week training period exhibited peak EMG activity during the appropriate phase of the gait cycle; whereas, rats who received stimulation which was randomly timed with respect to their motor activity exhibited no clear pattern in their EMG profile. These results from our newly developed FES system serve as a launching point for many future studies to test and understand the long-term effect of FES on spinal cord rehabilitation.
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Mining medical reports can reveal important information correlating diagnosis with raw measurements helping in decision support. In this paper we address the problem of finding similar measurement reports for aiding clinical decision support. ⋯ A document retrieval algorithm based on document class models is presented to enable similarity retrieval of pre-diagnosed reports. Collaborative filtering-guided assembly of associated disease labels is used to achieve clinical decision support.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Evaluation of monitoring cardiac output by long time interval analysis of a radial arterial blood pressure waveform using the MIMIC II database.
We recently proposed a technique to estimate relative cardiac output (CO) change by unique long time interval analysis (LTIA) of a radial arterial blood pressure waveform. Here, we evaluated the technique in 169 critically ill patients, while comparing it to previous "pulse contour analysis" techniques, using the public MIMIC II database. ⋯ However, the average absolute thermodilution CO change in each patient was only 12.3%. As the absolute CO change increased, the LTIA technique became increasingly more accurate than the previous techniques.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Mechanical analysis of an oscillatory positive expiratory pressure device used in respiratory rehabilitation.
This article aims to characterize the mechanical behavior of the Acapella Blue, a respiratory rehabilitation device designed to aid sputum clearance. In this scope, the present study initially describes in detail the peak-to-peak oscillation amplitude (App) and peak frequency (fp) behavior, as well as positive pressure level (Ppl), in the flow range more comonly found in practice. The parameters were evaluated in all 5 adjustment levels of the equipment in intervals of 50 mL/s. ⋯ The studied device may produce oscillation in the ranges of ciliary movements and respiratory system resonance frequency of patients with respiratory diseases. Data obtained in this work may help to optimize the use of the Acapella Blue device in respiratory rehabilitation. Suggestions for the practical use of the device are also presented.