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Information Technology in Biomedicine, IEEE Transactions on

Issue 3 • Date Sept. 1998

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Displaying Results 1 - 12 of 12
  • Guest Editorial Special Issue on Emerging Health Telematics Applications in Europe

    Page(s): 110 - 116
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    Freely Available from IEEE
  • Combining a scientific approach and prototyping in the design of EHCR systems

    Page(s): 117 - 123
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    In this paper, it is emphasized that electronic medical record systems cannot totally be developed in the traditional way. The underlying process of how physicians or nurses are searching for information is not fully understood. Therefore, a method that combines a scientific approach and prototyping is advocated. With the help of this advocated approach, these questions could be answered in a way that was also scientifically sound. In this contribution, two examples of the use of this method are presented. One concerns the determination of the optimum granularity of the narrative parts of the electronic healthcare record (EHCR) and the other concerns the use and impact of stand-alone protocol systems. View full abstract»

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  • A CORBA-based integration of distributed electronic healthcare records using the Synapses approach

    Page(s): 124 - 138
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    The ability to exchange in a meaningful, secure, and simple fashion relevant healthcare data about patients is seen as vital in the context of efficient and cost-effective shared or team-based care. The electronic healthcare record (EHCR) lies at the heart of this information exchange, and it follows that there is an urgent need to address the ability to share EHCR's or parts of records between carers and across distributed health information systems. This paper presents the Synapses approach to sharing based on a standardized shared record, the Federated Healthcare Record, which is implemented in an open and flexible manner using the Common Object Request Broker Architecture (CORBA). The architecture of the Federated Healthcare Record is based on the architecture proposed by the Technical Committee 251 of the European Committee for Standardization. View full abstract»

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  • A workflow-based approach to virtual patient record security

    Page(s): 139 - 145
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    Virtual patient records provide a means for integrated access to patient information that may be scattered around different healthcare organizations (or hospital departments). As Intranets provide, among others, secure access to medical information, they constitute an appropriate technological infrastructure for a virtual patient record implementation. In such cases, a security policy can be enforced by combining the security features of the Intranet with the security features of the intraorganizational systems. However, when a workflow system is implemented to automate interorganizational healthcare processes, an additional security layer is needed. An authorization architecture that serves this purpose is presented in this paper. View full abstract»

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  • A broadband multimedia collaborative system for advanced teleradiology and medical imaging diagnosis

    Page(s): 146 - 155
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    This paper presents a new telemedicine system currently in routine clinical usage, developed within the European Union (EU) ACTS BONAPARTE project. The telemedicine system is developed on an asynchronous transfer mode (ATM) multimedia hardware/software platform comprising the following set of telemedicine services: synchronous cooperative work, high-quality video conference, multimedia mail, medical image digitizing, processing, storing and printing, and local and remote transparent database access. The medical information handled by the platform conforms to the Digital Imaging and Communications in Medicine (DICOM) 3.0 medical imaging standard. The telemedicine system has been installed for clinical routines in three Spanish hospitals since November 1997 and has been used in an average of one/two clinical sessions per week. At each clinical session, a usability and clinical evaluation of the system was carried out. Evaluation is carried out through direct observation of interactions and questionnaire-based subjective data. The usability evaluation methodology and the results of the system usability study are also presented in this article. The experience gained from the design, development, and evaluation of the telemedicine system is providing an indepth knowledge of the benefits and difficulties involved in the installation and clinical usage of this type of high-usability and advanced multimedia telemedicine system in the field of teleradiology and collaborative medical imaging diagnosis. View full abstract»

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  • The EASI project-improving the effectiveness and quality of image-guided surgery

    Page(s): 156 - 168
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    In recent years, advances in computer technology and a significant increase in the accuracy of medical imaging have made it possible to develop systems that can assist the clinician in diagnosis, planning, and treatment. This paper deals with an area that is generally referred to as computer-assisted surgery, image-directed surgery, or image-guided surgery. We report the research, development, and clinical validation performed since January 1996 in the European Applications in Surgical Interventions (EASI) project, which is funded by the European Commission in their "4th Framework Telematics Applications for Health" program. The goal of this project is the improvement of the effectiveness and quality of image-guided neurosurgery of the brain and image-guided vascular surgery of abdominal aortic aneurysms, while at the same time reducing patient risks and overall cost. We have developed advanced prototype systems for preoperative surgical planning and intraoperative surgical navigation, and we have extensively clinically validated these systems. The prototype systems and the clinical validation results are described in this paper. View full abstract»

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  • Augmented-reality communication for diagnostic tasks in cardiology

    Page(s): 169 - 173
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    In the CardiAssist project, a teleconsultation module has been implemented that uses both ultrasound images and three-dimensional (3-D) animated heart models as common artifacts to support communication between medical professionals. Real images and conceptual models are linked as "augmented reality" so that the models provide orientation for diagnostic tasks in cardiology. Hypotheses or results can be documented on the image or the abstract level, as the heart model can be modified to include pathological details. In teleconsultation, pointing references accelerate communication between physicians of different backgrounds. View full abstract»

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  • The construction of a simulation-based system for the development of powerful and realistic models and practicals for healthcare professionals

    Page(s): 174 - 182
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    The aim of this paper is to examine the importance of computer-based simulation by the demonstration and study of complex systems and the presentation of essential tools and applications that can help health professionals deliver good quality practicals, which is now impeded by cost and/or technical constrains. The tools that have been developed in the framework of the Courseware Authoring for Scientific Training (COAST) project are the "modeler environment", which is used to describe the different tools and mathematical functions available for building models, and the "simulation author environment", which is used for building simulation sequences and providing the required tools and functions. This effort provides scientists with new technological and cost-effective means, specifically based on multimedia simulation, for preparing educational material, so as to gradually replace laboratory practicals that are gradually becoming more expensive, and improves student's understanding of complex systems. View full abstract»

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  • A unified multimedia database system to support telemedicine

    Page(s): 183 - 192
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    A unified approach to managing multimedia medical databases in a telemedicine system is proposed. In order to manage, search, and display patient information more efficiently, we define a patient information package (PIP) as a concise data set of a patient's medical information from each visit. By means of PIPs, both patient-oriented and problem-oriented query strategies, which are most frequently used in daily clinical practice and medical education, can be accommodated. We also provide a unified methodology for accessing various types of patient medical records as well as design two types of user interfaces, high-quality data display and web-based interface, for different medical service purposes. The PIP-based management of databases has been successfully implemented between the National Taiwan University (NTUH), Taipei, and the Chinshan health care center, Chinshan, Taiwan, for teleconsultation, telediagnosis, and tele-education. View full abstract»

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  • BlackSea TeleDiab: Diabetes computer system with communication technology for black sea region

    Page(s): 193 - 196
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    BlackSea TeleDiab (BSTD) is a multidisciplinary research project whose aim is to promote the exchange of healthcare information between clinicians and scientists in countries of the Black Sea area to provide a means by which the care of patients with diabetes may be enhanced. The project is built on an existing organizational framework provided by the WHO Diabcare Quality Network (Q-Net) and the Black Sea Diab Action Project. The aim is to develop a standardized software package (in the national languages of the CCE/NIS Black Sea partners) for the storage and transfer of medical information and healthcare data between participating institutions. It will utilize a standard format for medical records based on the Good European Health Record (GEHR), a project within the Advanced Informatics in Medicine (AIM) program, which aims to develop and propagate a common architecture for computerized health records across Europe that can be used across clinical domains, countries, and computer systems. View full abstract»

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  • Microscopic image analysis for quantitative measurement and feature identification of normal and cancerous colonic mucosa

    Page(s): 197 - 203
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    The development of an automated algorithm for the categorization of normal and cancerous colon mucosa is reported. Six features based on texture analysis were studied. They were derived using the co-occurrence matrix and were angular second moment, entropy, contrast, inverse difference moment, dissimilarity, and correlation. Optical density was also studied. Forty-four normal images and 58 cancerous images from sections of the colon were analyzed. These two groups were split equally into two subgroups: one set was used for supervised training and the other to test the classification algorithm. A stepwise selection procedure showed that correlation and entropy were the features that discriminated most strongly between normal and cancerous tissue (P<0.0001). A parametric linear-discriminate function was used to determine the classification rule. For the training set, a sensitivity and specificity of 93.1% and 81.8%, respectively, were achieved, with an overall accuracy of 88.2%. These results mere confirmed with the test set, with a sensitivity and specificity of 93.1% and 86.4%, respectively, and an overall accuracy of 90.2%. View full abstract»

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  • Real-time separation of discontinuous adventitious sounds from vesicular sounds using a fuzzy rule-based filter

    Page(s): 204 - 215
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    The separation of pathological discontinuous adventitious sounds (DAS) from vesicular sounds (VS) is of great importance to the analysis of lung sounds since DAS are related to certain pulmonary pathologies. An automated way of revealing the diagnostic character of DAS, by isolating them from VS, based on their nonstationarity, is presented. The proposed algorithm uses two adaptive network-based fuzzy inference systems to compose a generalized fuzzy rule-based stationary-nonstationary filter (GFST-NST). The training procedure of the fuzzy inference systems involves the outputs of the wavelet transform-based stationary-nonstationary filter (WTST-NST), proposed by Hadjileontiadis and Panas (1997). The basic idea of the GFST-NST was initially proposed by the authors with the introduction of the fuzzy rule-based stationary-nonstationary filter (FST-NST) (1997), tested with the separation of crackles from VS. The main contribution of this paper is the modification of the structure of the FST-NST filter to a serial-type fuzzy filter that, unlike the parallel operation of the FST-NST filter, sends a predicted stationary signal (VS) into the predictor of the nonstationary (DAS). Applying the GFST-NST filter to fine-coarse crackles and squawks, selected from three lung sound databases, the coherent structure of DAS is revealed and they are separated from VS. The separation performance of the GFST-NST filter was evaluated through quantitative and qualitative indexes that proved its efficiency and superiority against the FST-NST filter. When compared to the WTST-NST filter, the GFST-NST filter performed similarly in accuracy and objectiveness, but in a faster way. Thus, the GFST-NST filter combines the separation accuracy of the WTST-NST filter with the real-time implementation of the FST-NST filter, so it can easily be used in clinical medicine as a module of an integrated intelligent patient evaluation system. View full abstract»

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Aims & Scope

The IEEE Transactions on Information Technology in Biomedicine publishes basic and applied papers of information technology applications in health, healthcare and biomedicine.

 

This Transaction ceased publication in 2012. The current retitled publication is IEEE Journal of Biomedical and Health Informatics.

Full Aims & Scope

Meet Our Editors

Editor-in-Chief
Yuan-ting Zhang
427, Ho Sin Hang Engineering Building, The Chinese
University of Hong Kong, Shatin, NT, Hong Kong
ytzhang@ee.cuhk.edu.hk
Phone:+852 2609-8458
Fax:+852 2609-5558