Abstract: ECG analysis method was developed using ROC
analysis of PVC detecting algorithm. ECG signal of MIT-BIH
arrhythmia database was analyzed by MATLAB. First of all, the
baseline was removed by median filter to preprocess the ECG signal.
R peaks were detected for ECG analysis method, and normal VCG
was extracted for VCG analysis method. Four PVC detecting
algorithm was analyzed by ROC curve, which parameters are
maximum amplitude of QRS complex, width of QRS complex, r-r
interval and geometric mean of VCG. To set cut-off value of
parameters, ROC curve was estimated by true-positive rate
(sensitivity) and false-positive rate. sensitivity and false negative rate
(specificity) of ROC curve calculated, and ECG was analyzed using
cut-off value which was estimated from ROC curve. As a result, PVC
detecting algorithm of VCG geometric mean have high availability,
and PVC could be detected more accurately with amplitude and width
of QRS complex.
Abstract: In this paper, a wavelet-based neural network (WNN) classifier for recognizing EEG signals is implemented and tested under three sets EEG signals (healthy subjects, patients with epilepsy and patients with epileptic syndrome during the seizure). First, the Discrete Wavelet Transform (DWT) with the Multi-Resolution Analysis (MRA) is applied to decompose EEG signal at resolution levels of the components of the EEG signal (δ, θ, α, β and γ) and the Parseval-s theorem are employed to extract the percentage distribution of energy features of the EEG signal at different resolution levels. Second, the neural network (NN) classifies these extracted features to identify the EEGs type according to the percentage distribution of energy features. The performance of the proposed algorithm has been evaluated using in total 300 EEG signals. The results showed that the proposed classifier has the ability of recognizing and classifying EEG signals efficiently.
Abstract: The increasingly sophisticated technologies have now been able to provide assistance for surgeons to improve surgical
performance through various training programs. Equally important to learning skills is the assessment method as it determines the learning and technical proficiency of a trainee. A consistent and
rigorous assessment system will ensure that trainees acquire the specific level of competency prior to certification. This paper
reviews the methods currently in use for assessment of surgical
skill and some modern techniques using computer-based
measurements and virtual reality systems for more quantitative
measurements
Abstract: Electrocardiogram (ECG) data compression algorithm
is needed that will reduce the amount of data to be transmitted, stored
and analyzed, but without losing the clinical information content. A
wavelet ECG data codec based on the Set Partitioning In Hierarchical
Trees (SPIHT) compression algorithm is proposed in this paper. The
SPIHT algorithm has achieved notable success in still image coding.
We modified the algorithm for the one-dimensional (1-D) case and
applied it to compression of ECG data.
By this compression method, small percent root mean square
difference (PRD) and high compression ratio with low
implementation complexity are achieved. Experiments on selected
records from the MIT-BIH arrhythmia database revealed that the
proposed codec is significantly more efficient in compression and in
computation than previously proposed ECG compression schemes.
Compression ratios of up to 48:1 for ECG signals lead to acceptable
results for visual inspection.
Abstract: The study describes chitosan membrane platform
modified with nanostructure pattern which using nanotechnology to
fabricate. The cell-substrate interaction between neuro-2a neuroblasts
cell lines and chitosan membrane (flat, nanostructure and
nanostructure pattern types) was investigated. The adhered
morphology of neuro-2a cells depends on the topography of chitosan
surface. We have found that neuro-2a showed different morphogenesis
when cells adhered on flat and nanostructure chitosan membrane. The
cell projected area of neuro-2a on flat chitosan membrane is larger
than on nanostructure chitosan membrane. In addition, neuro-2a cells
preferred to adhere on flat chitosan surface region than on
nanostructure chitosan membrane to immobilize and differentiation.
The experiment suggests surface topography can be used as a critical
mechanism to isolate group of neuro-2a to a particular rectangle area
on chitosan membrane. Our finding will provide a platform to take
patch clamp to record electrophysiological behavior about neurons in
vitro in the future.
Abstract: Compensating physiological motion in the context
of minimally invasive cardiac surgery has become an attractive
issue since it outperforms traditional cardiac procedures offering
remarkable benefits. Owing to space restrictions, computer vision
techniques have proven to be the most practical and suitable solution.
However, the lack of robustness and efficiency of existing methods
make physiological motion compensation an open and challenging
problem. This work focusses on increasing robustness and efficiency
via exploration of the classes of 1−and 2−regularized optimization,
emphasizing the use of explicit regularization. Both approaches are
based on natural features of the heart using intensity information.
Results pointed out the 1−regularized optimization class as the best
since it offered the shortest computational cost, the smallest average
error and it proved to work even under complex deformations.
Abstract: Falls are the primary cause of accidents in people over
the age of 65, and frequently lead to serious injuries. Since the early
detection of falls is an important step to alert and protect the aging
population, a variety of research on detecting falls was carried out
including the use of accelerators, gyroscopes and tilt sensors. In
exiting studies, falls were detected using an accelerometer with
errors. In this study, the proposed method for detecting falls was to
use two accelerometers to reject wrong falls detection. As falls are
accompanied by the acceleration of gravity and rotational motion, the
falls in this study were detected by using the z-axial acceleration
differences between two sites. The falls were detected by calculating
the difference between the analyses of accelerometers placed on two
different positions on the chest of the subject. The parameters of the
maximum difference of accelerations (diff_Z) and the integration of
accelerations in a defined region (Sum_diff_Z) were used to form the
fall detection algorithm. The falls and the activities of daily living
(ADL) could be distinguished by using the proposed parameters
without errors in spite of the impact and the change in the positions
of the accelerometers. By comparing each of the axial accelerations,
the directions of falls and the condition of the subject afterwards
could be determined.In this study, by using two accelerometers
without errors attached to two sites to detect falls, the usefulness of
the proposed fall detection algorithm parameters, diff_Z and
Sum_diff_Z, were confirmed.
Abstract: It is sometimes difficult to differentiate between
innocent murmurs and pathological murmurs during auscultation. In
these difficult cases, an intelligent stethoscope with decision support
abilities would be of great value. In this study, using a dog model,
phonocardiographic recordings were obtained from 27 boxer dogs
with various degrees of aortic stenosis (AS) severity. As a reference
for severity assessment, continuous wave Doppler was used. The data
were analyzed with recurrence quantification analysis (RQA) with
the aim to find features able to distinguish innocent murmurs from
murmurs caused by AS. Four out of eight investigated RQA features
showed significant differences between innocent murmurs and
pathological murmurs. Using a plain linear discriminant analysis
classifier, the best pair of features (recurrence rate and entropy)
resulted in a sensitivity of 90% and a specificity of 88%. In
conclusion, RQA provide valid features which can be used for
differentiation between innocent murmurs and murmurs caused by
AS.
Abstract: Automatic segmentation of skin lesions is the first step
towards development of a computer-aided diagnosis of melanoma.
Although numerous segmentation methods have been developed,
few studies have focused on determining the most discriminative
and effective color space for melanoma application. This paper
proposes a novel automatic segmentation algorithm using color space
analysis and clustering-based histogram thresholding, which is able to
determine the optimal color channel for segmentation of skin lesions.
To demonstrate the validity of the algorithm, it is tested on a set of 30
high resolution dermoscopy images and a comprehensive evaluation
of the results is provided, where borders manually drawn by four
dermatologists, are compared to automated borders detected by the
proposed algorithm. The evaluation is carried out by applying three
previously used metrics of accuracy, sensitivity, and specificity and
a new metric of similarity. Through ROC analysis and ranking the
metrics, it is shown that the best results are obtained with the X and
XoYoR color channels which results in an accuracy of approximately
97%. The proposed method is also compared with two state-ofthe-
art skin lesion segmentation methods, which demonstrates the
effectiveness and superiority of the proposed segmentation method.
Abstract: The structure of retinal vessels is a prominent feature,
that reveals information on the state of disease that are reflected in
the form of measurable abnormalities in thickness and colour.
Vascular structures of retina, for implementation of clinical diabetic
retinopathy decision making system is presented in this paper.
Retinal Vascular structure is with thin blood vessel, whose accuracy
is highly dependent upon the vessel segmentation. In this paper the
blood vessel thickness is automatically detected using preprocessing
techniques and vessel segmentation algorithm. First the capture
image is binarized to get the blood vessel structure clearly, then it is
skeletonised to get the overall structure of all the terminal and
branching nodes of the blood vessels. By identifying the terminal
node and the branching points automatically, the main and branching
blood vessel thickness is estimated. Results are presented and
compared with those provided by clinical classification on 50 vessels
collected from Bejan Singh Eye hospital..
Abstract: The main objective of this paper is to provide an efficient tool for delineating brain tumors in three-dimensional magnetic resonance images and set up compression-transmit schemes to distribute result to the remote doctor. To achieve this goal, we use basically a level-sets approach to delineating brain tumors in threedimensional. Then introduce a new compression and transmission plan of 3D brain structures based for the meshes simplification, adapted for time to the specific needs of the telemedicine and to the capacities restricted by wireless network communication. We present here the main stages of our system, and preliminary results which are very encouraging for clinical practice.
Abstract: Sense-antisense gene pair (SAGP) is a pair of two oppositely transcribed genes sharing a common region on a chromosome. In the mammalian genomes, SAGPs can be organized in more complex sense-antisense gene architectures (CSAGA) in which at least one gene could share loci with two or more antisense partners. Many dozens of CSAGAs can be found in the human genome. However, CSAGAs have not been systematically identified and characterized in context of their role in human diseases including cancers. In this work we characterize the structural-functional properties of a cluster of 5 genes –TMEM97, IFT20, TNFAIP1, POLDIP2 and TMEM199, termed TNFAIP1 / POLDIP2 module. This cluster is organized as CSAGA in cytoband 17q11.2. Affymetrix U133A&B expression data of two large cohorts (410 atients, in total) of breast cancer patients and patient survival data were used. For the both studied cohorts, we demonstrate (i) strong and reproducible transcriptional co-regulatory patterns of genes of TNFAIP1/POLDIP2 module in breast cancer cell subtypes and (ii) significant associations of TNFAIP1/POLDIP2 CSAGA with amplification of the CSAGA region in breast cancer, (ii) cancer aggressiveness (e.g. genetic grades) and (iv) disease free patient-s survival. Moreover, gene pairs of this module demonstrate strong synergetic effect in the prognosis of time of breast cancer relapse. We suggest that TNFAIP1/ POLDIP2 cluster can be considered as a novel type of structural-functional gene modules in the human genome.
Abstract: This paper presents a new stable robust adaptive controller and observer design for a class of nonlinear systems that contain i. Coupling of unmeasured states and unknown parameters ii. Unknown dead zone at the system actuator. The system is firstly cast into a modified form in which the observer and parameter estimation become feasible. Then a stable robust adaptive controller, state observer, parameter update laws are derived that would provide global adaptive system stability and desirable performance. To validate the approach, simulation was performed to a single-link mechanical system with a dynamic friction model and unknown dead zone exists at the system actuation. Then a comparison is presented with the results when there is no dead zone at the system actuation.
Abstract: A Positron Emission Tomography (PET) is a radioisotope imaging technique that illustrates the organs and the metabolisms of the human body. This technique is based on the simultaneous detection of 511 keV annihilation photons, annihilated as a result of electrons annihilating positrons that radiate from positron-emitting radioisotopes that enter biological active molecules in the body. This study was conducted on ten patients in an effort to conduct patient-related experimental studies. Dosage monitoring for the bladder, which was the organ that received the highest dose during PET applications, was conducted for 24 hours. Assessment based on measuring urination activities after injecting patients was also a part of this study. The MIRD method was used to conduct dosage calculations for results obtained from experimental studies. Results obtained experimentally and theoretically were assessed comparatively.
Abstract: In this article, we propose a new surgical device for
circumferentially excision of high anal fistulas in a minimally
invasive manner. The new apparatus works on the basis of axially
rotating and moving a tubular blade along a fistulous tract
straightened using a rigid straight guidewire. As the blade moves
along the tract, its sharp circular cutting edge circumferentially
separates approximately 2.25 mm thickness of tract encircling the
rigid guidewire. We used the new set to excise two anal fistulas in a
62-year-old male patient, an extrasphincteric type and a long tract
with no internal opening. With regard to the results of this test, the
new device can be considered as a sphincter preserving mechanism
for treatment of high anal fistulas. Consequently, a major reduction
in the risk of fecal incontinence, recurrence rate, convalescence
period and patient morbidity may be achieved using the new device
for treatment of fistula-in-ano.
Abstract: 2D/3D registration is a special case of medical image
registration which is of particular interest to surgeons. Applications
of 2D/3D registration are [1] radiotherapy planning and treatment
verification, spinal surgery, hip replacement, neurointerventions and
aortic stenting. The purpose of this paper is to provide a literature
review of the main methods for image registration for the 2D/3D
case. At the end of the paper an algorithm is proposed for 2D/3D
registration based on the Chebyssev polynomials iteration loop.
Abstract: Ventricular fibrillation is a very important health
problem as is the cause of most of the sudden deaths in the world.
Waves of electrical activity are sent by the SA node, propagate
through the cardiac tissue and activate the mechanisms of cell
contraction, and therefore are responsible to pump blood to the body
harmonically. A spiral wave is an abnormal auto sustainable wave
that is responsible of certain types of arrhythmias. When these waves
break up, give rise to the fibrillation regime, in which there is a
complete loss in the coordination of the contraction of the heart
muscle. Interaction of spiral waves and obstacles is also of great
importance as it is believed that the attachment of a spiral wave to an
obstacle can provide with a transition of two different arrhythmias.
An obstacle can be partially excitable or non excitable. In this talk,
we present a numerical study of the interaction of meandering spiral
waves with partially and non excitable obstacles and focus on the
problem where the obstacle plays a fundamental role in the switch
between different spiral regimes, which represent different
arrhythmic regimes. Particularly, we study the phenomenon of
destabilization of spiral waves due to the presence of obstacles, a
phenomenon not completely understood (This work will appear as a
Chapter in a Book named Cardiac Arrhytmias by INTECH under the
name "Spiral Waves, Obstacles and Cardiac Arrhythmias", ISBN
979-953-307-050-5.).
Abstract: This research was carried out to determine the
possible effects of low electromagnetic field (EMF) exposure to the
developing mice fetuses. Pregnant mice were exposed to EMF
exposure at 0mT (sham) and 1.2 mT for six hours per session, carried
out on gestation day 3, 6, 9, 12 and 15. Samples from the stillborn
offspring were observed for morphological defects. The heart didn-t
show progressive cellular damage, the lungs were congested and
emphysemics. The bones were in advance stage of hypertrophy.
Spectrums of morphological defects were observed over 70% of the
surviving offspring. These results indicate that even at lower
exposure to low EMF, is enough to induce morphological defects in
prenatal mice.
Abstract: The purpose of this study is to present a non invasive
method for the marginal adaptation evaluation in class V composite
restorations. Standardized class V cavities, prepared in human
extracted teeth, were filled with Premise (Kerr) composite. The
specimens were thermo cycled. The interfaces were examined by
Optical Coherence Tomography method (OCT) combined with the
confocal microscopy and fluorescence. The optical configuration
uses two single mode directional couplers with a superluminiscent
diode as the source at 1300 nm. The scanning procedure is similar to
that used in any confocal microscope, where the fast scanning is enface
(line rate) and the depth scanning is much slower (at the frame
rate). Gaps at the interfaces as well as inside the composite resin
materials were identified. OCT has numerous advantages which
justify its use in vivo as well as in vitro in comparison with
conventional techniques.
Abstract: Segmentation techniques based on Active Contour
Models have been strongly benefited from the use of prior information
during their evolution. Shape prior information is captured from
a training set and is introduced in the optimization procedure to
restrict the evolution into allowable shapes. In this way, the evolution
converges onto regions even with weak boundaries. Although
significant effort has been devoted on different ways of capturing
and analyzing prior information, very little thought has been devoted
on the way of combining image information with prior information.
This paper focuses on a more natural way of incorporating the
prior information in the level set framework. For proof of concept
the method is applied on hippocampus segmentation in T1-MR
images. Hippocampus segmentation is a very challenging task, due
to the multivariate surrounding region and the missing boundary
with the neighboring amygdala, whose intensities are identical. The
proposed method, mimics the human segmentation way and thus
shows enhancements in the segmentation accuracy.