13,985 research outputs found
On the development of intelligent medical systems for pre-operative anaesthesia assessment
This thesis describes the research and development of a decision support tool for determining a medical patient's suitability for surgical anaesthesia. At present, there is a change in the way that patients are clinically assessedp rior to surgery. The pre-operative assessment, usually conducted by a qualified anaesthetist, is being more frequently performed by nursing grade staff. The pre-operative assessmenet xists to minimise the risk of surgical complications for the patient. Nursing grade staff are often not as experienced as qualified anaesthetists, and thus are not as well suited to the role of performing the pre-operative assessment. This research project used data collected during pre-operative assessments to develop a decision support tool that would assist the nurse (or anaesthetist) in determining whether a patient is suitable for surgical anaesthesia. The three main objectives are: firstly, to research and develop an automated intelligent systems technique for classifying heart and lung sounds and hence identifying cardio-respiratory pathology. Secondly, to research and develop an automated intelligent systems technique for assessing the patient's blood oxygen level and pulse waveform. Finally, to develop a decision support tool that would combine the assessmentsa bove in forming a decision as to whether the patient is suitable for surgical anaesthesia. Clinical data were collected from hospital outpatient departments and recorded alongside the diagnoses made by a qualified anaesthetist. Heart and lung sounds were collected using an electronic stethoscope. Using this data two ensembles of artificial neural networks were trained to classify the different heart and lung sounds into different pathology groups. Classification accuracies up to 99.77% for the heart sounds, and 100% for the lung sounds has been obtained. Oxygen saturation and pulse waveform measurements were recorded using a pulse oximeter. Using this data an artificial neural network was trained to discriminate between normal and abnormal pulse waveforms. A discrimination accuracy of 98% has been obtained from the system. A fuzzy inference system was generated to classify the patient's blood oxygen level as being either an inhibiting or non-inhibiting factor in their suitability for surgical anaesthesia. When tested the system successfully classified 100% of the test dataset. A decision support tool, applying the genetic programming evolutionary technique to a fuzzy classification system was created. The decision support tool combined the results from the heart sound, lung sound and pulse oximetry classifiers in determining whether a patient was suitable for surgical anaesthesia. The evolved fuzzy system attained a classification accuracy of 91.79%. The principal conclusion from this thesis is that intelligent systems, such as artificial neural networks, genetic programming, and fuzzy inference systems, can be successfully applied to the creation of medical decision support tools.EThOS - Electronic Theses Online ServiceMedicdirect.co.uk Ltd.GBUnited Kingdo
A Robust Interpretable Deep Learning Classifier for Heart Anomaly Detection Without Segmentation
Traditionally, abnormal heart sound classification is framed as a three-stage
process. The first stage involves segmenting the phonocardiogram to detect
fundamental heart sounds; after which features are extracted and classification
is performed. Some researchers in the field argue the segmentation step is an
unwanted computational burden, whereas others embrace it as a prior step to
feature extraction. When comparing accuracies achieved by studies that have
segmented heart sounds before analysis with those who have overlooked that
step, the question of whether to segment heart sounds before feature extraction
is still open. In this study, we explicitly examine the importance of heart
sound segmentation as a prior step for heart sound classification, and then
seek to apply the obtained insights to propose a robust classifier for abnormal
heart sound detection. Furthermore, recognizing the pressing need for
explainable Artificial Intelligence (AI) models in the medical domain, we also
unveil hidden representations learned by the classifier using model
interpretation techniques. Experimental results demonstrate that the
segmentation plays an essential role in abnormal heart sound classification.
Our new classifier is also shown to be robust, stable and most importantly,
explainable, with an accuracy of almost 100% on the widely used PhysioNet
dataset
Deep Neural Networks for the Recognition and Classification of Heart Murmurs Using Neuromorphic Auditory Sensors
Auscultation is one of the most used techniques for
detecting cardiovascular diseases, which is one of the main causes
of death in the world. Heart murmurs are the most common abnormal
finding when a patient visits the physician for auscultation.
These heart sounds can either be innocent, which are harmless, or
abnormal, which may be a sign of a more serious heart condition.
However, the accuracy rate of primary care physicians and expert
cardiologists when auscultating is not good enough to avoid most
of both type-I (healthy patients are sent for echocardiogram) and
type-II (pathological patients are sent home without medication or
treatment) errors made. In this paper, the authors present a novel
convolutional neural network based tool for classifying between
healthy people and pathological patients using a neuromorphic
auditory sensor for FPGA that is able to decompose the audio into
frequency bands in real time. For this purpose, different networks
have been trained with the heart murmur information contained in
heart sound recordings obtained from nine different heart sound
databases sourced from multiple research groups. These samples
are segmented and preprocessed using the neuromorphic auditory
sensor to decompose their audio information into frequency
bands and, after that, sonogram images with the same size are
generated. These images have been used to train and test different
convolutional neural network architectures. The best results
have been obtained with a modified version of the AlexNet model,
achieving 97% accuracy (specificity: 95.12%, sensitivity: 93.20%,
PhysioNet/CinC Challenge 2016 score: 0.9416). This tool could aid
cardiologists and primary care physicians in the auscultation process,
improving the decision making task and reducing type-I and
type-II errors.Ministerio de Economía y Competitividad TEC2016-77785-
Deep Learning in Cardiology
The medical field is creating large amount of data that physicians are unable
to decipher and use efficiently. Moreover, rule-based expert systems are
inefficient in solving complicated medical tasks or for creating insights using
big data. Deep learning has emerged as a more accurate and effective technology
in a wide range of medical problems such as diagnosis, prediction and
intervention. Deep learning is a representation learning method that consists
of layers that transform the data non-linearly, thus, revealing hierarchical
relationships and structures. In this review we survey deep learning
application papers that use structured data, signal and imaging modalities from
cardiology. We discuss the advantages and limitations of applying deep learning
in cardiology that also apply in medicine in general, while proposing certain
directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table
Corporation robots
Nowadays, various robots are built to perform multiple tasks. Multiple robots working
together to perform a single task becomes important. One of the key elements for multiple
robots to work together is the robot need to able to follow another robot. This project is
mainly concerned on the design and construction of the robots that can follow line. In this
project, focuses on building line following robots leader and slave. Both of these robots will
follow the line and carry load. A Single robot has a limitation on handle load capacity such as
cannot handle heavy load and cannot handle long size load. To overcome this limitation an
easier way is to have a groups of mobile robots working together to accomplish an aim that
no single robot can do alon
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