Virtual Reality applied to biomedical engineering

Actualment, la realitat virtual esta sent tendència i s'està expandint a l'àmbit mèdic, fent possible l'aparició de nombroses aplicacions dissenyades per entrenar metges i tractar pacients de forma més eficient, així com optimitzar els processos de planificació quirúrgica. La necessitat mèdica i objectiu d'aquest projecte és fer òptim el procés de planificació quirúrgica per a cardiopaties congènites, que compren la reconstrucció en 3D del cor del pacient i la seva integració en una aplicació de realitat virtual. Seguint aquesta línia s’ha combinat un procés de modelat 3D d’imatges de cors obtinguts gracies al Hospital Sant Joan de Déu i el disseny de l’aplicació mitjançant el software Unity 3D gracies a l’empresa VISYON. S'han aconseguit millores en quant al software emprat per a la segmentació i reconstrucció, i s’han assolit funcionalitats bàsiques a l’aplicació com importar, moure, rotar i fer captures de pantalla en 3D de l'òrgan cardíac i així, entendre millor la cardiopatia que s’ha de tractar. El resultat ha estat la creació d'un procés òptim, en el que la reconstrucció en 3D ha aconseguit ser ràpida i precisa, el mètode d’importació a l’app dissenyada molt senzill, i una aplicació que permet una interacció atractiva i intuïtiva, gracies a una experiència immersiva i realista per ajustar-se als requeriments d'eficiència i precisió exigits en el camp mèdic

Data Integration in Cardiac Surgery Health Care Institution: Experience at G. Pasquinucci Heart Hospital

During the last ten years the Hospital Information System (HIS) was developed at the Institute of Clinical Physiology of National Research Council (IFC-CNR), recently reorganized on clinical side into the "Gabriele Monasterio Foundation" (FGM) by joint efforts of CNR, Tuscany Region and Universities. At G.Pasquinucci Heart Hospital (GPH), currently FGM\u27s section in Massa, the HIS was adapted and extended to Cardiac Surgery and Pediatric Cardiology. Data archiving and middleware integration through HIS network, connecting GPH with head institution in Pisa, allowed to achieve full secure access to patient information from any workstation within hospital or outside. PACS was developed using Open Source DICOM utilities. Electronic Medical Record is daily used since 2005 on both inpatients and outpatients. Recently telediagnosis was set up between Balkan countries and GPH in Massa

Padimedical: Medical Image Sharing Portal with DICOM Viewer – User Experience

Digital Imaging and Communication in Medicine (DICOM) is a standard medical imaging format for medical imaging information and data. Availability to access DICOM files remotely using smartphones has shown to improve healthcare systems especially for communication between doctors fromdifferent centres. Most of DICOM files need to be viewed using conventional institutional DICOM viewer. We developed software which allows medical personnel to access DICOM images remotely from their smartphone. This newly created software platform is named Padimedical. This pilot study aims to evaluate users’ satisfaction and usability. Practising medical doctors from a radiology department in a tertiary referral centre were chosen as correspondents in this study. The survey form was sent to over 30 doctors via email. A total of 24 out of 30 respondents completed the survey. The survey showed that Padimedical DICOM viewer was easily accessible (100%), compatible with OS operating system (100%), user-friendly (87.1%), and high signal to noise ratio (100%). All respondents (100%) agreed that the image viewing was smooth and responsive. All respondents would recommend to their peers (n=24). A total of 18 respondents suggested that the quality of images was high (76%) and 23 respondents suggested that the contents in this newly created platform were easy to share (96.15%). All the participants were able to make the correct diagnosis using Padimedical. Overall, the rating of our platform is 4.3 out of 5. Conclusion: Based on this pilot survey, Padimedical software was easily accessible remotely using smartphones, compatible with OS operating system, viewing images were smooth and responsive, produce high-quality image, and easy to share DICOM contents.Keywords—DICOM, images, software

Innovative ICT solutions in telemedicine to support clinical practice and research in hospitals

2010/2011The scope of this study was to examine ICT telemedicine innovations and potentialities in web-portals, intranet services and tele-radiology topics respectively, in order to design, develop and, possibly, realize apposite telemedicine systems and solutions for healthcare and in particular for the hospitals. ICT techniques and technologies are nowadays applied in every area of our common living from work places to our homes, our free-time, schools, universities and so on. The healthcare services offered by hospitals are heavily supported by technologies and, behind them, by a wide research both in ICT and biomedical sciences. Thanks to these advances telemedicine is now becoming a fundamental part of services offered by hospitals and healthcare structures. The healthcare management, the doctors and the common people are now experimenting how telemedicine is an added value to all the services offered in terms of the quality of care, the patient follow up, the early diagnose and treatment of pathologies and diseases. In this research is presented an all-inclusive approach to telemedicine problems and challenges in particular studying, developing and proposing ICT methods and technologies in the above mentioned three areas of interest: •innovative healthcare and telemedicine-ready hospital website or portal design and development; •analysis and study of models for the realization of intranet healthcare services to enhance both quality of care and the management of healthcare personnel evaluation; •tele-radiology and some of its actual new perspectives as the study and the evaluation of the “mobile” tele-radiology approach using commercial tablets (and what it could mean).For the first topic the results may be summarized in the development of a more interactive and “social” hospital web-portal offering original solutions and services to all the categories of users (audience, professionals, researchers), allowing them – through the use of advanced tools - to configure and select their own pages and interests. The originality of this approach consists in a good cost/effective result in the respect of the last and worldwide accepted Internet regulations and policies too. A similar approach regarded the intranet services and the design of web interfaces for the clinical practice and the executive evaluation. These kind of innovative systems regard a limited and selected number of more skilled users, typically belonging to a corporation or to specific offices. As above the approach is important: interactive services, innovative tools and affordable instruments are the keywords of the systems designed or proposed to solve specific problems or needs. The last research topic concerned the proposal of a protocol for the assessment of medical images on commercial displays, interesting the stakeholders and the groups involved in medical images treatment, visualization and communication. The potentialities of the mobile tablet devices improve day after day and new devices are marketed every week and the innovation is round the corner. These potentialities must encounter the medical diagnostics world and meet the standards and the regulations the international community established. It will be difficult for a commercial tablet to obtain the medical device CE mark not only for commercial reasons, but the technical limits may be reached and even surpassed adopting objective measures and evaluations. This study demonstrates that commercial tablets may be used in clinical practice for the correct visualization and diagnose of medical images. The measures of some display characteristics may be considered acceptable for mobile interpretation (even report?) of medical images, but if and only if the ambient lighting conditions are under objective control and integrated automated systems in tablets warns physicians about bad or borderline technical and ambient restrictions or bonds.XXIII Ciclo197

High imperceptibility and robustness watermarking scheme for brain MRI using Slantlet transform coupled with enhanced knight tour algorithm

This research introduces a novel and robust watermarking scheme for medical Brain MRI DICOM images, addressing the challenge of maintaining high imperceptibility and robustness simultaneously. The scheme ensures privacy control, content authentication, and protection against the detachment of vital Electronic Patient Record information. To enhance imperceptibility, a Dynamic Visibility Threshold parameter leveraging the Human Visual System is introduced. Embeddable Zones and Non-Embeddable Zones are defined to enhance robustness, and an enhanced Knight Tour algorithm based on Slantlet Transform shuffles the embedding sequence for added security. The scheme achieves remarkable results with a Peak Signal-to-Noise Ratio (PSNR) evaluation surpassing contemporary techniques. Extensive experimentation demonstrates resilience to various attacks, with low Bit Error Rate (BER) and high Normalized Cross-Correlation (NCC) values. The proposed technique outperforms existing methods, emphasizing its superior performance and effectiveness in medical image watermarking

Ubiquitous volume rendering in the web platform

176 p.The main thesis hypothesis is that ubiquitous volume rendering can be achieved using WebGL. The thesis enumerates the challenges that should be met to achieve that goal. The results allow web content developers the integration of interactive volume rendering within standard HTML5 web pages. Content developers only need to declare the X3D nodes that provide the rendering characteristics they desire. In contrast to the systems that provide specific GPU programs, the presented architecture creates automatically the GPU code required by the WebGL graphics pipeline. This code is generated directly from the X3D nodes declared in the virtual scene. Therefore, content developers do not need to know about the GPU.The thesis extends previous research on web compatible volume data structures for WebGL, ray-casting hybrid surface and volumetric rendering, progressive volume rendering and some specific problems related to the visualization of medical datasets. Finally, the thesis contributes to the X3D standard with some proposals to extend and improve the volume rendering component. The proposals are in an advance stage towards their acceptance by the Web3D Consortium

Modern Information Systems

The development of modern information systems is a demanding task. New technologies and tools are designed, implemented and presented in the market on a daily bases. User needs change dramatically fast and the IT industry copes to reach the level of efficiency and adaptability for its systems in order to be competitive and up-to-date. Thus, the realization of modern information systems with great characteristics and functionalities implemented for specific areas of interest is a fact of our modern and demanding digital society and this is the main scope of this book. Therefore, this book aims to present a number of innovative and recently developed information systems. It is titled "Modern Information Systems" and includes 8 chapters. This book may assist researchers on studying the innovative functions of modern systems in various areas like health, telematics, knowledge management, etc. It can also assist young students in capturing the new research tendencies of the information systems' development