Matching hand radiographs

Biometric verification and identification methods of medical images can be used to find possible inconsistencies in patient records. Such methods may also be useful for forensic research. In this work we present a method for identifying patients by their hand radiographs. We use active appearance model representations presented before [1] to extract 64 shape features per bone from the metacarpals, the proximal, and the middle phalanges. The number of features was reduced to 20 by applying principal component analysis. Subsequently, a likelihood ratio classifier [2] determines whether an image potentially belongs to another patient in the data set. Firstly, to study the symmetry between both hands, we use a likelihood-ratio classifier to match 45 left hand images to a database of 44 (matching) right hand images and vice versa. We found an average equal error probability of 6.4%, which indicates that both hand shapes are highly symmetrical. Therefore, to increase the number of samples per patient, the distinction between left and right hands was omitted. Secondly, we did multiple experiments with randomly selected training images from 24 patients. For several patients there were multiple image pairs available. Test sets were created by using the images of three different patients and 10 other images from patients that were in the training set. We estimated the equal error rate at 0.05%. Our experiments suggest that the shapes of the hand bones contain biometric information that can be used to identify persons

Spatial distribution of HD-EMG improves identification of task and force in patients with incomplete spinal cord injury

Background: Recent studies show that spatial distribution of High Density surface EMG maps (HD-EMG) improves the identification of tasks and their corresponding contraction levels. However, in patients with incomplete spinal cord injury (iSCI), some nerves that control muscles are damaged, leaving some muscle parts without an innervation. Therefore, HD-EMG maps in patients with iSCI are affected by the injury and they can be different for every patient. The objective of this study is to investigate the spatial distribution of intensity in HD-EMG recordings to distinguish co-activation patterns for different tasks and effort levels in patients with iSCI. These patterns are evaluated to be used for extraction of motion intention.; Method: HD-EMG was recorded in patients during four isometric tasks of the forearm at three different effort levels. A linear discriminant classifier based on intensity and spatial features of HD-EMG maps of five upper-limb muscles was used to identify the attempted tasks. Task and force identification were evaluated for each patient individually, and the reliability of the identification was tested with respect to muscle fatigue and time interval between training and identification. Results: Three feature sets were analyzed in the identification: 1) intensity of the HD-EMG map, 2) intensity and center of gravity of HD-EMG maps and 3) intensity of a single differential EMG channel (gold standard).; Results show that the combination of intensity and spatial features in classification identifies tasks and effort levels properly (Acc = 98.8 %; S = 92.5 %; P = 93.2 %; SP = 99.4 %) and outperforms significantly the other two feature sets (p < 0.05).; Conclusion: In spite of the limited motor functionality, a specific co-activation pattern for each patient exists for both intensity, and spatial distribution of myoelectric activity. The spatial distribution is less sensitive than intensity to myoelectric changes that occur due to fatigue, and other time-dependent influences.Peer ReviewedPostprint (published version

Automation of motor dexterity assessment

Motor dexterity assessment is regularly performed in rehabilitation wards to establish patient status and automatization for such routinary task is sought. A system for automatizing the assessment of motor dexterity based on the Fugl-Meyer scale and with loose restrictions on sensing technologies is presented. The system consists of two main elements: 1) A data representation that abstracts the low level information obtained from a variety of sensors, into a highly separable low dimensionality encoding employing t-distributed Stochastic Neighbourhood Embedding, and, 2) central to this communication, a multi-label classifier that boosts classification rates by exploiting the fact that the classes corresponding to the individual exercises are naturally organized as a network. Depending on the targeted therapeutic movement class labels i.e. exercises scores, are highly correlated-patients who perform well in one, tends to perform well in related exercises-; and critically no node can be used as proxy of others - an exercise does not encode the information of other exercises. Over data from a cohort of 20 patients, the novel classifier outperforms classical Naive Bayes, random forest and variants of support vector machines (ANOVA: p <; 0.001). The novel multi-label classification strategy fulfills an automatic system for motor dexterity assessment, with implications for lessening therapist's workloads, reducing healthcare costs and providing support for home-based virtual rehabilitation and telerehabilitation alternatives

Towards Vision-Based Smart Hospitals: A System for Tracking and Monitoring Hand Hygiene Compliance

One in twenty-five patients admitted to a hospital will suffer from a hospital acquired infection. If we can intelligently track healthcare staff, patients, and visitors, we can better understand the sources of such infections. We envision a smart hospital capable of increasing operational efficiency and improving patient care with less spending. In this paper, we propose a non-intrusive vision-based system for tracking people's activity in hospitals. We evaluate our method for the problem of measuring hand hygiene compliance. Empirically, our method outperforms existing solutions such as proximity-based techniques and covert in-person observational studies. We present intuitive, qualitative results that analyze human movement patterns and conduct spatial analytics which convey our method's interpretability. This work is a step towards a computer-vision based smart hospital and demonstrates promising results for reducing hospital acquired infections.Comment: Machine Learning for Healthcare Conference (MLHC

Indoor Positioning for Monitoring Older Adults at Home: Wi-Fi and BLE Technologies in Real Scenarios

This paper presents our experience on a real case of applying an indoor localization system formonitoringolderadultsintheirownhomes. Sincethesystemisdesignedtobeusedbyrealusers, therearemanysituationsthatcannotbecontrolledbysystemdevelopersandcanbeasourceoferrors. This paper presents some of the problems that arise when real non-expert users use localization systems and discusses some strategies to deal with such situations. Two technologies were tested to provide indoor localization: Wi-Fi and Bluetooth Low Energy. The results shown in the paper suggest that the Bluetooth Low Energy based one is preferable in the proposed task

Micro-doppler-based in-home aided and unaided walking recognition with multiple radar and sonar systems

Published in IET Radar, Sonar and Navigation. Online first 21/06/2016.The potential for using micro-Doppler signatures as a basis for distinguishing between aided and unaided gaits is considered in this study for the purpose of characterising normal elderly gait and assessment of patient recovery. In particular, five different classes of mobility are considered: normal unaided walking, walking with a limp, walking using a cane or tripod, walking with a walker, and using a wheelchair. This presents a challenging classification problem as the differences in micro-Doppler for these activities can be quite slight. Within this context, the performance of four different radar and sonar systems – a 40 kHz sonar, a 5.8 GHz wireless pulsed Doppler radar mote, a 10 GHz X-band continuous wave (CW) radar, and a 24 GHz CW radar – is evaluated using a broad range of features. Performance improvements using feature selection is addressed as well as the impact on performance of sensor placement and potential occlusion due to household objects. Results show that nearly 80% correct classification can be achieved with 10 s observations from the 24 GHz CW radar, whereas 86% performance can be achieved with 5 s observations of sonar