2,793 research outputs found

    Open-Source Telemedicine Platform for Wireless Medical Video Communication

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    An m-health system for real-time wireless communication of medical video based on open-source software is presented. The objective is to deliver a low-cost telemedicine platform which will allow for reliable remote diagnosis m-health applications such as emergency incidents, mass population screening, and medical education purposes. The performance of the proposed system is demonstrated using five atherosclerotic plaque ultrasound videos. The videos are encoded at the clinically acquired resolution, in addition to lower, QCIF, and CIF resolutions, at different bitrates, and four different encoding structures. Commercially available wireless local area network (WLAN) and 3.5G high-speed packet access (HSPA) wireless channels are used to validate the developed platform. Objective video quality assessment is based on PSNR ratings, following calibration using the variable frame delay (VFD) algorithm that removes temporal mismatch between original and received videos. Clinical evaluation is based on atherosclerotic plaque ultrasound video assessment protocol. Experimental results show that adequate diagnostic quality wireless medical video communications are realized using the designed telemedicine platform. HSPA cellular networks provide for ultrasound video transmission at the acquired resolution, while VFD algorithm utilization bridges objective and subjective ratings

    Abnormality Detection in Mammography using Deep Convolutional Neural Networks

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    Breast cancer is the most common cancer in women worldwide. The most common screening technology is mammography. To reduce the cost and workload of radiologists, we propose a computer aided detection approach for classifying and localizing calcifications and masses in mammogram images. To improve on conventional approaches, we apply deep convolutional neural networks (CNN) for automatic feature learning and classifier building. In computer-aided mammography, deep CNN classifiers cannot be trained directly on full mammogram images because of the loss of image details from resizing at input layers. Instead, our classifiers are trained on labelled image patches and then adapted to work on full mammogram images for localizing the abnormalities. State-of-the-art deep convolutional neural networks are compared on their performance of classifying the abnormalities. Experimental results indicate that VGGNet receives the best overall accuracy at 92.53\% in classifications. For localizing abnormalities, ResNet is selected for computing class activation maps because it is ready to be deployed without structural change or further training. Our approach demonstrates that deep convolutional neural network classifiers have remarkable localization capabilities despite no supervision on the location of abnormalities is provided.Comment: 6 page

    Calibration Using Matrix Completion with Application to Ultrasound Tomography

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    We study the calibration process in circular ultrasound tomography devices where the sensor positions deviate from the circumference of a perfect circle. This problem arises in a variety of applications in signal processing ranging from breast imaging to sensor network localization. We introduce a novel method of calibration/localization based on the time-of-flight (ToF) measurements between sensors when the enclosed medium is homogeneous. In the presence of all the pairwise ToFs, one can easily estimate the sensor positions using multi-dimensional scaling (MDS) method. In practice however, due to the transitional behaviour of the sensors and the beam form of the transducers, the ToF measurements for close-by sensors are unavailable. Further, random malfunctioning of the sensors leads to random missing ToF measurements. On top of the missing entries, in practice an unknown time delay is also added to the measurements. In this work, we incorporate the fact that a matrix defined from all the ToF measurements is of rank at most four. In order to estimate the missing ToFs, we apply a state-of-the-art low-rank matrix completion algorithm, OPTSPACE . To find the correct positions of the sensors (our ultimate goal) we then apply MDS. We show analytic bounds on the overall error of the whole process in the presence of noise and hence deduce its robustness. Finally, we confirm the functionality of our method in practice by simulations mimicking the measurements of a circular ultrasound tomography device.Comment: submitted to IEEE Transaction on Signal Processin

    Similarity Measurement of Breast Cancer Mammographic Images Using Combination of Mesh Distance Fourier Transform and Global Features

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    Similarity measurement in breast cancer is an important aspect of determining the vulnerability of detected masses based on the previous cases. It is used to retrieve the most similar image for a given mammographic query image from a collection of previously archived images. By analyzing these results, doctors and radiologists can more accurately diagnose early-stage breast cancer and determine the best treatment. The direct result is better prognoses for breast cancer patients. Similarity measurement in images has always been a challenging task in the field of pattern recognition. A widely-adopted strategy in Content-Based Image Retrieval (CBIR) is comparison of local shape-based features of images. Contours summarize the orientations and sizes images, allowing for heuristic approach in measuring similarity between images. Similarly, global features of an image have the ability to generalize the entire object with a single vector which is also an important aspect of CBIR. The main objective of this paper is to enhance the similarity measurement between query images and database images so that the best match is chosen from the database for a particular query image, thus decreasing the chance of false positives. In this paper, a method has been proposed which compares both local and global features of images to determine their similarity. Three image filters are applied to make this comparison. First, we filter using the mesh distance Fourier descriptor (MDFD), which is based on the calculation of local features of the mammographic image. After this filter is applied, we retrieve the five most similar images from the database. Two additional filters are applied to the resulting image set to determine the best match. Experiments show that this proposed method overcomes shortcomings of existing methods, increasing accuracy of matches from 68% to 88%

    Deep Learning in Cardiology

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    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

    An Affordable Portable Obstetric Ultrasound Simulator for Synchronous and Asynchronous Scan Training

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    The increasing use of Point of Care (POC) ultrasound presents a challenge in providing efficient training to new POC ultrasound users. In response to this need, we have developed an affordable, compact, laptop-based obstetric ultrasound training simulator. It offers freehand ultrasound scan on an abdomen-sized scan surface with a 5 degrees of freedom sham transducer and utilizes 3D ultrasound image volumes as training material. On the simulator user interface is rendered a virtual torso, whose body surface models the abdomen of a particular pregnant scan subject. A virtual transducer scans the virtual torso, by following the sham transducer movements on the scan surface. The obstetric ultrasound training is self-paced and guided by the simulator using a set of tasks, which are focused on three broad areas, referred to as modules: 1) medical ultrasound basics, 2) orientation to obstetric space, and 3) fetal biometry. A learner completes the scan training through the following three steps: (i) watching demonstration videos, (ii) practicing scan skills by sequentially completing the tasks in Modules 2 and 3, with scan evaluation feedback and help functions available, and (iii) a final scan exercise on new image volumes for assessing the acquired competency. After each training task has been completed, the simulator evaluates whether the task has been carried out correctly or not, by comparing anatomical landmarks identified and/or measured by the learner to reference landmark bounds created by algorithms, or pre-inserted by experienced sonographers. Based on the simulator, an ultrasound E-training system has been developed for the medical practitioners for whom ultrasound training is not accessible at local level. The system, composed of a dedicated server and multiple networked simulators, provides synchronous and asynchronous training modes, and is able to operate with a very low bit rate. The synchronous (or group-learning) mode allows all training participants to observe the same 2D image in real-time, such as a demonstration by an instructor or scan ability of a chosen learner. The synchronization of 2D images on the different simulators is achieved by directly transmitting the position and orientation of the sham transducer, rather than the ultrasound image, and results in a system performance independent of network bandwidth. The asynchronous (or self-learning) mode is described in the previous paragraph. However, the E-training system allows all training participants to stay networked to communicate with each other via text channel. To verify the simulator performance and training efficacy, we conducted several performance experiments and clinical evaluations. The performance experiment results indicated that the simulator was able to generate greater than 30 2D ultrasound images per second with acceptable image quality on medium-priced computers. In our initial experiment investigating the simulator training capability and feasibility, three experienced sonographers individually scanned two image volumes on the simulator. They agreed that the simulated images and the scan experience were adequately realistic for ultrasound training; the training procedure followed standard obstetric ultrasound protocol. They further noted that the simulator had the potential for becoming a good supplemental training tool for medical students and resident doctors. A clinic study investigating the simulator training efficacy was integrated into the clerkship program of the Department of Obstetrics and Gynecology, University of Massachusetts Memorial Medical Center. A total of 24 3rd year medical students were recruited and each of them was directed to scan six image volumes on the simulator in two 2.5-hour sessions. The study results showed that the successful scan times for the training tasks significantly decreased as the training progressed. A post-training survey answered by the students found that they considered the simulator-based training useful and suitable for medical students and resident doctors. The experiment to validate the performance of the E-training system showed that the average transmission bit rate was approximately 3-4 kB/s; the data loss was less than 1% and no loss of 2D images was visually detected. The results also showed that the 2D images on all networked simulators could be considered to be synchronous even though inter-continental communication existed
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