IHE cross-enterprise document sharing for imaging: interoperability testing software

<p>Abstract</p> <p>Background</p> <p>With the deployments of Electronic Health Records (EHR), interoperability testing in healthcare is becoming crucial. EHR enables access to prior diagnostic information in order to assist in health decisions. It is a virtual system that results from the cooperation of several heterogeneous distributed systems. Interoperability between peers is therefore essential. Achieving interoperability requires various types of testing. Implementations need to be tested using software that simulates communication partners, and that provides test data and test plans.</p> <p>Results</p> <p>In this paper we describe a software that is used to test systems that are involved in sharing medical images within the EHR. Our software is used as part of the Integrating the Healthcare Enterprise (IHE) testing process to test the Cross Enterprise Document Sharing for imaging (XDS-I) integration profile. We describe its architecture and functionalities; we also expose the challenges encountered and discuss the elected design solutions.</p> <p>Conclusions</p> <p>EHR is being deployed in several countries. The EHR infrastructure will be continuously evolving to embrace advances in the information technology domain. Our software is built on a web framework to allow for an easy evolution with web technology. The testing software is publicly available; it can be used by system implementers to test their implementations. It can also be used by site integrators to verify and test the interoperability of systems, or by developers to understand specifications ambiguities, or to resolve implementations difficulties.</p

Detecting of a Patient's Condition From Clinical Narratives Using Natural Language Representation

The rapid progress in clinical data management systems and artificial intelligence approaches enable the era of personalized medicine. Intensive care units (ICUs) are the ideal clinical research environment for such development because they collect many clinical data and are highly computerized environments. We designed a retrospective clinical study on a prospective ICU database using clinical natural language to help in the early diagnosis of heart failure in critically ill children. The methodology consisted of empirical experiments of a learning algorithm to learn the hidden interpretation and presentation of the French clinical note data. This study included 1386 patients' clinical notes with 5444 single lines of notes. There were 1941 positive cases (36 % of total) and 3503 negative cases classified by two independent physicians using a standardized approach. The multilayer perceptron neural network outperforms other discriminative and generative classifiers. Consequently, the proposed framework yields an overall classification performance with 89 % accuracy, 88 % recall, and 89 % precision. Furthermore, a generative autoencoder learning algorithm was proposed to leverage the sparsity reduction that achieved 91% accuracy, 91% recall, and 91% precision. This study successfully applied learning representation and machine learning algorithms to detect heart failure from clinical natural language in a single French institution. Further work is needed to use the same methodology in other institutions and other languages.Comment: Submitting to IEEE Transactions on Biomedical Engineering. arXiv admin note: text overlap with arXiv:2104.0393

Label Propagation Techniques for Artifact Detection in Imbalanced Classes using Photoplethysmogram Signals

Photoplethysmogram (PPG) signals are widely used in healthcare for monitoring vital signs, but they are susceptible to motion artifacts that can lead to inaccurate interpretations. In this study, the use of label propagation techniques to propagate labels among PPG samples is explored, particularly in imbalanced class scenarios where clean PPG samples are significantly outnumbered by artifact-contaminated samples. With a precision of 91%, a recall of 90% and an F1 score of 90% for the class without artifacts, the results demonstrate its effectiveness in labeling a medical dataset, even when clean samples are rare. For the classification of artifacts our study compares supervised classifiers such as conventional classifiers and neural networks (MLP, Transformers, FCN) with the semi-supervised label propagation algorithm. With a precision of 89%, a recall of 95% and an F1 score of 92%, the KNN supervised model gives good results, but the semi-supervised algorithm performs better in detecting artifacts. The findings suggest that the semi-supervised algorithm label propagation hold promise for artifact detection in PPG signals, which can enhance the reliability of PPG-based health monitoring systems in real-world applications.Comment: Under preparation to submit to IEEE for possible publication

Real-time recognition of suicidal behavior using an RGB-D camera

Inmates in solitary confinement may attempt to harm themselves in many ways, resulting in trivial to mortal injuries. In this context, suicide by hanging is one of the major causes of death among the incarcerated. The Rapid detection of suicide can reduce the mortality rate. Recently, several technologies have been developed to detect suicide by hanging attempts, but most of them use bulky devices, or they are greatly depending on human attention. In this paper, we propose a computer vision based system to automatically detect suicide by hanging attempts. Our method is based on modeling suicidal actions using pose and motion features, by exploiting the body joints' positions. The proposed video surveillance system analyses depth images provided by an RGB-D camera to detect the event of interest in real-time, regardeless of illumination conditions. The experimental results obtained on a realistic dataset demonstrated the high precision of our system in detecting suicide by hanging

Real-time recognition of suicidal behavior using an RGB-D camera

Inmates in solitary confinement may attempt to harm themselves in many ways, resulting in trivial to mortal injuries. In this context, suicide by hanging is one of the major causes of death among the incarcerated. The Rapid detection of suicide can reduce the mortality rate. Recently, several technologies have been developed to detect suicide by hanging attempts, but most of them use bulky devices, or they are greatly depending on human attention. In this paper, we propose a computer vision based system to automatically detect suicide by hanging attempts. Our method is based on modeling suicidal actions using pose and motion features, by exploiting the body joints' positions. The proposed video surveillance system analyses depth images provided by an RGB-D camera to detect the event of interest in real-time, regardeless of illumination conditions. The experimental results obtained on a realistic dataset demonstrated the high precision of our system in detecting suicide by hanging