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Healthcare Technology Letters

Taylor Frantz, Bart Jansen, Johnny Duerinck, Jef Vandemeulebroucke
Major hurdles for Microsoft's HoloLens as a tool in medicine have been accessing tracking data, as well as a relatively high-localisation error of the displayed information; cumulatively resulting in its limited use and minimal quantification. The following work investigates the augmentation of HoloLens with the proprietary image processing SDK Vuforia, allowing integration of data from its front-facing RGB camera to provide more spatially stable holograms for neuronavigational use. Continuous camera tracking was able to maintain hologram registration with a mean perceived drift of 1...
October 2018: Healthcare Technology Letters
Sahar Benadi, Irene Ollivier, Caroline Essert
Stereoelectroencephalography is a surgical procedure used in the treatment of pharmacoresistant epilepsy. Multiple electrodes are inserted in the patient's brain in order to record the electrical activity and detect the epileptogenic zone at the source of the seizures. An accurate localisation of their contacts on post-operative images is a crucial step to interpret the recorded signals and achieve a successful resection afterwards. In this Letter, the authors propose interactive and automatic methods to help the surgeon with the segmentation of the electrodes and their contacts...
October 2018: Healthcare Technology Letters
Andrew D Speers, Burton Ma, William R Jarnagin, Sharifa Himidan, Amber L Simpson, Richard P Wildes
Image-guided liver surgery aims to enhance the precision of resection and ablation by providing fast localisation of tumours and adjacent complex vasculature to improve oncologic outcome. This Letter presents a novel end-to-end solution for fast stereo reconstruction and motion estimation that demonstrates high accuracy with phantom and clinical data. The authors' computationally efficient coarse-to-fine (CTF) stereo approach facilitates liver imaging by accounting for low texture regions, enabling precise three-dimensional (3D) boundary recovery through the use of adaptive windows and utilising a robust 3D motion estimator to reject spurious data...
October 2018: Healthcare Technology Letters
David W Shattuck
The recent advent of high-performance consumer virtual reality (VR) systems has opened new possibilities for immersive visualisation of numerous types of data. Medical imaging has long made use of advanced visualisation techniques, and VR offers exciting new opportunities for data exploration. The author presents a new framework for interacting with neuroimaging data, including MRI volumes, neuroanatomical surface models, diffusion tensors, and streamline tractography, as well as text-based annotations. The system was developed for the HTC Vive using C++, OpenGL, and the OpenVR software development kit...
October 2018: Healthcare Technology Letters
Esmitt Ramírez, Carles Sánchez, Agnés Borràs, Marta Diez-Ferrer, Antoni Rosell, Debora Gil
Virtual bronchoscopy (VB) is a non-invasive exploration tool for intervention planning and navigation of possible pulmonary lesions (PLs). A VB software involves the location of a PL and the calculation of a route, starting from the trachea, to reach it. The selection of a VB software might be a complex process, and there is no consensus in the community of medical software developers in which is the best-suited system to use or framework to choose. The authors present Bronchoscopy Exploration (BronchoX), a VB software to plan biopsy interventions that generate physician-readable instructions to reach the PLs...
October 2018: Healthcare Technology Letters
André Mewes, Florian Heinrich, Bennet Hensen, Frank Wacker, Kai Lawonn, Christian Hansen
During MRI-guided interventions, navigation support is often separated from the operating field on displays, which impedes the interpretation of positions and orientations of instruments inside the patient's body as well as hand-eye coordination. To overcome these issues projector-based augmented reality can be used to support needle guidance inside the MRI bore directly in the operating field. The authors present two visualisation concepts for needle navigation aids which were compared in an accuracy and usability study with eight participants, four of whom were experienced radiologists...
October 2018: Healthcare Technology Letters
Davide Scorza, Gaetano Amoroso, Camilo Cortés, Arkaitz Artetxe, Álvaro Bertelsen, Michele Rizzi, Laura Castana, Elena De Momi, Francesco Cardinale, Luis Kabongo
StereoElectroEncephaloGraphy (SEEG) is a minimally invasive technique that consists of the insertion of multiple intracranial electrodes to precisely identify the epileptogenic focus. The planning of electrode trajectories is a cumbersome and time-consuming task. Current approaches to support the planning focus on electrode trajectory optimisation based on geometrical constraints but are not helpful to produce an initial electrode set to begin with the planning procedure. In this work, the authors propose a methodology that analyses retrospective planning data and builds a set of average trajectories, representing the practice of a clinical centre, which can be mapped to a new patient to initialise planning procedure...
October 2018: Healthcare Technology Letters
Rafael Moreta-Martinez, David García-Mato, Mónica García-Sevilla, Rubén Pérez-Mañanes, José Calvo-Haro, Javier Pascau
Augmented reality (AR) can be an interesting technology for clinical scenarios as an alternative to conventional surgical navigation. However, the registration between augmented data and real-world spaces is a limiting factor. In this study, the authors propose a method based on desktop three-dimensional (3D) printing to create patient-specific tools containing a visual pattern that enables automatic registration. This specific tool fits on the patient only in the location it was designed for, avoiding placement errors...
October 2018: Healthcare Technology Letters
Reid Vassallo, Hidetoshi Kasuya, Benjamin W Y Lo, Terry Peters, Yiming Xiao
Cerebrovascular surgery treats vessel abnormalities in the brain and spinal cord, including arteriovenous malformations (AVMs) and aneurysms. These procedures often involve clipping the vessels feeding blood to these abnormalities, making accurate classification of blood vessel types (feeding versus draining) important during surgery. Previous work to guide the intraoperative identification of the vessels included augmented reality (AR) using pre-operative images, injected dyes, and Doppler ultrasound, but each with their drawbacks...
October 2018: Healthcare Technology Letters
Wenyao Xia, Elvis C S Chen, Terry Peters
Stereoscopic endoscopes have been used increasingly in minimally invasive surgery to visualise the organ surface and manipulate various surgical tools. However, insufficient and irregular light sources become major challenges for endoscopic surgery. Not only do these conditions hinder image processing algorithms, sometimes surgical tools are barely visible when operating within low-light regions. In addition, low-light regions have low signal-to-noise ratio and metrication artefacts due to quantisation errors...
October 2018: Healthcare Technology Letters
Mathias Unberath, Javad Fotouhi, Jonas Hajek, Andreas Maier, Greg Osgood, Russell Taylor, Mehran Armand, Nassir Navab
Interventional C-arm imaging is crucial to percutaneous orthopedic procedures as it enables the surgeon to monitor the progress of surgery on the anatomy level. Minimally invasive interventions require repeated acquisition of X-ray images from different anatomical views to verify tool placement. Achieving and reproducing these views often comes at the cost of increased surgical time and radiation. We propose a marker-free 'technician-in-the-loop' Augmented Reality (AR) solution for C-arm repositioning. The X-ray technician operating the C-arm interventionally is equipped with a head-mounted display system capable of recording desired C-arm poses in 3D via an integrated infrared sensor...
October 2018: Healthcare Technology Letters
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October 2018: Healthcare Technology Letters
Loganathan Meenachi, Srinivasan Ramakrishnan
Cancer is one of the deadly diseases of human life. The patient may likely to survive if the disease is diagnosed in its early stages. In this Letter, the authors propose a genetic search fuzzy rough (GSFR) feature selection algorithm, which is hybridised using the evolutionary sequential genetic search technique and fuzzy rough set to select features. The genetic operator's selection, crossover and mutation are applied to generate the subset of features from dataset. The generated subset is subjected to the evaluation with the modified dependency function of the fuzzy rough set using positive and boundary regions, which act as a fitness function...
August 2018: Healthcare Technology Letters
Saranya Devi Subramaniam, Brindha Doss, Lakshmi Deepika Chanderasekar, Aswini Madhavan, Antony Merlin Rosary
Pain is an unpleasant subjective experience. At present, clinicians are using self-report or pain scales to recognise and monitor pain in children. However, these techniques are not efficient to observe the pain in children having cognitive disorder and also require highly skilled observers to measure pain. Using these techniques it is also difficult to choose the analgesic drug dosages to the patients after surgery. Thus, this conceptual work explains the demand for automatic coding techniques to evaluate pain and also it documents some evidence of techniques that act as an alternative approach for objectively determining pain in children...
August 2018: Healthcare Technology Letters
Uma Punniyamoorthy, Indumathi Pushpam
One of the major causes of eye blindness is identified to be as diabetic retinopathy, which if not detected in earlier stage would cause a serious issue. Long-term diabetes causes diabetic retinopathy. The significant key factor leading to diabetic retinopathy is exudates which affect the retina part and causes eye defects. Thus the first and foremost task in the automated detection of macular oedema is to detect the presence of these exudates. The authors use image processing techniques to detect the optic disc, exudates and the presence of macular oedema...
August 2018: Healthcare Technology Letters
Zhichao Rong, Mark S Leeson, Matthew D Higgins, Yi Lu
A wireless body-centric nano-network consists of various nano-sized sensors with the purpose of healthcare application. One of the main challenges in the network is caused by the very limited power that can be stored in nano-batteries in comparison with the power required to drive the device for communications. Recently, novel rectifying antennas (rectennas) based on carbon nanotubes (CNTs), metal and graphene have been proposed. At the same time, research on simultaneous wireless information and power transfer (SWIPT) schemes has progressed apace...
August 2018: Healthcare Technology Letters
V D Ambeth Kumar, D Elangovan, G Gokul, J Praveen Samuel, V D Ashok Kumar
There is a growing demand for the environmental pollution monitoring and control systems. In the view of ever increasing sources of toxic chemicals, these systems should have the facilities to detect and calibrate the source quickly. Toxic gases are the ones that cause health impact but humans are being exposed to it in various situations. These gases have to be monitored such that increase in the normal level of them could be known and proper precaution measures can be undertaken. So, an embedded system is designed using a microcontroller with internet of things, for the purpose of detecting and monitoring the hazardous gas leakage, which aids in the evasion of endangering of human lives...
August 2018: Healthcare Technology Letters
Sangeeta Bagha, R K Tripathy, Pranati Nanda, C Preetam, Debi Prasad Das
In this Letter, a method is proposed to investigate the effect of noise with and without active noise control (ANC) on multichannel electroencephalogram (EEG) signal. The multichannel EEG signal is recorded during different listening conditions such as silent, music, noise, ANC with background noise and ANC with both background noise and music. The multiscale analysis of EEG signal of each channel is performed using the discrete wavelet transform. The multivariate multiscale matrices are formulated based on the sub-band signals of each EEG channel...
June 2018: Healthcare Technology Letters
Leandro Pecchia, Rossana Castaldo, Luis Montesinos, Paolo Melillo
Ultra-short heart rate variability (HRV) analysis refers to the study of HRV features in excerpts of length <5 min. Ultra-short HRV is widely growing in many healthcare applications for monitoring individual's health and well-being status, especially in combination with wearable sensors, mobile phones, and smart-watches. Long-term (nominally 24 h) and short-term (nominally 5 min) HRV features have been widely investigated, physiologically justified and clear guidelines for analysing HRV in 5 min or 24 h are available...
June 2018: Healthcare Technology Letters
Lorena Santamaria, Christopher James
Phase synchronisation between different neural groups is considered an important source of information to understand the underlying mechanisms of brain cognition. This Letter investigated phase-synchronisation patterns from electroencephalogram (EEG) signals recorded from ten healthy participants performing motor imagery (MI) tasks using schematic emotional faces as stimuli. These phase-synchronised states, named synchrostates, are specific for each cognitive task performed by the user. The maximum and minimum number of occurrence states were selected for each subject and task to extract the connectivity network measures based on graph theory to feed a set of classification algorithms...
June 2018: Healthcare Technology Letters
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