Journal of the International Telemedicine Academy

Journal of ITA - Vol. 1 No. 1(1)

Volume 1 Issues


JITA Vol. 1 No. 1(1)

No. 1(1) 2006

Vol. 1, No. 1, September 2006

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4

Interdisciplinary approach to the problem of tinnitus and electronic support for its diagnosis and therapy

Czyżewski Andrzej

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Tinnitus generating process explanation based on signal quantization theory was proposed. Current work was presented concerning an ultrasound tinnitus device employing dither noise as a masker. The device is being engineered at the Gdansk University of Technology in a close co-operation with the Institute of Physiology and Pathology of Hearing.

Keywords: tinnitus

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11

Towards an automated virtual slide screening: theoretical considerations and practical experiences of automated tissue-based virtual diagnosis to be implemented in the Internet

Kayser Klaus, Radziszowski Dominik, Bzdyl Piotr, Sommer Rainer, Kayser Gian

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Aims: To develop and implement an automated virtual slide screening system that distinguishes normal histological findings and several tissue - based crude (texture – based) diagnoses.

Theoretical considerations: Virtual slide technology has to handle and transfer images of GB Bytes in size. The performance of tissue based diagnosis can be separated into a) a sampling procedure to allocate the slide area containing the most significant diagnostic information, and b) the evaluation of the diagnosis obtained from the information present in the selected area. Nyquist’s theorem that is broadly applied in acoustics, can also serve for quality assurance in image information analysis, especially to preset the accuracy of sampling. Texture – based diagnosis can be performed with recursive formulas that do not require a detailed segmentation procedure. The obtained results will then be transferred into a "self-learning" discrimination system that adjusts itself to changes of image parameters such as brightness, shading, or contrast.

Methods: Non-overlapping compartments of the original virtual slide (image) will be chosen at random and according to Nyquist’s theorem (predefined error-rate). The compartments will be standardized by local filter operations, and are subject for texture analysis. The texture analysis is performed on the basis of a recursive formula that computes the median gray value and the local noise distribution. The computations will be performed at different magnifications that are adjusted to the most frequently used objectives (*2, * 4.5, *10, *20, *40). The obtained data are statistically analyzed in a hierarchical sequence, and in relation to the clinical significance of the diagnosis.

Results: The system has been tested with a total of 896 lung cancer cases that include the diagnoses groups: cohort (1) normal lung – cancer; cancer subdivided: cohort (2) small cell lung cancer - non small cell lung cancer; non small cell lung cancer subdivided: cohort (3) squamous cell carcinoma – adenocarcinoma – large cell carcinoma. The system can classify all diagnoses of the cohorts (1) and (2) correctly in 100%, those of cohort (3) in more than 95%. The percentage of the selected area can be limited to only 10% of the original image without any increased error rate.

Conclusions: The developed system is a fast and reliable procedure to fulfill all requirements for an automated "pre-screening" of virtual slides in lung pathology.

Keywords: automated diagnosis, virtual slide, texture analysis, lung cancer

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19

An Integrated Telemedicine Platform for the Assessment of Affective Physiological States

Katsis Christos D., Ganiatsas George, Fotiadis Dimitrios I.

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AUBADE is an integrated platform built for the affective assessment of individuals. The system performs evaluation of the emotional state by classifying vectors of features extracted from: facial Electromyogram, Respiration, Electrodermal Activity and Electrocardiogram. The AUBADE system consists of: (a) a multisensorial wearable, (b) a data acquisition and wireless communication module, (c) a feature extraction module, (d) a 3D facial animation module which is used for the projection of the obtained data through a generic 3D face model; whereas the end-user will be able to view the facial expression of the subject in real time, (e) an intelligent emotion recognition module, and (f) the AUBADE databases where the acquired signals along with the subject’s animation videos are saved. The system is designed to be applied to human subjects operating under extreme stress conditions, in particular car racing drivers, and also to patients suffering from neurological and psychological disorders. AUBADE’s classification accuracy into five predefined emotional classes (high stress, low stress, disappointment, euphoria and neutral face) is 86.0%. The pilot system applications and components are being tested and evaluated on Maserati’s car. racing drivers.

Keywords: physiology

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27

Waveguide model of the hearing aid earmold system

Szwoch Grzegorz, Kostek Bożena

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Background: The earmold system of the Behind-The-Ear hearing aid is an acoustic system that modifies the spectrum of the propagated sound waves. Improper selection of the earmold system may result in deterioration of sound quality and speech intelligibility. Computer modeling methods may be useful in the process of hearing aid fitting, allowing physician to examine various earmold system configurations and choose the optimum one for the hearing aid user.

Methods: In this paper, a computer model adequate for this task is proposed. This model is based on the waveguide modeling method. The waveguide model simulates the propagation of sound waves in the system of cylindrical tubes. Frequency response of the hearing aid receiver is simulated in the model and the influence of the ear canal and the eardrum on the earmold system is taken into account. The model parameters are easily calculated from parameters of a physical hearing aid system. Transfer function of the model is calculated and frequency response plots are obtained using the Matlab system.

Results: The frequency response plots of the earmold model were compared to the measurement plots of the corresponding physical earmold systems. The same changes in frequency responses caused by modification of length or diameter of a selected waveguide section, are observed in both measurement data of a real earmold system and in computed model responses.

Conclusions: Comparison of model responses obtained for various sets of parameters with measurement data proved that the proposed model accurately simulates the real earmold system and the developed model may be used to construct a computer system assisting the physician who performs earmold system fitting.

Keywords: hearing aid,waveguide modeling

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34

3rd International Conference on Telemedicine and Multimedia Communication - report

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58

Telemedycyna 2005, Kajetany - Photo Report