Interpreting ECG data by integrating statistical and artificial intelligence tools

Smart health monitoring systems: an overview of design and modeling

Health monitoring systems have rapidly evolved during the past two decades and have the potential to change the way health care is currently delivered. Although smart health monitoring systems automate patient monitoring tasks and, thereby improve the patient workflow management, their efficiency in clinical settings is still debatable. This paper presents a review of smart health monitoring systems and an overview of their design and modeling. Furthermore, a critical analysis of the efficiency, clinical acceptability, strategies and recommendations on improving current health monitoring systems will be presented. The main aim is to review current state of the art monitoring systems and to perform extensive and an in-depth analysis of the findings in the area of smart health monitoring systems. In order to achieve this, over fifty different monitoring systems have been selected, categorized, classified and compared. Finally, major advances in the system design level have been discussed, current issues facing health care providers, as well as the potential challenges to health monitoring field will be identified and compared to other similar systems.

Principal component analysis for emergent acoustic signal detection with supporting simulation results

A method is introduced that uses principal component analysis (PCA) to detect emergent acoustic signals. Emergent signal detection is frequently used in radar applications to detect signals of interest in background clutter and in cognitive radio to detect the primary user in a frequency band. The method presented differs from other standard techniques in that the detection of the signal of interest is accomplished by detecting a change in the covariance between two channels of data instead of detecting the change in statistics of a single channel of data. For this paper, PCA is able to detect emergent acoustic signals by detecting when there is a change in the eigenvalue subspace of the covariance matrix caused by the addition of the signal of interest. The algorithm's performance is compared to an energy detector and the Neyman-Pearson theorem. Acoustic simulations were used to verify the performance of the algorithm. Simulations were also used to examine the effectiveness of the algorithm under various signal-to-interferer and signal-to-noise ratios, and using various test signals.

OURSES: a telemedicine project for rural areas in france. Telemonitoring of elderly people

Several telemedicine applications are proposed within the frame of OURSES project, French acronym for Offer of Rural Use of Services by Satellite, providing services for elderly people. The main objective of this project is to show the interest of using satellites as a complement to terrestrial technologies, in areas where telecommunication infrastructure is lacking or incomplete. This paper describes one of these applications: an ECG monitoring system. This telemonitoring system allows, thanks to a wireless wearable sensor, to detect possible cardiac problems of elderly people. ECG signals are analyzed through signal processing algorithms and if some abnormal condition is detected, an alarm is raised and sent via satellite to the physician's office. The corresponding physician is able to access at any time the recorded ECG signals, whenever he is willing to, in the presence of an alarm or not. This allows a constant monitoring of the elderly people. Tests realized in a real environment have demonstrated the feasibility and the interest of this application.

A granular description of ECG signals

In this paper, we develop a general framework of a granular representation of ECG signals. The crux of the approach lies in the development and ongoing processing realized in the setting of information granules-fuzzy sets. They serve as basic conceptual and semantically meaningful entities using which we describe signals and build their models (such as various predictive schemes or classifiers). A comprehensive two-phase scheme of the design of the information granules is proposed and described. At the first phase, we discuss the temporal granulation through a series of temporal windows (granular windows) and an aggregation of the values of signal by means of fuzzy sets. To address this issue, offered is a detailed method of building a fuzzy set based on numeric data and a certain optimization criterion that strikes a balance between the highest experimental relevance of the fuzzy set supported by numeric data and its substantial specificity. At the next phase of the granular design, a collection of information granules is further summarized with the use of fuzzy clustering (Fuzzy C-Means). The resulting prototypes (centroids) formed by this grouping process serve as elements of the granular vocabulary. We discuss ways of using these vocabularies in the knowledge-based representation, modeling, and classification of ECG beats.

Registration of real-time 3-D ultrasound images of the heart for novel 3-D stress echocardiography

Stress echocardiography is a routinely used clinical procedure to diagnose cardiac dysfunction by comparing wall motion information in prestress and poststress ultrasound images. Incomplete data, complicated imaging protocols and misaligned prestress and poststress views, however, are known limitations of conventional stress echocardiography. We discuss how the first two limitations are overcome via the use of real-time three-dimensional (3-D) ultrasound imaging, an emerging modality, and have called the new procedure "3-D stress echocardiography." We also show that the problem of misaligned views can be solved by registration of prestress and poststress 3-D image sequences. Such images are misaligned because of variations in placing the ultrasound transducer and stress-induced anatomical changes. We have developed a technique to temporally align 3-D images of the two sequences first and then to spatially register them to rectify probe placement error while preserving the stress-induced changes. The 3-D spatial registration is mutual information-based. Image registration used in conjunction with 3-D stress echocardiography can potentially improve the diagnostic accuracy of stress testing.