The technical evolution of document image processing.
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Computer Peripherals↗
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Results for “Computer Storage Devices”
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Seeking for knowledge. Computer-based patient record (CPR) (paperless patient record).
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Authorship↗
Cardiomedia: a multimedia portable medical record on optical memory card.
The main objective of the CARDIOMEDIA project is to produce and evaluate a coronarian multimedia data record stored on an optical card. The experimentation concerns patients treated by angioplasty at university hospital of Rennes. Often patients treated in the Regional University Hospital are followed up by another Health structure closer to their home. The patient leaves hospital with his card, which is directly available elsewhere for emergency or for consultation. This will optimize the number of examinations and offer a better patient follow-up. The CARDIOMEDIA card is a specialized record which includes various data type: text, image, image sequence of coronarography and ECG signal. For this purpose optical card with its large memory size is very convenient. For medical imaging, we use in this project the DICOM format for image exchange and management, it is combined with a CARDIOMEDIA specific compressing software. For multimedia record, the HTML format and web intranet method are chosen, this allows intuitive interface which can combine various data type and helpers like DICOM image viewer.
Cardiovascular Diseases↗
On stepwise integrating an electronic patient record based on digital-optical archiving and multi-purpose health professional workstations: experiences at the Heidelberg University Hospital.
At the Heidelberg University Hospital the conventional paper-based medical record is currently being replaced by a "unique" electronic patient record (EPR). This paper describes the stepwise integration of an EPR based on digital-optical archiving and multi-purpose health professional workstations. If focuses on the potentials of digital optical archiving as an integral part of hospital information systems. So far, the EPR has been introduced in the central archive of the "head clinic", the Neurosurgical Clinic and the inpatient archive, the endoscopy and sonography section of the Department of Internal Medicine.
Computer Systems↗
[Proposal of a computerized system for chemical risk management at biomedical laboratories].
The current italian and european directives require as an essential part of preventive procedures the risk assessment in every work setting. This procedure may be however difficult to be applied because of variability and specificity of work environment, work organisation, chemicals ect. It is true for the biomedical laboratories when the attention is focused on the identification and exposure evaluation of chemicals related to the analytical process, i.e. the first step to reach an accurated risk assessment. The starting point often has been the list of theoretically used compounds, which could be not exhaustive, or they could not reflect type and amount of chemicals really used. The proposed system is directly managed by the laboratory workers, by an labeling and reading bare code system. By the software, information about type, location, storage of the compounds present in the laboratory and amount used by each laboratory worker (by a personal card) are easily available. The proposed system should ensure precision and method in recording type and amount and in approximating the contact--absorption of the compounds used by each operator. By improving the chemical exposure assessment, a more accurate health and epidemiological surveillance would be possible. Finally, the system, by enabling the management of purchase, storage, utilization, waste of chemicals, could become an useful device for the quality assurance procedures.
Biology↗
Neurobiological approach to computing devices.
According to the old metaphor of classical cybernetics the brain can be considered as a computer. Newer theoretical endeavours reverse the question and ask: what could neurobiology offer to engineers of near-future generation computer systems? Three not completely disjoint abstract functions of the nervous system, namely pattern formation, pattern recognition and action, can be treated in a unified conceptual framework. Storage and retrieval mechanisms of information are connected to fault-tolerant, adaptive parallel structures. "Learning" and "plastic behaviour" are interpreted in terms of the theory of non-linear dynamic systems. As neural development and plasticity can be approached by deterministic models superimposed by random influence, noise might also have a positive role to play during the operation of technical computing devices. Molecular computation is discussed in relation to eventual hardware realization of "neurobiology-based" computers.
Cybernetics↗
Maximizing a transport platform through computer technology.
One of the most recent innovations coalescing computer technology and medical care is the further development of integrated medical component technology coupled with a computer subsystem. One such example is the self-contained patient transport system known as the Life Support for Trauma and Transport (LSTAT(tm)). The LSTAT creates a new transport platform that integrates the most current medical monitoring and therapeutic capabilities with computer processing capacity, creating the first "smart litter". The LSTAT is built around a computer system that is network capable and acts as the data hub for multiple medical devices and utilities, including data, power, and oxygen systems. The system logs patient and device data in a simultaneous, time-synchronized, continuous format, allowing electronic transmission, storage, and electronic documentation. The third-generation LSTAT includes an oxygen system, ventilator, clinical point-of-care blood analyzer, suction, defibrillator, infusion pump, and physiologic monitor, as well as on-board power and oxygen systems. The developers of LSTAT and other developers have the ability to further expand integrative component technology by developing and integrating clinical decision support systems.
Computers↗
A study on the development of a filing system for funduscopic images with a personal computer for Twin AMHTS.
A filing system for ocular funduscopic image data was developed by using a personal computer for the Twin AMHTS. The development of the system was tried as one of the data transfer system including image data between two similar AMHTSs named the Twin AMHTS through the information network system. The filing system is capable of storing 26782 data of ophthalmoscopic pictures with a data compression mode by using a magneto-optical disk (MOD) whose storage capacity of both sides is 616 MB. It takes no long time for retrieval and display of the image data in the filing system. Good quality of compression and decompression obtained and reproducibility of the ocular fundus picture is favorable regardless of normal or abnormal cases. As a result, it is suggested that the developed system has practical utility although it requires more improvement.
Computer Communication Networks↗
What works. OCR scanning system saves time and money, insures good first impression.
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Computer Systems↗
Java-based framework for the secure distribution of electronic medical records.
In this paper, we present a Java-based framework for the processing, storage and delivery of Electronic Medical Records (EMR). The choice of Java as a developmental and operational environment ensures operability over a wide-range of client-side platforms, with our on-going work emphasising migration towards Extensible Markup Language (XML) capable Web browser clients. Telemedicine in support of womb-to-tomb healthcare as articulated by the Multimedia Supercorridor (MSC) Telemedicine initiative--which motivated this project--will require high-volume data exchange over an insecure public-access Wide Area Network (WAN), thereby requiring a hybrid cryptosystem with both symmetric and asymmetric components. Our prototype framework features a pre-transaction authentication and key negotiation sequence which can be readily modified for client-side environments ranging from Web browsers without local storage capability to workstations with serial connectivity to a tamper-proof device, and also for point-to-multipoint transaction processes.
Computer Communication Networks↗
Digital image databasing.
A previous two-part article by Simon Brown described the acquisition, editing, compression and initial storage of digital images taken in the clinical studio. Due to the higher-than-expected demand for this clinical service, additional factors had to be considered when dealing with large numbers of images. These included storage on writable compact disc (CD) drives and a system for retrieving images from these devices which was flexible enough to handle the requirements of different specialities and be usable by all medical illustration staff.
CD-ROM↗
Patient-borne memory device facilitates "point of care" data access.
Although electronic medical records and a central database have made accurate and consistent patient medical information more readily available than with the traditional patient chart, there are many locations in healthcare facilities where terminals for accessing patient data are not available. As patient care becomes decentralized and more patients require anesthesia outside of the operating suites, routing a network-based system to all these locations can be expensive and time consuming. We designed a system whereby essential patient data of interest to anesthesiologists is stored on an electronic memory device the size of a watch battery attached to the patient's wristband. Accessing and editing the data is done via a hand-held computer. This system provides secure patient data storage and management at the "point of care." At the conclusion of the patient's anesthesia-related care, the data is downloaded to a relational database for use in outcome analysis, billing, and quality assurance. After collecting preoperative evaluations, intraoperative data, and postoperative data on 560 patients anesthetized for surgery or other procedures, we find this system to be a reliable, low-cost, medical information management system, with possible application to other medical specialties.
Ambulatory Surgical Procedures↗
Electronic signatures for long-lasting storage purposes in electronic archives.
Communication and co-operation in healthcare and welfare require a certain set of trusted third party (TTP) services describing both status and relation of communicating principals as well as their corresponding keys and attributes. Additional TTP services are needed to provide trustworthy information about dynamic issues of communication and co-operation such as time and location of processes, workflow relations, and system behaviour. Legal and ethical requirements demand securely stored patient information and well-defined access rights. Among others, electronic signatures based on asymmetric cryptography are important means for securing the integrity of a message or file as well as for accountability purposes including non-repudiation of both origin and receipt. Electronic signatures along with certified time stamps or time signatures are especially important for electronic archives in general, electronic health records (EHR) in particular, and especially for typical purposes of long-lasting storage. Apart from technical storage problems (e.g. lifetime of the storage devices, interoperability of retrieval and presentation software), this paper identifies mechanisms of e.g. re-signing and re-stamping of data items, files, messages, sets of archived items or documents, archive structures, and even whole archives.
Computer Security↗
1-D simulation of a novel nonvolatile resistive random access memory device.
The operation of a novel, nonvolatile memory device based on a conductive ferroelectric/semiconductor thin film multilayer stack is simulated numerically. The simulation involves the self-consistent steady-state solution of the transport equation for electrons assuming a drift-diffusion transport mechanism and the Poisson equation. Special emphasis is put on the screening of the spontaneous polarization by conduction electrons as a function of the applied voltage. Depending on the orientation of the polarization in the ferroelectric layer, a high and a low resistive state are found, giving rise to a hysteretic I-V characteristic. The switching ratio, ranging from > 50% to several orders of magnitude, is calculated as a function of the dopant content. The suggested model provides one possible physical explanation of the I-V hysteresis observed for single-layer ferroelectric devices, if interfacial layers are taken into consideration. The approach will allow one to develop guidelines to improve the performance of these devices.
Computer-Aided Design↗
A TV system for image recording and processing in conventional transmission electron microscopy.
An image processing system for a CTEM is described which is particularly suited for the imaging of radiation-sensitive objects. It consists of an image intensifier device for single electron counting, a digital storage unit and a video recorder for intermediate storage of low-dose image series. During on-line operation the information can be transferred to a computer for further processing. The output can be transferred onto a second digital storage unit and observed on a monitor. The influence on the DQE of the pulse height distribution of the single electron video signals and of a multiple counting are eliminated by means of special electronic components. Various modes of operation and application possibilities of the image processing system are discussed.
Computers↗
On two-parameter models of photon cross sections: application to dual-energy CT imaging.
The goal of this study is to evaluate the theoretically achievable accuracy in estimating photon cross sections at low energies (20-1000 keV) from idealized dual-energy x-ray computed tomography (CT) images. Cross-section estimation from dual-energy measurements requires a model that can accurately represent photon cross sections of any biological material as a function of energy by specifying only two characteristic parameters of the underlying material, e.g., effective atomic number and density. This paper evaluates the accuracy of two commonly used two-parameter cross-section models for postprocessing idealized measurements derived from dual-energy CT images. The parametric fit model (PFM) accounts for electron-binding effects and photoelectric absorption by power functions in atomic number and energy and scattering by the Klein-Nishina cross section. The basis-vector model (BVM) assumes that attenuation coefficients of any biological substance can be approximated by a linear combination of mass attenuation coefficients of two dissimilar basis substances. Both PFM and BVM were fit to a modern cross-section library for a range of elements and mixtures representative of naturally occurring biological materials (Z = 2-20). The PFM model, in conjunction with the effective atomic number approximation, yields estimated the total linear cross-section estimates with mean absolute and maximum error ranges of 0.6%-2.2% and 1%-6%, respectively. The corresponding error ranges for BVM estimates were 0.02%-0.15% and 0.1%-0.5%. However, for photoelectric absorption frequency, the PFM absolute mean and maximum errors were 10.8%-22.4% and 29%-50%, compared with corresponding BVM errors of 0.4%-11.3% and 0.5%-17.0%, respectively. Both models were found to exhibit similar sensitivities to image-intensity measurement uncertainties. Of the two models, BVM is the most promising approach for realizing dual-energy CT cross-section measurement.
Absorptiometry, Photon↗
Absorption-edge fluoroscopy using a three-spectrum technique.
We have recently reported on a 1-kVp, two-filter image subtraction method for visualizing low concentrations of elements like iodine which have K-shell absorption edges in the diagnostic x-ray energy range. However, in the application of this technique to human thyroid imaging, superimposed images due to variations in tissue and bone thickness presented serious difficulties. In this paper, a technique is described for implementing a 3-kVp, three-filter approach. Using carefully chosen spectra and logarithmic image processing, images are produced which are compatible with our previously described two-stage storage-tube subtraction device. Proper manipulation of the resulting difference images results in a final absorption-edge image in which only the element of interest is visualized, with unwanted background images suppressed. Computer calculations are presented to illustrate the relative sizes of difference signals arising from the element of interest and from tissue and bone backgrounds. Phantom studies using iodine concentrations as small as 1 mg/cm2, with variations of 10 cm of tissue and 2 g/cm2 of bone, suggest that the theory is sound and that, with straightforward apparatus modifications, images of good quality should be possible.
Fluoroscopy↗
Electronically signed documents in health care--analysis and assessment of data formats and transformation.
OBJECTIVES: Our objectives were to analyze and assess data formats for their suitability for conclusive and secure long-term archiving and to develop a concept for legally secure transformation of electronically signed documents that are not available in data formats appropriate for long-term archiving. METHODS: On the basis of literature review and Internet searches we developed general evaluation criteria to assess data formats with regard to their suitability for conclusive and secure long-term archiving. The assessment of data formats refers to format specifications and available literature. For the analyses of the transformation of signed documents we analyzed legal requirements on the basis of laws and ordinances as well as technical requirements by means of literature reviews, Internet searches and technical specifications. RESULTS: The following evaluation criteria are suited for this kind of assessment of data formats: transparency and standardization, stability, presentation and security. According to our assessment the following data formats are most suitable for conclusive and secure long-term archiving: PDF for formatted and unstructured text documents, XML for markup languages, TIFF for images in general, DICOM for medical images and S/MIME for the storage of e-mail. To transform electronically signed documents we propose an elementary procedure and universal basic model in form of an XML schema definition that includes the necessary legal and technical information. CONCLUSIONS: If electronic documents are to replace paper-based documents in patient records, they have to conform to the criteria for secure long-term archiving. The analyzed data formats are to be extended by mechanisms to guarantee the long-term security of electronic signatures. To transform large quantities of documents in a legally secure way, our basic model has to be extended for automated procedures.
Archives↗