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At least 379 records · Page 21Linked to original sources

PubMed2005

Clinical use of a commercial Monte Carlo treatment planning system for electron beams.

In 2002 we fully implemented clinically a commercial Monte Carlo based treatment planning system for electron beams. The software, developed by MDS Nordion (presently Nucletron), is based on Kawrakow's VMC++ algorithm. The Monte Carlo module is integrated with our Theraplan Plustrade mark treatment planning system. An extensive commissioning process preceded clinical implementation of this software. Using a single virtual 'machine' for each electron beam energy, we can now calculate very accurately the dose distributions and the number of MU for any arbitrary field shape and SSD. This new treatment planning capability has significantly impacted our clinical practice. Since we are more confident of the actual dose delivered to a patient, we now calculate accurate three-dimensional (3D) dose distributions for a greater variety of techniques and anatomical sites than we have in the past. We use the Monte Carlo module to calculate dose for head and neck, breast, chest wall and abdominal treatments with electron beams applied either solo or in conjunction with photons. In some cases patient treatment decisions have been changed, as compared to how such patients would have been treated in the past. In this paper, we present the planning procedure and some clinical examples.

Algorithms↗

PubMed2003

Optimization of beam parameters and treatment planning for intensity modulated proton therapy.

One of the objectives of the ongoing research and development work at the Northeast Proton Therapy Center (NPTC) in Boston is to perform optimized intensity modulated proton therapy (IMPT) treatments. Such treatments may be delivered by magnetically scanning a narrow proton pencil beam across the target volume, while both the scanning speed and the intensity of the beam are modulated. Localization of the proton dose in space allows one to yield dose distributions that are highly conformal to the target volume, thus minimizing the dose delivered to the surrounding healthy tissue. The aim of the current research is to determine technically optimal and clinically relevant specifications for the scanned beam delivery system, which is being developed in collaboration with Ion Beam Applications (IBA); and to create a link between the treatment planning and the beam delivery. IMPT treatment planning is performed for patient cases treated at the NPTC, with KonRad Pro software developed at the German Cancer Research Center (DKFZ). For the IMPT delivery, the proton intensity maps, optimized for discrete pencil beam spots, need to be translated into continuous scanning patterns. At the same time it is necessary to minimize the discrepancy between the planned and delivered doses which may result from such conversion, as well as from the technical limitations of the delivery system. Possibilities have been investigated for improving the proton dose conformity by optimizing the beam and scanning nozzle parameters, and by taking the specifics and limitations of the system into account in the treatment planning stage.

Chordoma↗

PubMed2005

Linking primary care information systems and public health information networks: lessons from the Philippines.

Community-based primary care information systems are one of the building blocks for national health information systems. In the Philippines, after the devolution of health care to local governments, we observed "health information system islands" connected to national vertical programs being implemented in devolved health units. These structures lead to a huge amount of "information work" in the transformation of health information at the community level. This paper describes work done to develop and implement the open-source Community Based Health Information Tracking System (CHITS) Project, which was implemented to address this information management problem and its outcomes. Several lessons learned from the field as well as software development strategies are highlighted in building community level information systems that link to national level health information systems.

Community Health Services↗

PubMed1983

Microcomputer-controlled psychoacoustics in clinical audiology.

Several commonly used psychoacoustical procedures for the evaluation of auditory function can only be carried out practically when a computer is used to control stimulus presentation. In particular, there are several procedures, such as gap detection and non-simultaneous masking, which require accurate and adaptable timing of signals which could not be conveniently carried out using manually operated or hard-wired equipment. This paper describes the development of a practical system for clinical research which is capable of carrying out a wide range of psychoacoustical procedures. The development has involved three stages: (a) General design of the system so that it is suited to the procedures envisaged; (b) design of the hardware to meet acoustical constraints such as linearity and signal-to-noise ratio; and (c) software development to provide a means for the non-expert of producing control programs with a minimum of effort. Although the system is still being improved, it is now in practical use and it is possible to produce new working control programs within a few minutes.

Audiometry↗

PubMed2006

Development of an automated umbilical cord blood collection system.

In this paper, the development of an automated umbilical cord blood (UCB) collection system is presented. The overall control system is comprehensive, comprising of various selected control and instrumentation components, integrated within a configuration of hardware architecture centered around a dSPACE DS1002 Digital Signal Processing (DSP) board. The hardware architecture, software development platform, user interface, and all constituent control components will be elaborated on in the paper.

Blood Preservation↗

PubMed2006

Participatory design of a text message scheduling system to support young people with diabetes.

Effective self-management of diabetes requires considerable behavioural change and continuous support from health professionals, which can be expensive. Information technology has the potential to offer cost-effective patient support, but internet use mostly relies on the active seeking of information. Text messaging offers an ideal channel for delivering 'push' support and facilitating reciprocal communication between patient and health professional. This paper describes a participatory design methodology to develop a text message scheduling system for supporting young people with diabetes. The project illustrates how this familiar design approach can be used in a short-term project to deliver a successful medical application. Close working between clinician and software developer led to successive user-informed iterations as the clinician became more aware of the system's potential and identified barriers. The result was a reliable, functional, acceptable and usable system that was effectively implemented in its intended setting.

Adolescent↗

PubMed2004

Reliability of calculating the cepstral peak without linear regression analysis.

Measures of cepstral peak prominence, using the smoothing algorithm and linear regression analysis software developed by Hillenbrand, have been shown to be reliable predictors of dysphonia in voice samples.(1-4) Recently, the Computerized Speech Laboratory [(CSL) Kay Elemetrics, Pinebrook, New Jersey] has introduced cepstral analysis as a component of that software package. The cepstral peak, in this instance, is calculated by the voice clinician analyzing the phonatory sample by subtracting the value of the peak from the apparent baseline signal. This study compares the ability of cepstral peak values calculated from the CSL software to predict dysphonia reliably with that of the values produced by the smoothing algorithm and linear regression analysis of Hillenbrand. The results of this study show that linear regression analysis is an important step in calculating the cepstral peak prominence, thus limiting the usefulness of software programs that do not employ this step.

Algorithms↗

PubMed2003

Tools and approaches for the construction of knowledge models from the neuroscientific literature.

Within this paper, we describe a neuroinformatics project (called "NeuroScholar," http://www.neuroscholar.org/) that enables researchers to examine, manage, manipulate, and use the information contained within the published neuroscientific literature. The project is built within a multi-level, multi-component framework constructed with the use of software engineering methods that themselves provide code-building functionality for neuroinformaticians. We describe the different software layers of the system. First, we present a hypothetical usage scenario illustrating how NeuroScholar permits users to address large-scale questions in a way that would otherwise be impossible. We do this by applying NeuroScholar to a "real-world" neuroscience question: How is stress-related information processed in the brain? We then explain how the overall design of NeuroScholar enables the system to work and illustrate different components of the user interface. We then describe the knowledge management strategy we use to store interpretations. Finally, we describe the software engineering framework we have devised (called the "View-Primitive-Data Model framework," [VPDMf]) to provide an open-source, accelerated software development environment for the project. We believe that NeuroScholar will be useful to experimental neuroscientists by helping them interact with the primary neuroscientific literature in a meaningful way, and to neuroinformaticians by providing them with useful, affordable software engineering tools.

Artificial Intelligence↗

PubMed1997

[Computerization experience in a day hospital of integrated radiochemotherapy].

INTRODUCTION: We report on a cost-effective easy-access software developed for the functional integration of the clinical records and history of oncologic patients with the management of the Day Hospital of the Radiotherapy Department of the University Hospital A. Gemelli, in Rome. MATERIAL AND METHODS: The software was designed to archive the clinical records and history of oncologic patients and the relative chemotherapy, to manage the examination scheduling, to draw up nursing files with the planned therapy and to make statistical analyses of the department activity. Five forms are available: the patient form, recording patient data; the admission form, recording the type of therapy (e.g., chemotherapy, tests, medical examinations, etc.), the relative cost and chemotherapy protocol, detailing for instance the type of drug; the nursing file, detailing chemotherapy schedule and the dilution of each drug; the menu, to select and retrieve any record. The minimum configuration requires a 386 Intel CPU, 4 Mb RAM and 4 Mb free on the hard disk. The software is the File Maker Pro 2.1 for Windows which can interact with Apple Macintosh computers. RESULTS: Since October, 1995, we have saved the clinical records of 272 oncologic outpatients (2415 entries in all), with a mean of 201/month. This computer system permitted us to save and retrieve data for both clinical and didactic purposes and to plan our activity. CONCLUSIONS: One year after it was implemented and used in clinical practice, the system is a cost-effective and user-friendly tool for the management of the Radiochemotherapy Day Hospital of our Radiotherapy Department.

Combined Modality Therapy↗

PubMed2007

Counting colonies of clonogenic assays by using densitometric software.

Clonogenic assays are a useful tool to test whether a given cancer therapy can reduce the clonogenic survival of tumour cells. A colony is defined as a cluster of at least 50 cells which can often only be determined microscopically. The process of counting colonies is very extensive work and so we developed software that is able to count the colonies automatically from scanned flasks. This software is made freely available by us with a detailed description how to use and install the necessary features.

Algorithms↗

PubMed1991

The MAClinical Workstation Project at Georgetown University.

The intent of the MAClinical Workstation Project is to develop computer workstations for medical students of the sort they will use in future medical practice. The idea is to instill information query habits in the daily clinical activities of these young physicians-in-training. The Georgetown University Medical Center Library spearheads the project in conjunction with the School of Medicine. The library handles technical support, including software development, user training, equipment maintenance, and network installations. The project began in 1988 with nine Macintosh computers; today thirty machines are distributed throughout the Georgetown University Hospital conference rooms, faculty and resident offices, and at four affliated hospitals. The Macintosh computers are connected to the medical center's local area network (LAN) with access to the Integrated Academic Information Management System (IAIMS) and Library Information System (LIS) databases. The MAClinical workstations serve multiple educational purposes in the clinical setting. Primarily, students gain experience in medical informatics by using a variety of software systems installed at the stations: the H&P Writer, a history and physical system written in the C programming language, can be used by students to prepare the admission record on patients they examine; also, students can keep patient records, check findings against a diagnostic system, look up drugs and treatment protocols, develop medical sketches, and find additional information when needed in the medical literature.

Computer Systems↗

PubMed2000

A simple client-server system using a personal computer as the server.

Hospital information systems have recently grown into huge, complex systems. As a result, the cost of development and maintenance of application programs has increased and become a serious problem. We have constructed an order entry system using server-client architecture as part of a hospital intranet information system in which a personal computer is used as a server. Using a commercial database management system and software development tools, an easily maintained order entry system was developed within only three months by one programmer. Since slow response when the number of clients increased was possible, we measured turn-around times when one or ten clients accessed simultaneously. Turn-around times were 8 and 10 sec, respectively. Because we expect much better performance from personal computers in the near future, application systems using personal computers as Intranet servers will be cost and time effective and easy to develop and maintain.

Computer Communication Networks↗

PubMed1989

Evaluation of routine telephone transmission of nuclear medicine studies.

Rapid and reliable transmission of nuclear medicine studies using conventional telephone lines and commercially available modems and computer systems has been accomplished through use of software developed within the authors' hospital. Original digital images of all-night and weekend studies, acquired on any of the acquisition computers from different manufacturers, are now routinely sent for remote reading at the physician's home. Data, software, and letters are routinely exchanged using modems and standard telephone lines with a sister institution in Haifa, Israel. The software has been designed to achieve no loss data compression and minimal turnaround time loss. Thus, an average lung perfusion image or gallbladder study requires about 1-3 minutes of transmission time. Full analysis and display software is available on the remote computer.

Computer Communication Networks↗

PubMed1998

Texturing 3D-reconstructions of the human brain with EEG-activity maps.

A method for representing the results of statistical EEG analysis in a visually comprehensive and concentrated way is presented. It consists of a combination of scattered data interpolation, texture mapping, and volume rendering techniques. First, starting with an EEG study of the proband in question, a smoothly interpolated rectangular map of the EEG findings in the (phi, theta)-domain (phi and theta denote spherical coordinates) is calculated. Then, using the data from an accompanying MRI scan, volume-rendered representations of the brain with a pseudo-colored cortical surface, vividly depicting the precalculated EEG-activities, are produced. Custom-developed software was used for interpolating the EEG maps from the scattered data samples, as well as for mapping and rendering them together with the brain volume data. The algorithm which achieves the scattered data interpolation is a genuine development employing Delaunay triangulation and a modification of the well-known rotation-invariant Phong interpolation. The pictures produced by the presented method are currently being utilized in neurophysiology for detecting correlations between EEG-parameters, cortical morphology, and underlying mental activities.

Algorithms↗

PubMed1990

Analysis of jaw movements and masticatory muscle activity.

This paper describes software developed to analyze the temporal and spatial aspects of jaw movements, the speed, direction and magnitude of these movements in three dimensions, and the associated electromyograms (EMGs) of the masticatory muscles. Data from a subject chewing gum illustrates the software application. Manipulations of the stored digitized data are described. Temporal aspects of each chewing cycle are defined by specified delimiters for the beginning and ending of jaw opening and closing; spatial aspects are quantified by measurements derived from movement trajectories; and peak and mean velocities are derived from the velocity profiles. EMGs are digitized, rectified, averaged and referenced to jaw movement. Onset latencies, burst durations, rise times to peak activity, time of occurrence of peak activity, and amplitudes of peak and mean activities are measured from the EMGs. This detailed kinematic/EMG analysis provides previously inaccessible information about jaw muscles and the movements they control.

Electromyography↗

PubMed2003

[Preliminary experiences with Photopic ultrasound imaging in the head and neck region].

BACKGROUND: The application of high end ultrasound platforms increases the quality of sonographic images. New software developments like Tissue Harmonic Imaging (THI) have improved the resolution of images and help to better visualize anatomic findings. Photopic-mode uses color-coding to gain contrast. METHODS: This investigation compares the use of the Photopic-software in comparison to conventional B-mode. The ultrasound platform Sonoline Elegra was used. RESULTS: The Photopic-mode revealed in 8 of 40 patients a slight improvement within image quality. However, the use of Photopic-mode did not lead to other diagnostic results. CONCLUSION: Ultrasound investigation with Photopic-mode can be a useful supplement to the conventional B-mode-sonographic examination in selected cases by gain in contrasting. A disadvantage of the Photopic-mode is that it cannot be used simultaneously with color Doppler-mode examination.

Adult↗

PubMed2002

[Comparison of the accuracy of 3-dimensional fusion algorithms].

Recently many algorithms for matching three-dimensional medical data have been developed. Inter- and intramodal fusion of data adds valuable information for planning, controlling and evaluating therapies. This work presents a procedure to evaluate the accuracy of fusion algorithms by numerical means. In contrast to the usual way of visual inspection the developed software tools allow automatic numerical--and thus objective--evaluation of different algorithms using simulated realistic volume data. It is therefore possible to conduct reproducible comparisons of different matching methods. These tools also proved to be very valuable during the development and optimisation of an algorithm employing normalised mutual information.

Algorithms↗

PubMed2001

COMKAT: compartment model kinetic analysis tool.

UNLABELLED: Compartment models are the basis for most physiologically based quantification of nuclear medicine data. Although some software packages are available for this purpose, many are expensive, run on relatively few types of computers or are of limited capability, and cannot be extended because of the unavailability of source code. Consequently, institutions with modeling expertise often develop software for themselves, which has the disadvantages of lack of standardization and possible replication of effort. Therefore, general-purpose compartment-modeling software distributed with source code would be a welcome resource for the nuclear medicine community. METHODS: We formulated a mathematic framework within which compartment models containing unimolecular and bimolecular (receptor saturation) kinetics can be described. We implemented this framework within MATLAB and call the resultant software COMKAT (Compartment Model Kinetic Analysis Tool). RESULTS: COMKAT simplifies the process of defining and solving standard blood flow, 18F-FDG, and receptor models as well as models of a user's own design. In particular, COMKAT automatically defines and implements state, analytic sensitivity, and Jacobian equations. Given these, COMKAT can perform simulations in which model outputs are solved for specified parameter values, thereby allowing the user to predict how sensitive data are to these parameters. In addition, COMKAT can be used to estimate values for the parameters by fitting model output to experimental data. COMKAT is equipped with command-line and graphic user interfaces from which the user can access these features. Examples of these applications are presented along with validation and performance summaries. CONCLUSION: COMKAT is a useful software tool and is available without cost to researchers, at www.nuclear.uhrad.com/comkat.

Computer Simulation↗