Internet 
Українська  English    

DOI:


Inventory reference

ISSN 1812-7231 Klin.inform.telemed. Volume 16, Issue 17, 2021, Pages 00-00


Author(s)

A. I. Petrenko


Institution(s)

Institute of Applied Systems Analysis of NTUU "Igor Sikorsky KPI"


Article title

Medical diagnosis of health at home as a service


Abstract (resume)

Introduction. Remote monitoring of patients is one of the key international areas in the informatization of health care. This is due to the increase in the share of the elderly, the growth of chronic diseases, the overload of the outpatient clinic, the dissatisfaction of patients with their care.

Methods. Information and analytical tools for improving the efficiency of wireless sensor networks (BSM), which use mobile devices and specialized software applications to collect aggregate data on patient health and provide this information to practitioners, researchers and patients themselves, allowing remote diagnosis of various disease, maintaining communication and receiving a preliminary diagnosis and treatment recommendations.

Results. The proposed service-oriented architecture of BSM for medicine with a depository of services created by joint efforts, which in principle allows to solve the problem of compatibility (Interoperability) BSM of different developers in their integration into a global network that may become the largest network of mankind. The possibility of compensating for certain shortcomings and inconveniences of using simple portable body sensors through deep learning methods, in particular, the use of the latest convolutional neural networks (CNN) to establish the necessary diagnostic procedures.

Conclusions. For patients, such systems allow home measurements of the disease, and the doctor, relatives (and/or ambulance) are notified automatically if the patient's vital signs approach the dangerous level. It is possible for the doctor to remotely monitor the patient's condition, promptly change his treatment plan, maintain contact with the patient, as well as the opportunity to consult with colleagues and specialists in televised sessions with confidential transmission of patient data.


Keywords

remote monitoring, respiratory diseases, deep learning, polysomnography, sleep apnea, service-oriented architecture, cloud and edge computing


References

1. David Naranjo-Hernández, Javier Reina-Tosina, and Laura M. Roa. Special Issue Body Sensors Networks for E Health Applications, Sensors (Basel). 2020 Jul; 20(14): 3944. Published online 2020 Jul 16.
https://doi.org/10.3390/s20143944

2. Ilkyu Ha. Technologies and Research Trends in Wireless Body Area Networks for Healthcare: A Systematic Literature Review, Intern. J. of Distributed Sensor Networks Vol. 2015, Article ID 573538, 14 pages
http://dx.doi.org/10.1155/2015/573538

3. S. Movassaghi, M. Abolhasan, J. Lipman, D. Smithand, A. Jamalipour, Wireless body are a networks: A survey, Communications Surveys Tutorials, IEEE, vol. 16, no. 3, pp. 1658–1686, 2014

4. Heather Landi. What Amazon's potential move into at-home medical tests could mean for the market, May 19, 2021: https://www.fiercehealthcare.com/tech/what-amazon-s-potential-move-into-at-home-medical-tests-could-mean-for-market

5. Jared Lindzon. At-home tests put health in your own hands, April 13, 2021, https://garage.hp.com/us/en/innovation/telemedicine-consumer-healthcare-devices-at-home.html

6. MamounAl-Mardini, Fadi Aloul, Assim Sagahyroon, Luai Al-Husseini. Classifying obstructive sleep apnea using smartphones. J. of Biomedical Informatics, Vol.52, December 2014, pp. 251-259
https://doi.org/10.1016/j.jbi.2014.07.004

7. Hartmann V, Liu H, Chen F, Hong W, Hughes S andZheng D. Toward Accurate Extraction of Respiratory Frequency From the Photoplethysmogram: Effect of Measurement Site. Front. Physiol. 10:732. 2019
https://doi.org/10.3389/fphys.2019.00732

8. Laiali Almazaydeh, Khaled Elleithy, Miad Faezipour. Detection of Obstructive Sleep Apnea Through ECG Signal Features, 2012 IEEE Intern.Conf. Electro/Information Technology
https://doi.org/10.1109/EIT.2012.6220730

9. P. Chazal, T. Penzeland C. Heneghan. Automated Detection of Obstructive Sleep Apnoe at Different Time Scales Using the Electrocardiogram. Institute of Physics Publishing, vol. 25, no. 4, pp. 967-983, Aug. 2004.

10. B. Yilmaz, M. Asyali, E. Arikan, S. Yektinand, F. Ozgen. Sleep Stage and Obstructive Apneaic Epoch Classification Using Single-Lead ECG. Biomedical Engineering Online, vol. 9, 2010.

11. J. Pan, W.J. Tompkins. A real-time QRS detection algorithm. IEEE Trans.Biomed. Eng. (3) (1985) 230–236.

12. Penzel T., Moody G., Mark R., Goldberger A., Peter J. The apnea-ECG database. In Proc.of the Computers in Cardiology, Cambridge, MA, USA, 24–27 September 2000; IEEE: Piscataway, NJ, USA, 2000; pp. 255–258.

13. PhysioNet. A vailable online: www.physionet.org (accessed on 20 February 2019)

14. Laiali Almazaydeh, Khaled Elleithy, Miad Faezipour. Detection of Obstructive Sleep Apnea Through ECG Signal Features. 2012 IEEE Intern.Conf. Electro/Information Technology
https://doi.org/10.1109/EIT.2012.6220730

15. Li K., Pan W., Li, Y., Jiang, Q., Liu, G. A method to detect sleep apnea based on deep neural network and hidden Markov model using single-lead ECG signal. Neurocomputing 2018, 294, 94–101.

22. Pathinarupothi, R.K., Rangan, E.S., Gopalakrishnan, E.A., Vinaykumar, R., Soman, K.P. Single sensor techniques for sleep apnea diagnosis using deep learning. In Proc. of the IEEE Intern. Conf. on Healthcare Informatics (ICHI), Park City, UT, USA, 23–26 August 2017; IEEE: Piscataway, NJ, USA, 2017; pp. 524–529

23. Choi, S.H., Yoon, H.S.,Kim, H.B., Kwon, H.B., Oh, S.M., Lee, Y.J, Park, K.S. Real-time apnea-hypopnea event detection during sleep by convolutional neural networks. Comput. Biol. Med. 2018, 100, 123–131.

24. Ana Mincholé and Blanca Rodriguez. Artifcial intelligence for the electrocardiogram. Nature Medicine, vol 25, January 2019, pp. 20–23 www.nature.com/naturemedicin

25.Peter H. Charlton , Drew A. Birrenkott , Timothy Bonnici , Marco A. F. Pimentel ,Alistair E. W. Johnson, Jordi Alastruey, Lionel Tarassenko, Peter J. Watkinson, Richard Beale,and David A. Clifton. Breathing Rate Estimation From the Electrocardiogram and Photoplethysmogram: A Review, IEEE Reviews in Biomedical Engineering, Vol. 11, 2018, 1-20 p.

26. Denisse Castaneda, Aibhlin Esparza, Mohammad Ghamari, Cinna Soltanpur, Homer Nazeran. A review on wearable photoplethysmography sensors and their potential future applications in health care Int J. Biosens Bioelectron. 2018; 4(4): 195–202.
https://doi.org/10.15406/ijbsbe.2018.04.00125

27. Mohamed Elgendi. On the Analysis of Fingertip Photoplethysmogram Signals. Current Cardiology Reviews, 2012, 8, 14-25.

28. A. Johansson. Neural network for photoplethysmographic respiratory rate monitoring. Medical & Biological Engineering & Computing June 2003, 242-248 pp.

29. Mostafa S.S., Mendonça F., Morgado-Dias F., Ravelo-García A. SpO2 based sleep apnea detection using deep learning. Proc.of the 2017 IEEE 21st Intern. Conf. Intelligent Engineering Systems (INES), Larnaca, Cyprus, 20–23 October 2017; IEEE: Piscataway, NJ, USA, 2017; pp. 91–96.

30. A. Petrenko, R. Kyslyi, I. Pysmennyi Detection of human respiration patterns using deep convolution neural networks Eastern-European J.of Enterprise Technologies ISSN 1729-3774, 4/9 ( 94 ) 2018, pp. 5-17.


Full-text version