Yuan-Ze University Department of Information Management The Telecardiology of 12-Lead ECG Ray Hsieh Ph.D. 謝瑞建 Department of Information Management Yuan.

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Presentation transcript:

Yuan-Ze University Department of Information Management The Telecardiology of 12-Lead ECG Ray Hsieh Ph.D. 謝瑞建 Department of Information Management Yuan Ze University, Taiwan

Yuan-Ze University - Department of Information Management  The result of biology is from good engineering. -F. Starmer

Yuan-Ze University - Department of Information Management Virtual Heart

Yuan-Ze University - Department of Information Management Spiral Wave Simulation

Yuan-Ze University - Department of Information Management Introduction  Most hospitals use paper 12-lead ECG.  How to extract waveform data from clinically- used ECG instruments ?  How to integrate different ECG file formats ? (HP SCP-ECG & Philips XML-ECG)

Yuan-Ze University - Department of Information Management Paper-Based 12-lead ECG

Yuan-Ze University - Department of Information Management 12-lead ECG Measurement

Yuan-Ze University - Department of Information Management Paper ECG

Yuan-Ze University - Department of Information Management Objectives  To enable the integration of heterogeneous and encrypted clinically-used 12-lead ECG file formats, such as HP SCP-ECG, Philips XML-ECG.  To develop a novel 12-lead ECG information management system for clinical applications.

Yuan-Ze University - Department of Information Management

System Construction

Yuan-Ze University - Department of Information Management Methods  SCP-ECG decode  XML-ECG noise removal  WEB-based and mobile-based ECG system and DICOM-ECG Conversion  Integration with HIS and PACS

Yuan-Ze University - Department of Information Management SCP-ECG Decoding

Yuan-Ze University - Department of Information Management

Noise Removal by Stationary Wavelet Transform

Yuan-Ze University - Department of Information Management ECG processing

Yuan-Ze University - Department of Information Management Noise Removal of ECG

Yuan-Ze University - Department of Information Management Web-based ECG Information System

Yuan-Ze University - Department of Information Management Web-based ECG Information System

Yuan-Ze University - Department of Information Management 12-lead ECG on iPod

Yuan-Ze University - Department of Information Management Mobile-based 12-Lead ECG Queries and Diagnoses

Yuan-Ze University - Department of Information Management Medical Informatics Standards  Digital Image and Communication in Medicine (DICOM)  Picture Archiving and Communication System (PACS).  Hospital Information System (HIS).

Yuan-Ze University - Department of Information Management HIS-PACS-DICOM-ECG

Yuan-Ze University - Department of Information Management PACS ECG Scheduling Query

Yuan-Ze University - Department of Information Management PACS Viewer with Embedded Image and Waveform Interpreters

Yuan-Ze University - Department of Information Management Mobilized DICOM-ECG & Image Viewer

Yuan-Ze University - Department of Information Management Mobilized DICOM-ECG & Image Viewer

Yuan-Ze University - Department of Information Management

Clinical Applications

Yuan-Ze University - Department of Information Management

Discussions  Clinical Applications  Mobile-based 12-lead ECG system can enhance the time efficiency in emergency medical treatments.  DICOM-ECG can enhance the interoperability of 12-lead ECG records.  Web-based 12-lead ECG can improve the readability and portability of clinical 12-lead ECG reports.  The developed Web and mobile 12-lead ECG system has been adopted by Taoyuan Armed Forces General Hospital-Taiwan since March, 2008.