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A study of the agreement between an automatic tongue diagnosis system and traditional Chinese medicine practitioners
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
ing linked to the sequence of the harmonic interfacial water layers. The discovery of their harmonisation with frequencies of LED light at 670 nm has inspired a model with which we can reverse the degeneration of elastin through interaction with the interfacial layers of water in the extracellular matrix. Regular prolonged irradiation with light at 670 nm, generated by LEDs, reduces facial wrinkles to significant levels. LEDs have also proven very useful in photoporation and teeth whitening. http://dx.doi.org/10.1016/j.eujim.2012.07.928
193
kappa values of 0.45 ± 0.168 and 0.41 ± 0.151, respectively. The high agreement suggests that ATDS can provide objective and reliable tongue features to facilitate research relevant to the temporal progression of a patient’s disease or finding a significant index for a specific disease through statistical analysis of a large number of tongue images. http://dx.doi.org/10.1016/j.eujim.2012.07.929 PP-170
PP-169
The Cloud system for mobile medical services of traditional Chinese medicine (TCM)
A study of the agreement between an automatic tongue diagnosis system and traditional Chinese medicine practitioners
Hou Mark 1 , Hu Nian-Zu 2 , Lee Chia ying 1 , Chen Ying-Ling 1
Chiang John 1 , Lo Lun-Chien 2 , Cheng Tsung-Lin 3 , Chen WenJiuan 4 , Chen Yung-Fu 5
2 National
1 National
Sun Yat-Sen University, Kaohsiung, Taiwan 2 Departments of Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan 3 Graduate Institute of Statistical and Informational Science, National Changhua University of Education, Taiwan 4 Department of Traditional Chinese Medicine, Changhua Christian Hospital, Taiwan 5 Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan, PR China Background: Tongue diagnosis is an important diagnostic method practised in traditional Chinese medicine (TCM) for determining treatments. Traditionally, tongue diagnosis depends solely on personal knowledge and experience of the practitioner, thereby being criticised as lacking objectivity and quantification. In addition, no research with regard to intra- and inter-agreements of automatic tongue diagnosis system (ATDS) and TCM practitioners has been conducted so far. Aim: In this study, an ATDS was developed to identify a variety of tongue features and provide practitioners with objective data to assist diagnoses. Method: To evaluate the stability of ATDS in clinical applications, 20 sets of tongue image pairs P = {PT1(i),PT2(i)|i = 1,2,...20}, taken 1 h apart, from 20 patients, with possible variations in lighting and differences in length, shape and angle of extruding tongue,were used. The features extracted by the ATDS for each set of tongue images were compared to derive the intra-agreement of ATDS. The image set PT1 was used in a two-stage tongue diagnosis questionnaire to investigate the intra-agreement of TCM doctors. The diagnostic results from image set PT1 of ATDS and TCM doctors were then compared and the inter-agreement between ATDS and TCM doctors is calculated. Results and Conclusion: The results of this study suggest that the ATDS is consistent even in the face of variations of environmental lighting and tongue extrusion, with high intra-agreement, significantly higher than that of TCM doctors (p < 0.001). Inter-agreements between ATDS and the group of TCM doctors as well as among TCM doctors are moderate with
1 Changhua
Christian Hospital, Changhua, Taiwan Formosa University, Huwei, Taiwan
Background: Recently, many medical centres have started to provide services of traditional Chinese medicine (TCM) for hospitalised patients in Taiwan. Due to the complexity of TCM modalities and high-volume service among different wards, the task is getting harder to manage. A computerised system with mobile ability is urgently needed. Aim: This study developed a mobile system using portable devices to improve TCM services for the hospitalised patients in a medical centre setting. Method: The system included several mobile devices carrying the Android operating system and a laptop as a Cloud server. All the devices ran the same TCM management systems developed by the study. An online was also established for information sharing. The users could record basic data and management of the patients for identification and treatment. The information was transported wirelessly between medical personnel through the Cloud system. The privacy of the patients was protected by the Computer-Processed Personal Data Protection Law. Results: The system was tested and verified at three wards of the Changhua Christian Hospital, Lukang Branch. The basic data and management of the patients, including herb therapy and acupuncture, were successfully recorded and circulated among medical personnel. The average processing time was reduced by 30%. Patient safety was improved by better patient identification and reducing events such as forgotten needles. Conclusion: The cloud system of TCM could increase the efficiency of the TCM practice in wards and also improve patient safety. http://dx.doi.org/10.1016/j.eujim.2012.07.930
ing linked to the sequence of the harmonic interfacial water layers. The discovery of their harmonisation with frequencies of LED light at 670 nm has inspired a model with which we can reverse the degeneration of elastin through interaction with the interfacial layers of water in the extracellular matrix. Regular prolonged irradiation with light at 670 nm, generated by LEDs, reduces facial wrinkles to significant levels. LEDs have also proven very useful in photoporation and teeth whitening. http://dx.doi.org/10.1016/j.eujim.2012.07.928
193
kappa values of 0.45 ± 0.168 and 0.41 ± 0.151, respectively. The high agreement suggests that ATDS can provide objective and reliable tongue features to facilitate research relevant to the temporal progression of a patient’s disease or finding a significant index for a specific disease through statistical analysis of a large number of tongue images. http://dx.doi.org/10.1016/j.eujim.2012.07.929 PP-170
PP-169
The Cloud system for mobile medical services of traditional Chinese medicine (TCM)
A study of the agreement between an automatic tongue diagnosis system and traditional Chinese medicine practitioners
Hou Mark 1 , Hu Nian-Zu 2 , Lee Chia ying 1 , Chen Ying-Ling 1
Chiang John 1 , Lo Lun-Chien 2 , Cheng Tsung-Lin 3 , Chen WenJiuan 4 , Chen Yung-Fu 5
2 National
1 National
Sun Yat-Sen University, Kaohsiung, Taiwan 2 Departments of Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan 3 Graduate Institute of Statistical and Informational Science, National Changhua University of Education, Taiwan 4 Department of Traditional Chinese Medicine, Changhua Christian Hospital, Taiwan 5 Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan, PR China Background: Tongue diagnosis is an important diagnostic method practised in traditional Chinese medicine (TCM) for determining treatments. Traditionally, tongue diagnosis depends solely on personal knowledge and experience of the practitioner, thereby being criticised as lacking objectivity and quantification. In addition, no research with regard to intra- and inter-agreements of automatic tongue diagnosis system (ATDS) and TCM practitioners has been conducted so far. Aim: In this study, an ATDS was developed to identify a variety of tongue features and provide practitioners with objective data to assist diagnoses. Method: To evaluate the stability of ATDS in clinical applications, 20 sets of tongue image pairs P = {PT1(i),PT2(i)|i = 1,2,...20}, taken 1 h apart, from 20 patients, with possible variations in lighting and differences in length, shape and angle of extruding tongue,were used. The features extracted by the ATDS for each set of tongue images were compared to derive the intra-agreement of ATDS. The image set PT1 was used in a two-stage tongue diagnosis questionnaire to investigate the intra-agreement of TCM doctors. The diagnostic results from image set PT1 of ATDS and TCM doctors were then compared and the inter-agreement between ATDS and TCM doctors is calculated. Results and Conclusion: The results of this study suggest that the ATDS is consistent even in the face of variations of environmental lighting and tongue extrusion, with high intra-agreement, significantly higher than that of TCM doctors (p < 0.001). Inter-agreements between ATDS and the group of TCM doctors as well as among TCM doctors are moderate with
1 Changhua
Christian Hospital, Changhua, Taiwan Formosa University, Huwei, Taiwan
Background: Recently, many medical centres have started to provide services of traditional Chinese medicine (TCM) for hospitalised patients in Taiwan. Due to the complexity of TCM modalities and high-volume service among different wards, the task is getting harder to manage. A computerised system with mobile ability is urgently needed. Aim: This study developed a mobile system using portable devices to improve TCM services for the hospitalised patients in a medical centre setting. Method: The system included several mobile devices carrying the Android operating system and a laptop as a Cloud server. All the devices ran the same TCM management systems developed by the study. An online was also established for information sharing. The users could record basic data and management of the patients for identification and treatment. The information was transported wirelessly between medical personnel through the Cloud system. The privacy of the patients was protected by the Computer-Processed Personal Data Protection Law. Results: The system was tested and verified at three wards of the Changhua Christian Hospital, Lukang Branch. The basic data and management of the patients, including herb therapy and acupuncture, were successfully recorded and circulated among medical personnel. The average processing time was reduced by 30%. Patient safety was improved by better patient identification and reducing events such as forgotten needles. Conclusion: The cloud system of TCM could increase the efficiency of the TCM practice in wards and also improve patient safety. http://dx.doi.org/10.1016/j.eujim.2012.07.930