ANALYSIS OF APPROACHES TO THE DESIGN AND IMPLEMENTATION OF MEDICAL INFORMATION SYSTEMS BASED ON THE CONCEPT OF A CYBER-PHYSICAL SYSTEM FOR SOLVING PROBLEMS OF VERIFYING THE STATE OF FRAGMENTS OF MEDICAL BIOLOGICAL OBJECTS
Keywords:
Automation, biological, verification, non-etalon verification method, diagnostics, information, cyberphysical, medical, method, reference method, subsystem, hardware and software module, process, system, statistics, radiography, solution, tomography, entropy, standard
Abstract
This article discusses approaches and their analysis to the design and implementation of
medical information systems based on the concept of a cyberphysical system for solving problems
of verifying the state of fragments of medical biological objects in the process of diagnosing diseases.
The relevance of the development of tools and methods for automating diagnostic and
treatment processes based on advanced technologies with the widespread introduction of medical
information systems (MIS), medical automated information systems (MAIS), medical automated
diagnostic information systems (MADIS) based on a complex of technical means (CTS) of computer
technology (VT), a complex of software (KPS,) system and instrumental, network technologies
and computer networks, new information technologies in general, when implementing a model for
the development of domestic production of technological equipment and medical products. An
analysis is made of what should be included in its composition, according to which principle it
should be built, which principles of construction should satisfy the MIS, as a cyberphysical system
(CFS). The technological sequence is shown, which is the analysis of X-ray images, decisionmaking
based on the analysis of these images, diagnosis based on the decisions made by the decision-
making subsystem of the MIS, which should be carried out by developing and applying algorithms
for automating the diagnostic process implemented by the developed software and information
support for the maintenance of the decision-making subsystem. The implementation of the
process of verifying the state of fragments of biological objects using computed tomographic images
of MIS is described. The article focuses on the analysis of X-ray images, decision-making
based on the analysis of these images, diagnosis based on the decisions made. Examples of applied,
practical implementation of software and information support for the process of automation
of verification of medical facilities in the form of screen forms for working with fragments of the
object under study and the results of the analysis of radiographic images are given. All this makes
it possible to increase the efficiency, accuracy of verification of the state of medical biological
objects, the reliability of the disease diagnosis process. The scientific novelty, the results of the
approbation of the material presented in the article at international, All-Russian conferences,
scientific journals are shown.
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inzhenerii i upravlenii», (KomTekh-2021), (08-11 iyunya 2021 g.) [Proceedings (reports) of the
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biological objects by the subsystem of decision support for the diagnosis of diseases],
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ob"ektov po komp'yuterno-tomograficheskim izobrazheniyam podsistemoy prinyatiya
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state of fragments of medical biological objects using computed tomographic images by the
decision-making subsystem for the diagnosis of diseases], Sb. trudov X Vserossiyskoy
nauchnoy konferentsii molodykh uchenykh, aspirantov i studentov «Problemy avtomatizatsii,
regional'noe upravlenie, svyaz' i akustika» PARUSA – 2021 (Gelendzhik, 20–22 oktyabrya
2021 g.) [Proceedings of the X All–Russian Scientific Conference of Young scientists, postgraduates
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metodov verifikatsii sostoyaniya meditsinskikh biologicheskikh ob"ektov dlya meditsinskoy
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for the implementation of methods for verifying the state of medical biological objects for a
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sistemy organizatsii meditsinskoy pomoshchi» [Informatization of healthcare as a tool for creating
a "Self-regulating system of medical care organization"], Vrach i informatsionnye tekhnologii
[Doctor and information technologies], 2009, No. 2, pp. 24-27.
2. Gostyushkin V.V., Kosykh N.E., Savin S.Z. Modeli i metody obrabotki meditsinskikh
izobrazheniy [Models and methods of medical image processing]. Khabarovsk: Vychislitel'nyy
tsentr DVO RAN, 2010, 20 p.
3. Blinov N.N., Mazurov A.I. Problemy rasshireniya diagnosticheskikh vozmozhnostey
meditsinskoy rentgenotekhniki [Problems of expanding diagnostic capabilities of medical
X-ray equipment], Meditsinskaya tekhnika [Medical Technic], 2011, No. 5, pp. 1-5.
4. Rozhkova N.I., Kochetova G.P. Dinamika tekhnicheskoy osnashchennosti diagnosticheskoy
sluzhby Rossiyskoy Federatsii za 2002-2010 gg. [Dynamics of technical equipment of the diagnostic
service of the Russian Federation for 2002-2010], Meditsinskaya tekhnika [Medical
Technic], 2012, No. 2, pp. 1-5.
5. Volkov A.G., Samoylenko A.P., Proskuryakov A.V. Metod diagnostiki sostoyaniya
paranazal'nykh pazukh po ikh rentgenograficheskim izobrazheniyam [Method of diagnosing
the condition of paranasal sinuses by their radiographic images], X Mezhdunarodnaya
nauchno-tekhnicheskaya konferentsiya «Fizika i radioelektronika v meditsine i ekologii»
(FREME’2012) [X International Scientific and Technical Conference "Physics and Radio
Electronics in Medicine and Ecology" (FREME'2012)], 2012, pp. 63-67.
6. Mukhin Yu.Yu., Lebedev G.S. Podkhody k parametricheskoy otsenke i sopostavleniyu funktsiy
meditsinskikh informatsionnykh sistem [Approaches to parametric assessment and comparison
of functions of medical information systems], Informatsionno-izmeritel'nye sistemy [Information
and measurement systems], 2013, No. 10, pp. 19-27.
7. Tarasov N.V., Proskuryakov A.V. Realizatsiya algoritma informatsionno-entropiynogo analiza
meditsinskikh rentgenograficheskikh i tomograficheskikh snimkov [Implementation of the algorithm
of information - entropy analysis of medical radiographic and tomographic images],
Mater. IV Vserossiyskoy nauchno-tekhnicheskoy konferentsii «Fundamental'nye i prikladnye
aspekty komp'yuternykh tekhnologiy i informatsionnoy bezopasnosti» (FPAKTIB’2018) [Proceedings
of the IV All-Russian Scientific and Technical Conference "Fundamental and Applied
Aspects of Computer Technology and Information Security" (FPAKTIB'2018)]. Rostovon-
Donu Izd-vo YuFU, 2018, pp. 461-465.
8. Samoylenko A.P., Proskuryakov A.V. Sposoby realizatsii metoda diagnostiki sostoyaniya
paranazal'nykh pazukh po ikh rentgenograficheskim izobrazheniyam [Methods of implementing
the method of diagnosing the condition of paranasal sinuses by their radiographic images],
Sb. trudov XI Mezhdunarodnoy nauchno-tekhnicheskoy konferentsii «Fizika i radioelektronika
v meditsine i ekologii» (FREME’2014) [Proceedings of the XI International Scientific and
Technical Conference "Physics and Radio Electronics in Medicine and Ecology"
(FREME'2014)], 2014, pp. 71-75.
9. Proskuryakov A.V., Samoylenko A.P. ARM podderzhki prinyatiya resheniy pri diagnostike
LOR-zabolevaniy meditsinskoy integrirovannoy avtomatizirovannoy informatsionnoy
diagnosticheskoy sistemy [Decision support ARM for the diagnosis of ENT diseases of the
medical integrated automated information diagnostic system], Sb. trudov XI Mezhdunarodnoy
nauchno-tekhnicheskoy konferentsii «Fizika i radioelektronika v meditsine i ekologii»
(FREME’2014) [Proceedings of the XI International Scientific and Technical Conference
"Physics and Radio Electronics in Medicine and Ecology" (FREME'2014)], 2014, pp. 68-72.
10. Proskuryakov A.V., Samoylenko A.P. Podsistema matematicheskogo i programmnogo
obespecheniya podderzhki prinyatiya resheniy na baze sposobov diagnostiki zabolevaniy po
rentgenovskim snimkam «Meditsinskoy avtomatizirovannoy diagnosticheskoy
informatsionnoy sistemy» [Subsystem of mathematical and software support for decisionmaking
based on methods of diagnosis of diseases by X-rays "Medical automated diagnostic
information system"], Promyshlennye ASU i kontrollery [Industrial automated control systems
and controllers], 2015, No. 1, pp. 34-43. ISSN 1561-1531.
11. Proskuryakov A.V. Realizatsiya sposobov diagnostiki zabolevaniy v meditsinskoy
avtomatizirovannoy informatsionnoy sisteme podderzhki prinyatiya resheniy [Implementation
of methods for diagnosing diseases in a medical automated information system for decision
support], Sb. trudov XII Mezhdunarodnoy nauchno-tekhnicheskoy konferentsii «Fizika i
radioelektronika v meditsine i ekologii» (FREME’2016) [Proceedings of the XII International
Scientific and Technical Conference "Physics and Radio Electronics in Medicine and Ecology"
(FRAME'2016)]. Vladimir, Suzdal', 2016, pp. 303-307.
12. Proskuryakov A.V, Samoylenko A.P. Metodologiya verifikatsii sostoyaniya fragmentov
biologicheskikh ob"ektov po komp'yuterno-tomograficheskim izobrazheniyam [Methodology
of verification of the state of fragments of biological objects by computer tomographic images],
Sb. trudov XIII Mezhdunarodnoy nauchno-tekhnicheskoy konferentsii «Fizika i
radioelektronika v meditsine i ekologii» (FREME’2018) [Proceedings of the XIII International
Scientific and Technical Conference "Physics and Radio Electronics in Medicine and Ecology"
(FREME'2018)]. Vladimir, Suzdal', 2018, pp. 209-212.
13. Proskuryakov A.V. Verifikatsiya sostoyaniya fragmentov biologicheskikh ob"ektov po
komp'yuterno-tomograficheskim izobrazheniyam [Verification of the state of fragments of biological
objects using computed tomographic images], Mater. Vserossiyskoy nauchnotekhnicheskoy
konferentsii s mezhdunarodnym uchastiem imeni professora O.N. P'yavchenko
«KomTekh-2019» [Materials of the All-Russian Scientific and Technical Conference with international
participation named after professor O.N. Piavchenko "Komtech-2019"]. Rostov-on-
Don; Taganrog, 2019, pp. 169-175.
14. Kontseptual'nyy podkhod k proektirovaniyu i postroeniyu sovremennykh meditsinskikh
avtomatizirovannykh informatsionnykh sistem (MAIS) [Conceptual approach to the design and
construction of modern medical automated information systems (MAIS)], Sb. trudov VII
Vserossiyskoy nauchnoy konferentsii molodykh uchenykh, aspirantov i studentov «Problemy
avtomatizatsii, regional'noe upravlenie, svyaz' i avtomatika» PARUSA – 2019 (Gelendzhik, 6–8
noyabrya 2019 g.) [Proceedings of the VII All–Russian Scientific Conference of Young Scientists,
postgraduates and students "Problems of automation, regional management, communications and
automation" SAILS – 2019 (Gelendzhik, November 6-8, 2019)]. Rostov-on-Don; Taganrog: Izd-vo
YuFU, 2019, pp. 318-332. ISBN: 978-5-9275-3356-5 (Vol. 1). ISBN 978-5-9275-3355-8.
15. Proskuryakov A.V. Meditsinskaya avtomatizirovannaya informatsionnaya sistema podderzhki
prinyatiya resheniya dlya diagnostiki zabolevaniy s ispol'zovaniem verifikatsii sostoyaniya
fragmentov mediko-biologicheskikh ob"ektov po komp'yuterno-tomograficheskim
izobrazheniyam [Medical automated information system for decision-making support for the
diagnosis of diseases using verification of the state of fragments of biomedical objects using
computed tomographic images], Informatizatsiya i svyaz' [Informatization and communication],
2020, No. 3, pp. 55-60.
16. Proskuryakov A.V. Informatsionnoe i programmnoe obespechenie realizatsii metodov
verifikatsii sostoyaniya fragmentov meditsinskikh biologicheskikh ob"ektov po komp'yuternotomograficheskim
izobrazheniyam podsistemoy prinyatiya resheniy dlya diagnostiki
zabolevaniy [Information and software for the implementation of methods for verifying the
state of fragments of medical biological objects using computed tomographic images by the
decision-making subsystem for the diagnosis of diseases], Mater. X Mezhdunarodnoy
nauchno-tekhnicheskoy konferentsii «Tekhnologii razrabotki informatsionnykh sistem» (TRIS-
2020), (05-10 oktyabrya 2020 g.) [Materials of the X International Scientific and Technical
Conference "INFORMATION SYSTEMS DEVELOPMENT TECHNOLOGIES" (TRIS-
2020), (October 05-10, 2020)]. Taganrog: Izd-vo YuFU, 2020, pp. 175-181.
17. Realizatsiya metodologii verifikatsii sostoyaniya fragmentov meditsinskikh biologicheskikh
ob"ektov po komp'yuterno-tomograficheskim izobrazheniyam podsistemoy prinyatiya
resheniy dlya diagnostiki zabolevaniy [Implementation of the methodology for verifying the
state of fragments of medical biological objects using computed tomographic images by the
decision-making subsystem for the diagnosis of diseases], Sb. trudov (dokladov)
Vserossiyskoy nauchno-tekhnicheskoy konferentsii s mezhdunarodnym uchastiem imeni
professora O.N. P'yavchenko «Komp'yuternye i informatsionnye tekhnologii v nauke,
inzhenerii i upravlenii», (KomTekh-2021), (08-11 iyunya 2021 g.) [Proceedings (reports) of the
All-Russian Scientific and Technical Conference with international participation named after
Professor O.N. Piavchenko "Computer and information technologies in science, engineering
and management", (Comtech-2021), (June 08-11, 2021)]. Rostov-on-Don; Taganrog: Izd-vo
YuFU, 2021, pp. 258-268. ISBN 978-5-9275-3883-6.
18. Proskuryakov A.V. Avtomatizatsiya protsessa verifikatsii sostoyaniya fragmentov
meditsinskikh biologicheskikh ob"ektov podsistemoy podderzhki prinyatiya resheniy dlya
diagnostiki zabolevaniy [Automation of the process of verifying the state of fragments of medical
biological objects by the subsystem of decision support for the diagnosis of diseases],
Informatizatsiya i svyaz' [Informatization and communication], 2021, No. 8, pp. 85-90. DOI
10.34219/2078-8320-2020-11-3-55-60. ISSN 2078-8320.
19. Metody realizatsii verifikatsii sostoyaniya fragmentov meditsinskikh biologicheskikh
ob"ektov po komp'yuterno-tomograficheskim izobrazheniyam podsistemoy prinyatiya
resheniy dlya diagnostiki zabolevaniy [Methods for the implementation of verification of the
state of fragments of medical biological objects using computed tomographic images by the
decision-making subsystem for the diagnosis of diseases], Sb. trudov X Vserossiyskoy
nauchnoy konferentsii molodykh uchenykh, aspirantov i studentov «Problemy avtomatizatsii,
regional'noe upravlenie, svyaz' i akustika» PARUSA – 2021 (Gelendzhik, 20–22 oktyabrya
2021 g.) [Proceedings of the X All–Russian Scientific Conference of Young scientists, postgraduates
and students "Problems of automation, regional management, communications and
acoustics" SAILS – 2021 (Gelendzhik, October 20-22, 2021)]. Rostov-on-Don; Taganrog: Izdvo
YuFU, 2021, pp. 63-72. ISBN 978-5-9275-4002-0.
20. Proskuryakov A.V. Sintez programmnogo i informatsionnogo obespecheniya realizatsii
metodov verifikatsii sostoyaniya meditsinskikh biologicheskikh ob"ektov dlya meditsinskoy
avtomatizirovannoy informatsionnoy sistemy [Synthesis of software and information support
for the implementation of methods for verifying the state of medical biological objects for a
medical automated information system], Izvestiya YuFU. Tekhnicheskie nauki [Izvestiya
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