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X-ray 이미지를 활용한 증강현실 기반 심전도 측정시스템 개발

Using the X-ray Image, Augmented Reality based electrocardiogram measurement system Development

  • 이광인 (고려대학교 대학원 보건과학과) ;
  • 장진수 (고려대학교 대학원 보건과학과 BK21플러스 인간생명-사회환경 상호작용융합사업단) ;
  • 이태노 (고려대학교 대학원 보건과학과 BK21플러스 인간생명-사회환경상호작용융합사업단 보건정책관리학부)
  • Lee, Kwang-In (Department of Health Science, Graduate School, Korea University) ;
  • Jang, Jin-Soo (BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Health Science, Graduate School, Korea University) ;
  • Lee, Tae-Ro (BK21PLUS Program in Embodiment: Health-Society Interaction, School of Health Policy & Management, Korea University)
  • 투고 : 2016.08.04
  • 심사 : 2016.09.20
  • 발행 : 2016.09.28

초록

경제성장과 함께 생활습관 변화로 인한 만성질환이 지속적으로 증가하고 있다. 그 중 심뇌혈관질환은 사망원인의 약 20%를 차지하는 우리나라의 주요 사망원인이다. 심장의 이상을 측정하는 검사는 심전도검사로, 심장의 리듬을 전기적으로 측정하여 평가하는 방법이다. 심전도 검사에서 가장 영향을 미치는 것은 전극의 부착 위치인데, 간호사를 대상으로 연구한 결과에 따르면 모두 정확하게 부착한 것은 2.6%로 나타났다. 따라서 본 연구는 이러한 문제를 해결하기 위해 프로젝션 기반의 증강현실 기술을 사용하여 환자 본인의 Chest X-ray 사진을 흉부에 중첩시켜 투영시킴으로써 정확한 전극 부착위치를 쉽게 알 수 있는 시스템을 개발하였다. 기존의 방법으로 측정한 결과와 개발한 시스템으로 측정한 결과를 비교하였더니 2.6cm의 오차를 보였다. 그에 따른 심전도 결과에서도 V1, V2, V3위치에서 눈에 띄는 파형의 차이가 있었다. 본 시스템으로 정확하게 측정된 심전도는 의료진들의 환자관리 및 임상적 의사결정에 크게 도움이 될 것이다.

Chronic diseases are increasing nowadays as daily habits changed due to economic growth. Among chronic diseases, heart cerebrovascular disease is one of the major causes of death in South Korea that accounts for approximately 20% of mortality. Tests to measure anomaly of the heart is ECG tests, which measures and analyzes the electrical heart activity. Any mistakes in lead attachment location critically affects ECG testings, and statistical facts showed that only 2.8% of the nurses properly located leads to patients. As a solution, this paper proposes a system based on a projection-based augmented reality technology to generate X-ray images to the patient's chest to point out exact attachment locations of ECG leads. Evaluation comparison results showed a 2.6 cm difference between the conventional system and the proposed system. ECG test results also showed significant signal differences between the systems in leads V1, V2, and V3. The ECG measured accurately by the proposed system would help greatly in patient management and clinical decisions of clinicians.

키워드

참고문헌

  1. "Cause of death statistics". Statistics Korea Home page. FY 2012. http://index.go.kr. 2013.
  2. Yun-shik Choi, "Clinical Electrocardiography Fifth Edition". Seoul National University Press. pp.15-20, 2009.
  3. Woong-Sik Kim, Jong-Ki Kim, "Design of ECG Measurement System based on the Android". Journal of Korean Society for Internet Information Vol. 13, No. 1. pp.135-140, 2012.
  4. SungHee Yang, Jin-Soo Lee, Changsoo Kim, "The Accuracy of Echocardiography and ECG in the Left Ventricular Hypertrophy", Journal of the korea contents association, Vol. 16, No. 2, pp.666-672. 2016. https://doi.org/10.5392/JKCA.2016.16.02.666
  5. Yong-Suk Oh, "Easy to Understand Electrocardiogram", Daehan Medical Publishing, pp.26-49. 2006.
  6. Seok-Joo Yoon, Gwang-Jun Kim, "Personal Biometric Identification based on ECG Features", The Korea Institute of Electronic Communication Sciences, Vol. 10, No. 04, pp.521-526. 2015. https://doi.org/10.13067/JKIECS.2015.10.4.521
  7. "AACN practice alert: Dysrhythmia monitoring. American Association of Critical-Care Nurses Website" (2008, April). http://www.aacn.org/wd/practice/docs/practicealerts/dysrhythmia_monitoring_04-2008.pdf. January 10, 2013
  8. "AACN practice alert: ST segment monitoring.. American Association of Critical-Care Nurses Website" (2009, May). http://www.aacn.org/WD/Practice/Docs/PracticeAlerts/ST_Segment_Monitoring_05-2009.pdf. January 10, 2013.
  9. Lateef F, Nimbkar N, Zhuang KD, Foo RM, "Vertical Displacement of precordial leads alters electrocardiographic morphology", Indian Heart J. Vol. 55, No. 4, pp.339-343. 2003.
  10. Garcia-Niebla J, Llontop-Garcia P, "An unusual case of electrode misplacement: left arm and V2 electrode reversal", J Electrocardiol. 41(5), pp.380-381. 2008. https://doi.org/10.1016/j.jelectrocard.2008.04.007
  11. Jeong-Hee Kang, In-Sun Suh, Ji-Young Kim, "Intensive Care Unit Nurses' Knowledge and Nursing Practices regarding Bedside Electrocardiograph Monitoring", The Journal of Korean Academic Society of Nursing Education, Vol. 20, No. 1, pp.60-70. 2014. https://doi.org/10.5977/jkasne.2014.20.1.60
  12. Batchvarov, V. N., Malik, M., & Camm, A. J, "Incorrect electrode cable connection during electrocardiographic recording", Europace, Vol. 9, No. 11, pp.1081-1090. 2007. https://doi.org/10.1093/europace/eum198
  13. Gu-Young Jeong, Myoung-jong Yoon & Kee-Ho Yu, "Development of Realtime ECG Analysis and Monitoring System", Journal of institute of control robotics and systems, Vol. 15, No. 4, pp.406-412. 2009. https://doi.org/10.5302/J.ICROS.2009.15.4.406
  14. Tae-Jun Char, "12-LEAD ECG : From foundation to completion", Seoul: Seoul uihaksa. 2005.
  15. http://www.nottingham.ac.uk/nursing/practice/resources/cardiology/function/chest_leads.php
  16. Jung-Soo Han, "Color and Brightness Calibration Convergence Technology for 5D Virtual Reality Attractions", Jouranl of the Korea Convergence Society, Vol. 7, No. 1, pp.25-30. 2016.
  17. Sung-Ho Kim, "Development of the 3D Hair Style Simulator using Augmented Reality", Journal of Digital Convergence, Vol. 13, No. 1, pp.249-255. 2015.
  18. Ki-Deok Park, "Jean-Hun Chung. A study on the Image Augmented Reality Card using Augmented Reality", Journal of Digital Convergence, Vol. 12, No. 8, pp.467-474. 2014.
  19. Kwang-Moon Cho, "Development of Guide and Facility Management App by using Augmented Reality and QR Code", Journal of Digital Convergence, Vol. 12, No. 4, pp.245-249. 2014. https://doi.org/10.14400/JDC.2014.12.4.245
  20. Su-young Pi, Myung-Suk Lee, " Developing a Convergent Class Model of Augmented Reality and Art", Journal of Digital Convergence, Vol. 14, No. 5, pp.85-93. 2016.
  21. Lee M, "Exquisite and mysterious blend of real and virtual augmented reality (AR)", Naver cast / IT world. Available from: http://navercast.naver.com/contents.nhn?rid=122&contents_id=7019. 2011.
  22. Walsh, A., "Quick response codes and libraries", Library Hi Tech News, Vol. 26, No. 5/6, pp.7-9. 2009.
  23. Walsh, A., "Blurring the boundaries between our physical and electronic libraries: Location-aware technologies, QR codes and RFID tags", The Electronic Library, Vol. 29, No. 4, pp.429-437. 2011. https://doi.org/10.1108/02640471111156713
  24. Dong-hyun Kim, Min-ho Kim, "Design of Mixed Reality based Convergence Edutainment System using Cloud Service", Journal of the Korea Convergence Society, Vol. 6, No. 3, pp.103-109. 2015.
  25. Bandiapp, "Augmented Reality Cases", Available from: bizdemo5163/sub03/sub01.php 2013.
  26. June-Hyung Lee, Ki-Hong Kim, "Real-Time Individual Tracking of Multiple Moving Objects for Projection based Augmented Visualization", Journal of Digital Convergence, Vol. 12, No. 11, pp.357-364. 2014. https://doi.org/10.14400/JDC.2014.12.11.357
  27. Hyung-Woong Park, "Study on composite images through Augmented Reality over old images tagged location data", Journal of Digital Convergence, Vol. 12, No. 5, pp.221-229. 2014. https://doi.org/10.14400/JDC.2014.12.5.221
  28. Sung-Ho Kim, "Development of the 3D Virtual Fitting Room Simulator using Augmented Reality", The Journal of Digital Policy & Management, Vol. 11, No. 11, pp.449-454. 2013.
  29. "Augmented Reality Domestic and international technology trends and development prospects", Korea Institute of Science and Technology Information, http://gift.kisti.re.kr/data/MISO/files/future4_1208235893047.pdf 2008..