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Chapter 92 Development of a Non-invasive Screening Technique for Detection of Wrist Fractures in Children

机译:第92章开发一种非侵入性筛查技术,用于检测儿童腕骨骨折

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A study applying vibration analysis was conducted on the wrists of children aged between 10 and 15 years old to determine the presence or absence of fracture, following wrist trauma. Without radiographs it is not possible for a doctor to confirm whether trauma has resulted in a sprain or a fracture. The current waiting time for patients to see a doctor is set at 4 h by the National Health Service of the UK. This means that many children (who only have a sprain) are exposed to unnecessary radiation and they and their guardians are spending needless hours in the Emergency Department and potentially prolonging the stay of others. Therefore, a screening tool is required to more precisely select those children who should proceed to radiographic examinations. We have developed a hand-held vibration inducer that sends vibrating signals through the long bones for a small period of time. This device is pre-programmed and captures the corresponding vibration responses by means of a piezoelectric sensor. Data were recorded from the local children's hospital. Noise and distortion of the signals were removed as much as possible by three methods. The methods consist of subtraction of the root mean squared signals from each signal acquired, filtering the resulting signals and finally application of a suitable windowing method. The magnitudes of frequencies were classified by the 'Maximum Likelihood Estimate'. The magnitudes of frequencies were separated into two groups: males and females for clearer comparisons. All analyses were compared with x-ray findings.
机译:在10至15岁的儿童手腕上进行了一种应用振动分析,以确定腕带颈部的存在或不存在骨折。如果没有射线照觉,医生不可能确认创伤是否导致扭伤或骨折。通过英国国家卫生服务,患者看到医生的当前等候时间设定为4小时。这意味着许多孩子(只有扭伤)暴露于不必要的辐射,他们和他们的监护人在急诊部门的不必要的时间内花费,并且可能延长别人的留下。因此,需要筛选工具更准确地选择那些应进行放射学检查的儿童。我们开发了一种手持式振动诱导器,通过长骨头发送振动信号一小段时间。该设备通过压电传感器预先编程并捕获相应的振动响应。数据从当地儿童医院记录。通过三种方法尽可能多地除去信号的噪声和变形。该方法由获取的每个信号的根平均平方信号的减法组成,过滤所得到的信号,最后应用合适的窗口方法。通过“最大可能性估计”来分类频率的大小。频率的大小分为两组:男性和女性,以更清晰。将所有分析与X射线结果进行比较。

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