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A semantically-aided architecture for a web-based monitoring system for carotid atherosclerosis
Insights
This study introduces a new web-based system using ontologies to integrate patient data for diagnosing carotid atherosclerosis. It improves data access and interoperability for better clinical decision-making.
Area of Science:
- Medical Informatics
- Biomedical Engineering
- Health Information Systems
Background:
- Carotid atherosclerosis diagnosis relies on diverse clinical data, often fragmented across disparate Health Information Systems (HIS).
- Lack of interoperability between HIS hinders comprehensive data acquisition for accurate diagnosis.
- Existing systems struggle to unify heterogeneous data sources effectively.
Purpose of the Study:
- To propose a semantically-aided architecture for a web-based monitoring system for carotid atherosclerosis.
- To enhance interoperability of HIS by gathering and unifying heterogeneous data using an ontology.
- To create a common interface for data access, facilitating a more complete diagnostic process.
Main Methods:
- Developed a web-based architecture utilizing an application ontology for carotid atherosclerosis.
- Integrated heterogeneous data sources through semantic representation and ontological reasoning.
- Employed SPARQL query rewriting and ontology-based data access services for information retrieval.
Main Results:
- The architecture successfully integrated imaging exams and clinical profiles of 233 patients.
- Physicians could execute complex queries, demonstrating expanded retrieval capabilities.
- Promising results were achieved in terms of interoperability and ontological data integration.
Conclusions:
- The proposed semantically-aided architecture significantly enhances HIS interoperability for carotid atherosclerosis management.
- Ontology-driven data integration facilitates comprehensive data access, supporting improved clinical diagnosis.
- The system offers expanded query and retrieval functionalities, aiding physicians in evaluating patient data.
Abstract:
Carotid atherosclerosis is a multifactorial disease and its clinical diagnosis depends on the evaluation of heterogeneous clinical data, such as imaging exams, biochemical tests and the patient's clinical history. The lack of interoperability between Health Information Systems (HIS) does not allow the physicians to acquire all the necessary data for the diagnostic process. In this paper, a semantically-aided architecture is proposed for a web-based monitoring system for carotid atherosclerosis that is able to gather and unify heterogeneous data with the use of an ontology and to create a common interface for data access enhancing the interoperability of HIS. The architecture is based on an application ontology of carotid atherosclerosis that is used to (a) integrate heterogeneous data sources on the basis of semantic representation and ontological reasoning and (b) access the critical information using SPARQL query rewriting and ontology-based data access services. The architecture was tested over a carotid atherosclerosis dataset consisting of the imaging exams and the clinical profile of 233 patients, using a set of complex queries, constructed by the physicians. The proposed architecture was evaluated with respect to the complexity of the queries that the physicians could make and the retrieval speed. The proposed architecture gave promising results in terms of interoperability, data integration of heterogeneous sources with an ontological way and expanded capabilities of query and retrieval in HIS.
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