Image Processing Technique and Hidden Markov Model for an Elderly Care Monitoring System

Advances in image processing technologies have provided more precise views in medical and health care management systems. Among many other topics, this paper focuses on several aspects of video-based monitoring systems for elderly people living independently. Major concerns are patients with chronic diseases and adults with a decline in physical fitness, as well as falling among elderly people, which is a source of life-threatening injuries and a leading cause of death. Therefore, in this paper, we propose a video-vision-based monitoring system using image processing technology and a Hidden Markov Model for differentiating falls from normal states for people. Specifically, the proposed system is composed of four modules: (1) object detection; (2) feature extraction; (3) analysis for differentiating normal states from falls; and (4) a decision-making process using a Hidden Markov Model for sequential states of abnormal and normal. In the object detection module, background and foreground segmentation is performed by applying the Mixture of Gaussians model, and graph cut is applied for foreground refinement. In the feature extraction module, the postures and positions of detected objects are estimated by applying the hybrid features of the virtual grounding point, inclusive of its related area and the aspect ratio of the object. In the analysis module, for differentiating normal, abnormal, or falling states, statistical computations called the moving average and modified difference are conducted, both of which are employed to estimate the points and periods of falls. Then, the local maximum or local minimum and the half width value are determined in the observed modified difference to more precisely estimate the period of a falling state. Finally, the decision-making process is conducted by developing a Hidden Markov Model. The experimental results used the Le2i fall detection dataset, and showed that our proposed system is robust and reliable and has a high detection rate.