Ubiquitous Computing for Remote Cardiac Patient Monitoring: A Survey

New wireless technologies, such as wireless LAN and sensor networks, for telecardiology purposes give new possibilities for monitoring vital parameters with wearable biomedical sensors, and give patients the freedom to be mobile and still be under continuous monitoring and thereby better quality of patient care. This paper will detail the architecture and quality-of-service (QoS) characteristics in integrated wireless telecardiology platforms. It will also discuss the current promising hardware/software platforms for wireless cardiac monitoring. The design methodology and challenges are provided for realistic implementation.

[1]  Andrew R Nix,et al.  Intelligent relaying for future personal communication systems , 2000 .

[2]  Yuan-Hsiang Lin,et al.  A wireless PDA-based physiological monitoring system for patient transport , 2004, IEEE Transactions on Information Technology in Biomedicine.

[3]  Dirk Husemann,et al.  Personal mobile hub , 2004, Eighth International Symposium on Wearable Computers.

[4]  C. Siva Ram Murthy,et al.  Performance evaluation of throughput enhancement architectures for next generation wireless systems , 2002, MOCO.

[5]  R. Chodorek.  QOS measurement and evaluation of telecommunications quality of service [Book Review] , 2002, IEEE Communications Magazine.

[6]  Yang Xiao,et al.  A Survey of Insulin-Dependent Diabetes—Part I: Therapies and Devices , 2008, International journal of telemedicine and applications.

[7]  Upkar Varshney,et al.  Using Wireless Networks for Enhanced Monitoring of Patients , 2004, AMCIS.

[8]  Ahmed M. Safwat.  ACA: channel assignment in ad hoc, 4G and beyond wireless networks with directional antennas , 2004, 2004 IEEE International Conference on Communications (IEEE Cat. No.04CH37577).

[9]  Sotiris Pavlopoulos,et al.  A novel emergency telemedicine system based on wireless communication technology-AMBULANCE , 1998, IEEE Transactions on Information Technology in Biomedicine.

[10]  Yang Xiao,et al.  LTRT: Least Total-Route Temperature Routing for Embedded Biomedical Sensor Networks , 2007, IEEE GLOBECOM 2007 - IEEE Global Telecommunications Conference.

[11]  Pai-Tsun Cheng,et al.  The design of PDA-based biomedical data processing and analysis for intelligent wearable health monitoring systems , 2004, The Fourth International Conference onComputer and Information Technology, 2004. CIT '04..

[12]  Chunming Qiao,et al.  Integrated cellular and ad hoc relaying systems: iCAR , 2001, IEEE J. Sel. Areas Commun..

[13]  Samir Chatterjee,et al.  A Taxonomy of Telemedicine Efforts with Respect to Applications, Infrastructure, Delivery Tools, Type of Setting and Purpose , 2005, Proceedings of the 38th Annual Hawaii International Conference on System Sciences.

[14]  Arif Ghafoor,et al.  QoS management in multimedia networking for telemedicine applications , 2003, Proceedings IEEE Workshop on Software Technologies for Future Embedded Systems. WSTFES 2003.

[15]  Seung-Jae Han,et al.  Integration of 802.11 and third-generation wireless data networks , 2003, IEEE INFOCOM 2003. Twenty-second Annual Joint Conference of the IEEE Computer and Communications Societies (IEEE Cat. No.03CH37428).

[16]  Moh Lim Sim,et al.  Wireless technologies for telemedicine , 2006 .

[17]  P. E. Wirth,et al.  The role of teletraffic modeling in the new communications paradigms , 1997, IEEE Commun. Mag..

[18]  A. Safwat.  A-cell: a novel multi-hop architecture for 4G and 4G+ wireless networks , 2003, 2003 IEEE 58th Vehicular Technology Conference. VTC 2003-Fall (IEEE Cat. No.03CH37484).

[19]  Kwang-Cheng Chen,et al.  Internetworking between HIPERLAN/2 and UMTS , 2003, Wirel. Pers. Commun..

[20]  Joberto S. B. Martins,et al.  A quality of service framework for tele-medicine applications , 2004, WebMedia and LA-Web, 2004. Proceedings.

[21]  Jaesoon Choi,et al.  An intelligent remote monitoring system for artificial heart , 2005, IEEE Transactions on Information Technology in Biomedicine.

[22]  Randy H. Katz,et al.  Vertical handoffs in wireless overlay networks , 1998, Mob. Networks Appl..

[23]  Hongyi Wu,et al.  Mobile telemedicine sensor networks with low-energy data query and network lifetime considerations , 2006 .

[24]  Hideaki Yamanaka,et al.  Meeting QOS guarantees by end-to-end QOS monitoring and adaptation , 1996, Proceedings of 5th IEEE International Symposium on High Performance Distributed Computing.

[25]  S. Mavrogeni,et al.  Transmission of electrocardiograms from a moving ambulance , 1998, Journal of telemedicine and telecare.

[26]  Swamy Laxminarayan,et al.  UNWIRED E-MED: the next generation of wireless and internet telemedicine systems , 2000, IEEE Transactions on Information Technology in Biomedicine.

[27]  Yang Xiao,et al.  Robust medical ad hoc sensor networks (MASN) with wavelet-based ECG data mining , 2008, Ad Hoc Networks.

[28]  Charles E. Perkins,et al.  Mobile IP , 1997, IEEE Communications Magazine.

[29]  Emil Jovanov,et al.  Guest Editorial Introduction to the Special Section on M-Health: Beyond Seamless Mobility and Global Wireless Health-Care Connectivity , 2004, IEEE Transactions on Information Technology in Biomedicine.

[30]  Yi Pan,et al.  Special Issue: Mobility, Paging, and Quality of Service Management for Future Wireless Networks , 2005, Wirel. Commun. Mob. Comput..

[31]  Yang Xiao,et al.  IEEE 802.11n: enhancements for higher throughput in wireless LANs , 2005, IEEE Wireless Communications.

[32]  Marios S. Pattichis,et al.  Wireless telemedicine systems: an overview , 2002 .

[33]  Yang Xiao,et al.  A Survey of Security in Telemedicine with Wireless Sensor Networks , 2008 .

[34]  M. Welsh,et al.  Vital Signs Monitoring and Patient Tracking Over a Wireless Network , 2005, 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference.

[35]  P.X. Liu,et al.  A 3G based Network Solution to the Telehealthcare Robotic System , 2006, 2006 6th World Congress on Intelligent Control and Automation.

[36]  Kaveh Pahlavan,et al.  Handoff in hybrid mobile data networks , 2000, IEEE Wirel. Commun..

[37]  Ralf Steinmetz,et al.  Human Perception of Jitter and Media Synchronization , 1996, IEEE J. Sel. Areas Commun..

[38]  Yang Xiao,et al.  Security and privacy in RFID and applications in telemedicine , 2006, IEEE Commun. Mag..

[39]  Hongyi Wu,et al.  Mobile telemedicine sensor networks with low-energy data query and network lifetime considerations , 2006, IEEE Transactions on Mobile Computing.

[40]  Yang Xiao,et al.  Mobile, Secure Tele-Cardiology Based on Wireless and Sensor Networks , 2008 .

[41]  Shinji Takeda,et al.  Area coverage and capacity enhancement by multihop connection of CDMA cellular network , 2002, Proceedings IEEE 56th Vehicular Technology Conference.

[42]  Yan Xiao,et al.  Wireless Mobile Telemedicine : En-Route Transmission With Dynamic Quality-of-Service Management , 2001 .

[43]  Paul Lukowicz,et al.  AMON: a wearable multiparameter medical monitoring and alert system , 2004, IEEE Transactions on Information Technology in Biomedicine.

[44]  Raghupathy Sivakumar,et al.  A hybrid network model for cellular wireless packet data networks , 2002, Global Telecommunications Conference, 2002. GLOBECOM '02. IEEE.

[45]  Bharat K. Bhargava,et al.  Integrating Heterogeneous Wireless Technologies: A Cellular Aided Mobile Ad Hoc Network (CAMA) , 2004, Mob. Networks Appl..

[46]  Matt Welsh,et al.  CodeBlue: An Ad Hoc Sensor Network Infrastructure for Emergency Medical Care , 2004 .

[47]  B K Khandheria,et al.  Optimization of wide-area ATM and local-area ethernet/FDDI network configurations for high-speed telemedicine communications employing NASA's ACTS. , 1999, IEEE network.

[48]  Jie Zhou,et al.  PARCelS: Pervasive Ad-hoc Relaying for Cellular Systems , 2002 .

[49]  Ahmed M. Safwat.  On CAC, DCA, and scheduling in TDD multi-hop 4G wireless networks , 2004, IEEE International Conference on Performance, Computing, and Communications, 2004.

[50]  Fei Hu,et al.  Error-resistant RFID-assisted wireless sensor networks for cardiac telehealthcare , 2009 .

[51]  C. van der Werken,et al.  Trauma care systems in The Netherlands. , 2003, Injury.

[52]  Jiang Wu,et al.  4th-generation Wireless Infrastructures: Scenarios and Research Challenges , 2001, IEEE Wirel. Commun..

[53]  P. Rubel,et al.  Ambient intelligence and pervasive systems for the monitoring of citizens at cardiac risk: New solutions from the EPI-MEDICS project , 2002, Computers in Cardiology.

[54]  Yang Xiao,et al.  Error-resistant RFID-assisted wireless sensor networks for cardiac telehealthcare , 2009, Wirel. Commun. Mob. Comput..

[55]  A. Serra,et al.  A load-balancing distributed platform based on differentiated services for a telecare application , 2004, Proceedings of the 2004 IEEE International Conference on Control Applications, 2004..

[56]  Robert S. H. Istepanian,et al.  Throughput performance of a WCDMA system supporting tele-echography services , 2003, 4th International IEEE EMBS Special Topic Conference on Information Technology Applications in Biomedicine, 2003..

[57]  Yang Xiao,et al.  Mobile Telemedicine: A Computing and Networking Perspective , 2008 .

[58]  I. Martínez,et al.  SM3 – QUALITY OF SERVICE (QoS) EVALUATION TOOL FOR TELEMEDICINE-BASED NEW HEALTHCARE SERVICES , 2005 .

[59]  P. Rubel,et al.  A neural network approach for patient-specific 12-lead ECG synthesis in patient monitoring environments , 2004, Computers in Cardiology, 2004.

[60]  Katarzyna Wac,et al.  Performance evaluation of a Transport System supporting the MobiHealth BANip: Methodology and Assessment , 2004 .

[61]  Hossam S. Hassanein,et al.  Channel assignment in multi-hop TDD W-CDMA cellular networks , 2005, IEEE International Conference on Communications, 2005. ICC 2005. 2005.

[62]  Adolfo Muñoz Carrero,et al.  Airmed-cardio: a GSM and Internet services-based system for out-of-hospital follow-up of cardiac patients , 2005, IEEE Transactions on Information Technology in Biomedicine.

[63]  Qian Zhang,et al.  A seamless and proactive end-to-end mobility solution for roaming across heterogeneous wireless networks , 2004, IEEE Journal on Selected Areas in Communications.

[64]  Ahmed M. Safwat.  A-cell: a novel architecture for 4G and 4G+ wireless networks , 2004 .

[65]  Carmen C. Y. Poon,et al.  The evaluation of nodes of body sensor networks: wearable blood pressure measuring devices , 2006, International Workshop on Wearable and Implantable Body Sensor Networks (BSN'06).

[66]  Luis Cardoso,et al.  QoS: Measurement and Evaluation of Telecommunications Quality of Service , 2001 .

[67]  Yang Xiao,et al.  Wireless Telemedicine and M-Heath , 2007, 2007 4th IEEE Consumer Communications and Networking Conference.

[68]  Esther Rodríguez-Villegas,et al.  Breathing Detection: Towards a Miniaturized, Wearable, Battery-Operated Monitoring System , 2008, IEEE Transactions on Biomedical Engineering.

[69]  IstepanianR. S.H.,et al.  Guest Editorial Introduction to the Special Section on M-Health , 2004 .

[70]  Nuria Oliver,et al.  HealthGear: a real-time wearable system for monitoring and analyzing physiological signals , 2006, International Workshop on Wearable and Implantable Body Sensor Networks (BSN'06).

[71]  Emil Jovanov,et al.  Issues in wearable computing for medical monitoring applications: a case study of a wearable ECG monitoring device , 2000, Digest of Papers. Fourth International Symposium on Wearable Computers.

[72]  Rahim Tafazolli,et al.  On the relaying capability of next-generation GSM cellular networks , 2001, IEEE Wirel. Commun..

[73]  Fei Hu,et al.  Telemedicine for Pervasive Healthcare , 2008 .

[74]  Apostolis K. Salkintzis,et al.  WLAN-GPRS integration for next-generation mobile data networks , 2002, IEEE Wirel. Commun..

[75]  P. Rubel,et al.  Towards intelligent and mobile systems for early detection and interpretation of cardiological syndromes , 2001, Computers in Cardiology 2001. Vol.28 (Cat. No.01CH37287).

[76]  Guanling Chen,et al.  A Survey of Context-Aware Mobile Computing Research , 2000 .

[77]  W. Stork,et al.  APPLICATION OF UBIQUITOUS COMPUTING IN PERSONAL HEALTH MONITORING SYSTEMS , 2002, Biomedizinische Technik. Biomedical engineering.

[78]  P. Whitten,et al.  E-Health, telehealth, and telemedicine : a guide to start-up and success , 2001 .

[79]  Daisuke Takahashi,et al.  Telemedicine Usage and Potentials , 2007, 2007 IEEE Wireless Communications and Networking Conference.

[80]  Hari Balakrishnan,et al.  An end-to-end approach to host mobility , 2000, MobiCom '00.

[81]  Jiming Chen,et al.  Continuous Drug Infusion for Diabetes Therapy: A Closed-Loop Control System Design , 2008, EURASIP J. Wirel. Commun. Netw..

[82]  Andrei V. Gurtov,et al.  Measured performance of GSM, HSCSD and GPRS , 2001, ICC 2001. IEEE International Conference on Communications. Conference Record (Cat. No.01CH37240).

[83]  Aleksandar Milenkovic,et al.  Journal of Neuroengineering and Rehabilitation Open Access a Wireless Body Area Network of Intelligent Motion Sensors for Computer Assisted Physical Rehabilitation , 2005 .

[84]  Yang Xiao,et al.  Conventional Telemedicine, Wireless Telemedicine, Sensor Networks, and Case Studies , 2008 .

[85]  Mohd Fadlee A. Rasid,et al.  Bluetooth telemedicine Processor for multichannel biomedical signal transmission via mobile cellular networks , 2005, IEEE Transactions on Information Technology in Biomedicine.

[86]  Belinda J Gabbe,et al.  Trauma Care Systems: A Comparison of Trauma Care in Victoria, Australia, and Hong Kong, China , 2008, Annals of surgery.

[87]  I. Martínez,et al.  TRAFFIC REQUIREMENTS EVALUATION FOR A TELEMEDICINE NETWORK , 2003 .

[88]  Yang Xiao,et al.  Low-cost wireless sensor networks for remote cardiac patients monitoring applications , 2008, Wirel. Commun. Mob. Comput..

[89]  Pekka Jelekäinen.  GSM-PKI solution enabling secure mobile communications , 2004, Int. J. Medical Informatics.

[90]  Bogdan M. Wilamowski,et al.  The Transmission Control Protocol , 2005, The Industrial Information Technology Handbook.

[91]  Raghupathy Sivakumar,et al.  An End-To-End Approach for Transparent Mobility Across Heterogeneous Wireless Networks , 2004, Mob. Networks Appl..

[92]  Richard Martin,et al.  Design for wearability , 1998, Digest of Papers. Second International Symposium on Wearable Computers (Cat. No.98EX215).

[93]  Sungmee Park,et al.  Enhancing the quality of life through wearable technology , 2003, IEEE Engineering in Medicine and Biology Magazine.

[94]  Yang Xiao,et al.  Low-cost wireless sensor networks for remote cardiac patients monitoring applications , 2008 .

[95]  Yang Hao,et al.  Numerical and Experimental Evaluation of a Compact Sensor Antenna for Healthcare Devices , 2007, IEEE Transactions on Biomedical Circuits and Systems.

[96]  Haiyun Luo,et al.  UCAN: a unified cellular and ad-hoc network architecture , 2003, MobiCom '03.

[97]  Fei Hu,et al.  Towards a Secure, RFID / Sensor Based Telecardiology System , 2007, 2007 4th IEEE Consumer Communications and Networking Conference.

[98]  S. G. Miaou,et al.  A next-generation mobile telemedicine testbed based on 3G cellular standard , 2001, Computers in Cardiology 2001. Vol.28 (Cat. No.01CH37287).

[99]  Julián Fernández-Navajas,et al.  Performance analysis of multiplexed medical data transmission for mobile emergency care over the UMTS channel , 2005, IEEE Transactions on Information Technology in Biomedicine.

[100]  Danilo De Rossi,et al.  Wearable System-on-a-Chip Pulse Radar Sensors for the Health Care: System Overview , 2007, 21st International Conference on Advanced Information Networking and Applications Workshops (AINAW'07).

[101]  R. Paradiso,et al.  Wearable health care system for vital signs monitoring , 2003, 4th International IEEE EMBS Special Topic Conference on Information Technology Applications in Biomedicine, 2003..

[102]  Yi Pan,et al.  Special Issue: Mobility, Paging, and Quality of Service Management for Future Wireless Networks: Guest Editorials , 2005 .

[103]  Dimitri Konstantas,et al.  Measurements-based performance evaluation of 3G wireless networks supporting m-health services , 2005, IS&T/SPIE Electronic Imaging.

[104]  Aura Ganz,et al.  A mobile teletrauma system using 3G networks , 2004, IEEE Transactions on Information Technology in Biomedicine.

[105]  Yang Xiao,et al.  Efficient MAC strategies for the IEEE 802.11n wireless LANs , 2006, Wirel. Commun. Mob. Comput..

[106]  Markus Jakobsson,et al.  Security Weaknesses in Bluetooth , 2001, CT-RSA.

[107]  Douglas L Packer,et al.  Long-term outcomes of out-of-hospital cardiac arrest after successful early defibrillation. , 2003, The New England journal of medicine.

[108]  K. Wac,et al.  Mobile patient monitoring: The MobiHealth system , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[109]  Matt Welsh,et al.  Sensor networks for emergency response: challenges and opportunities , 2004, IEEE Pervasive Computing.

[110]  Daisuke Takahashi,et al.  Temperature-Aware Routing for Telemedicine Applications in Embedded Biomedical Sensor Networks , 2008, EURASIP J. Wirel. Commun. Netw..

[111]  Yang Xiao.  Efficient MAC strategies for the IEEE 802.11n wireless LANs: Research Articles , 2006 .

[112]  Yi Pan,et al.  Architecture, mobility management, and quality of service for integrated 3G and WLAN networks , 2005, Wirel. Commun. Mob. Comput..

[113]  Paul J.M. Havinga,et al.  MIRAI architecture for heterogeneous network , 2002, IEEE Commun. Mag..

[114]  Kazuhiro Uehara,et al.  Trends in Research and Development of Software Defined Radio , 2003 .

[115]  Yang Xiao,et al.  Automated Blood Glucose Management Techniques Through Micro-Sensors , 2008 .

[116]  Biswanath Mukherjee,et al.  MADF: a novel approach to add an ad-hoc overlay on a fixed cellular infrastructure , 2000, 2000 IEEE Wireless Communications and Networking Conference. Conference Record (Cat. No.00TH8540).

[117]  Thomas F Budinger,et al.  Biomonitoring with wireless communications. , 2003, Annual review of biomedical engineering.

[118]  R. Fensli,et al.  A wireless ECG system for continuous event recording and communication to a clinical alarm station , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[119]  Wolfgang Kellerer,et al.  A communication gateway for infrastructure-independent 4G wireless access , 2002 .

[120]  Rune Fensli,et al.  A wearable ECG-recording system for continuous arrhythmia monitoring in a wireless tele-home-care situation , 2005, 18th IEEE Symposium on Computer-Based Medical Systems (CBMS'05).

[121]  Gudrun Zahlmann,et al.  Evaluation of telemedical services , 1999, IEEE Transactions on Information Technology in Biomedicine.