Digital Twin Technologies for Healthcare 4.0

2: Kongu Engineering College, India
3: Shiv Nadar University, India
4: Aurel Vlaicu University of Arad, Romania
In healthcare, a digital twin is a digital representation of a patient or healthcare system using integrated simulations and service data. The digital twin tracks a patient's records, crosschecks them against registered patterns and analyses any diseases or contra indications. The digital twin uses adaptive analytics and algorithms to produce accurate prognoses and suggest appropriate interventions. A digital twin can run various medical scenarios before treatment is initiated on the patient, thus increasing patient safety as well as providing the most appropriate treatments to meet the patient's requirements.
Digital Twin Technologies for Healthcare 4.0 discusses how the concept of the digital twin can be merged with other technologies, such as artificial intelligence (AI), machine learning (ML), big data analytics, IoT and cloud data management, for the improvement of healthcare systems and processes. The book also focuses on the various research perspectives and challenges in implementation of digital twin technology in terms of data analysis, cloud management and data privacy issues.
With chapters on visualisation techniques, prognostics and health management, this book is a must-have for researchers, engineers and IT professionals in healthcare as well as those involved in using digital twin technology, AI, IoT and big data analytics for novel applications.
- Book DOI: 10.1049/PBHE046E
- Chapter DOI: 10.1049/PBHE046E
- ISBN: 9781839535796
- e-ISBN: 9781839535802
- Page count: 228
- Format: PDF
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Front Matter
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1 Introduction: digital twin technology in healthcare
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Ever since the emergence of digital and modern healthcare, the globe has rushed to implement numerous technologies in this sector in order to improve health operations and patients' health, extend survival rate, and lower healthcare expenses. New methods, strategies, and devices have emerged as a result of advancements in technology throughout history. Such advancements have resulted in significant advances in a multitude of sectors, including industry, agribusiness, education, and now even in healthcare. The emergence of personalized health tracking devices and wearables connected to smartphone apps or inbuilt sensors may continue to observe individuals' health-related metrics, such as the electrocardiogram (ECG) signals, blood pressure, respiratory rate, and blood insulin level, reducing the hazard of data recording inaccuracies. Such sensors that collect and securely send information to the cloud, where it may be compared to past data to look for indicators of any sickness or alert the right medical experts. Reduced errors imply improved functionality, cost, productivity, and quality in medical services. The combination of technology and healthcare has entered in a smart context-aware IoT medical age.
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2 Convergence of Digital Twin, AI, IOT, and machine learning techniques for medical diagnostics
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In the recent years, Digital Twin (DT) has gained a remarkable place in the top ten technology trends. But digital twinning alone cannot provide solution to many applications. Hence, the integration of DT with the technologies like Internet of Things (IoT), Artificial Intelligence (AI), Cloud Computing, machine learning (ML), Big Data analytics, and Deep Learning (DL) techniques paves way to new opportunities and provides a solution to many research problems in diverse sectors. The DT provides an accumulation of data between the real and digital system in both paths. This chapter focuses on the definition, architecture, components, and different types of DT. It also emphasizes on the convergence of digital twinning with other technologies for solving many research problems and application areas in medical diagnosis, healthcare, and others. It also highlights on the issues and challenges pertaining to DT and its supporting technologies. Finally, a case study pertaining to manufacturing sector using DT is presented.
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3 Application of digital twin technology in model-based systems engineering
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The paper introduces the concept, digital twin technology (DTT) which is a new and advanced technology that is used in all aspects of the electrical industry. In addition to simulation tools, the technology has been combined with multi-disciplinary, multi-physical, multi-scale, and multi-probability sectors. The simulation operations are carried out utilizing a physical model with sensors. The physical model was created in real-time, and the modeling was done in virtual space. In virtual space, the new DTT merged current power system simulation models and procedures. The use of DTT has been broadened to include power grid optimization, virtual power plants, grid fault modeling, intelligent monitoring of equipment, and other services.
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4 Digital twins in e-health: adoption of technology and challenges in the management of clinical systems
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Over a past decade, a development of Artificial Intelligent (AI) in medical discipline has been utilized to predict and prescribe drugs on day basis. It has large influences on predicting and diagnosing ailments totally based on the information that have been accrued through an embedded sensor. The sensor collects excessive dimensional facts which have a descriptive clarification on every symptom and diagnostics. It has been stated that more than 75% of clinical executives count on to make investments in digital twin (DT) technological know-how over previous few years. As DT is the replication of any physical/virtual objects like people, manner, and equipment which help to put together a digital transformation of scientific files that are gathered. Due to developments in big data analytics and AI in analyzing records that have been accumulated over a length of time for prediction, DT science is being developed and commercialized aviation and manufacturing processes. Rather than making an attempt to acquire a best duplicate of the human mind, AI structures take advantage of strategies emulating human reasoning as information to grant each helping equipment and higher services. Super intelligence of AI not only performs all physical and manpower-related task but also handles prediction and discovering novel applications and remedies to medical problems as business perspectives. DT is defined as virtual object or computer entity or model that simulates or twinning any real-world things like human or objects. Every DT is linked with a unique digital key that normalizes a bijective relationship with its original. The DT has been used to surveillance the functionalities of physical entities uninterruptedly and make a decision over a problem. This paper portraits digital recreation of healthcare systems like lab, hospital ecosystems, and psychology of a human being and how far it is useful in medical science which in flips hikes revenue and enterprise market of healthcare industry along with a study that focuses on DT applications in medical industries and healthcare applications. Finally, the research has serious diversion into various challenges in medical digitalized system and DT technology.
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5 Digital twin and big data in healthcare systems
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Digital twin (DT) emphasizes the visual of biological systems based on in silico computational methods that include data both from the individual as well as the community. By augmenting medical care with digital surveillance and advanced simulation of the human body, the usage of DT in medical field is transforming clinical operations and healthcare administrators. Investigators can use these technologies to learn more about diseases, new medications, and medical gadgets. In the future, this could potentially be used to assist clinicians in maximizing the effectiveness of physician therapeutic approaches. Nevertheless, in the medium run, DTs will aid the healthcare system in bringing life-saving breakthroughs to the marketplace more quickly, at cheaper prices, also with enhanced patient safety. In the medical field, DT can be used to maintain medical devices and enhance their effectiveness. By translating a significant volume of patient records into valuable information, DT and Artificial Intelligence (AI) technologies are furthermore utilized to elevate the life-cycle of healthcare. The supreme goal of digital twinning in medicine is to assist organizations with patient management and coordination. Increasing services, patient desire, deteriorated technology, a lack of beds, enhanced waiting period, and lines plagued Mater remote clinics in Dublin (intended for radiology and cardiology). These issues showed that the existing framework needed to be improved in order to meet rising demand.
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6 Digital twin data visualization techniques
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The use of data is a primary motivator for DT. Real object data, virtual design data, customer data, domain expertise, fusion information, and connections data are all explored in this research. With the introduction of DT, information gathering, processing, fusion, interactivity, iterative optimization, universal, as well as on utilization all become increasingly significant. Seven key principles are offered to help organize and handle DTDs that are generated by these requirements. Using these notions as a guide, related approaches for DTD collecting, storing, communication, connection, fusion, development, and innovation are provided. Finally, the important enabling technologies are explored.
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7 Healthcare cyberspace: medical cyber physical system in digital twin
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The current pandemic has necessitated the development of a powerful and intelligent healthcare system capable of effectively monitoring patients and managing the situation that occurs as a result of the disease's dissemination. Cyber-physical systems and digital twins (DTs) are widely utilized in industry today, and the healthcare industry is eager to adopt these technology solutions to improve their abilities and provide good quality outcomes. Indeed, the introduction of IoT-based Wireless Body Area Networks (WBAN) and healthcare platforms as resulted in the creation of novel approaches for patient monitoring and treatment. However, there are various performance and security issues that come with the use of new technology. However, there are varied performance and security challenges that come with the use of new technology. Given that WBAN can be worn or placed under the skin, the overall idea raises a number of cybersecurity concerns that would necessitate more examination. This chapter explores the importance of WBAN on the healthcare system. It also defines terms like medical cyber-physical systems and DTs, as well as technical enablers like cloud and IoT.
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8 Cloud security-enabled digital twin in e-healthcare
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Digital twin (DT) is being used in commerce as precise model software through conception to practice as a result of the advancement of skills such as big data, cloud services and the Internet of Things. Furthermore, modelling is crucial in the health sector, particularly in research on healthcare process design, healthcare allocation of resources and medicinal activity forecasting, among other things. There would be a modern and improved technique to give more rapid and reliable operations by merging DTs and healthcare. Nevertheless, in the period of personalized medicine, how and where to accomplish personalized health monitoring all through the lifetime of older patients, as well as how to combine the healthcare material reality and the digital reality to actualize real smart medicine, remain two major obstacles. One of the main goals of precision medicine is to prevent disease from occurring through the use of inheritances, genomics and smart health monitoring surveillance systems. If the sickness cannot be avoided, it would be handled on an individualized or personalized basis, instead of as a group, as it has been in the past. Furthermore, medical technology using smart medicine in a data-driven service paradigm necessitates a wide range of information, including patient, healthcare, economic and fusion data. The innovative diagnostic provider mode is shifting to one of tailored and sustainable therapy as a result of global warming, and considerably more intelligent health devices and platforms are being created to accomplish secure data-driven smart healthcare employing DTs. The competence to explore, identify, comprehend and assess health information generated from electronic databases, as well as knowledge gained, to appropriately address or address health complications, is characterized as e-health. The Internet seems to have the ability to safeguard users from damage and allow people to actually engage in knowledgeable health-related decision making as a storehouse for health records and e-health analytics. Particularly essential, increased amounts of e-health interaction reduce the danger of receiving erroneous online information.
Numerous scientific approaches on privacy and security within Cloud-based e-health systems are addressed, with a focus on the prospects, advantages and difficulties of putting such methods in place. A potential strategic development is the integration of e-health systems with expert machines such as cloud technology to create smart aims and solutions.
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9 Digital twin in prognostics and health management system
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Dr. Michael Grieves coined the phrase "digital twin" (DT) in 2002. It is a digital depiction of physical assets, business processes, people, or locations. It aids firms in improving their performance by displaying the visualization of complicated assets and processes
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10 Deep learning in Covid-19 detection and diagnosis using CXR images: challenges and perspectives
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The COVID-19 pandemic is endangering the health and lives of people in 223 nations and territories. When dealing with the Coronavirus, early discovery and isolation are the most important measures to take. X-rays, computed tomography and magnetic resonance imaging can show the presence of Covid-19, making infection detection a cinch. Chest X-rays (CXR) of people infected with Covid-19 are shown to have certain abnormalities and it is one of the frequently used imaging modalities. The digital twin monitors people's data, compares them to documented patterns, and analyses illness symptoms. Furthermore, the data might be used to create a digital modelling of a typical healthy patient, which aids in the definition of new healthy criteria. There are a variety of ways to use deep learning to find diseases in X-rays from previous efforts. Initially, 6,000 chest X-rays were collected from publicly available sources. These pictures will be recognized by a radiologist as evidence of Covid-19 sickness. Approximately 15% of children worldwide are killed by pneumococcal disease. Recognized and sorted pneumonia, healthy, and Covid-19 all come from the modified VGG16 deep learning (DL) technique. The convolutional neural network (CNN) is a deep neural network that incorporates both external and internal characteristics and is used by the identification model to identify pixels. The findings indicate that medical professionals should reconsider the use of X-ray images in the treatment of certain diseases and that more research into evaluating X-ray technology is required. The suggested detection approach performed better when compared to chest X-rays for pneumonia and non-pneumonia conditions.
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11 Case study: digital twin in cardiology
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Even the skilled surgeons face difficulty in choosing the right treatment for their patients. Doctors and surgeons tailor their diagnosis and treatment patterns based on the patient's current situation. When doctors and surgeons are unaware of the underlying cause of the medical problem, they opt for broad-spectrum treatment and many times are left with unanswered questions which cost the life of a patient. With the advancement of technology and digitalization in every field of science, healthcare is not an exception. Healthcare evolved through various stages like surgery, biopsy, laparoscopy, and nano-robotic surgery to name quite a few. Cyber-physical systems came into existence with the concept of integrating computer systems and physical objects. Precision medicine is the new medical model being put into practice. It focuses on the lifestyle, genetics, and environmental conditions of a patient and even studies molecular diagnostics and imaging analysis to precisely diagnose a patient and choose the most suitable treatment.
Then came the digital twins, an advancement of cyber-physical systems [1]. The digital twin is still thriving in many fields of science to help human in identifying, studying, and examining real-world objects which would not have been possible in the absence of its digital twin.
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Back Matter
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