Technologies for Healthcare 4.0: From AI and IoT to blockchain

2: School of Electronics Engineering, Vellore Institute of Technology, India
3: Department of ECE, Karunya University, India
4: Institute of Engineering & Management, India
5: National Development University "Veteran" Yogyakarta, Indonesia
There are a growing number of challenges in handling medical data in order to provide an effective healthcare service in real-time. Bridging the gap between patient expectations and their experiences needs effective collaboration and connectivity across the healthcare ecosystem. The success of joined-up care relies on patient data being shared between all active stakeholders, including hospitals, outreach workers, and GPs. All these needs and challenges pave the way for the next trend of development in healthcare - healthcare 4.0.
This book covers the state-of-the-art approaches in AI, IOT, cloud, big data, deep learning, and blockchain for building intelligent healthcare 4.0 systems, which provide effective healthcare services in real-time.
The editors consider the benefits and challenges of immersive technologies and mixed reality systems for physical and mental health conditions, and outline and discuss the trending technologies supporting the internet of medical things, patient-centred care, assisted medical diagnoses, and electronic medical records.
Technologies for Healthcare 4.0: From AI and IoT to blockchain is essential reading for researchers, scientists, engineers, designers and advanced students in the fields of computer science, computer vision, pattern recognition, machine learning, imaging, feature engineering, IOT, AI, signal processing, blockchain and big data for healthcare and those in adjacent fields.
- Book DOI: 10.1049/PBHE058E
- Chapter DOI: 10.1049/PBHE058E
- ISBN: 9781839537776
- e-ISBN: 9781839537783
- Page count: 273
- Format: PDF
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Front Matter
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1 Introduction to Healthcare 4.0
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The field of digital health aims to improve healthcare through the integration of digital technologies such as Internet of Things (IoT), EHRs, and telemedicine into clinical practice and patient care. Its goal is to provide healthcare providers with the tools and information needed to make better-informed decisions and deliver more personalized care. The increasing demand for hospital and healthcare management in India due to medical tourism, hygiene perception, and the need for efficient resource allocation highlights the importance of education and training in this field. Healthcare 4.0 is an emerging area that builds on digital health and aims to create an intelligent and interconnected healthcare system using emerging technologies such as artificial intelligence (AI), blockchain, and the Internet of Medical Things (IoMT) to transform the entire healthcare value chain. The main objective of Healthcare 4.0 is to improve patient outcomes, enhance the quality of care, and reduce costs by leveraging the power of these advanced technologies. This chapter discusses the recent trends, methodology, scope, and limitations in Healthcare 4.0. The potential scope of Healthcare 4.0 is vast and varied, ranging from personalized medicine, telemedicine, remote monitoring, and smart healthcare systems to drug discovery and development, clinical trials, and supply chain management.
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2 Deep learning-based convolutional neural networks for healthcare systems
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Everyday chronic diseases appears in different variants and have affected the whole world community as well as disturbed the worldwide economy and human health system. However, the earlier healthcare system was monitored by conventional techniques, which is not suitable to alert the community to control the unpredictable pandemic. Furthermore, previously developed algorithms depend on manually collected information from the different locations of countries and have chances of errors. Our proposed book's chapters discuss the recent algorithms and applications used in several deep learning-based human healthcare systems including medical image classifying, image enhancement, and medical brain tumor detection. Furthermore, we also discuss different medical image datasets used during the training as well as testing for designing the novel human healthcare monitoring model to evaluate the patient status response timely. Finally, explain the latest medical imaging software packages as well as medical imaging training and test datasets to assess the performance of different diseases of a patient.
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3 Investigations on the impact of AI models in human health using nutrient analysis from food images
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Humans have a basic requirement for nutrition, which is also necessary for a healthy life. Getting enough nutrients on a regular basis is essential for maintaining human well-being. Malnutrition is mostly to blame for the majority of health problems. Diseases including stunted growth, eye issues, diabetes, and heart disease are primarily brought on by inadequate nutrition consumed on a regular basis. Malnutrition is not only a result of poverty; it is also a result of people's ignorance of the nutrients in the foods they eat. In this day and age, it is crucial to recognize food correctly and to be able to identify its characteristics and nutritional value. The objective of this study is to identify the best techniques to recognize the food item and its nutrient content by using deep learning (DL) algorithms. Through this, a point-by-point analysis of malnutrition and treatment for malnutrition are reviewed. Different algorithms such as machine learning, DL, and various convolutional neural network architectures are reviewed, for recognizing the food items from food images. Inception V4 gives more accuracy when compared with other techniques. Food 101 is the selected dataset for comparing the accuracy of the food image identification. The nutrient contents of all the 101 classes of food items are also reviewed.
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4 Medical diagnosis of human heart diseases using supervised learning techniques
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All around the world, machine learning (ML) is employed in a variety of domains. The healthcare sector is no different. In recent years, predictive analytics has become a potential tool for decision-making and problem-solving in the healthcare industry. The data processing is automated, increasing the medical system's durability and efficiency. To deliver higher quality healthcare at a lower cost, it demonstrates critical and evaluates healthcare data. The likelihood of developing cardiac disease can be predicted with the aid of ML. If foreseen, such information can offer physicians vital intuitions, enabling them to customize each patient's diagnosis and therapy. A range of diagnostic tests are advised for patients to take part in. Foreseeing potential cardiac problems in patients is done using ML techniques. The primary aim of the research work is to use fewer indicators to predict the prevalence of heart disease (HD). Thirteen characteristics were first employed to forecast cardiac disease. A simplified genetic algorithm is employed to determine the characteristics that are most important for the diagnosis of cardiac issues, hence minimizing the amount of testing that a patient must undergo. Thirteen features are whittled down to five via genetic search. The system takes into consideration a fuzzy logic in one of those five features. Making the best judgment feasible given the data requires taking into account all available information. The system compares various classifiers, including the naive Bayes classifier, the random forest classifier, the decision tree classifier, and the logistic regression classifier. These four classifiers have been employed in the system to predict HDs using potential risk data extracted from health records. The cardiac data set has been put through a number of tests, and results indicate that decision trees surpass cross-validation and train-test split techniques, with accuracy rates of 88.52% and 82.51%, respectively. The second finding is that all algorithms' accuracy has been reduced when cross-validation is used. Finally, the system applies several validation procedures with evidence that was gathered prospectively to confirm the validity of the suggested approach.
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5 Artificial intelligence to predict heart disease and model constructed using TabPy
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The heart is one of the most important organs in the human body. It supports metabolic processes and circulates oxygen and other vital nutrients throughout the body. Because of this, even minor heart conditions can have a significant effect on the entire body. Researchers are heavily utilising data analysis to assist doctors in foretelling heart issues. In order to anticipate who will develop coronary heart disease in the near future, this paper can explore the many machine learning techniques used in predictive analytics with an emphasis on heart disease prediction. Using Tableau, a predictive model with the highest degree of accuracy is created, allowing users to enter values and obtain predictions about the likelihood of the existence or absence of heart disease. Quick treatment will result, in saving the lives of the sufferers. The prognosis and aetiology of heart illness, as well as the classification of infections in patients who have just undergone surgery, are among the findings of this study.
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6 Artificial intelligence integrated approach for healthcare management: a critical analysis
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In these turbulent changing conditions, the role of data-driven technologies has increased manifolds. Artificial intelligence (AI) enables understanding the criticalities at a faster rate and provides the required results to the patients for better treatment and results. AI-based models support various healthcare issues such as diagnosis and treatment, radiology, drug design, and dermatology. AI permits emphasis on developing robust solutions to different health-related issues. It focuses on cost minimization, timely delivery, accuracy, and patient-centered services. The sole objective of this present work is to identify the role of AI in healthcare management with a systematic review of literature in terms of its usage, sustenance, and application in future areas of healthcare management. The study implemented a systematic literature review (SLR) and bibliometric visualization process to scrutinize the data from enormous sources. The "SCOPUS database" is used to segregate papers using relevant keywords. Thus, the research work tries to analyze the research questions in terms of leading sources, contributors, and keywords in healthcare management research, to provide topic mapping based on the keyword's co-occurrences, and to develop a model for future researchers. The results focus on understanding the current research trend in terms of the maximum publication of sources and year and significance of AI in healthcare management. This study is beneficial for administration, health consultants, policymakers, and researchers to examine areas where AI can be implemented. The study explores the implication of AI in healthcare management measures through SLR and bibliometric analysis and analyzes the role of AI in healthcare measures by diagnosing its practice, application, and potential research directions.
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7 Privacy preserving blockchain-based healthcare model for EMR - a study
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In recent years, data privacy issues have become increasingly prevalent in the healthcare industry. With the increasing amount of data being generated by healthcare providers, there are now more opportunities for sensitive information to be compromised. Electronic medical records (EMRs) are becoming increasingly popular in healthcare management due to their many benefits, such as easier access to patient data, improved patient safety, and increased efficiency. However, implementing and using EMRs also present several challenges, including cost, staff training, data security, and interoperability. An effective healthcare data management requires a holistic approach that addresses the various challenges in collecting, managing, and using healthcare data. The adoption of emerging technologies such as blockchain and the development of interoperability standards and data governance frameworks are critical to achieving this goal. The uniqueness of the chapter is that it discusses the commercial models along with the research models in the survey. This chapter summarizes the challenges in EMR maintenance, a few benchmarking existing approaches, and a brief study of blockchain-based models.
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8 An exploratory review on Internet of Things in healthcare applications
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Internet of Things (IoT) is currently a widely used paradigm owing to its ability to make everyday activities convenient and manageable. The impact of IoT in various sectors is unmistakably a concept of interest. From healthcare to industries, each complex or mundane task is automated. IoT in simple terms refers to the concept of tangible devices (things) that contain sensors, transducers, actuators, etc., and computing capability connected to each other over the Internet. This enables data transmission and storage for the proper functioning of any product. Multiple 'smart' products are built every day using this concept and these devices are connected creating an IoT ecosystem. This chapter describes the various applications of IoT in healthcare.
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9 Augmented reality/virtual reality for detecting anxiety disorder
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The objective of this review is to provide an overview of biomedical applications of augmented reality (AR) and virtual reality (VR). The main focus will be on AR and VR methodologies for dealing with patient anxiety disorders. As a traditional approach, music was used to remove anxiety in certain patients. However, the music-based approaches could not provide an immersive experience to patients. To circumvent this challenge, AR/VR-based methods came into existence. AR-based approaches were used to treat phobias. In recent years, due to the advent of VR headsets, VR-based approaches are preferred in a variety of applications ranging from healthcare education to patients anxiety management.
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10 Overview of immersive environment exercise pose analysis for self-rehabilitation training of work-related musculoskeletal pains
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Exercise therapy is a protracted, difficult, and tiresome procedure in rehabilitating various physical disabilities due to recent working conditions in software, healthcare professionals, teaching communities, etc. From the perspective of self-rehabilitation training, the technological impact creates numerous solutions to analyze whether the patient/human is performing the exercises properly without any mistakes, as the physicians expect. In this chapter, initially, we explore a variety of physical disabilities due to the working environment, which is elaborated in existing works of literature. Second, review the various implementations of augmented reality (AR) and virtual reality (VR) and how it predicts the correctness of various exercise poses, pose estimation techniques, pros, and cons, and summarize the techniques employed in the immersive visual exercise pose analysis and the outcomes of its experiments through implications of different deep learning algorithms. The system's performance can be increased by optimizing depth analysis to result in the identification of more petite body part movements, adding more features, such as contour identification and more meta-attributes for particular points in 3D reconstruction on participants, scaling up the computational power, and focusing on the current model's refinement to achieve more accuracy and development of a multi-stage ensemble process. Without large datasets for analysis, the system's efficiency is relatively low. To maximize accuracy, real-time enhancement is necessary. More real-time data are required for training and testing to improve the best-effort solutions for classifying the user's exercise pose as proper or improper. To assist the research methodology on imperfections analysis in developing a new plan for future investigations, the correctness of exercise pose mistakes is visualized, and instructing the participants do it properly through audio feedback also.
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11 IoT-enabled digital revolution of the healthcare system
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In modern civilization, healthcare is a significant problem. The Internet of Things (IoT) technology is appealing to everyone because it has the ability to change the present healthcare system and address the problems that the aging population and the steady rise in chronic sickness are posing for the healthcare system. This chapter focuses on the conventional healthcare system that has been used in the past to deliver healthcare services as well as the integration of IoT, a new technology, into the healthcare system to modernize patient care. To provide services more quickly and effectively, this chapter illustrates how IoT has changed the conventional approach to monitoring healthcare. Finally, a study on different IoT-based healthcare monitoring systems will be conducted, along with a comparison of numerous IoT-based healthcare systems to show their advantages and disadvantages. The industry's digital transformation is piquing the curiosity of academics and healthcare practitioners alike. In this work, we attempt to examine the research question about the management and commercial uses of digital technology by different stakeholders. This chapter examines IoT applications for medical purposes, the different ways it is affecting the healthcare industry, and some potential future routes for its growth, such as Bio-IoT and Nano-IoT or the Internet of Nano Things. From the perspective of monitoring patients' vital signs, wireless body area networks (WBANs) are crucial components of a system. The WBANs consist of tiny smart devices that communicate wirelessly and are implanted within or on top of the patient. We analyze the literature on digital transformation in healthcare to answer this question. According to our findings, previous research can be grouped into five clusters: organizational characteristics, patient-centered approaches, operational efficiency of healthcare providers, and research techniques. These clusters are linked to illustrate how various technology adoption approaches enhance service providers' operational effectiveness. Research in a variety of directions is recommended, with implications for management as well.
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12 Integrated and intelligent cloud service platforms for transition from Healthcare 1.0 to 4.0
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Hospital records, patient medical records, test findings, and Internet-of-Things devices are just a few examples of the sources used in the healthcare sector. The public healthcare data is also produced in great quantities by the biomedical research field. To produce useful information, effective administration and analysis are necessary. By creating new opportunities for contemporary healthcare, effective data management, analysis, and interpretation may completely alter the game. That is precisely the reason why a variety of sectors, including the healthcare sector, are moving aggressively to transform this potential into better services and financial benefits. Modern healthcare institutions may revolutionize medical therapies and personalized medicine with a strong integration of biological and healthcare data. This chapter introduces various modern devices used in healthcare sectors for a variety of purposes.
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13 Trending technologies in patient-centric Healthcare 4.0
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Over the years, healthcare has shifted its approach from doctor centric to patient centric. Recently, the focus has been not only on disease treatment but also on developing prevention-oriented medicine with remote accessibility and capabilities. This requires not only to have real-time capabilities but also to automate the process from patient data management to disease prediction to its treatment to post care. Industrial Revolution 4.0 has been driven by the adoption of cyber-physical systems with the help of technological developments in mobile Internet speed, cloud technology, artificial intelligence (AI)-enabled automation, and data analytics. The objective of this chapter is to review these Industry 4.0 technologies at play which are crucial to improve performance, productivity, efficiency, and security of healthcare services without sacrificing reliability or accessibility. It can only be achieved with patient-centric smart hospitals that are automated on every step right from patient admission to data management to discharge procedures for effective management of the crowd so that the patients are served efficiently. The hospitals are not only required to manage patients but also require optimal utilization of the medical equipment, physical assets and services, not only for the admitted patients but also for extensive care of discharged patients in real-time remotely at their comfort. Mobile wearable sensors are greatly useful for tracking self-health which can be integrated into hospital systems and practitioners can observe the patients' vital parameters remotely to actively intervene in emergencies. Science and technology have advanced to increase the life span of humans which requires critical maintenance of human organs and sometimes, even replacement. The availability of human organs for donation is limited but bioprinting of human organs is a breakthrough that will definitely save the life of many critically ill patients. In such cases, skilled practitioners can extend their services to remote locations with the use of cloud services and augmented reality devices with high capabilities. With the introduction of these new technologies in different realms of healthcare for automation and monitoring, a large set of heterogeneous data is collected with needs to be securely saved, accessed, and used. This data is also useful for scientific studies not only for improving disease prediction, for hospital management and remote patient care but developing new trends and equipment.
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Back Matter
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