IBIS Project Research Articles

The IBIS system architecture

An efficient method of interfacing between patient related data and the signal processing methods used to interpret these data is a critical component for a successful patient monitor, particularly for use in high dependency environments. This paper describes the approach adopted in the IBIS project. The key elements of the system are first introduced. A multi-layer structure is then developed in which the outputs from one decision layer are used to enhance the information available for subsequent layers in the system. The resulting system is modular, robust, flexible and easy to modify.

The IBIS project: data collection in London

The primary aim of the Improved Monitoring for Brain Dysfunction during Intensive Care and Surgery (IBIS) project was to create a unique and comprehensively annotated data library (DL) of multiple physiological, including neurophysiological, signals. Data collection was undertaken in Kuopio, Finland and London, UK, and comparable protocols were used at all the sites. In London, 43 patients were recruited at the Royal Brompton Hospital, followed by nine at St. Bartholomew's Hospital, all of whom underwent cardiac or combined cardiac and carotid artery surgery. Thirty-seven patients underwent a single operation, while 15 underwent two procedures. The protocols and equipment used, problems specific to the electrically hostile environment and preliminary results are described, including those of clinical interest. The DL is being used for the development of clinically applicable neurophysiological monitoring tools.

Exploring the IBIS data library contents: Tools for data visualisation, (pre-) processing and screening

During the IBIS project a high-quality data library of continuous and intermittent physiological signals and variables from patients during intensive care and surgery has been collected. To facilitate exploration of the full content of this data library a data browser was developed, which offers a flexible graphical display of the collection of multivariate data. To supplement the functionality of the display of the ‘raw’ data, a set of screening and pre-processing tools has been developed. A separate trend analysis tool offers a convenient overview of an entire recording focusing on the slow changes in the general state of the patient and the interaction between different physiological subsystems seen from a long-term perspective. A frequency analysis tool for processing the electroencephalography (EEG) signals has been integrated in the data browser to facilitate a quick screening of the cerebral function. The data library is the foundation of the development and validation of biosignal interpretation methods. This process can potentially be more productive using the described tool for algorithm prototyping based on a graphical network specifying the interaction between data processing primitives.

IBIS: a testbed for the evolution of intelligent broadband networks toward TINA

This article analyzes a possible path for the evolution of telecommunication networks toward open distributed architectures like the TINA-C architecture. The results of a research project called IBIS carried out within the CoRiTeL Laboratory are presented. The IBIS project starts from the activities of the ACTS project INSIGNIA, which has proposed and demonstrated an architecture for the integration of the intelligent network concept over B-ISDN platforms (the so-called intelligent broadband network, IBN). In the IBIS approach, TINA service components replace the traditional IN service logic, providing the intelligence needed to control broadband services in a very flexible and open environment. The handling of the transport connections is performed in a more traditional way, exploiting the capability offered by the IBN. This article focuses on how the TINA and IBN paradigms can profitably interact, providing the intelligence to support advanced multimedia services.

Is the building industry ripe for computers?

Kenneth Claxton initiated one of the first developments of computer-aided building design in 1964. This was for the IBIS project being developed in the United Kingdom at that time. Subsequently he has served on a number of Government and Local Government committees on this subject, and is a partner in the architectural practice of Briars Goodman Claxton, London. He lectures in ‘Building Technology and Processes’ at London University.