@article{HornRaptisMartin, author = {Horn, Lars-Christian and Raptis, Georgios and Martin, Rosemarie}, title = {Tumorassoziierte Proteolyse, p53-Immunhistochemie und Zelladh{\"a}sion bei prim{\"a}r operierten Zervixkarzinomen}, series = {Geburtshilfe und Frauenheilkunde}, volume = {60}, journal = {Geburtshilfe und Frauenheilkunde}, number = {Suppl. 1}, pages = {200}, subject = {Tumorassoziierte Proteolyse}, language = {de} } @article{HornRaptisFischeretal., author = {Horn, Lars-Christian and Raptis, Georgios and Fischer, Uta and Bilek, Karin}, title = {Standardised handling of hysterectomy specimen in cervical cancer - report of over 900 stage pT1b1- to pT2b-tumors}, series = {Pathology - Research and Practice}, volume = {196}, journal = {Pathology - Research and Practice}, pages = {450}, subject = {Geb{\"a}rmutterhalskrebs}, language = {en} } @article{KopperKlotzWestneretal., author = {Kopper, Andreas and Klotz, Stefan and Westner, Markus and Strahringer, Susanne}, title = {Shadow IT and Business-managed IT}, series = {Journal of Information Technology Management (JITM)}, volume = {30}, journal = {Journal of Information Technology Management (JITM)}, number = {4}, issn = {1042-1319}, pages = {25}, abstract = {Two concepts describe the autonomous deployment of IT by business entities: Shadow IT and Business-managed IT. Shadow IT is deployed covertly, that is, software, hardware, or IT services created/procured or managed by business entities without alignment with the IT organization. In contrast, Business-managed IT describes the overt deployment of IT, that is, in alignment with the IT organization or in a split responsibility model. The purpose of this paper is to extend the conceptual understanding of Shadow IT and Business-managed IT, comparing the perceptions of 29 CIOs and senior IT managers with the results of a systematic literature review. By doing so, this paper presents a structured and comprehensive view of causing factors, outcomes, and governance of Shadow IT and Business-managed IT in practice. A comparison of academic literature and practitioner perceptions reveals the limitations and gaps of the current research and highlights avenues for future research. The authors find three category-spanning themes occurring as causing factors, outcomes, and—as part of governance measures—factors to improve the IT organization: (1) (Poor) business-IT alignment (2) (lack of) agility, and (3) (lack of) policies. This study is innovative with its comprehensive qualitative interview data that the authors compare to the existing literature. Therefore, the paper brings together theoretical and practical insights into Shadow IT and Businessmanaged IT, which should aid practitioners and scholars in decision making and future research.}, subject = {Corporate Governance}, language = {en} } @article{HornRaptisFischer, author = {Horn, Lars-Christian and Raptis, Georgios and Fischer, Uta}, title = {Familial cancer history in patients with carcinoma of the cervix uteri}, series = {European Journal of Obstetrics \& Gynecology and Reproductive Biology}, volume = {101}, journal = {European Journal of Obstetrics \& Gynecology and Reproductive Biology}, number = {1}, doi = {10.1016/s0301-2115(01)00520-6}, pages = {54 -- 57}, subject = {Geb{\"a}rmutterhalskrebs}, language = {en} } @article{HornFischerTannapfeletal., author = {Horn, Lars-Christian and Fischer, Uta and Tannapfel, A. and Kuhn, H. and H{\"a}nel, C. and Raptis, Georgios}, title = {The role of p53 tumorsuppressorgene in tumor progression in cervical cancer}, series = {Pathology - Research and Practice}, volume = {195}, journal = {Pathology - Research and Practice}, pages = {328}, subject = {Tumorsuppressor-Gen}, language = {en} } @inproceedings{Raptis, author = {Raptis, Georgios}, title = {Die Konzepte und Mechanismen der elektronischen Gesundheitskarte und des Heilberufsausweises aus der Sicht der Datensicherheit / des Datenschutzes}, series = {Forschungsseminar med. Informatik an der Universit{\"a}t Heidelberg, 22.06.2006}, booktitle = {Forschungsseminar med. Informatik an der Universit{\"a}t Heidelberg, 22.06.2006}, subject = {Elektronische Gesundheitskarte}, language = {de} } @inproceedings{Raptis, author = {Raptis, Georgios}, title = {Empfehlungen der B{\"A}K zum Datenschutz im Praxisalltag, Darstellung unter technischen Aspekten}, series = {conhIT 2009, Berlin, 22.04.2009}, booktitle = {conhIT 2009, Berlin, 22.04.2009}, subject = {Arztpraxis}, language = {de} } @inproceedings{Raptis, author = {Raptis, Georgios}, title = {Health Professional eIDs vis-{\´a}-vis a Single Market Perspective}, series = {European Health Telematics Association, Berlin, 25.10.2011}, booktitle = {European Health Telematics Association, Berlin, 25.10.2011}, language = {de} } @article{DePieriAtzoriFergusonetal., author = {De Pieri, Enrico and Atzori, Federica and Ferguson, Stephen J. and Dendorfer, Sebastian and Leunig, Michael and Aepli, Martin}, title = {Contact force path in total hip arthroplasty: effect of cup medialisation in a whole-body simulation}, series = {HIP International}, volume = {31}, journal = {HIP International}, number = {5}, publisher = {Sage}, doi = {10.1177/1120700020917321}, pages = {624 -- 631}, abstract = {Background: Cup medialisation down to the true acetabular floor in total hip arthroplasty with a compensatory femoral offset increase seems to be mechanically advantageous for the abductor muscles due to the relocation of the lever arms (body weight lever arm decreased, abductor lever arm increased). However, limited information is currently available about the effects of this reconstruction type at the head cup interface, compared to an anatomical reconstruction that maintains the natural lever arms. Through a whole-body simulation analysis, we compared medialised versus anatomical reconstruction in THA to analyse the effects on: (1) contact force magnitude at the head cup interface; (2) contact force path in the cup; and (3) abductor activity. Methods: Musculoskeletal simulations were performed to calculate the above-mentioned parameters using inverse dynamics analysis. The differences between the virtually implanted THAs were calculated to compare the medialised versus anatomical reconstruction. Results: Cup medialisation with compensatory femoral offset increase led to: (1) a reduction in contact force magnitude at the head cup interface up to 6.6\%; (2) a similar contact force path in the cup in terms of sliding distance and aspect ratio; and (3) a reduction in abductor activity up to 17.2\% (gluteus medius). Conclusions: In our opinion, these potential biomechanical gains do not generally justify a fully medialised reconstruction, especially in younger patients that are more likely to undergo revision surgery in their lifetime. Cup medialisation should be performed until sufficient press fit and bony coverage of a properly sized and oriented cup can be achieved.}, subject = {H{\"u}ftgelenkprothese}, language = {en} } @unpublished{BockWeiss, author = {Bock, Sebastian and Weiß, Martin Georg}, title = {Rotation Detection of Components with Convolutional Neural Networks}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-4120}, abstract = {The main issues in many image processing applications are object recognition and detection of objects, which answers the questions whether an object is present and if it is present, where it is located. Popular object detection algorithms like YOLO use a regression formulation for the whole problem, especially for the bounding box parameters. In production industry the setting usually is different: One usually knows the object type and rather wants to know with high precision where the object is. We study a prototype application in this area where we identify the rotation of an object in a plane. To solve this problem use a regression approach with a CNN architecture as a function approximator. We compare our results to standard image processing algorithms, which do not use neural networks, and present quantitative results on the accuracy. CNNs seem at least competitive to classical image processing.}, language = {en} } @article{HoehGamaelRaptis, author = {H{\"o}h, H. and Gamael, A. and Raptis, Georgios}, title = {Energie und Phakozeit bei Ultraschall und Laserphakoemulsifikation}, series = {Klinische Monatsbl{\"a}tter f{\"u}r Augenheilkunde}, volume = {217}, journal = {Klinische Monatsbl{\"a}tter f{\"u}r Augenheilkunde}, number = {Suppl. 8}, pages = {5}, subject = {Phakoemulsifikation}, language = {de} } @article{LekakisNanasPrassopoulosetal., author = {Lekakis, J. and Nanas, J. and Prassopoulos, V. and Raptis, Georgios}, title = {Cardiac I-123 metaiodobenzylguanidine uptake in predicting early and late mortality in patients with congestive heart failure}, series = {Circulation (Suppl.)}, volume = {96}, journal = {Circulation (Suppl.)}, number = {8}, pages = {2104}, subject = {Stauungssuffizienz}, language = {en} } @misc{Raptis, author = {Raptis, Georgios}, title = {Biometrie - Anwendungen und Datenschutz. Welche Zusatzinformationen liefert der IRIS-Pf{\"o}rtner? Nebennutzen in einem biometrischen Zugangskontrollsystem. Medizinische Hintergr{\"u}nde. Symposium des Bundesamtes f{\"u}r Sicherheit in der Informationstechnik, Vortrag, Darmstadt 23. Mai 2002}, series = {Symposium des Bundesamtes f{\"u}r Sicherheit in der Informationstechnik}, journal = {Symposium des Bundesamtes f{\"u}r Sicherheit in der Informationstechnik}, language = {de} } @inproceedings{WiesmaierLippertKaratsiolisetal., author = {Wiesmaier, Alexander and Lippert, Markus and Karatsiolis, Vangelis and Raptis, Georgios and Buchmann, Johannes}, title = {An Evaluated Certification Services System for the German National Root CA - Legally Binding and Trustworthy Transactions in E-Business and E-Government}, series = {Proceedings of The 2005 International Conference on E-Business, Enterprise Information Systems, E-Government, and Outsourcing, EEE 2005, Las Vegas, Nevada, USA, June 20-23, 2005}, booktitle = {Proceedings of The 2005 International Conference on E-Business, Enterprise Information Systems, E-Government, and Outsourcing, EEE 2005, Las Vegas, Nevada, USA, June 20-23, 2005}, publisher = {CSREA Press}, isbn = {1-932415-76-9}, pages = {103 -- 108}, language = {en} } @misc{Raptis, author = {Raptis, Georgios}, title = {{\"U}bersicht {\"u}ber die neuen Technischen Richtlinien des BSI zum ersetzenden Scannen und zur Langzeitarchivierung}, series = {Telemed 2014, Berlin, 14.10.2014}, journal = {Telemed 2014, Berlin, 14.10.2014}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {M{\"o}gliche Auswirkungen der eIDAS-Verordnung auf die Telematikinfrastruktur und die eArztausweise}, series = {CAST-Workshop PKI, Darmstadt, 29.01.2015}, journal = {CAST-Workshop PKI, Darmstadt, 29.01.2015}, subject = {Europ{\"a}ische Union }, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {HPCs als Basis f{\"u}r den elektronischen Arztausweis}, series = {Smartcard-Workshops, Fraunhofer SIT, 07.02.2006}, journal = {Smartcard-Workshops, Fraunhofer SIT, 07.02.2006}, subject = {Arzt}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Ist die Sicherheit der medizinischen Daten in der Telematik-Infrastruktur zu gew{\"a}hrleisten?}, series = {Kolloquium Wissenschaftlichkeit in der Medizin, Universit{\"a}t Heidelberg, 10.05.2007}, journal = {Kolloquium Wissenschaftlichkeit in der Medizin, Universit{\"a}t Heidelberg, 10.05.2007}, subject = {Telemedizin}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Datenschutz und IT-Sicherheit: Empfehlungen von B{\"A}K und KBV f{\"u}r {\"A}rzte}, series = {AK-Sicherheit des eco-Verband der deutschen Internetwirtschaft e.V., K{\"o}ln, 06.05.2009}, journal = {AK-Sicherheit des eco-Verband der deutschen Internetwirtschaft e.V., K{\"o}ln, 06.05.2009}, subject = {Arztpraxis}, language = {de} } @masterthesis{Raptis, type = {Bachelor Thesis}, author = {Raptis, Georgios}, title = {Klassifikation, Anwendungen und Sicherheitskonzept von Trustcentern}, subject = {Trust Center}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Mechanismen und Einsatzkonzepte von Heilberufsausweis und elektronischer Gesundheitskarte}, series = {Oberseminar im Fachbereich Informatik, Kryptographie und Computeralgebra der TU-Darmstadt, 28.11.2006}, journal = {Oberseminar im Fachbereich Informatik, Kryptographie und Computeralgebra der TU-Darmstadt, 28.11.2006}, subject = {Elektronische Gesundheitskarte}, language = {de} } @article{SchenkelAlbertRaptisetal., author = {Schenkel, Johannes and Albert, J{\"u}rgen and Raptis, Georgios and Butz, Norbert}, title = {Notfalldatenmanagement auf der elektronischen Gesundheitskarte}, series = {e-Health}, journal = {e-Health}, editor = {Duesberg, Felix}, publisher = {medical future verlag}, address = {Solingen}, pages = {64 -- 67}, subject = {Elektronische Gesundheitskarte}, language = {de} } @article{AurbachSpickaSuessetal., author = {Aurbach, Maximilian and Spicka, Jan and S{\"u}ß, Franz and Dendorfer, Sebastian}, title = {Evaluation of musculoskeletal modelling parameters of the shoulder complex during humeral abduction above 90°}, series = {Journal of Biomechanics}, volume = {106}, journal = {Journal of Biomechanics}, number = {June}, publisher = {Elsevier}, doi = {10.1016/j.jbiomech.2020.109817}, abstract = {Based on electromyographic data and force measurements within the shoulder joint, there is an indication that muscle and resulting joint reaction forces keep increasing over an abduction angle of 90°. In inverse dynamics models, no single parameter could be attributed to simulate this force behaviour accordingly. The aim of this work is to implement kinematic, kinetic and muscle model modifications to an existing model of the shoulder (AnyBody™) and assess their single and combined effects during abduction up to 140° humeral elevation. The kinematics and the EMG activity of 10 test subjects were measured during humeral abduction. Six modifications were implemented in the model: alternative wrapping of the virtual deltoid muscle elements, utilization of a three element Hill model, strength scaling, motion capture driven clavicle elevation/protraction, translation of the GH joint in dependency of the acting forces and an alteration of the scapula/clavicle rhythm. From the six modifications, 16 different combinations were considered. Parameter combinations with the Hill model changed the resultant GH joint reaction force and led to an increase in force during abduction of the humerus above 90°. Under the premise of muscle activities and forces within the GH joint rising after 90° of humeral abduction, we propose that the Hill type muscle model is a crucial parameter for accurately modelling the shoulder. Furthermore, the outcome of this study indicates that the Hill model induces the co-contraction of the muscles of the shoulder without the need of an additional stability criterion for an inverse dynamics approach.}, subject = {Schultergelenk}, language = {en} } @misc{Raptis, author = {Raptis, Georgios}, title = {Einsatzm{\"o}glichkeiten des elektronischen Heilberufsausweises}, series = {CAST-Forums, Fraunhofer IGD, 14.09.2006}, journal = {CAST-Forums, Fraunhofer IGD, 14.09.2006}, subject = {Heilberuf}, language = {de} } @article{Raptis, author = {Raptis, Georgios}, title = {App statt Arzt ist kein gutes Motto}, series = {medizin \& technik}, journal = {medizin \& technik}, number = {2}, language = {de} } @inproceedings{Raptis, author = {Raptis, Georgios}, title = {Notfalldaten und Datenerhalt mit der elektronischen Gesundheitskarte.}, series = {Tagungsband 22. Smartcard-Workshop 2012}, booktitle = {Tagungsband 22. Smartcard-Workshop 2012}, publisher = {Fraunhofer-Verlag}, pages = {166}, subject = {Elektronische Gesundheitskarte}, language = {de} } @article{FischerRaptisHorn, author = {Fischer, Uta and Raptis, Georgios and Horn, Lars-Christian}, title = {Bedeutung der Familienanamnese bei Zervixkarzinom}, series = {Zentralblatt f{\"u}r Gyn{\"a}kologie}, volume = {123}, journal = {Zentralblatt f{\"u}r Gyn{\"a}kologie}, doi = {10.1055/s-2001-14791}, pages = {302 -- 307}, abstract = {Fragestellung: Molekulare Analysen haben deutlich gemacht, dass maligne Tumoren durch Ver{\"a}nderungen des Genoms hervorgerufen werden. Im Gegensatz zu den erblich bedingten Tumorerkrankungen sind die Kenntnisse zur Bedeutung famili{\"a}rer Faktoren bei den sog. sporadischen Tumoren, insbesondere beim Zervixkarzinom (CX) begrenzt. Material und Methode: Patientinnen des CX-Registers der Universit{\"a}ts-Frauenklinik wurden retrospektiv bez{\"u}glich der Familienanamnese (FA) analysiert. Als positive FA wurde eine maligne Tumorerkrankung bei einem oder mehreren Verwandten ersten Grades definiert. Es wurde unterschieden, ob es sich um Zervixkarzinome, andere gyn{\"a}kologische Malignome (außer Mammakarzinom) oder eine extragenitale Lokalisation handelte. Diese Daten wurden zum Erkrankungsalter und zum Nachweis pelviner Lymphknotenmetastasen in Beziehung gesetzt. Ergebnisse: 159/737 Frauen (21,6 \%) wiesen eine positive FA auf. In 10,7 \% der F{\"a}lle war mehr als ein Verwandter ersten Grades erkrankt; bei 6,9 \% Angeh{\"o}rige ersten und zweiten Grades. Weibliche Verwandte ersten Grades von 42 Frauen wiesen Malignome des weiblichen Genitaltraktes (außer CX) auf. In 6,9 \% waren die Mutter und/oder die Schwester an einem Zervixkarzinom erkrankt. Das Durchschnittsalter der Patientinnen mit positiver Familienanamnese (FA) unterschied sich nicht von dem derjenigen mit leerer FA, wohl aber bei getrennter Betrachtung nach der Tumorlokalisation. Bez{\"u}glich des Tumorstadiums (pTNM) und der Zahl der Patientinnen mit histologisch nachgewiesenen pelvinen Lymphknotenmetastasen bestand kein Unterschied. Schlussfolgerungen: Die bisherigen Ergebnisse deuten auch beim Zervixkarzinom auf eine famili{\"a}re Belastung hin. Dabei existieren offenbar Familien, in denen mit HPV-assoziierte Pr{\"a}kanzerosen bzw. Tumoren vermehrt auftreten. Besonders gef{\"a}hrdet sind Patientinnen, deren weibliche Anverwandte ersten Grades bereits an einer zervikalen Pr{\"a}kanzerose (besonders CIN III) oder einem invasiven CX erkrankt sind. Diese Frauen sollten einem engmaschigen Screening unterzogen werden.}, subject = {Geb{\"a}rmutterhalskrebs}, language = {de} } @misc{HornRaptisFischer, author = {Horn, Lars-Christian and Raptis, Georgios and Fischer, Uta}, title = {Famili{\"a}res Zervixkarzinom - Erste Ergebnisse}, series = {54. Kongress der Deutschen Gesellschaft f{\"u}r Gyn{\"a}kologie und Geburtshilfe}, journal = {54. Kongress der Deutschen Gesellschaft f{\"u}r Gyn{\"a}kologie und Geburtshilfe}, subject = {Geb{\"a}rmutterhalskrebs}, language = {de} } @inproceedings{Raptis, author = {Raptis, Georgios}, title = {Ein Verfahren zur L{\"o}sung des Problems der kryptographischen Langzeitsicherheit medizinischer Daten, die in einer Infrastruktur gespeichert werden}, series = {BIOSIG-Konferenz 2007, Darmstadt}, booktitle = {BIOSIG-Konferenz 2007, Darmstadt}, abstract = {Medizinische Daten, die - wie derzeit f{\"u}r die Telematik-Infrastruktur nach \S291a SGB V spe-zifiziert - auch außerhalb der physischen Kontrolle der Eigent{\"u}mer oder Ersteller (also z.B. außerhalb von Arztpraxen oder Klinken) auf Servern kryptographisch verschl{\"u}sselt gespeichert werden, m{\"u}ssen sehr lange vertraulich bleiben. Insbesondere darf der technische Betreiber des Servers, der die Daten speichert, keinen Zugriff erlangen. Es kann jedoch keine verl{\"a}ssliche Aussage dahingehend getroffen werden, ob die heute eingesetzten kryp-tographischen Algorithmen in 30 oder 40 Jahren die Vertraulichkeit der medizinischen Daten weiterhin gew{\"a}hrleisten. Es wird ein Verfahren vorgestellt, welches das Problem der langfristigen Sicherheit von verschl{\"u}sselt gespeicherten medizinischen Daten aus kryptographischer Sicht l{\"o}st. Die Anwendung des Verfahrens wird am Beispiel einer nach den derzeit bekannten gematik-Spezifikationen definierten Infrastruktur veranschaulicht. Es wird von einer getrennten Speicherung von verschl{\"u}sselten medizinischen Daten und Schl{\"u}sselmaterial ausgegangen. Die Daten werden an der Datenquelle (Konnektor, z.B. eines Arztes) mit einem Einmalblock (One Time Pad, OTP) verschl{\"u}sselt. Sie sind damit beweisbar sicher verschl{\"u}sselt, weil das One-Time-Pad-Verschl{\"u}sselungsverfahren beweisbar „perfekt geheim" ist. Der OTP-Schl{\"u}ssel wird mit einem symmetrischen Schl{\"u}ssel verschl{\"u}sselt, der wiederum mit den asymmetrischen Schl{\"u}sseln aller Zugriffsberechtigten verschl{\"u}sselt wird. Die kryptographische, technische und organisatorische Sicherheit des Verfahrens sowie seine Voraussetzungen und Kosten werden analysiert.}, subject = {Gesundheitsinformationssystem}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Papierlose Praxis \& Digitalisierung}, series = {6. BMVZ-Praktikerkongress des Bundesverbands Medizinische Versorgungszentren - Gesundheitszentren - Integrierte Versorgung e.V, 12.09.2012 Berlin, zertifiziert von der {\"A}rztekammer Berlin}, journal = {6. BMVZ-Praktikerkongress des Bundesverbands Medizinische Versorgungszentren - Gesundheitszentren - Integrierte Versorgung e.V, 12.09.2012 Berlin, zertifiziert von der {\"A}rztekammer Berlin}, subject = {Arztpraxis}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Sichere Gesundheitsdaten in der Cloud? Technische Voraussetzungen und Regelungen}, series = {8. Rhein-Main Zukunftskongress Krankenhaus \& Partner 2014, Offenbach, 21.2.2014}, journal = {8. Rhein-Main Zukunftskongress Krankenhaus \& Partner 2014, Offenbach, 21.2.2014}, subject = {Cloud Computing}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Vernetzung und ubiquit{\"a}re Informationsverarbeitung - technisch-organisatorischer Datenschutz in der Arztpraxis}, series = {2. Fachtagung der Gesellschaft f{\"u}r Datenschutz und Datensicherheit e.V. (GDD), Berlin, 13.05.2014, zertifiziert von der {\"A}rztekammer Berlin}, journal = {2. Fachtagung der Gesellschaft f{\"u}r Datenschutz und Datensicherheit e.V. (GDD), Berlin, 13.05.2014, zertifiziert von der {\"A}rztekammer Berlin}, subject = {Arztpraxis}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Mobile Szenarien f{\"u}r Anwendungen der eGK}, series = {CAST-Workshop Smartcards, Darmstadt, 25.09.2014}, journal = {CAST-Workshop Smartcards, Darmstadt, 25.09.2014}, subject = {Elektronische Gesundheitskarte}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Die elektronische Gesundheitskarte}, series = {7. Kommunikationsforum "Industry meets Medicine", Olpe, 5.11.2014}, journal = {7. Kommunikationsforum "Industry meets Medicine", Olpe, 5.11.2014}, subject = {Elektronische Gesundheitskarte}, language = {de} } @article{Raptis, author = {Raptis, Georgios}, title = {Computer k{\"o}nnen {\"A}rzte nicht ersetzen}, series = {Technology Review}, volume = {11}, journal = {Technology Review}, pages = {82}, language = {de} } @misc{Raptis, author = {Raptis, Georgios}, title = {Datenschutzfragen zur Telemedizin}, series = {Fachtagung Datenschutz in der Medizin - Update 2015 I, Hamburg 03.02.2015}, journal = {Fachtagung Datenschutz in der Medizin - Update 2015 I, Hamburg 03.02.2015}, subject = {Telemedizin}, language = {de} } @book{SauerWolfBuchetal., author = {Sauer, S. and Wolf, Th. and Buch, M. and Raptis, Georgios}, title = {Sichere Client-Server-Architekturen f{\"u}r E-Government}, pages = {192}, subject = {Client-Server-Konzept}, language = {de} } @article{Raptis, author = {Raptis, Georgios}, title = {Kryptographischer Langzeitschutz}, series = {KES - The Information Security Journal}, volume = {1}, journal = {KES - The Information Security Journal}, pages = {55 -- 62}, subject = {Kryptologie}, language = {de} } @article{BuschDaumRaptis, author = {Busch, Ch. and Daum, H. and Raptis, Georgios}, title = {Merkmal Iris. K{\"o}nnen diese Augen l{\"u}gen?}, series = {Spektrum der Wissenschaft}, journal = {Spektrum der Wissenschaft}, number = {7}, pages = {81 -- 82}, subject = {Biometrie}, language = {de} } @phdthesis{Raptis, author = {Raptis, Georgios}, title = {Vertraulichkeit von medizinischen Daten in der Telematik-Infrastruktur - Sicherheitsanalyse unter Ber{\"u}cksichtigung von Aspekten der langfristigen Sicherheit}, address = {Heidelberg}, subject = {Medizinische Dokumentation}, language = {de} } @techreport{SchenkelAlbertRaptis, type = {Working Paper}, author = {Schenkel, Johannes and Albert, J{\"u}rgen and Raptis, Georgios}, title = {Arbeitskonzept Notfalldatenmanagement}, subject = {Elektronische Gesundheitskarte}, language = {de} } @article{SchenkelAlbertRaptisetal., author = {Schenkel, Johannes and Albert, J{\"u}rgen and Raptis, Georgios and Butz, Norbert}, title = {Notfalldatensatz: Bessere Unterst{\"u}tzung f{\"u}r den Arzt}, series = {Deutsches {\"A}rzteblatt}, volume = {108}, journal = {Deutsches {\"A}rzteblatt}, number = {19}, pages = {A-1046, B-864, C-864}, subject = {Elektronische Gesundheitskarte}, language = {de} } @inproceedings{MetzlerAachPalmetal., author = {Metzler, V. and Aach, T. and Palm, Christoph and Lehmann, Thomas M.}, title = {Texture Classification of Graylevel Images by Multiscale Cross-Co-Occurrence Matrices}, series = {Proceedings 15th International Conference on Pattern Recognition (ICPR-2000)}, booktitle = {Proceedings 15th International Conference on Pattern Recognition (ICPR-2000)}, doi = {10.1109/ICPR.2000.906133}, pages = {549 -- 552}, abstract = {Local gray level dependencies of natural images can be modelled by means of co-occurrence matrices containing joint probabilities of gray-level pairs. Texture, however, is a resolution-dependent phenomenon and hence, classification depends on the chosen scale. Since there is no optimal scale for all textures we employ a multiscale approach that acquires textural features at several scales. Thus linear and nonlinear scale-spaces are analyzed by multiscale co-occurrence matrices that describe the statistical behavior of a texture in scale-space. Classification is then performed on the basis of texture features taken from the individual scale with the highest discriminatory power. By considering cross-scale occurrences of gray level pairs, the impact of filters on the feature is described and used for classification of natural textures. This novel method was found to improve classification rates of the common co-occurrence matrix approach on standard textures significantly.}, language = {en} } @inproceedings{PalmLehmannSpitzer, author = {Palm, Christoph and Lehmann, Thomas M. and Spitzer, Klaus}, title = {Color Texture Analysis of Moving Vocal Cords Using Approaches from Statistics and Signal Theory}, series = {Advances in Quantitative Laryngoscopy, Voice and Speech Research, Procs. 4th International Workshop, Friedrich Schiller University, Jena}, booktitle = {Advances in Quantitative Laryngoscopy, Voice and Speech Research, Procs. 4th International Workshop, Friedrich Schiller University, Jena}, pages = {49 -- 56}, abstract = {Textural features are applied for detection of morphological pathologies of vocal cords. Cooccurrence matrices as statistical features are presented as well as filter bank analysis by Gabor filters. Both methods are extended to handle color images. Their robustness against camera movement and vibration of vocal cords is evaluated. Classification results due to three in vivo sequences are in between 94.4 \% and 98.9\%. The classification errors decrease if color features are used instead of grayscale features for both statistical and Fourier features}, language = {en} } @inproceedings{PalmFischerLehmannetal., author = {Palm, Christoph and Fischer, B. and Lehmann, Thomas M. and Spitzer, Klaus}, title = {Hierarchische Wasserscheiden-Transformation zur Lippensegmentierung in Farbbildern}, series = {Bildverarbeitung f{\"u}r die Medizin 2000}, booktitle = {Bildverarbeitung f{\"u}r die Medizin 2000}, publisher = {Springer}, address = {Berlin}, doi = {10.1007/978-3-642-59757-2_20}, pages = {106 -- 110}, abstract = {Zur L{\"o}sung komplexer Segmentierungsprobleme wird eine hierarchische und farbbasierte Wasserscheidentransformation vorgestellt. Geringe Modifikationen bez{\"u}glich Startpunktwahl und Flutungsprozess resultieren in signifikanten Verbesserungen der Segmentierung. Das Verfahren wurde zur Lippendetektion in Farbbildsequenzen eingesetzt, die zur quantitativen Beschreibung von Sprechbewegungsabl{\"a}ufen automatisch ausgewertet werden. Die Experimente mit 245 Bildern aus 6 Sequenzen zeigten eine Fehlerrate von 13\%.}, language = {de} } @inproceedings{AurbachWagnerSuessetal., author = {Aurbach, Maximilian and Wagner, Kilian and S{\"u}ß, Franz and Dendorfer, Sebastian}, title = {Implementation and Validation of Human Kinematics Measured Using IMUs for Musculoskeletal Simulations by the Evaluation of Joint Reaction Forces}, series = {CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017, Sarajevo, Bosnia and Herzegovina}, volume = {Vol. 62}, booktitle = {CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017, Sarajevo, Bosnia and Herzegovina}, editor = {Badnjevic, Almir}, publisher = {Springer}, address = {Singapore}, doi = {10.1007/978-981-10-4166-2_31}, pages = {205 -- 211}, abstract = {The gold standard for the analysis of human kinematics and kinetics is a camera-based motion capture system in combination with force measurement platforms. Alternatively, inertial measurement units can be utilized to obtain human kinematics, while ground reaction forces are computed from full body dynamics. This setup represents a system independent from the spatial confinement of a gait laboratory. The aim of this study is the comparison of the two methods by the investigation of lower limb kinematics and the resulting joint reaction forces within the ankle-, knee- and hip joints. For this purpose, human motion during gait was captured simultaneously by both measurement techniques. 13 trials from 8 different test subjects were evaluated in total. IMU data was processed with a quaternion based Kalman Filter. The data sets were implemented into a musculoskeletal simulation program in order to drive a virtual human body model. Each sensor was aligned to the gravitational and magnetic field vectors of the earth. The angles of flexions, extensions and rotations were analyzed to determine kinematic differences. Joint reaction forces defined kinetic dissimilarities. The overall kinematic differences of both models yielded root mean square errors of 7.62°, 6.02°, 4.95°, 2.79°, 2.38° and 3.56° for ankle flexion, subtalar eversion, knee flexion, hip external rotation, hip abduction and hip flexion, respectively. The proximo-distal differences in force peaks between the models yielded overall for the ankle, 57.33 \%Bodyweight(BW) ± 46.86 \%BW (16.66 \%(Maximum peak to peak) ± 13.62 \%) for the knee 37.09 \%BW ± 29.33 \%BW (17.65 \% ± 15.44 \%) and 32.03 \%BW ± 24.33 \%BW (15.6 \% ± 12.54 \%) for the hip. The overall outcome of this work investigated an approach independent of the common setup of the gait laboratory, thus enabling a cheaper and more flexible technology as an alternative. However, kinematic and thus kinetic differences remain rather large. Future work aims to improve the contact criterion for the calculation of the ground reaction forces and the implementation of a full-body calibration algorithm for the IMU system in order to counteract magnetic field disturbances.}, subject = {Bewegungsapparat}, language = {en} } @inproceedings{JungtaeublSchmitzGrossetal., author = {Jungt{\"a}ubl, Dominik and Schmitz, Paul and Gross, Simon and Dendorfer, Sebastian}, title = {FEA of the transiliacal internal fixator as an osteosynthesis of pelvic ring fractures}, series = {CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017}, booktitle = {CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017}, editor = {Badnjevic, Almir}, publisher = {Springer}, address = {Singapore}, isbn = {978-981-10-4165-5}, doi = {10.1007/978-981-10-4166-2_32}, pages = {212 -- 217}, abstract = {Common Schanz screw systems can be used to stabilize pelvic ring fractures. In order to accommodate for different patient's requirements, implants can be placed in cranio-caudal direction into the os ilium (T1), or into the supraacetabular bone canal, and thus, in dorso-ventral direction (T2). Whereas both techniques are currently used, no data of the biomechanical behavior is available up to this date. The aim of this study is to analyze, whether T2 shows biomechanical advantages with respect to tissue and implant stresses due to the enlarged bone-implant interface. Forces acting on the pelvis were analyzed using motion capture data of a gait cycle obtained by the utilization of a musculoskeletal simulation program. A three dimensional finite element (FE) model of the pelvis with grayscale-based material properties was generated. The muscle and joint reaction forces at toe-off were applied to the FE model and instable pelvis fractures were implemented. The osteosynthesis systems were positioned within the model in order to enable the comparison between the two different surgical techniques. Stresses and displacements were analyzed for bone tissue, fracture zone and implant. T2 lead to approx. 30\% larger displacements in the fracture zone. Von-Mises stresses were larger for T2 in the implant (80 MPa vs. 227 MPa), whereas T1 leads to larger stresses in the bone tissue (200 MPa vs. 140 MPa). Both implantation techniques showed a good biomechanical behavior. Differences could be found with respect to tissue strains and deformations in the fracture zone. If bone quality or fracture healing are of concern, T2 or T1 should be used, respectively. However, both techniques seem to be applicable for cases with no special requirements. Further analyses aim to investigate the behavior under cyclic loading.}, subject = {Beckenbruch}, language = {en} } @article{IgnasiakDendorferFerguson, author = {Ignasiak, Dominika and Dendorfer, Sebastian and Ferguson, Stephen J.}, title = {Thoracolumbar spine model with articulated ribcage for the prediction of dynamic spinal loading}, series = {Journal of Biomechanics}, volume = {vol. 49}, journal = {Journal of Biomechanics}, number = {6}, publisher = {Elsevier Science}, doi = {10.1016/j.jbiomech.2015.10.010}, pages = {959 -- 966}, abstract = {Musculoskeletal modeling offers an invaluable insight into the spine biomechanics. A better understanding of thoracic spine kinetics is essential for understanding disease processes and developing new prevention and treatment methods. Current models of the thoracic region are not designed for segmental load estimation, or do not include the complex construct of the ribcage, despite its potentially important role in load transmission. In this paper, we describe a numerical musculoskeletal model of the thoracolumbar spine with articulated ribcage, modeled as a system of individual vertebral segments, elastic elements and thoracic muscles, based on a previously established lumbar spine model and data from the literature. The inverse dynamics simulations of the model allow the prediction of spinal loading as well as costal joints kinetics and kinematics. The intradiscal pressure predicted by the model correlated well (R2=0.89) with reported intradiscal pressure measurements, providing a first validation of the model. The inclusion of the ribcage did not affect segmental force predictions when the thoracic spine did not perform motion. During thoracic motion tasks, the ribcage had an important influence on the predicted compressive forces and muscle activation patterns. The compressive forces were reduced by up to 32\%, or distributed more evenly between thoracic vertebrae, when compared to the predictions of the model without ribcage, for mild thoracic flexion and hyperextension tasks, respectively. The presented musculoskeletal model provides a tool for investigating thoracic spine loading and load sharing between vertebral column and ribcage during dynamic activities. Further validation for specific applications is still necessary.}, subject = {Brustwirbels{\"a}ule}, language = {en} } @article{LazarevRyabokonHalleretal., author = {Lazarev, Igor A. and Ryabokon, P.V. and Haller, M. and Dendorfer, Sebastian}, title = {Effect of the fractured calcaneus's peripheral fragment displacement on the triceps surae function}, series = {ЖУРНАЛ «ТРАВМА» Ukrainian Trauma Journal}, volume = {2, TOM 16}, journal = {ЖУРНАЛ «ТРАВМА» Ukrainian Trauma Journal}, language = {en} } @article{WeberDendorferGrifkaetal., author = {Weber, Tim A. and Dendorfer, Sebastian and Grifka, Joachim and Verkerke, Gijsbertus Jacob and Renkawitz, Tobias}, title = {Does Computer-Assisted Femur First THR Improve Musculoskeletal Loading Conditions?}, series = {BioMed Research International}, volume = {2015}, journal = {BioMed Research International}, editor = {Takagi, Michiaki}, doi = {10.1155/2015/625317}, pages = {ID 625317}, abstract = {We have developed a novel, computer-assisted operation method for minimal-invasive total hip replacement (THR) following the concept of "femur first/combined anteversion," which incorporates various aspects of performing a functional optimization of the prosthetic stem and cup position (CAS FF). The purpose of this study is to assess whether the hip joint reaction forces and patient's gait parameters are being improved by CAS FF in relation to conventional THR (CON). We enrolled 60 patients (28 CAS FF/32 CON) and invited them for gait analysis at three time points (preoperatively, postop six months, and postop 12 months). Data retrieved from gait analysis was processed using patient-specific musculoskeletal models. The target parameters were hip reaction force magnitude (hrf), symmetries, and orientation with respect to the cup. Hrf in the CAS FF group were closer to a young healthy normal. Phase-shift symmetry showed an increase in the CAS FF group. Hrf orientation in the CAS FF group was closer to optimum, though no edge or rim-loading occurred in the CON group as well. The CAS FF group showed an improved hrf orientation in an early stage and a trend to an improved long-term outcome.}, subject = {H{\"u}ftgelenkprothese}, language = {en} } @article{WeberWeberWoerneretal., author = {Weber, Markus and Weber, Tim A. and Woerner, Michael and Craiovan, Benjamin and Worlicek, Michael and Winkler, Sebastian and Grifka, Joachim and Renkawitz, Tobias}, title = {The impact of standard combined anteversion definitions on gait and clinical outcome within one year after total hip arthroplasty}, series = {International Orthopaedics}, volume = {39}, journal = {International Orthopaedics}, number = {12}, doi = {10.1007/s00264-015-2777-8}, pages = {2323 -- 2333}, abstract = {Different target areas within the concept of combined cup and stem anteversion have been published for total hip arthroplasty (THA). We asked whether component positioning according to eight standard combined anteversion rules is associated with (1) more physiological gait patterns, (2) higher improvement of gait variables and (3) better clinical outcome after THA.In a prospective clinical study, 60 patients received cementless THA through an anterolateral MIS approach in a lateral decubitus position. Six weeks postoperatively, implant position was analysed using 3D-CT by an independent external institute. Preoperatively, six and 12 months postoperatively range of motion, normalized walking speed and hip flexion symmetry index were measured using 3D motion-capture gait analysis. Patient-related outcome measures (HHS, HOOS, EQ-5D) were obtained by an observer blinded to 3D-CT results. Eight combined anteversion definitions and Lewinnek's "safe zone" were evaluated regarding their impact on gait patterns and clinical outcome.Combined cup and stem anteversion according to standard combined anteversion definitions as well as cup placement within Lewinnek's "safe zone" did not influence range of motion, normalized walking speed and/or hip flexion symmetry index six and 12 months after THA. Similarly, increase of gait parameters within the first year after THA was comparable between all eight combined anteversion rules. Clinical outcome measures like HHS, HOOS and EQ-5D did not show any benefit for either of the combined anteversion definitions.Standard combined cup and stem anteversion rules do not improve postoperative outcome as measured by gait analysis and clinical scores within one year after THA.}, subject = {H{\"u}ftgelenkprothese}, language = {en} } @article{WeberAlMunajjedVerkerkeetal., author = {Weber, Tim and Al-Munajjed, Amir Andreas and Verkerke, Gijsbertus Jacob and Dendorfer, Sebastian and Renkawitz, Tobias}, title = {Influence of minimally invasive total hip replacement on hip reaction forces and their orientations}, series = {Journal of Orthopaedic Research}, volume = {32}, journal = {Journal of Orthopaedic Research}, number = {12}, doi = {10.1002/jor.22710}, pages = {1680 -- 1687}, abstract = {Minimally invasive surgery (MIS) is becoming increasingly popular. Supporters claim that the main advantages of MIS total hip replacement (THR) are less pain and a faster rehabilitation and recovery. Critics claim that safety and efficacy of MIS are yet to be determined. We focused on a biomechanical comparison between surgical standard and MIS approaches for THR during the early recovery of patients. A validated, parameterized musculoskeletal model was set to perform a squat of a 50th percentile healthy European male. A bilateral motion was chosen to investigate effects on the contralateral side. Surgical approaches were simulated by excluding the incised muscles from the computations. Resulting hip reaction forces and their symmetry and orientation were analyzed. MIS THR seemed less influential on the symmetry index of hip reaction forces between the operated and nonoperated leg when compared to the standard lateral approach. Hip reaction forces at peak loads of the standard transgluteal approach were 24\% higher on the contralateral side when compared to MIS approaches. Our results suggest that MIS THR contributes to a greater symmetry of hip reaction forces in absolute value as well as force-orientation following THR.}, subject = {H{\"u}ftgelenkprothese}, language = {en} }