CN114145712A - System for infrared thermography diagnosis of persistent somatoform pain disorder - Google Patents

System for infrared thermography diagnosis of persistent somatoform pain disorder Download PDF

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CN114145712A
CN114145712A CN202111443695.7A CN202111443695A CN114145712A CN 114145712 A CN114145712 A CN 114145712A CN 202111443695 A CN202111443695 A CN 202111443695A CN 114145712 A CN114145712 A CN 114145712A
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CN114145712B (en
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邹卓杉
曾霜
崔剑
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First Affiliated Hospital of Army Medical University
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B5/48Other medical applications
    • A61B5/4824Touch or pain perception evaluation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A61B5/015By temperature mapping of body part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/16Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • A61B5/165Evaluating the state of mind, e.g. depression, anxiety

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Abstract

The invention belongs to the field of medical diagnosis, and particularly relates to a system for infrared thermography diagnosis of persistent somatic pain disorder, which comprises an identity recognition module: for a subject to log into the diagnostic system; a persistent somatoform pain disorder scale module: for the subject to screen and fill out a continuos somatoform pain disorder scale; infrared heat map module: for receiving an infrared thermal map of a subject; a data acquisition module: for acquiring and transmitting a table and an infrared thermograph of persistent somatoform pain disorder in a subject; a computer test module: the system is used for receiving the diagnosis scheme of the persistent somatic form pain disorder scale, diagnosing and generating a diagnosis result, and is also used for receiving the infrared chart, calculating and generating a calculation result; an analysis module: and the system is used for receiving the diagnosis result and the calculation result, analyzing the continuous somatic form pain disorder and generating an analysis result. The invention can solve the problem of low recognition rate of diagnosing the persistent somatoform pain disorder.

Description

System for infrared thermography diagnosis of persistent somatoform pain disorder
Technical Field
The invention belongs to the field of medical diagnosis, and particularly relates to an infrared thermography diagnosis system for persistent somatic pain disorder.
Background
Persistent somatoform pain disorder is a persistent and severe pain that is associated with emotional conflicts or psychosocial problems that cannot be reasonably explained by physiological processes or somatic disorders, and conventional examinations fail to find the corresponding organic changes in the pain site, with the course often extending and lasting for more than 6 months. The patient with the persistent somatoform pain disorder has a low recognition rate in the initial diagnosis, and foreign investigation shows that the missed diagnosis or misdiagnosis rate of the persistent somatoform pain disorder in a comprehensive hospital is as high as 70-80%, and the identification rate of domestic neurologists for the persistent somatoform pain disorder is only 28.75%.
The prior art relates to a diagnosis system for persistent somatoform pain disorder, which mainly carries out psychological assessment by collecting individual biological indexes of a patient or through a psychiatric department as a reference basis for clinical diagnosis and treatment and evaluates the patient from the individual biological indexes, the diagnosis result cannot be determined along with no organic change of the patient, and the psychological assessment is added on the basis of the individual biological indexes, so that the detection means is long in time consumption and high in money consumption, and certain trouble is brought to the patient.
Disclosure of Invention
The invention aims to provide a system for diagnosing a continuous somatic pain disorder infrared chart, which solves the problem of low recognition rate of the continuous somatic pain disorder diagnosis by performing quantitative analysis by means of a scale and the infrared chart.
The basic scheme provided by the invention is as follows: a system for infrared thermographic diagnosis of persistent somatic pain disorders, comprising an identification module, a persistent somatic pain disorder scale module, an infrared thermographic module, a data acquisition module, a computerized testing module, and an analysis module, wherein:
the identity recognition module is used for detecting the identity of the examinee;
the continuous somatic form pain disorder scale module is used for screening and filling a continuous somatic form pain disorder scale for the examinee;
the infrared heat map module is used for receiving an infrared heat map of the detected person;
the data acquisition module is used for acquiring a persistent somatic form pain disorder measuring table and an infrared heat map of a detected person and transmitting the table and the infrared heat map to the computer test module;
the computer test module is used for receiving the continuous somatic form pain disorder scale of the examinee, diagnosing the continuous somatic form pain disorder and generating a diagnosis result, and the computer test module is also used for receiving the infrared chart, calculating and generating a calculation result;
the analysis module is used for receiving the diagnosis result and the calculation result, analyzing the continuous somatic form pain disorder and generating an analysis result.
The principle and the advantages of the invention are as follows: the method comprises the steps that an examinee enters a continuous body form pain disorder infrared heat map diagnosis system through an identity recognition module, corresponding scales are screened and filled in a continuous body form pain disorder scale module, the infrared heat map module receives an infrared heat map of the examinee, a data acquisition module transmits the continuous body form pain disorder scale filled in by the examinee and the infrared heat map of the examinee to a computer test module, the computer test module receives the continuous body form pain disorder scale and the infrared heat map of the examinee, corresponding diagnosis and calculation are carried out, and finally result analysis is carried out through an analysis module. Therefore, the method has the advantages that the problem of low recognition rate of diagnosing the continuous somatic pain disorder is solved by quantitative analysis by means of the scale and the infrared chart, and a cheap, efficient and accurate technical means is provided for clinical auxiliary diagnosis of the continuous somatic pain disorder.
Further, the identity identification module is provided with an identity card number login unit and an ID number login unit, and the identity card number login unit is used for allowing a person to be checked to login the infrared thermograph diagnosis system for the persistent somatic form pain disorder by using the identity card number; the ID number registration unit is used for allowing the examinee to register the infrared thermography diagnosis system for the persistent somatic pain disorder by using the ID number.
Has the advantages that: the examinee can log in the continuous physical form pain disorder infrared thermograph diagnosis system by using the own identity card number or the unique ID number authorized by the system, so that the personal examination information of the examinee can be only checked by the examinee himself and the examinee can conveniently log in and check.
Further, the persistent somatoform pain disorder scales include somatization diagnostic scales, obsessive-compulsive symptoms diagnostic scales, interpersonal sensitivity diagnostic scales, depression state diagnostic scales, anxiety state diagnostic scales, hostility state diagnostic scales, phobia state diagnostic scales, paranoia state diagnostic scales, psychology diagnostic scales, and other state diagnostic scales.
Has the advantages that: the continuous somatic form pain disorder scale can comprehensively understand the mental condition of the examinee by adopting a hierarchical scale mode, and is beneficial to judging whether the examinee has the continuous somatic form pain disorder disease.
Further, the computer test module comprises a body form pain disorder diagnosis module and an infrared chart diagnosis module, wherein the body form pain disorder diagnosis module is used for diagnosing a continuous body form pain disorder scale of the detected person according to body form pain disorder diagnosis standards; the infrared heat map diagnosis module is used for calculating parameters in the infrared heat map.
Has the advantages that: through the body form pain disorder diagnosis module and the infrared chart diagnosis module, the mental condition of the examined person is evaluated, and the examined person can conveniently check the body of the examined person, so that the diagnosis of the examined person is more accurate, and the two technical means belong to the technical means with low price, high efficiency and accuracy.
Further, the somatic form pain disorder diagnosis standard is an ICD-10 somatic form pain disorder diagnosis standard.
Has the advantages that: the international standardized diagnosis standard is adopted, and the confidence is strong.
Further, the infrared thermography is an infrared thermography of the subject's chest.
Has the advantages that: by checking the chest infrared thermal map of the examinee, the body temperature change of the examinee can be analyzed more clearly at the part where the heart is located.
Further, the computer test module is provided with a detection result output unit, and the detection result output unit is used for outputting the diagnosis result and the calculation result to the analysis module.
Has the advantages that: by using the detection result output unit as a transmission functional module, the result is favorably transmitted to the analysis module.
The system further comprises a data exchange module and a user side, wherein the data exchange module is used for butt-jointing the data of the analysis result with the user side in a standardized butt-jointing mode, and the user side is used for a user to inquire the analysis result.
Has the advantages that: the data exchange module is in butt joint with the user side in a standardized mode, so that data results can be transmitted to the user side conveniently, and checking by a person to be checked or a doctor is facilitated.
Further, in the analysis result of the analysis module, if the diagnosis result and the calculation result are both continuous somatoform pain disorder, the analysis result is continuous somatoform pain disorder; if at least one of the diagnosis and the calculation is not a persistent somatoform pain disorder, the analysis results in a non-persistent somatoform pain disorder.
Has the advantages that: when the diagnosis result and the calculation result are both continuous somatotype pain disorder, the examinee is judged to have the continuous somatotype pain disorder, and even if one is not the continuous somatotype pain disorder, the examinee is not the continuous somatotype pain disorder, so that the misjudgment rate is reduced.
The data exchange module is used for exchanging the data and the data acquired by the data acquisition module, and the data exchange module is used for exchanging the data and the data transmitted by the data acquisition module.
Has the advantages that: the data of the data acquisition process and the data of the data transmission process are encrypted through the encryption module, so that the data are prevented from being leaked, and the safety of the data is enhanced.
Drawings
FIG. 1 is a schematic block diagram of an embodiment of the present invention;
FIG. 2 is a block flow diagram of an embodiment of the present invention;
FIG. 3 is a diagnostic flow chart of the infrared thermographic diagnostic module of the present invention.
Detailed Description
The following is further detailed by way of specific embodiments:
the embodiment is basically as shown in the attached figures 1 and 2: a system for diagnosing continuous somatic pain disorder by infrared thermograph comprises an identity identification module, a data acquisition module, an infrared thermograph module, a continuous somatic pain disorder scale module, a computer test module, a data exchange module, an encryption module and a user side. The identity identification module is used for detecting the identity of a person being examined, wherein the identity identification module comprises an identity card number login unit and an ID number login unit, the identity card number login unit is used for the person being examined to login the continuous body form pain disorder infrared heat map diagnosis system by using the identity card number, the ID number login unit is used for the person being examined to login the continuous body form pain disorder infrared heat map diagnosis system by using the ID number, in the embodiment, the person being examined can login the continuous body form pain disorder infrared heat map diagnosis system by using the own identity card number or the unique ID number authorized by the system, and the personal inspection information of the person being examined can be only checked by the person being examined.
The persistent somatic form pain disorder scale module is used for screening and filling a persistent somatic form pain disorder scale for a subject, wherein the persistent somatic form pain disorder scale comprises a somatization diagnosis scale, an obsessive-compulsive symptom diagnosis scale, an interpersonal relationship sensitive diagnosis scale, a depression state diagnosis scale, an anxiety state diagnosis scale, a hostile state diagnosis scale, a phobic state diagnosis scale, a paranoia state diagnosis scale, a psychotic state diagnosis scale and other state diagnosis scales, in the embodiment, the persistent somatic form pain disorder scale integrates the somatization diagnosis scale, the obsessive-compulsive symptom diagnosis scale, the interpersonal relationship sensitive diagnosis scale, the depression state diagnosis scale, the anxiety state diagnosis scale, the hostile state diagnosis scale, the phobic state diagnosis scale, the paranoia state diagnosis scale, the psychotic state diagnosis scale and other state diagnosis scales into a scale after being scattered, the somatized diagnostic scale is provided with 12 items, wherein the somatized diagnostic scale mainly reflects subjective somatic discomfort of a subject, including major discomfort of cardiovascular, gastrointestinal, respiratory and other systems, and other somatic manifestations of headache, back pain, muscle soreness and anxiety. The obsessive-compulsive symptom diagnostic scale is provided with 10 items, which are basically the same as symptoms and definitions of clinical obsessive-compulsive symptom manifestations, mainly indicate that the expressions such as meaningless thought, impulsion, behaviors and the like which are not necessary but can not be got rid of are known, and some expressions such as brain 'becoming empty' and poor memory are also reflected in the obsessive-compulsive symptom diagnostic scale. The interpersonal relationship sensitive diagnosis scale is provided with 9 items, which mainly means that some individuals feel uncomfortable and self-inferior, especially when compared with other people, wherein self-inferior, chagrin and people who are obviously poor in interpersonal relationship are often the objects for obtaining high scores through interpersonal relationship sensitive diagnosis. The diagnostic scale for depression states has 13 items, mainly reflecting the broad concept associated with the clinical population of symptoms of depression, the feeling and mood of distress in depression being representative symptoms, and also having reduced interest in life, lack of desire to move, loss of activity, etc., and including disappointment, pessimism, other perceptual and physical problems associated with depression. The diagnostic scale for anxiety states has 10 items, which mainly refer to those who cannot rest, nervousness, tension and physical signs generated by the nervousness and the tension. The hostility state diagnosis module is provided with 6 items, mainly reflects the hostility performance of the examinee from three aspects of thinking, emotion and behavior, and the items comprise boredom, disputes, falling objects, fighting and unsuppressed impulse outbreak. The terrorism state diagnostic table is provided with 7 items, which refer to factors causing terrorism, such as going out, open places, crowds, public places, vehicles and the like, and also comprise social terrorism items. The paranoid state diagnostic scale is provided with 6 items which mainly refer to thinking aspects such as projective thinking, enemy, suspicion, delusion of relationship, passive experience, exaggeration and the like. The psychiatric disease diagnostic scale is provided with 10 items, which mainly comprise items reflecting schizophreniform symptoms, such as auditory hallucinations, thought dispersion, controlled feeling, thought insertion and the like. The other state diagnosis scales are provided with 7 items which mainly reflect the sleeping and eating conditions of the examinees.
In this embodiment, the persistent somatoform pain disorder scale is scored by using a 5-grade scoring system, each item is provided with 1-5 points, specifically, 1 point represents no problem, 2 points represents mild symptoms, 3 points represents moderate symptoms, 4 points represents overweight symptoms, and 5 points represents severe symptoms, wherein the scoring further comprises a total scoring and a single item scoring system, the total scoring represents the sum of scores of 90 items and can reflect the severity of the illness state of the examinee, wherein the total scoring is provided with a total average, a positive item number, a negative item number, a positive symptom average, and a total average: total score/90, which represents the degree to which the subject's self-perception lies between 1-5 scores from a general perspective; number of positive items: the number of items with one-way score of more than or equal to 2 represents how many items the subject presents with symptoms; number of negative items: the number of items with a single item being 1 indicates how many asymptomatic items the subject has; and equally dividing positive symptoms: (total score-number of negative items)/number of positive items, representing the subject's average score among symptomatic items, reflects which range the subject has between the severity of the item's self-perceived disfigurement. The individual scale represents the scores of the somatization diagnosis scale, obsessive-compulsive symptom diagnosis scale, interpersonal relationship sensitive diagnosis scale, depression state diagnosis scale, anxiety state diagnosis scale, hostility state diagnosis scale, terror state diagnosis scale, paranoid state diagnosis scale, psychology diagnosis scale and other state diagnosis scale.
The infrared thermographic module is for receiving an infrared thermographic image of the subject, which in this embodiment is an infrared thermographic image of the subject's chest.
The data acquisition module is used for acquiring the persistent somatic pain disorder quantity table and the infrared chart of the examinee and transmitting the persistent somatic pain disorder quantity table and the infrared chart to the computer test module, the computer test module is used for receiving the persistent somatic pain disorder quantity table of the examinee, diagnosing the persistent somatic pain disorder and generating a diagnosis result, and the computer test module is also used for receiving the infrared chart, calculating and generating a calculation result. Wherein, the computer test module is provided with a body form pain disorder diagnosis module and an infrared chart diagnosis module, the body form pain disorder diagnosis module is used for diagnosing a continuous body form pain disorder scale of a detected person according to a body form pain disorder diagnosis standard, in the embodiment, the body form pain disorder diagnosis standard is an ICD-10 body form pain disorder diagnosis standard, and the continuous body form pain disorder suffered by the detected person is diagnosed by combining the scores and the total scores of all single item scales of the continuous body form pain disorder scale, specifically comprising symptoms of continuous body form disorder in 51, such as phobia disorder, generalized anxiety disorder, mixed anxiety disorder and depressive disorder, other mixed anxiety disorder, obsessive-compulsive disorder, severe stress response and adaptation disorder, separation disorder, body form disorder and other form disorder, the specific content of the generated diagnosis result belongs to the existing standard, and is not described in detail in this embodiment.
The infrared heat map diagnosis module is used for calculating parameters in the infrared heat map, and specifically, the infrared heat map diagnosis module calculates R values, G values, B values, gray values and variance differences of bilateral symmetric regions of the chest of the infrared heat map to generate a calculation result; as shown in fig. 3, in this embodiment, the infrared thermal map is a PSPD infrared thermal map, and the specific calculation process includes firstly introducing the PSPD infrared thermal map, processing R, G, B values of each pixel point in the PSPD infrared thermal map through Image J, then subtracting R, G, B values of ten bilateral groups of symmetric points to obtain absolute values Dr, Dg, and Db, and finally substituting the ten groups of Dr, Dg, and Db into a first calculation formula to obtain σ, where the first calculation formula is:
Figure BDA0003384162840000061
wherein N represents the group number D, mu represents the average value of all D, the accurate values of sigma (R), sigma (G) and sigma (B) can be obtained by substituting Dr, Dg and Db into sigma, and if any condition of sigma (R) > 27, sigma (G) > 38 or sigma (B) > 38 is satisfied, the subject can be diagnosed with the persistent somatotropic pain disorder.
The computer test module is further provided with a detection result output unit, the detection result output unit is used for outputting the diagnosis result and the calculation result to the analysis module, the analysis module is used for receiving the diagnosis result and the calculation result, analyzing the continuous somatic form pain disorder and generating an analysis result, in the analysis result, if the diagnosis result and the calculation result are both the continuous somatic form pain disorder, the fact that the examinee has the continuous somatic form pain disorder is judged, if at least one of the diagnosis result and the calculation result is not the continuous somatic form pain disorder, in the embodiment, if the diagnosis result is not the continuous somatic form pain disorder, the fact that the examinee does not have the continuous somatic form pain disorder is judged. Therefore, through the double checking and judgment of the diagnosis result and the calculation result, the accuracy of the diagnosis of whether the subject suffers from the continuous somatic pain disorder is greatly increased, and the misjudgment rate is reduced.
The data exchange module is used for docking the data of the analysis result with a user terminal in a standardized docking manner, and the user terminal is used for the examinee to inquire the analysis result; if at least one of the diagnosis and the calculation is not a persistent somatoform pain disorder, the analysis results in a non-persistent somatoform pain disorder.
The encryption module is used for encrypting the data acquired by the data acquisition module and the data transmitted by the data exchange module, and in this embodiment, the encryption module encrypts the data through Base 64.
The foregoing are merely exemplary embodiments of the present invention, and no attempt is made to show structural details of the invention in more detail than is necessary for the fundamental understanding of the art, the description taken with the drawings making apparent to those skilled in the art how the several forms of the invention may be embodied in practice with the teachings of the invention. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims (10)

1. A system for infrared thermographic diagnosis of persistent somatoform pain disorders, comprising: including identity identification module, persistent somatic form pain obstacle scale module, infrared chart module, data acquisition module, computer test module and analysis module, wherein:
the identity recognition module is used for detecting the identity of the examinee;
the continuous somatic form pain disorder scale module is used for screening and filling a continuous somatic form pain disorder scale for the examinee;
the infrared heat map module is used for receiving an infrared heat map of the detected person;
the data acquisition module is used for acquiring a persistent somatic form pain disorder measuring table and an infrared heat map of a detected person and transmitting the table and the infrared heat map to the computer test module;
the computer test module is used for receiving the continuous somatic form pain disorder scale of the examinee, diagnosing the continuous somatic form pain disorder and generating a diagnosis result, and the computer test module is also used for receiving the infrared chart, calculating and generating a calculation result;
the analysis module is used for receiving the diagnosis result and the calculation result, analyzing the continuous somatic form pain disorder and generating an analysis result.
2. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 1, wherein: the identity identification module is provided with an identity card number login unit and an ID number login unit, and the identity card number login unit is used for allowing a person to be checked to login the infrared thermograph diagnosis system for the persistent body form pain disorder by using the identity card number; the ID number registration unit is used for allowing the examinee to register the infrared thermography diagnosis system for the persistent somatic pain disorder by using the ID number.
3. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 1, wherein: the persistent somatoform pain disorder scales include somatization diagnostic scales, obsessive-compulsive symptoms diagnostic scales, interpersonal relationship sensitivity diagnostic scales, depression state diagnostic scales, anxiety state diagnostic scales, hostility state diagnostic scales, phobic state diagnostic scales, paranoid state diagnostic scales, psychiatric diagnostic scales, and other state diagnostic scales.
4. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 1, wherein: the computer test module comprises a body form pain disorder diagnosis module and an infrared chart diagnosis module, and the body form pain disorder diagnosis module is used for diagnosing a continuous body form pain disorder scale of a detected person according to a body form pain disorder diagnosis standard; the infrared heat map diagnosis module is used for calculating parameters in the infrared heat map.
5. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 4, wherein: the somatic form pain disorder diagnosis standard is an ICD-10 somatic form pain disorder diagnosis standard.
6. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 4, wherein: the infrared thermography is an infrared thermography of the subject's chest.
7. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 1, wherein: the computer test module is provided with a detection result output unit which is used for outputting the diagnosis result and the calculation result to the analysis module.
8. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 1, wherein: the data exchange module is used for butt-jointing the data of the analysis result with the user side in a standardized butt-jointing mode, and the user side is used for a user to inquire the analysis result.
9. The system for infrared thermographic diagnosis of a persistent somatic pain disorder of claim 8, wherein: in the analysis result of the analysis module, if the diagnosis result and the calculation result are both continuous somatoform pain disorder, the analysis result is the continuous somatoform pain disorder; if at least one of the diagnosis and the calculation is not a persistent somatoform pain disorder, the analysis results in a non-persistent somatoform pain disorder.
10. The system for infrared thermographic diagnosis of a persistent somatoform pain disorder according to claim 9, wherein: the data exchange module is used for exchanging the data and the data acquired by the data acquisition module, and the data exchange module is used for exchanging the data and the data transmitted by the data acquisition module.
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CN113520329A (en) * 2021-08-17 2021-10-22 云南力衡医疗技术有限公司 Method and device for verifying diagnosis prescription for treating limb pain

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104102848A (en) * 2014-07-28 2014-10-15 四川大学 Clinical somatic symptom classification test and appraisal system
CN105232008A (en) * 2015-10-23 2016-01-13 卢振和 Medical auxiliary examination method, device and apparatus by medical infrared thermography for human bodies
US20190239791A1 (en) * 2018-02-05 2019-08-08 Panasonic Intellectual Property Management Co., Ltd. System and method to evaluate and predict mental condition
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CN113520329A (en) * 2021-08-17 2021-10-22 云南力衡医疗技术有限公司 Method and device for verifying diagnosis prescription for treating limb pain

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