Constantinos Koutsojannis

Constantinos Koutsojannis
University of Patras | UP · Department of Medical Physics

Professor
I do believe that Research is the path to catch the Ιmpossible!

About

137
Publications
29,513
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,154
Citations
Citations since 2017
41 Research Items
407 Citations
20172018201920202021202220230204060
20172018201920202021202220230204060
20172018201920202021202220230204060
20172018201920202021202220230204060
Introduction
Health Physics, Medical Physics, Non-Ionizing Radiation Protection Electrophysiology
Additional affiliations
January 2021 - February 2021
EFOMP
Position
  • Member
Description
  • https://www.efomp.org/index.php?r=pgroup&id=sc-members
May 2020 - February 2021
University of Patras
Position
  • Professor
Description
  • http://intelhealthphysicslab.gr/el/proswpiko/56.html
January 2020 - present
EFOMP
Position
  • Chair
Description
  • https://www.efomp.org/index.php?r=structure/view&id=6
Education
September 1989 - February 1994
University οf Patras School of Medicine
Field of study
  • Medical Physics
September 1982 - February 1987
University of Patras
Field of study
  • Physics

Publications

Publications (137)
Conference Paper
Purpose: The digital transformation of modern healthcare makes digital skills even more essential for Medical Physicists (MPs). Digital solutions have the potential to radically transform health systems by providing better results and improving the quality of services. The digital skills gaps in the health sector affect the efficiency of health se...
Conference Paper
Purpose: The aim of the present study was to identify differences between the two surgical techniques in terms of clinical and functional outcomes. Method: The measurements were performed using the Tensiomyography (TMG) S1 device, to 24 athletes (15 males, 9 females with mean age 32 years), divided in group A (12): knees with double graft (ST - GR...
Article
The article outlines the need for professional services and abilities in the healthcare sector. The Erasmus+ DIGI4ME project intends to offer digital skills trainings for healthcare professionals. An investigation of the Romanian health information system was directed in the view of the National Public Health Institute of Romania interviews with st...
Article
Full-text available
The article outlines the need for professional services and abilities in the healthcare sector. The Erasmus+ DIGI4ME project intends to offer digital skills trainings for healthcare professionals. An investigation of the Romanian health information system was directed in the view of the National Public Health Institute of Romania interviews with st...
Chapter
In this paper, we present the application of a Machine Learning (ML) approach that generates predictions to support healthcare professionals to identify the outcome of patients through optimization of treatment strategies. Based on Decision Tree algorithms, our approach has been trained and tested by analyzing the severity and the outcomes of 346 C...
Conference Paper
Introductory patient safety is a major issue of global health concern, affecting all countries regardless of their level of development. It is an important parameter of quality in health care, as millions of patients worldwide suffer, or die each year from in-hospital infections. The aim of the present study is to quantify the role of Artificial In...
Conference Paper
In this paper, we present the application of a Machine Learning (ML) approach that generates predictions to support healthcare professionals to identify the outcome of patients through optimization of treatment strategies. Based on Decision Tree algorithms, our approach has been trained and tested by analyzing the severity and the outcomes of 346 C...
Article
Full-text available
Design and analysis of an active ankle orthosis, which will help the gait cycle of people who have difficulties performing the lower limb’s dorsiflexion movement; this condition is called foot drop. Foot drop is a weakness or damage of the common peroneal nerve, including the sciatic nerve, or paralysis of the muscles in the anterior part of the lo...
Conference Paper
Full-text available
The paper presents the demand for professional services and skills in the health sector. The Erasmus+ DIGI4ME project aims to enhance digital skills trainings. An analysis of the Romanian health information system was conducted based on the interviews of the National Public Health Institute of Romania with stakeholders. According to the incidents w...
Conference Paper
The increasing demand for healthcare services, driven by the demographic shifts throughout Europe, will increase the number of jobs and the required skills of professionals in the health sector. Health sector will have a 23% increase in employment by 2025 and the skills that health professionals (HPs) possess are the key aspect for the delivery of...
Article
Full-text available
Ascending aortic dissection is a lethal illness characterized mainly by a tear that develops in the aortic wall when the wall stress by the blood pressure exceeds the wall endurance limits. The estimation of the timing for a surgical treatment of a dilated ascending aorta is based, in practice, on the aortic size, and a recommended criterion for pr...
Article
Purpose: Purpose of this study is the development and evaluation of an intelligent decision support system that will accurately predict the risk of rupture in incidentally detected intracranial aneurysms. Patients-Methods: 100 patients with intracranial aneurysms (both ruptured and unruptured) detected by computed tomography angiography (CTA) and...
Chapter
The development and evaluation of an intelligent prediction system for the evaluation of predisposing and morphological factors in patients with or without endoleak into the abdominal aortic aneurysm sac, based on CTA images during preoperative mapping, developed Machine Learning approaches. They were used in a retrospective chart analysis, data fr...
Chapter
The development and evaluation of an intelligent prediction system for the manifest or not of stroke, in patients with carotid disease, based on morphological factors derived from visual data, developed with Machine Learning approaches. Data from symptomatic and asymptomatic patients referred to our Hospital University Department of Radiology-Compu...
Chapter
Manipulation of male sexual dysfunction (or impotence) that concerns 10% of the male population requires expertise and great experience. Different diagnostic approaches according to medical as well as psychosocial and cultural characteristics of patients are usually followed. Additionally, the traditional health care model of a resident doctor inte...
Chapter
In this chapter, the special difficulties of data mining concerning healthcare or medical big data are discussed. Human health care data are the most difficult of all data to collect, deal and analyze. The first important issue is that the mathematical representation and understanding statistical approach in medical data are internally different th...
Chapter
Here is presented the development and evaluation of an intelligent prediction system for the identification of parathyroid multi- or single adenomas disease or cancer, based on CT images during preoperative mapping, developed with Machine Learning approaches. There were used on a retrospective chart analysis, data from 119 histologically proven PHP...
Chapter
Depression is the most common mental illness with which it confronts both the psychiatrists and specific health professionals. This disease adds a large impact on the psychological and economic condition of patients, their families, and the community. The detection of stages of depression is crucial not only for experts to choose efficient treatmen...
Chapter
Studying the human brain has proven to be a difficult task, due to many aspects related to its nature. Its importance as an organ, its complexity in both anatomical and neurophysiological levels, as well as the difficulty presenting due to it being encased in an osseous cavity and of course ethical issues, are some of the most common and important...
Article
Addiction to cigarette smoking has high prevalence rates recorded worldwide. Smoking has been linked to several life-threatening systemic conditions such as cancer, heart attack and stroke, in addition to a range of ocular pathologies. In recent years, electronic cigarettes (EC) have emerged as alternatives to smoking. ECs are nicotine delivery dev...
Article
Heat has been used for therapeutic causes, over the past decades. A lot of heat methods have been discovered and have been used for medical and physical therapy treatments. As long as new methods and heat devices are discovered, physical therapists have to struggle between which device is the most effective. The purpose of this study is to compare...
Article
Full-text available
The overall aim of this research is the prevention of environmental risk and impact, through the establishment of a present-day environmental observatory centre, equipped with an intelligent monitoring, management and evaluating system. Detecting the environmental pollutants in a timely manner (forecasting), potentially related to adverse health ef...
Chapter
The development and evaluation of an intelligent prediction system for the identification of parathyroid multi- or single adenomas disease or cancer, based on CT images during preoperative mapping, developed with Machine Learning approaches. Data from 119 histologically proven PHPT patients referred to our Hospital University Department of Radiolog...
Article
Full-text available
Chronic pressure ulcers are hard-to-heal wounds that decrease the patient's quality of life. Wireless Micro Current Stimulation (WMCS) is an innovative, non-invasive, similar to electrode-based electrostimulation (ES) technology that generates and transfers ions that are negatively charged to the injured tissue, using accessible air gasses as a tra...
Method
Objectives: EEG biofeedback, is an educational method that helps a trainee to control brain activity and is related to calmness and anxiety, as wave frequency has been positively correlated with cognitive performance in all ages, both in healthy individuals and in those with neurological conditions. Conclusions: Intelligent brain-machine assisted...
Conference Paper
Full-text available
Objective: This work aims to develop methods for handling redundancy in the process of modeling, simulation and analysis of musculoskeletal systems. Methods: It is an undeniable fact that musculoskeletal systems are inherently redundant, i.e., there are more degrees of freedom than those required to perform certain tasks and each degree of freedom...
Article
Although rehabilitation practice for most patients consists of a combined use of thermotherapy that is produced from diathermy devices resulting faster and deeper heating to the patient, major concerns about occupational exposure to electromagnetic radiation for the operators must be considered. In most occasions, physiotherapists have involved mul...
Article
Rehabilitation practice for many patients consisting of a combined use of magneto therapy resulting emission of low frequency magnetic fields to the patient, elicit concerns about occupational exposure to electromagnetic radiation (EMR) for the operators. The time extended use of the device periodically leads to mechanical failures or troubleshooti...
Article
Full-text available
Background: According to previous studies, CT scan exhibits the highest sensitivity and specificity rates among the imaging methods for parathyroid glands. The purpose of this work is the development and evaluation of an intelligent decision support system for the appropriate surgical intervention of parathyroid gland based on the evaluation of CT...
Chapter
Among other medical equipment, Short (SWDs) and Micro-wave diathermies (MWDs) are electromagnetic (EM) radiation emitting systems that are used by physiotherapists for thermotherapy treatment. Quality control (QC) procedures for MWD as well as SWD equipment, examining also EM radiation distribution in the working room, have already been developed f...
Book
Our dependence on electromagnetic radiation includes transportation, communication, entertainment and health. Consequently electromagnetic fields interact with inner electromagnetism or tissue structures of living systems as human beings, promoting at the same time a great interest between biomedical and natural sciences while improving our knowled...
Conference Paper
Full-text available
In real world computing environment with using a computer to answer questions has been a human dream since the beginning of the digital era,Question-answering systems are referred to as intelligent systems ,that can be used to provide responses for the questions being asked by the user based on certain facts or rules stored in the knowledge base it...
Article
Aim: Rehabilitation practice for most patients consists of a combined use of thermotherapy that is produced from diathermy devices resulting faster and deeper heating to the patient, considerable concerns about occupational exposure to electromagnetic radiation for the operators has to be taken into account. In most occasions, physiotherapists have...
Article
Microwave diathermies (MWDs) are electromagnetic (EM) radiation emitting systems that are used by physiotherapists for thermotherapy treatment. Although this form of therapy is widely available in most physiotherapy units worldwide, management of the equipment is not obligatory addressed either by clinical engineers or medical physicists. A novel q...
Article
Full-text available
Assessment of muscle mass in the elderly in clinical practice Quantification of muscle mass is important in clinical practice and several tools are used for its measurement. This is a review and critical appraisal of the muscle mass assessment tools for use with elderly patients in clinical practice. Of the 10 different tools described to measure s...
Article
Full-text available
Background: Although low back pain (LBP) is a debilitating problem internationally, there is not a lot of research on its impact on physical, psychosocial and lifestyle factors. Especially in Mediterranean countries, such as Greece, it is not sufficiently explored whether physical (pain location, activity limitation etc.), sociodemographic (educat...
Article
Microwave diathermy (MWD) is a therapeutic system that is in use for some decades now in all physiotherapy settings, according to national facility establishment regulations. Diathermy devices probably lack validity, as working time passes, introducing the need of control/reset of the device by qualified personnel, in order to maintain its effectiv...
Article
Full-text available
Objectives: Poor sleep quality is associated with increased risk for cardiovascular mortality, impaired cognition and decreased quality of life in older adults. Hence the objective of this preliminary study was to understand the prevalence of poor sleepers and finding the risk factors associated with poor sleep among Greek older adults. Method: 258...
Article
Full-text available
Background. We need to understand more about how Deep Neck Flexors (DNF's) perform in different contexts and whether it affects the pain threshold over myofascial trigger points (MTrPs). Purpose. The objectives were to investigate the effect of neck muscles training on disability and pain and on pain threshold over MTrPs in people with chronic neck...
Conference Paper
Background: Specific training of the deep cervical neck flexor muscles has been found to improve pain, disability, quality of life (QoL) and psychosocial status in patients with neck pain. However it is not well established if it is more effective than a general neck muscles’ training or advice. Purpose: To investigate the effects of deep cervical...
Article
Full-text available
Context: Elastic bandages are commonly used in sports to treat and prevent sports injuries. Objective: To conduct a systematic review assessing the effectiveness of elastic bandaging in orthopedic and sports injuries prevention and rehabilitation. Evidence acquisition: We searched the following electronic databases: MEDLINE, CINAHL, SPORTDiscu...
Article
Research objective are (1) assess the effectiveness of Swedish massage in the treatment of non-specific pain in the lumbar region, to (2) measure the effects of Swedish massage on pain intensity, disability indexes and anxiety levels and to (3) measure pain intensity, disability indexes and anxiety levels before and after a single session. An exper...
Article
Full-text available
Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on "Methodologies, Models and Algorithms for Patients Rehabilitation". Objectives: The objective of the proposed approach is to develop a clinical decision support system (DSS) that will help clinicians optimally plan the ACL reconstruction procedure in a...
Article
Full-text available
BACKGROUND. Given the high incidence of low back pain (LBP) internationally, there is still debate on the impact of pain intensity and location (including back-associated leg pain) on perceived disability and life-functioning factors in younger or middle-aged adults, where occupation is of primary importance. Additionally, there is limited research...
Article
Fireworks are used worldwide during national and cultural celebrations, but they often cause moderate to severe injuries. A young male was injured by fireworks during festivities, as a unit hit him at the right arm causing severe and extended (second degree) burn. The patient volunteered for treatment with the Wetling-W200 Wireless Micro Current St...
Conference Paper
Full-text available
Micro-wave diathermies (MWD) are a kind of wireless therapeutic systems that are in use for some decades now in all physiotherapy rooms according to national facility establishment regulations. Recently, a probable correlation between the use of diathermies in physiotherapy and health problems has already reported. It is additionally obvious that d...
Conference Paper
Full-text available
Fireworks are used worldwide during national and cultural celebrations, but they often cause moderate to severe injuries. A young male was injured by fireworks during festivities, as a unit hit him at the right arm causing severe and extended (second degree) burn. The patient volunteered for treatment with the Wetling-W200 Wireless Micro Current St...
Conference Paper
Full-text available
Introduction: Spinal metastatic disease is very common in patients with cancer. The goals of therapy are pain control and functional preservation. Kyphoplasty and spondyloplasty are minimal invasive procedures that play a crucial role in the treatment of spinal metastatic spine disease. Aims/Objectives: We assess the quality of life, anxiety and de...
Article
Full-text available
Background: The click and tone-evoked auditory brainstem responses are widely used in clinical practice due to their consistency and predictability. More recently, the speech-evoked responses have been used to evaluate subcortical processing of complex signals, not revealed by responses to clicks and tones. Aims: Disyllable stimuli corresponding t...
Conference Paper
Introduction: In recent years, artificial intelligence is used in a variety of systems in the field of medicine. The time when the only asset of the doctor was the classic leather bag containing a few basic instruments such as the stethoscope belongs to the dustbin of history. Objectives: In this paper we attempt to objectify and modeling the post...
Conference Paper
Full-text available
This paper presents a framework for simulated evaluation of the biomechanics of the human knee after anterior cruciate ligament (ACL) tear. Following the notion of the Virtual Physiological Human (VPH), a computational model of both the kinematics and dynamics of the human knee is developed that is subsequently simulated for typical motions and act...
Article
Purpose and background: Acoustic signals are transmitted through the external and middle ear mechanically to the cochlea where they are transduced into electrical impulse for further transmission via the auditory nerve. The auditory nerve encodes the acoustic sounds that are conveyed to the auditory brainstem. Multiple brainstem nuclei, the cochle...
Conference Paper
Micro-wave diathermy (MWD) is a form of radiofrequency (RF) radiation, that is used by physiotherapists for rehabilitation. Although this form of therapy is widely available, the management of the equipment is not often addressed by either physiotherapists or by medical physics/clinical engineering. A quality control protocol for MWD units, examini...
Conference Paper
Introduction. Given the high incidence of low back pain (LBP) internationally, the high disability, quality of life and psychosocial factors associated with LBP, there is a scarcity of LBP studies across the general population within Greece exploring these factors. Purpose: The aims of the present study were to estimate low back pain prevalence i...
Conference Paper
Purpose. Despite the high incidence of low back pain (LBP) internationally, there is a scarcity of prevalence studies across the general population within Greece. Given this, the aims of the present study were to estimate LBP prevalence in the Greek general population and explore its association with physical and sociodemographic characteristics,...
Conference Paper
Full-text available
Applications of Wireless Microcurrent Stimulation, an electrical stimulation therapy spinoff, are presented, for faster wound healing. One 70-year-old male with chronic diabetic ulcer at the amputated right leg and one 80-year-old female, with chronic ulcer at right tibia on diabetes, rheumatoid arthritis and chronic venous insufficiency background...
Article
Aim: The aim of the present research is to find the parameters that associate with students success in the Physiotherapy Department of a Greek University at specialty lectures. Methodology: A closed questions - of Likert-type rating scale - questionnaire was distributed to undergraduate Physiotherapy students of TEI of Patras who had been examined...
Article
Full-text available
Clinical practice needs of rehabilitation and the Greek legislation require physiotherapists to use diathermy devices. But in accordance with recent studies, a risk of exposure to electromagnetic radiation levels beyond the exposure limits, resulting health effects of users. In this study after non ionizing radiation measurements made with special...
Conference Paper
I. INTRODUCTION Recent research has documented serious concern among physiotherapists regarding their exposure to electromagnetic radiation in physiotherapy departments, in particular using short-wave and microwave diathermies. To assess occupational exposure to non-ionizing radiation, microwave (MW), device was analysed in our physiotherapy depar...
Article
In this paper, we present an intelligent system for the diagnosis and treatment of urinary incontinence (UI) for males as well as females, called e-URIN. e-URIN is an intelligent system for diagnosis and treatment of urinary incontinence according to symptoms that are realized in one patient and usually recorded through his clinical examination as...
Article
in this paper, we present an intelligent system for the diagnosis and treatment of urinary incontinence (UI) for males as well as females, called e-URIN. e-URIN is an intelligent system for diagnosis and treatment of urinary incontinence according to symptoms that are realized in one patient and usually recorded through his clinical examination as...
Article
Atopy is a genetic predisposition to produce significant amounts of IgE or IgM antibodies. Mast cells, from atopic patients, are prone to degranulate easily when specific antigens bridge their corresponding receptor-bound IgE antibodies on their surface [ 1 ]. Patients undergoing stent implantation receive several substances, which have antigenic p...
Article
Metal-induced allergic reactions are not rare in every day practice but nickel, cobalt and chromium are the most common offenders. Other metal anions and metal alloys represent also emerging causes for hypersensitivity reaction in humans. The metal struts of endovascular and intracardiac devices are usually alloys containing nickel and constitute c...
Chapter
Almost all major engineering university schools now have a department of biomedical engineering. Biomedical engineering is now an equal to electrical, mechanical, civil and chemical engineering. Additionally the industrial sector in medical physics on ionizing and non-ionizing radiation as well as on biomedical engineering is also advancing and evo...
Article
Full-text available
Prostate gland diseases, including cancer, are estimated to be of the leading causes of male deaths worldwide and their management are based on clinical practice guidelines regarding diagnosis and continuing care. HIROFILOS-II is a prototype hybrid intelligent system for diagnosis and treatment of all prostate diseases based on symptoms and test re...
Conference Paper
Purpose Of the most commonly encountered clinical sign in shoulder patients is loss of muscular control around scapula. One of the muscles which is subject to electromyographic (EMG) alterations is trapezius. Especially its upper fibres are found to be overactivated leading to limited upward scapular rotation (Ludewig et al. 2004). Scapular taping...