1、 I n t e r n a t i o n a l T e l e c o m m u n i c a t i o n U n i o n ITU-T H.861.0 TELECOMMUNICATION STANDARDIZATION SECTOR OF ITU (12/2017) SERIES H: AUDIOVISUAL AND MULTIMEDIA SYSTEMS E-health multimedia services and applications Multimedia e-health data exchange services Requirements on communi
2、cation platform for multimedia brain information Recommendation ITU-T H.861.0 ITU-T H-SERIES RECOMMENDATIONS AUDIOVISUAL AND MULTIMEDIA SYSTEMS CHARACTERISTICS OF VISUAL TELEPHONE SYSTEMS H.100H.199 INFRASTRUCTURE OF AUDIOVISUAL SERVICES General H.200H.219 Transmission multiplexing and synchronizati
3、on H.220H.229 Systems aspects H.230H.239 Communication procedures H.240H.259 Coding of moving video H.260H.279 Related systems aspects H.280H.299 Systems and terminal equipment for audiovisual services H.300H.349 Directory services architecture for audiovisual and multimedia services H.350H.359 Qual
4、ity of service architecture for audiovisual and multimedia services H.360H.369 Telepresence H.420H.429 Supplementary services for multimedia H.450H.499 MOBILITY AND COLLABORATION PROCEDURES Overview of Mobility and Collaboration, definitions, protocols and procedures H.500H.509 Mobility for H-Series
5、 multimedia systems and services H.510H.519 Mobile multimedia collaboration applications and services H.520H.529 Security for mobile multimedia systems and services H.530H.539 Security for mobile multimedia collaboration applications and services H.540H.549 VEHICULAR GATEWAYS AND INTELLIGENT TRANSPO
6、RTATION SYSTEMS (ITS) Architecture for vehicular gateways H.550H.559 Vehicular gateway interfaces H.560H.569 BROADBAND, TRIPLE-PLAY AND ADVANCED MULTIMEDIA SERVICES Broadband multimedia services over VDSL H.610H.619 Advanced multimedia services and applications H.620H.629 Ubiquitous sensor network a
7、pplications and Internet of Things H.640H.649 IPTV MULTIMEDIA SERVICES AND APPLICATIONS FOR IPTV General aspects H.700H.719 IPTV terminal devices H.720H.729 IPTV middleware H.730H.739 IPTV application event handling H.740H.749 IPTV metadata H.750H.759 IPTV multimedia application frameworks H.760H.76
8、9 IPTV service discovery up to consumption H.770H.779 Digital Signage H.780H.789 E-HEALTH MULTIMEDIA SERVICES AND APPLICATIONS Personal health systems H.810H.819 Interoperability compliance testing of personal health systems (HRN, PAN, LAN, TAN and WAN) H.820H.859 Multimedia e-health data exchange s
9、ervices H.860H.869 For further details, please refer to the list of ITU-T Recommendations. Rec. ITU-T H.861.0 (12/2017) i Recommendation ITU-T H.861.0 Requirements on communication platform for multimedia brain information Summary Recommendation ITU-T H.861.0 describes a conceptual ecosystem intende
10、d to exchange brain data based on communication platform requirements and definitions. Starting from a background of brain data exchange in the context of e-health, a functional framework model for a multimedia brain information platform (MBI-PF) is outlined. This model is then developed into a set
11、of communication platforms which enable not only experts but also non-experts to utilize brain data for monitoring and maintaining health status of the brain. History Edition Recommendation Approval Study Group Unique ID* 1.0 ITU-T H.861.0 2017-12-14 16 11.1002/1000/13440 Keywords Brain, e-health, m
12、etadata, MRI, permission, rights information. * To access the Recommendation, type the URL http:/handle.itu.int/ in the address field of your web browser, followed by the Recommendations unique ID. For example, http:/handle.itu.int/11.1002/1000/11830-en. ii Rec. ITU-T H.861.0 (12/2017) FOREWORD The
13、International Telecommunication Union (ITU) is the United Nations specialized agency in the field of telecommunications, information and communication technologies (ICTs). The ITU Telecommunication Standardization Sector (ITU-T) is a permanent organ of ITU. ITU-T is responsible for studying technica
14、l, operating and tariff questions and issuing Recommendations on them with a view to standardizing telecommunications on a worldwide basis. The World Telecommunication Standardization Assembly (WTSA), which meets every four years, establishes the topics for study by the ITU-T study groups which, in
15、turn, produce Recommendations on these topics. The approval of ITU-T Recommendations is covered by the procedure laid down in WTSA Resolution 1. In some areas of information technology which fall within ITU-Ts purview, the necessary standards are prepared on a collaborative basis with ISO and IEC. N
16、OTE In this Recommendation, the expression “Administration“ is used for conciseness to indicate both a telecommunication administration and a recognized operating agency. Compliance with this Recommendation is voluntary. However, the Recommendation may contain certain mandatory provisions (to ensure
17、, e.g., interoperability or applicability) and compliance with the Recommendation is achieved when all of these mandatory provisions are met. The words “shall“ or some other obligatory language such as “must“ and the negative equivalents are used to express requirements. The use of such words does n
18、ot suggest that compliance with the Recommendation is required of any party. INTELLECTUAL PROPERTY RIGHTSITU draws attention to the possibility that the practice or implementation of this Recommendation may involve the use of a claimed Intellectual Property Right. ITU takes no position concerning th
19、e evidence, validity or applicability of claimed Intellectual Property Rights, whether asserted by ITU members or others outside of the Recommendation development process. As of the date of approval of this Recommendation, ITU had not received notice of intellectual property, protected by patents, w
20、hich may be required to implement this Recommendation. However, implementers are cautioned that this may not represent the latest information and are therefore strongly urged to consult the TSB patent database at http:/www.itu.int/ITU-T/ipr/. ITU 2018 All rights reserved. No part of this publication
21、 may be reproduced, by any means whatsoever, without the prior written permission of ITU. Rec. ITU-T H.861.0 (12/2017) iii Table of Contents Page 1 Scope . 1 2 References . 1 3 Definitions 1 3.1 Terms defined elsewhere 1 3.2 Terms defined in this Recommendation . 2 4 Abbreviations and acronyms 2 5 C
22、onventions 3 6 Background . 3 6.1 Usage of brain information . 3 6.2 Distribution of brain information . 4 6.3 Key items for standardization . 4 6.4 Examples of formats of brain data 4 7 Exchange of multimedia information of the brain 5 7.1 Basic concepts of the MBI communication platform . 5 7.2 Ca
23、pabilities of the MBI platform . 7 7.3 Functional framework for the MBI platform 7 8 Requirements 7 8.1 General . 7 8.2 Access . 7 8.3 Exchange 8 8.4 Browsing . 8 8.5 Security . 8 Annex A Functional framework for the MBI platform . 9 A.1 Users of the MBI platform . 9 A.2 Application functions . 9 A.
24、3 Access management functions . 10 A.4 MBI data management functions 10 A.5 Network functions 11 Appendix I A practical use-case: illustrative brain healthcare service models . 12 Appendix II References for security guidelines of MBI platform 14 II.1 Examples of security guidelines . 14 Bibliography
25、. 15 Rec. ITU-T H.861.0 (12/2017) 1 Recommendation ITU-T H.861.0 Requirements on communication platform for multimedia brain information 1 Scope This Recommendation describes requirements for exchanging multimedia brain information (MBI). This Recommendation primarily considers information provided
26、by magnetic resonance imaging (MRI) because it has advantages of having very high spatial resolution in non-invasive techniques of brain study. The brain information provided by other techniques is beyond the scope of this Recommendation. NOTE Other techniques for handling brain information include
27、electroencephalography (EEG), near infra-red spectroscopy (NIRS) and magnetoencephalography (MEG). 2 References The following ITU-T Recommendations and other references contain provisions which, through reference in this text, constitute provisions of this Recommendation. At the time of publication,
28、 the editions indicated were valid. All Recommendations and other references are subject to revision; users of this Recommendation are therefore encouraged to investigate the possibility of applying the most recent edition of the Recommendations and other references listed below. A list of the curre
29、ntly valid ITU-T Recommendations is regularly published. The reference to a document within this Recommendation does not give it, as a stand-alone document, the status of a Recommendation. ITU-T Y.3501 Recommendation ITU-T Y.3501 (2016), Cloud computing framework and high-level requirements. ISO 120
30、52 ISO 12052:2006 (2006), Health informatics Digital imaging and communication in medicine (DICOM) including workflow and data management. 3 Definitions 3.1 Terms defined elsewhere This Recommendation uses the following terms defined elsewhere: 3.1.1 availability b-ISO/IEC 27000: Property of being a
31、ccessible and usable on demand by an authorized entity. 3.1.2 cloud computing b-ITU-T Y.3500: Paradigm for enabling network access to a scalable and elastic pool of shareable physical or virtual resources with self-service provisioning and administration on-demand. NOTE Examples of resources include
32、 servers, operating systems, networks, software, applications, and storage equipment. 3.1.3 cloud service b-ITU-T Y.3500: One or more capabilities offered via cloud computing (3.1.2) invoked using a defined interface. 3.1.4 communication platform b-ITU-T T.180: Consists in a number of communication
33、service providers, in a homogeneous access mechanism, by means of which service users, which are distributed in space, may establish communication between them. 3.1.5 confidentiality b-ISO/IEC 27000: Property that information is not made available or disclosed to unauthorized individuals, entities,
34、or processes. 2 Rec. ITU-T H.861.0 (12/2017) 3.1.6 information security b-ISO/IEC 27000: Preservation of confidentiality (3.1.5), integrity (3.1.7) and availability (3.1.1) of information. NOTE In addition, other properties, such as authenticity, accountability, non-repudiation, and reliability can
35、also be involved. 3.1.7 integrity b-ISO/IEC 27000: Property of accuracy and completeness. 3.1.8 personally identifiable information (PII) b-ISO/IEC 29100: Any information that (a) can be used to identify the PII principal to whom such information relates, or (b) is or might be directly or indirectly
36、 linked to a PII principal. NOTE To determine whether a PII principal is identifiable, account should be taken of all the means which can reasonably be used by the privacy stakeholder holding the data, or by any other party, to identify that natural person. 3.1.9 service provider b-ITU-T M.1400: A g
37、eneral reference to an operator that provides telecommunication services to customers and other users, either on a tariff or contract basis. A service provider may or may not operate a network. A service provider may or may not be a customer of another service provider. NOTE Typically, the service p
38、rovider acquires or licenses content from content providers, and packages this into a service that is consumed by the end-user. 3.2 Terms defined in this Recommendation This Recommendation defines the following terms: 3.2.1 brain healthcare quotient: A numerical indicator representing physical chara
39、cteristics of the brain that are purported to be indicative of some state of a health-related condition. 3.2.2 imaging: A technique and process of visualization of the internal parts of the brain. 3.2.3 intervention: An action or activity undertaken to address a specific client problem and to improv
40、e, maintain or restore health, or to prevent illness. 3.2.4 magnetic resonance imaging: A medical imaging technique used in radiology to investigate the anatomy and physiology of the body in both health and disease. 3.2.5 multimedia brain information platform: A platform for exchange information and
41、 data concerning the brain such as MRI data. 3.2.6 non-invasive: Medical procedures where no tools that break the skin or physically enter the body are involved. 3.2.7 spatial resolution: The ability of an imaging system to discriminate between two adjacent high-contrast brain objects. 4 Abbreviatio
42、ns and acronyms This Recommendation uses the following abbreviations and acronyms: BHQ Brain Healthcare Quotient DICOM Digital Imaging and Communication in Medicine EEG Electroencephalography fMRI functional Magnetic Resonance Imaging MBI Multimedia Brain Information MEG Magnetoencephalography MRI M
43、agnetic Resonance Imaging Rec. ITU-T H.861.0 (12/2017) 3 NIRS Near infra-red spectroscopy PII Personally Identifiable Information 5 Conventions The following conventions are used in this Recommendation: The keywords “is required to“ indicate a requirement which must be strictly followed and from whi
44、ch no deviation is permitted, if conformance to this Recommendation is to be claimed. The keywords “is recommended“ indicate a requirement which is recommended but which is not absolutely required. Thus, this requirement need not be present to claim conformance. The keywords “can optionally“ indicat
45、e an optional requirement which is permissible, without implying any sense of being recommended. This term is not intended to imply that the vendors implementation must provide the option and the feature can be optionally enabled by the network operator/service provider. Rather, it means the vendor
46、may optionally provide the feature and still claim conformance with this Recommendation. Requirements are identified using the following conventions: Requirement number xx in clause n.m is of the form R-xx; Recommended requirement number yy in clause n.m is of the form RR-yy; Optional requirement nu
47、mber zz in clause n.m is of the form OR-zz. 6 Background Brain and neurological disorders, including neurodegenerative and psychiatric diseases, currently affect millions of people and represent enormous economic costs, and improvements in preventive measures are considered to be an immediate social
48、 need. In order to provide methods to prevent and treat these disorders, acquisition and accumulation of neurological brain-related information has been progressing worldwide. Devices, especially MRI, for measuring brain and neurological functions are becoming more and more popular, and it is expect
49、ed that the availability of brain-related information will grow globally. Neurological brain-related information, however, is currently stored in limited sites and locations, such as special hospitals and universities, and since policies for collecting informed consent depend on each location, together with economic considerations, a liberal use of neurological information is often avoided, and as a result, brain information is not shared among the various stakeholders with diverse objectiv
