School of MedTechMedicine // Engineering

Content

Communication Fundamentals

Telecommunications moves information from a source to a destination. This chapter covers the basic concepts: signals, bandwidth, noise and capacity.
What you will learn: 1. Analogue and digital communication. 2. The electromagnetic spectrum, bandwidth and channel capacity. 3. Signal-to-noise ratio, decibels, attenuation and filtering. 4. Sampling, quantisation and multiplexing.

Communication Basics

A communication system transmits a message through a channel that adds noise.
Model: source, transmitter (encoder, modulator), channel, receiver (demodulator, decoder), destination, with noise added in the channel. Analogue signals vary continuously; digital signals use discrete symbols. Digital transmission resists noise (regeneration), allows error correction and encryption, and is the standard today. Bit rate is the number of bits per second; baud rate (symbol rate) is the number of symbols per second: bit rate = baud rate x log2(number of symbol levels).

Spectrum, Bandwidth and Noise

The capacity of a channel is limited by its bandwidth and by noise.
The electromagnetic spectrum is divided into bands (radio, microwave, infrared, visible); regulators assign frequency bands to services, and the ISM bands are licence-free. Bandwidth B is the range of frequencies used. Nyquist: a noiseless channel of bandwidth B carries at most 2 B symbols per second. Shannon: the capacity of a noisy channel is C = B log2(1 + SNR) bits per second, where SNR is the signal-to-noise power ratio. Decibels: SNR_dB = 10 log10 (P_signal/P_noise); attenuation is also expressed in dB (dB loss adds along a link). Filters (low-pass, high-pass, band-pass) limit the bandwidth and remove noise.
Converting analogue signals to digital and sharing a channel between users are the basic operations of digital communication.
Analogue-to-digital conversion: sampling at more than twice the highest frequency (Nyquist), quantisation into 2^n levels and coding. Multiplexing shares a channel: frequency division (FDMA, each user has a band), time division (TDMA, each user has time slots) and code division (CDMA, users share time and frequency with different codes).

Check Yourself: Communication Fundamentals

Try every question before opening the answers. Retrieval, not rereading, is what fixes knowledge in memory.
1. Relate bit rate to baud rate. 2. State Shannon's capacity formula. 3. Convert an SNR of 100 to decibels. 4. Compare FDMA and TDMA.
Check only after trying. Reread any section where you were wrong and retry tomorrow.
1. Bit rate = baud rate x log2(number of levels). 2. C = B log2(1 + SNR). 3. 20 dB. 4. FDMA assigns each user a separate frequency band; TDMA assigns time slots on the same band.

Internet of Things in Healthcare

Connected sensors and devices make remote monitoring and digital health possible. This chapter describes IoT architecture, sensors and embedded systems.
What you will learn: 1. IoT architecture and applications in healthcare. 2. Sensors, actuators and embedded systems. 3. Cloud services and 5G.

IoT Architecture and Healthcare Applications

IoT connects sensors on the patient to clinicians through gateways and the cloud.
Layers: perception (sensors, actuators), network (connectivity), processing (edge and cloud) and application. Healthcare uses: remote patient monitoring, wearable devices, smart hospital equipment tracking and chronic disease management. Cloud service models: IaaS (infrastructure), PaaS (platform) and SaaS (software). 5G offers high bandwidth, low latency and many connected devices, enabling telesurgery and real-time monitoring. Challenges: security, privacy, interoperability and battery life.

Sensors, Actuators and Embedded Systems

Smart objects combine sensing, processing and communication in a low-power device.
A biosensor converts a biological quantity into an electrical signal (for example glucose, ECG). Signal conditioning: amplification, filtering and analogue-to-digital conversion. An embedded system is a dedicated microcontroller-based system with sensors, actuators and a radio. Design constraints: low power (energy harvesting or small batteries), small size and reliability. Medical embedded artificial intelligence runs simple models on the device to detect events such as arrhythmias.

Check Yourself: Internet of Things in Healthcare

Try every question before opening the answers. Retrieval, not rereading, is what fixes knowledge in memory.
1. List the layers of an IoT architecture. 2. Difference between IaaS, PaaS and SaaS? 3. What is signal conditioning? 4. Name two challenges of IoT in healthcare.
Check only after trying. Reread any section where you were wrong and retry tomorrow.
1. Perception, network, processing and application. 2. IaaS provides infrastructure, PaaS a development platform, SaaS complete applications. 3. Amplifying, filtering and digitising the sensor signal. 4. Security and privacy, interoperability, power consumption.

Network Architecture and Protocols

Networks are organised in layers, each with its own protocols. This chapter goes from the physical layer to transport and healthcare standards.
What you will learn: 1. The ISO-OSI model. 2. Topologies, transmission media and modulation. 3. Wi-Fi, the data link and network layers. 4. Transport protocols and HL7.

The ISO-OSI Model, Topologies and Media

The OSI model divides communication into seven layers so that each can be designed independently.
Layers: 1 physical (bits on the medium), 2 data link (frames, error detection, medium access), 3 network (addressing and routing), 4 transport (end-to-end delivery), 5 session, 6 presentation, 7 application. The TCP/IP model has four layers (link, internet, transport, application). Each layer adds a header to the data (encapsulation). Topologies: bus, star, ring, tree, mesh. Media: twisted pair, coaxial cable, optical fibre (highest bandwidth, immune to electromagnetic interference) and wireless.

Modulation and Wireless Standards

Modulation shifts a signal to a carrier frequency suitable for the channel.
Analogue modulation: AM (amplitude), FM (frequency), PM (phase). Digital modulation: ASK, FSK, PSK and QAM (both amplitude and phase; more bits per symbol but needs higher SNR). Spread spectrum spreads the signal over a wider band for resistance to interference. ISM bands (for example 2.4 GHz) host Wi-Fi, Bluetooth and medical telemetry. Propagation loss in free space follows the Friis equation and increases with the square of distance and frequency.
Wireless LANs use IEEE 802.11 with OFDM, and IP routes packets between networks.
IEEE 802.11 (Wi-Fi) uses OFDM (orthogonal frequency division multiplexing: many narrowband subcarriers, robust against multipath). The data link layer frames data, detects errors (parity, CRC cyclic redundancy check) and controls medium access (MAC; Ethernet uses CSMA/CD, Wi-Fi uses CSMA/CA). IEEE 802.15.4 is the low-power standard for sensor networks. Network layer: IP addresses (IPv4 32 bits; IPv6 128 bits), routing and congestion control.

Transport Protocols and HL7

Transport protocols provide reliable or lightweight delivery, and health standards define the message content.
TCP: connection-oriented, reliable (acknowledgements, retransmission, flow and congestion control). UDP: connectionless, low overhead, no guarantee, for real-time data. IoT protocols: MQTT (publish-subscribe through a broker, lightweight, over TCP) and CoAP (a lightweight request-response protocol over UDP for constrained devices). HL7 and the Clinical Document Architecture (CDA) define the structure of clinical messages and documents so that different health information systems can exchange data.

Check Yourself: Network Architecture and Protocols

Try every question before opening the answers. Retrieval, not rereading, is what fixes knowledge in memory.
1. Name the seven OSI layers. 2. What is the purpose of CRC? 3. Compare TCP and UDP. 4. What is MQTT? 5. Why is OFDM used in Wi-Fi?
Check only after trying. Reread any section where you were wrong and retry tomorrow.
1. Physical, data link, network, transport, session, presentation, application. 2. Detecting transmission errors. 3. TCP is reliable and connection-oriented; UDP is connectionless and faster but unreliable. 4. A lightweight publish-subscribe messaging protocol used in IoT. 5. It is robust to multipath fading and uses spectrum efficiently.

Embedded Artificial Intelligence

Artificial intelligence can run on small medical devices. This short chapter introduces the idea and its constraints.
What you will learn: 1. What medical embedded AI means and what limits it.

Medical Embedded AI

Running models on the device reduces latency and protects data, but must respect computing and energy limits.
Embedded (edge) AI runs trained machine-learning models directly on wearables and medical devices (for example arrhythmia detection or fall detection). Advantages: low latency, works without a connection, less data transmitted and better privacy. Constraints: limited memory, processing power and battery, so models are compressed (quantisation, pruning) and kept small. Validation, safety and regulation are essential in medical applications.

Check Yourself: Embedded Artificial Intelligence

Try every question before opening the answers. Retrieval, not rereading, is what fixes knowledge in memory.
1. Give two advantages of edge AI. 2. Name a technique to shrink a model for a small device.
Check only after trying. Reread any section where you were wrong and retry tomorrow.
1. Low latency and better privacy (also lower bandwidth and offline operation). 2. Quantisation or pruning.