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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Ontology and Knowledge Management System on Epilepsy and Epileptic Seizures</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Pedro Almeida</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Paulo Gomes</string-name>
          <email>pgomes@dei.uc.pt</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Francisco Sales</string-name>
          <email>franciscosales@huc.min-saude.pt</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ana Nogueira</string-name>
          <email>ananog@student.dei.uc.pt</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>António Dourado</string-name>
          <email>dourado@dei.uc.pt</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Departamento de Engenharia Informática, Faculdade de Ciências e Tecnologia, Pólo II</institution>
          ,
          <addr-line>3030-290, Coimbra</addr-line>
          ,
          <country country="PT">Portugal</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>A Knowledge Management System developed for supporting creation, capture, storage and dissemination of information about Epilepsy and Epileptic Seizures is presented. We present an Ontology on Epilepsy and a Web-based prototype that together create the KMS.</p>
      </abstract>
      <kwd-group>
        <kwd>Semantic Web</kwd>
        <kwd>Ontology</kwd>
        <kwd>Knowledge Management System</kwd>
        <kwd>EPILEPSIAE</kwd>
        <kwd>Epilepsy</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1 Introduction</title>
      <p>
        The use of ontologies in the area of medical science has already a long way, and
several Web references to medical ontologies for different areas of medicine can be
found (UMLS [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ], SNOMED [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], GALEN [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], etc.). Most of these ontologies are
used in commercial knowledge management systems, not publicly accessed, and as a
result, that knowledge cannot be shared with other ontologies and/or systems.
      </p>
      <p>
        This project starts out the foundation for an open Ontology to represent knowledge
about epilepsy and epileptic seizures and to build a system to store and manage the
ontology so it can be evolved. Doctors, patients and researchers will have an easy
access to complete and well-structured information on epilepsy and epileptic seizures
and with their contributions may extend and build the most complete ontology on the
subject. This work is part of the European project EPILEPSIAE [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], whose primary
mission is to use information and communication technologies in order to enhance the
safety of epileptic patients in their everyday life, allowing them to predict seizures
and give them the ability to monitor their own risks.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2 Ontology</title>
      <p>
        The developed base structure for the domain of epilepsy and epileptic seizures is
based on the proposed diagnostic scheme for people with epileptic seizures and
epilepsy by the International League Against Epilepsy (ILAE) [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. This model was
transformed into a formal model to be easily deployed through the Protégé [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]
ontology editor tool, thereby creating the basis for the epilepsy ontology.
      </p>
      <p>The key concepts that make up the epilepsy ontology are the following:
• General concepts - all common concepts of epilepsy and that can be used to
describe other concepts.
• Seizures Types - all kinds of seizures types known to this day, in accordance with
the proposed diagnostic scheme for people with epileptic seizures and epilepsy.
• Epileptic Syndromes – all known epileptic syndromes according to the proposed
diagnostic scheme for people with epileptic seizures and epilepsy.
• Electroencephalography – all Electroencephalography related concepts.
The ontology has actually 145 concepts, 290 label annotations and 290 comments
annotations. Annotations are in English and in Portuguese. Figure 1 shows one view
of the epilepsy ontology.
3 Knowledge Management System</p>
      <p>The main component in the system is the epilepsy ontology. The prototype
developed intends to support the ontology from the point of view of storage,
management and search.</p>
      <p>The system is composed of five distinct modules: Management, Navigation
Exploration, Search, EPILEPSIAE DB and Indexer. The Management, Navigation
and Search modules are unified through a Web interface produced in JSP code,
Struts2 and JavaScript. The modular architecture schema of the system is presented in
Fig. 2.</p>
      <p>Management module. The management module is responsible for managing and to
maintain the consistency of the ontology.</p>
      <p>
        Search module. The search module is the module responsible for data query in the
ontology. This module is responsible in encapsulating the SPARQL [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] code used for
searches in ontologies.
Navigation module. The Navigation and exploration module uses the Search module,
to build a graphical image of the ontology in the form of a graph.
      </p>
      <p>EPILEPSIAE DB access module. The EPILEPSIAE DB module access is
responsible for the database connection to EPILEPSIAE and extracting text from
certain fields present in some tables.</p>
      <p>Index module. The index module makes use of the EPILEPSIAE DB access module
described previous, in order to collect multiple resources, mostly in free text format,
and index it.</p>
      <p>Web interface. The Web interface as already mentioned, is the element that links the
interaction through the Web browser and the management, navigation and search
modules.</p>
      <p>
        Ontology Repository. The Ontology repository is where the Epilepsy ontology is
stored. It is composed of the free version of the AllegroGraph RDFStore [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] system,
which provides a low-level API for managing and searching the ontology.
4 Conclusions and Future Work
The epilepsy ontology built as part of this project allows access to complete and
wellstructured information on epilepsy and epileptic seizures. The ontology can be at any
time extracted from the AllegroGraph RDFStore [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] system in RDF [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] or OWL [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]
and subsequently published on the Web. In this way, the ontology can be used by
other users and systems based on the Semantic Web.
      </p>
      <p>The prototype developed offers a complete platform for the management of the
ontology, allowing to graphically navigate and explore the ontology structure. The
search system allows to quickly finding ontology resources, with the possibility of
suggestions if no results are found.</p>
      <p>
        It is important to develop more features in relation to the management of
ontologies : loading an ontology from an OWL [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] or RDF [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] file, to manage several
ontologies at the same time, store detailed information about the changes that are
being made to a given ontology, etc. The purpose of these new features is to create a
full web-based ontologies management system for collaborative work.
      </p>
      <p>
        Greater integration between the ontology/system and the EPILEPSIAE [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]
database will be developed. Currently only the annotations present on the
EPILEPSIAE database can be searched. A possible new application would use the
ontology, in order to facilitate the introduction of information in the EPILEPSIAE
database, i.e. suggesting words (concepts) to the user.
      </p>
      <p>Because the area of epilepsy and epileptic seizures is constantly evolving, the
ontology should reflect this evolution. It is important to continue communicating with
medical doctors, so that new concepts are added to the ontology and their respective
meaning, and most importantly, try to find new applications for the ontology, serving
the patients, doctors and researchers.</p>
      <p>The EPILEPSIAE project is developing algorithms and classifiers for seizure
prediction, namely based on computational intelligence, such as neural networks and
support vector machines, and their results are stored into the database. The
ontological search of these classifiers and data will be developed, in order to support
the development of seizure predictors for new patients.</p>
      <p>Acknowledgements. This work is carried out in the EPILEPSIAE Project, EU FP7 Advanced
ICT for Risk Assessment and Patient Safety, Grant 211713. The authors express their gratitude
to the EU Commission for the financial support, namely for the scholarship of Pedro Almeida
for his MsC thesis.</p>
    </sec>
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