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REFERENCES        55




               (e) For analytical purposes, the dynamic availability of the different machine learning algorithms or
                   the extended ones of the earlier algorithms to work on such large scale of data should be easily
                   accessible such as a pull-down type menu.
                (f) Concurrency in big data analytics should be maintained in an efficient way so that data
                   inconsistency should not occur at any instant or at any cost as otherwise this will lead to a
                   serious problem of affecting the whole healthcare industry concerned.

               The above are some inevitable challenges that should be addressed appropriately for efficient and
               optimal big data analytics in healthcare.




               3.8 CONCLUSION AND FUTURE RESEARCH
               Adoption of big data technology is rapidly increasing in the healthcare industry. The medical im-
               aging field, which may be considered as an automation process of the manual diagnosis process,
               is also dependent directly or partially on medical big data since an accurate diagnosis of a serious
               disease at the right stage needs continuous study and research on a huge volume of diagnosis data
               collected from patients with similar symptoms from different clinics from different geolocations.
               For efficient big data analytics in healthcare data, there should be a standard framework or model
               through which an optimal result might be expected. Also, for implementation, we need to select the
               right platform and tools. Besides this, there are several other challenges that need to be addressed
               throughout the analysis phase. All these issues are discussed in this paper. Although big data ana-
               lytics in healthcare has great potential, the discussed challenges need to be addressed and solved to
               make it successful.
                  For future research, these challenges will be focused on and a novel framework will be built to in-
               clude all the necessary steps for accurate medical big data analysis. At first, an empirical study will be
               conducted to investigate the techniques that can be adopted for the raw medical big data cleansing and
               normalization process. As the medical datasets are a mixture of structured, semistructured, and unstruc-
               tured data, the data transformation step will be given more importance. And as a big portion of medical
               big datasets is contributed to by medical images, which are generally of a fuzzy nature, to develop an
               advanced fuzzy set-based technique for such medical image data enhancement is an unavoidable aspect
               of the future research. After the preprocessing step, the remaining portion of the big data analytics will
               be more similar to traditional big data analytics, so, future research will mainly target the mandatory
               preprocessing steps.




               REFERENCES
                [1] R. Zhang, H. Wang, R. Tewari, G. Schmidt, D. Kakrania, Big data for medical image analysis: A performance
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                   pp. 1660–1664.
                [2] D. Charles, M. Gabriel, M.F. Furukawa, Adoption of electronic health record systems among US non-federal
                   acute care hospitals: 2008-2012, ONC Data Brief 9 (2013) 1–9.
                [3] L. Wang, C.A. Alexander, Big data in medical applications and health care, AME Med. J. 6 (1) (2015) 1.
                [4] E. Dumbill, Making Sense of Big Data, 2013.
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