25 research outputs found
Time-Frequency Analysis of Femoral and Carotid Arterial Doppler Signals
AbstractIn this study, the short time Fourier transform, continuous wavelet transform (CWT) and S-transform have been used for spectral analysis of the carotid and femoral arteries Doppler signal. Each of these methods can represent the temporal evolution of Doppler spectra know as the sonograms. Time-frequency analysis by S-transform presents a linear resolution that surpasses the problem of Fourier Transform by a slipping window (STFT) of fixed length and also corrects phase concept in the wavelet transform for the analysis of non-stationary signals. This transform provides a very suitable space for extracting features and the localization of discriminating information in time and frequency in Doppler ultrasonic signals. The sonograms have been then used to compare the methods in terms of their frequency resolution and effects in determining the stenosis of carotid and femoral arteries
Quantitative structure-retention relationship studies for organic pollutants in textile wastewaters and landfill leachate in LC-APCI-MS
A quantitative structure-retention relation (QSRR) study was conducted on the retention times of organic pollutants in textile wastewaters and landfill leachate which obtained by liquid chromatography-reversed phase-atmospheric pressure chemical ionisation-mass spectrometry (LC-APCI-MS). The genetic algorithm was used as descriptor selection and model development method. Modeling of the relationship between selected molecular descriptors and retention time was achieved by linear (partial least square; PLS) and nonlinear (Levenberg-Marquardt artificial neural network; L-M ANN) methods. Linear and nonlinear methods resulted in accurate prediction whereas more accurate results were obtained by L-M ANN model. This is the first research on the QSRR of the organic pollutants in textile wastewaters and landfill leachate against the retention time
Combining Synthesis of Cardiorespiratory Signals and Artifacts with Deep Learning for Robust Vital Sign Estimation
Healthcare has been remarkably morphing on the account of Big Data. As Machine Learning
(ML) consolidates its place in simpler clinical chores, more complex Deep Learning (DL) algorithms
have struggled to keep up, despite their superior capabilities. This is mainly attributed
to the need for large amounts of data for training, which the scientific community is unable to
satisfy.
The number of promising DL algorithms is considerable, although solutions directly targeting
the shortage of data lack. Currently, dynamical generative models are the best bet, but focus on
single, classical modalities and tend to complicate significantly with the amount of physiological
effects they can simulate.
This thesis aims at providing and validating a framework, specifically addressing the data
deficit in the scope of cardiorespiratory signals. Firstly, a multimodal statistical synthesizer was
designed to generate large, annotated artificial signals. By expressing data through coefficients of
pre-defined, fitted functions and describing their dependence with Gaussian copulas, inter- and
intra-modality associations were learned. Thereafter, new coefficients are sampled to generate
artificial, multimodal signals with the original physiological dynamics. Moreover, normal and
pathological beats along with artifacts were included by employing Markov models. Secondly,
a convolutional neural network (CNN) was conceived with a novel sensor-fusion architecture
and trained with synthesized data under real-world experimental conditions to evaluate how its
performance is affected.
Both the synthesizer and the CNN not only performed at state of the art level but also innovated
with multiple types of generated data and detection error improvements, respectively.
Cardiorespiratory data augmentation corrected performance drops when not enough data is available,
enhanced the CNN’s ability to perform on noisy signals and to carry out new tasks when
introduced to, otherwise unavailable, types of data. Ultimately, the framework was successfully
validated showing potential to leverage future DL research on Cardiology into clinical standards
Separator fluid volume requirements in multi-infusion settings
INTRODUCTION. Intravenous (IV) therapy is a widely used method for the administration of medication in hospitals worldwide. ICU and surgical patients in particular often require multiple IV catheters due to incompatibility of certain drugs and the high complexity of medical therapy. This increases discomfort by painful invasive procedures, the risk of infections and costs of medication and disposable considerably. When different drugs are administered through the same lumen, it is common ICU practice to flush with a neutral fluid between the administration of two incompatible drugs in order to optimally use infusion lumens. An important constraint for delivering multiple incompatible drugs is the volume of separator fluid that is sufficient to safely separate them. OBJECTIVES. In this pilot study we investigated whether the choice of separator fluid, solvent, or administration rate affects the separator volume required in a typical ICU infusion setting. METHODS. A standard ICU IV line (2m, 2ml, 1mm internal diameter) was filled with methylene blue (40 mg/l) solution and flushed using an infusion pump with separator fluid. Independent variables were solvent for methylene blue (NaCl 0.9% vs. glucose 5%), separator fluid (NaCl 0.9% vs. glucose 5%), and administration rate (50, 100, or 200 ml/h). Samples were collected using a fraction collector until <2% of the original drug concentration remained and were analyzed using spectrophotometry. RESULTS. We did not find a significant effect of administration rate on separator fluid volume. However, NaCl/G5% (solvent/separator fluid) required significantly less separator fluid than NaCl/NaCl (3.6 ± 0.1 ml vs. 3.9 ± 0.1 ml, p <0.05). Also, G5%/G5% required significantly less separator fluid than NaCl/NaCl (3.6 ± 0.1 ml vs. 3.9 ± 0.1 ml, p <0.05). The significant decrease in required flushing volume might be due to differences in the viscosity of the solutions. However, mean differences were small and were most likely caused by human interactions with the fluid collection setup. The average required flushing volume is 3.7 ml. CONCLUSIONS. The choice of separator fluid, solvent or administration rate had no impact on the required flushing volume in the experiment. Future research should take IV line length, diameter, volume and also drug solution volumes into account in order to provide a full account of variables affecting the required separator fluid volume
Utilization of artificial neural networks and autoregressive modeling in diagnosing mitral valve stenosis
This research is concentrated on the diagnosis of mitral heart valve stenosis through the analysis of Doppler Signals' AR power spectral density graphic with the help of ANN. Multilayer feedforward ANN trained with a Levenberg Marquart backpropagation algorithm was implemented in the MATLAB environment. Correct classification of 94% was achieved, whereas 4 false classifications have been observed for the test group of 68 subjects in total. The designed classification structure has about 97.3% sensitivity, 90.3% specifity and positive prediction is calculated to be 92.3%. The stated results show that the proposed method can make an effective interpretation. (c) 2005 Elsevier Ltd. All rights reserved
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ESICM LIVES 2017 : 30th ESICM Annual Congress. September 23-27, 2017.
INTRODUCTION. Unplanned readmission to intensive care is highly
undesirable in that it contributes to increased variance in care,
disruption, difficulty in resource allocation and may increase length
of stay and mortality particularly if subject to delays. Unlike the ICU
admission from the ward, readmission prediction has received
relatively little attention, perhaps in part because at the point of ICU
discharge, full physiological information is systematically available to
the clinician and so it is expected that readmission should be largely
due to unpredictable factors. However it may be that there are
multidimensional trends that are difficult for the clinician to perceive
that may nevertheless be predictive of readmission.
OBJECTIVES. We investigated whether machine learning (ML)
techniques could be used to improve on the simple published SWIFT
score [1] for the prediction of unplanned readmission to ICU within
48 hours.
METHODS. We extracted systolic BP, pulse pressure, heart and
respiration rate, temperature, SpO2, bilirubin, creatinine, INR, lactate,
white cell count, platelet count, pH, FiO2, and total Glasgow Coma
Score from ICU stays of over 2000 adult patients from our hospital
electronic patient record system. We trained our own custom
multidimensional / time-sensitive algorithmic ML system to predict
failed discharges defined as either readmission or unexpected death
within 48 hours of discharge. We used 10-fold cross validation to assess performance. We also assessed the effect of augmenting our
system by transfer learning (TL) with 44,000 additional cases from
the MIMIC III database.
RESULTS. The SWIFT score performed relatively poorly with an
AUROC of around 0.6 which our ML system trained on local data was
also able to match. However when augmented with an additional
dataset by TL, the AUROC for the ML system improved statistically
and clinically significantly to over 0.7.
CONCLUSIONS. Machine learning is able to improve on predictors
based on simple multiple logistic regression. Thus there is likely to
be information in the trends and in combinations of variables. A
disadvantage with this technique is that ML approaches require large
amounts of data for training. However, ML approaches can be
improved by TL. Basing prediction models on locally derived data
augmented by TL is a potentially novel approach to generating tools
that customised to the institution yet can exploit the potential power
of ML algorithms.
REFERENCES
[1] Gajic O, Malinchoc M, Comfere TB, et al. The Stability and
Workload Index for Transfer score predicts unplanned intensive care
unit patient readmission: initial development and validation. Crit Care
Med. 2008;36(3):676–82.
Grant Acknowledgement
This work was internally funded