Direkt zum Inhalt

Faltermeier, Rupert ; Proescholdt, Martin A. ; Wolf, Stefan ; Bele, Sylvia ; Brawanski, Alexander

A Patient-Independent Significance Test by Means of False-Positive Rates in Selected Correlation Analysis of Brain Multimodal Monitoring Data

Faltermeier, Rupert , Proescholdt, Martin A. , Wolf, Stefan, Bele, Sylvia and Brawanski, Alexander (2018) A Patient-Independent Significance Test by Means of False-Positive Rates in Selected Correlation Analysis of Brain Multimodal Monitoring Data. Computational and Mathematical Methods in Medicine 2018, pp. 1-8.

Date of publication of this fulltext: 25 Sep 2018 16:35
Article
DOI to cite this document: 10.5283/epub.37772


Abstract

Recently, we introduced a mathematical toolkit called selected correlation analysis (sca) that reliably detects negative and positive correlations between arterial blood pressure (ABP) and intracranial pressure (ICP) data, recorded during multimodal monitoring, in a time-resolved way. As has been shown with the aid of a mathematical model of cerebral perfusion, such correlations reflect impaired ...

Recently, we introduced a mathematical toolkit called selected correlation analysis (sca) that reliably detects negative and positive correlations between arterial blood pressure (ABP) and intracranial pressure (ICP) data, recorded during multimodal monitoring, in a time-resolved way. As has been shown with the aid of a mathematical model of cerebral perfusion, such correlations reflect impaired autoregulation and reduced intracranial compliance in patients with critical neurological diseases. Sca calculates a Fourier transform-based index called selected correlation (sc) that reflects the strength of correlation between the input data and simultaneously an index called mean Hilbert phase difference (mhpd) that reflects the phasing between the data. To reliably detect pathophysiological conditions during multimodal monitoring, some thresholds for the abovementioned indexes sc and mhpd have to be established that assign predefined significance levels to that thresholds. In this paper, we will present a method that determines the rate of false positives for fixed pairs of thresholds (lsc, lmhpd). We calculate these error rates as a function of the predefined thresholds for each individual out of a patient cohort of 52 patients in a retrospective way. Based on the deviation of the individual error rates, we subsequently determine a globally valid upper limit of the error rate by calculating the predictive interval. From this predictive interval, we deduce a globally valid significance level for appropriate pairs of thresholds that allows the application of sca to every future patient in a prospective, bedside fashion.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleComputational and Mathematical Methods in Medicine
Publisher:Hindawi
Place of Publication:LONDON
Volume:2018
Page Range:pp. 1-8
Date8 August 2018
InstitutionsMedicine > Lehrstuhl für Neurochirurgie
Identification Number
ValueType
10.1155/2018/6821893DOI
KeywordsCEREBRAL AUTOREGULATION; INTRACRANIAL COMPLIANCE; NEUROCRITICAL CARE; INJURY; PRESSURE;
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-377723
Item ID37772

Export bibliographical data

Owner only: item control page

nach oben