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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 und 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, S. 1-8.

Veröffentlichungsdatum dieses Volltextes: 25 Sep 2018 16:35
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.37772


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftComputational and Mathematical Methods in Medicine
Verlag:Hindawi
Ort der Veröffentlichung:LONDON
Band:2018
Seitenbereich:S. 1-8
Datum8 August 2018
InstitutionenMedizin > Lehrstuhl für Neurochirurgie
Identifikationsnummer
WertTyp
10.1155/2018/6821893DOI
Stichwörter / KeywordsCEREBRAL AUTOREGULATION; INTRACRANIAL COMPLIANCE; NEUROCRITICAL CARE; INJURY; PRESSURE;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-377723
Dokumenten-ID37772

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