Browsing by Subject "Hemodynamic parameters"

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Open Access
Application of the RIMARC algorithm to a large data set of action potentials and clinical parameters for risk prediction of atrial fibrillation
(Springer, 2015) Ravens, U.; Katircioglu-Öztürk, D.; Wettwer, E.; Christ, T.; Dobrev, D.; Voigt, N.; Poulet, C.; Loose, S.; Simon, J.; Stein, A.; Matschke, K.; Knaut, M.; Oto, E.; Oto, A.; Güvenir, H. A.
Ex vivo recorded action potentials (APs) in human right atrial tissue from patients in sinus rhythm (SR) or atrial fibrillation (AF) display a characteristic spike-and-dome or triangular shape, respectively, but variability is huge within each rhythm group. The aim of our study was to apply the machine-learning algorithm ranking instances by maximizing the area under the ROC curve (RIMARC) to a large data set of 480 APs combined with retrospectively collected general clinical parameters and to test whether the rules learned by the RIMARC algorithm can be used for accurately classifying the preoperative rhythm status. APs were included from 221 SR and 158 AF patients. During a learning phase, the RIMARC algorithm established a ranking order of 62 features by predictive value for SR or AF. The model was then challenged with an additional test set of features from 28 patients in whom rhythm status was blinded. The accuracy of the risk prediction for AF by the model was very good (0.93) when all features were used. Without the seven AP features, accuracy still reached 0.71. In conclusion, we have shown that training the machine-learning algorithm RIMARC with an experimental and clinical data set allows predicting a classification in a test data set with high accuracy. In a clinical setting, this approach may prove useful for finding hypothesis-generating associations between different parameters.
Open Access
Proof-of-concept energy-efficient and real-time hemodynamic feature extraction from bioimpedance signals using a mixed-signal field programmable analog array
(IEEE, 2017) Töreyin, Hakan; Shah, S.; Hersek, S.; İnan, O. T.; Hasler, J.
We present a mixed-signal system for extracting hemodynamic parameters in real-time from noisy electrical bioimpedance (EBI) measurements in an energy-efficient manner. The proof-of-concept system consists of floating-gate-based analog signal processing (ASP) electronics implemented on a field programmable analog array (FPAA) chip interfaced with an on-chip low-power microcontroller. Physiological features important for calculating hemodynamic parameters (e.g., heart rate, blood volume, and blood flow) are extracted using the custom signal processing circuitry, which consumes a total power of 209 nW. Testing of the signal processing circuitry has been performed using ∼580 sec of an impedance plethysmography dataset collected from the knee of a subject using a custom analog EBI front-end. Results show the similarities of variations in heart rate, blood volume, and blood flow calculated using features extracted by the ASP circuitry implemented on an FPAA and a MATLAB digital signal processing algorithm.