Real-Time Noninvasive Intracranial State Estimation Using Unscented Kalman Filter

IEEE Trans Neural Syst Rehabil Eng. 2019 Sep;27(9):1931-1938. doi: 10.1109/TNSRE.2019.2932273. Epub 2019 Jul 31.

Abstract

Intracranial pressure (ICP) monitoring is desirable as a first-line measure to assist decision-making in cases of increased ICP. Clinically, non-invasive ICP monitoring is also required to avoid infection and hemorrhage in patients. The relationships among the arterial blood pressure (ABP), ICP, cerebral blood flow, and its velocity ( [Formula: see text]) measured by transcranial Doppler ultrasound measurement have been reported. However, real-time non-invasive ICP estimation using these modalities is less well documented. This paper presents a novel algorithm for real-time and non-invasive ICP monitoring with [Formula: see text] and ABP, called direct-current (DC)-ICP. The technique was compared with invasive ICP for 10 acute-brain-injury patients admitted to Cheju Halla Hospital and Gangnam Severance Hospital from July 2017 to June 2018. The inter-subject correlation coefficient between true and estimate was 0.75 and the AUCs of the ROCs for prediction of increased ICP for the DC-ICP methods were 0.83. Thus, [Formula: see text] monitoring can facilitate reliable real-time ICP tracking with our novel DC-ICP algorithm, which can provide valuable information under clinical conditions.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Algorithms
  • Area Under Curve
  • Arterial Pressure
  • Brain Injuries / physiopathology
  • Cerebrovascular Circulation
  • Computer Systems
  • Female
  • Humans
  • Intracranial Pressure*
  • Male
  • Middle Aged
  • Neurophysiological Monitoring / methods*
  • Prospective Studies
  • ROC Curve
  • Ultrasonography, Doppler, Transcranial