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脑脊液输注试验的参数估计

Parameter estimations for the cerebrospinal fluid infusion test.

作者信息

Eisenträger Almut, Sobey Ian, Czosnyka Marek

机构信息

Mathematical Institute, University of Oxford, 24-29 St Giles', Oxford OX1 3LB, UK.

出版信息

Math Med Biol. 2013 Jun;30(2):157-74. doi: 10.1093/imammb/dqs001. Epub 2012 Feb 16.

Abstract

We consider parameter estimation for a single compartment model of a cerebrospinal fluid (CSF) infusion test using an inverse power law cerebral compliance depending on intracranial pressure (ICP). A least squares optimization is used to solve the inverse problem of estimating model parameter values from ICP observed during an infusion test. The optimization is applied to synthetic test data and to clinical ICP data from a number of infusion tests.We show that in tests that successfully reach a new plateau pressure, the resistance to CSF outflow and elastance can be reliably estimated using an automated least squares process. We find that a single infusion test does not provide enough resolution to distinguish between compliance models.

摘要

我们考虑使用依赖于颅内压(ICP)的反幂律脑顺应性,对脑脊液(CSF)输注试验的单室模型进行参数估计。使用最小二乘优化来解决从输注试验期间观察到的ICP估计模型参数值的反问题。该优化应用于合成测试数据和来自多个输注试验的临床ICP数据。我们表明,在成功达到新的平台压力的测试中,可以使用自动最小二乘过程可靠地估计脑脊液流出阻力和弹性。我们发现,单次输注试验没有提供足够的分辨率来区分顺应性模型。

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