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人工胰腺控制器的调整:一种基于临床相关标准的计算机模拟方法。

Tuning of an Artificial Pancreas Controller: an in silico methodology based on clinically-relevant criteria.

作者信息

Olcomendy Loic, Pirog Antoine, Bornat Yannick, Cieslak Jerome, Gucik-Derigny David, Henry David, Catargi Bogdan, Renaud Sylvie

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:2544-2547. doi: 10.1109/EMBC44109.2020.9175292.

Abstract

This paper presents a methodology to tune an artificial pancreas controller by minimizing the time spent in endangering glycaemic ranges (hypo- and hyperglycaemia). The risk associated to the patient's glycaemia is evaluated with an objective metric (the blood glucose risk index), which has an established clinical relevance. The tuned controller is validated in the UVA/Padova environment where the resulting artificial pancreas achieves minimal glucose risk index in realistic 24-hour long scenarios with unannounced glucose intake.

摘要

本文提出了一种通过最小化处于危险血糖范围(低血糖和高血糖)的时间来调整人工胰腺控制器的方法。利用一种具有既定临床相关性的客观指标(血糖风险指数)来评估与患者血糖相关的风险。在UVA/帕多瓦环境中对调整后的控制器进行了验证,在该环境中,所得的人工胰腺在未宣布葡萄糖摄入的实际24小时长的场景中实现了最小血糖风险指数。

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