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在动物模型中使用脑电图总能量作为颅内(和脑灌注)压力的无创追踪:一项初步研究。

Using EEG total energy as a noninvasively tracking of intracranial (and cerebral perfussion) pressure in an animal model: A pilot study.

作者信息

Pose Fernando, Videla Carlos, Campanini Giovanni, Ciarrocchi Nicolas, Redelico Francisco O

机构信息

Instituto de Medicina Translacional e Ingeniería Biomédica, CONICET-Hospital Italiano de Buenos Aires - Instituto Universitario del Hospital Italiano de Buenos Aires, Potosi 4265, Buenos Aires, C1199ACL, Argentina.

Servicio de Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires, Tte. Gral. Juan Domingo Perón 4190, Buenos Aires, C1199ACL, Argentina.

出版信息

Heliyon. 2024 Mar 26;10(7):e28544. doi: 10.1016/j.heliyon.2024.e28544. eCollection 2024 Apr 15.

DOI:10.1016/j.heliyon.2024.e28544
PMID:38601571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11004541/
Abstract

PURPOSE

This study aims to describe the total EEG energy during episodes of intracranial hypertension (IH) and evaluate its potential as a classification feature for IH.

NEW METHODS

We computed the sample correlation coefficient between intracranial pressure (ICP) and the total EEG energy. Additionally, a generalized additive model was employed to assess the relationship between arterial blood pressure (ABP), total EEG energy, and the odds of IH.

RESULTS

The median sample cross-correlation between total EEG energy and ICP was 0.7, and for cerebral perfusion pressure (CPP) was 0.55. Moreover, the proposed model exhibited an accuracy of 0.70, sensitivity of 0.53, specificity of 0.79, precision of 0.54, F1-score of 0.54, and an AUC of 0.7.

COMPARISON WITH EXISTING METHODS

The only existing comparable methods, up to our knowledge, use 13 variables as predictor of IH, our model uses only 3, our model, as it is an extension of the generalized model is interpretable and it achieves the same performance.

CONCLUSION

These findings hold promise for the advancement of multimodal monitoring systems in neurocritical care and the development of a non-invasive ICP monitoring tool, particularly in resource-constrained environments.

摘要

目的

本研究旨在描述颅内高压(IH)发作期间的脑电图总能量,并评估其作为IH分类特征的潜力。

新方法

我们计算了颅内压(ICP)与脑电图总能量之间的样本相关系数。此外,采用广义相加模型来评估动脉血压(ABP)、脑电图总能量与IH发生几率之间的关系。

结果

脑电图总能量与ICP之间的样本交叉相关中位数为0.7,与脑灌注压(CPP)之间为0.55。此外,所提出的模型准确率为0.70,灵敏度为0.53,特异性为0.79,精确率为0.54,F1分数为0.54,曲线下面积(AUC)为0.7。

与现有方法的比较

据我们所知,现有的唯一可比方法使用13个变量作为IH的预测指标,而我们的模型仅使用3个变量。我们的模型作为广义模型的扩展是可解释的,并且具有相同的性能。

结论

这些发现有望推动神经重症监护中多模态监测系统的发展以及无创ICP监测工具的开发,特别是在资源有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/1ab808636df6/gr008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/598e7a0f8cf3/gr001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/53633966456e/gr002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/768993dac626/gr003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a93df73fa9e6/gr004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/6e796cae8d55/gr005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a24371c28981/gr006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a35678cc2bd9/gr007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/1ab808636df6/gr008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/598e7a0f8cf3/gr001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/53633966456e/gr002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/768993dac626/gr003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a93df73fa9e6/gr004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/6e796cae8d55/gr005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a24371c28981/gr006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/a35678cc2bd9/gr007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2396/11004541/1ab808636df6/gr008.jpg

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本文引用的文献

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Novel EEG Metric Correlates with Intracranial Pressure in an Animal Model.新型 EEG 指标与动物模型颅内压相关。
Neurocrit Care. 2024 Jun;40(3):918-930. doi: 10.1007/s12028-023-01848-5. Epub 2023 Nov 8.
2
Permutation Entropy Analysis to Intracranial Hypertension from a Porcine Model.基于猪模型的颅内高压置换熵分析
Entropy (Basel). 2023 Jan 31;25(2):267. doi: 10.3390/e25020267.
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Prediction of Increased Intracranial Pressure in Traumatic Brain Injury Using Quantitative Electroencephalogram in a Porcine Experimental Model.
在猪实验模型中使用定量脑电图预测创伤性脑损伤后颅内压升高
Diagnostics (Basel). 2023 Jan 20;13(3):386. doi: 10.3390/diagnostics13030386.
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Current Practices for Intracranial Pressure and Cerebral Oxygenation Monitoring in Severe Traumatic Brain Injury: A Latin American Survey.严重创伤性脑损伤中颅内压和脑氧合监测的当前实践:一项拉丁美洲调查。
Neurocrit Care. 2023 Feb;38(1):171-177. doi: 10.1007/s12028-022-01605-0. Epub 2022 Sep 26.
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Intracranial pressure: current perspectives on physiology and monitoring.颅内压:生理和监测的当前观点。
Intensive Care Med. 2022 Oct;48(10):1471-1481. doi: 10.1007/s00134-022-06786-y. Epub 2022 Jul 11.
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Reversible focal intracranial hypertension swine model with continuous multimodal neuromonitoring.具有连续多模态神经监测的可逆性局灶性颅内高压猪模型。
J Neurosci Methods. 2022 May 1;373:109561. doi: 10.1016/j.jneumeth.2022.109561. Epub 2022 Mar 14.
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Outcomes associated with brain tissue oxygen monitoring in patients with severe traumatic brain injury undergoing intracranial pressure monitoring.在接受颅内压监测的严重创伤性脑损伤患者中,与脑组织氧监测相关的结果。
J Neurosurg. 2021 May 14;135(6):1799-1806. doi: 10.3171/2020.11.JNS203739. Print 2021 Dec 1.
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Intracranial pressure monitoring in patients with acute brain injury in the intensive care unit (SYNAPSE-ICU): an international, prospective observational cohort study.重症监护病房中急性脑损伤患者的颅内压监测(SYNAPSE-ICU):一项国际、前瞻性观察性队列研究。
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Intracranial Pressure in Traumatic Brain Injury: From Thresholds to Heuristics.创伤性脑损伤中的颅内压:从阈值到启发法
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