Multivariate analysis of intracranial pressure (ICP) signal using principal component analysis. 2009

N Al-Zubi, and L Momani, and A Al-Kharabsheh, and W Al-Nuaimy
Electrical Engineering and Electronics Department, University of Liverpool, Brownlow Hill, Liverpool, UK. nael@liv.ac.uk

The diagnosis and treatment of hydrocephalus and other neurological disorders often involve the acquisition and analysis of large amount of intracranial pressure (ICP) signal. Although the analysis and subsequent interpretation of this data is an essential part of the clinical management of the disorders, it is typically done manually by a trained clinician, and the difficulty in interpreting some of the features of this complex time series can sometimes lead to issues of subjectivity and reliability. This paper presents a method for the quantitative analysis of this data using a multivariate approach based on principal component analysis, with the aim of optimising symptom diagnosis, patient characterisation and treatment simulation and personalisation. In this method, 10 features are extracted from the ICP signal and principal components that represent these features are defined and analysed. Results from ICP traces of 40 patients show that the chosen features have relevant information about the ICP signal and can be represented with a few components of the PCA (approximately 91% of the total variance of the data is represented by the first four components of the PCA) and that these components can be helpful in characterising subgroups in the patient population that would otherwise not have been apparent. The introduction of supplementaty (non-ICP) variables has offered insight into additional groupings and relationships which may prove to be a fruitful avenue for exploration.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007427 Intracranial Pressure Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity. Intracerebral Pressure,Subarachnoid Pressure,Intracerebral Pressures,Intracranial Pressures,Pressure, Intracerebral,Pressure, Intracranial,Pressure, Subarachnoid,Pressures, Intracerebral,Pressures, Intracranial,Pressures, Subarachnoid,Subarachnoid Pressures
D008297 Male Males
D008991 Monitoring, Physiologic The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine. Patient Monitoring,Monitoring, Physiological,Physiologic Monitoring,Monitoring, Patient,Physiological Monitoring
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age

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