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Artifact removal from neurophysiological signals: impact on intracranial and arterial pressure monitoring in traumatic brain injury.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Lee, Seung-Bo 
Kim, Hakseung 
Kim, Young-Tak 
Zeiler, Frederick A 

Abstract

OBJECTIVE: Monitoring intracranial and arterial blood pressure (ICP and ABP, respectively) provides crucial information regarding the neurological status of patients with traumatic brain injury (TBI). However, these signals are often heavily affected by artifacts, which may significantly reduce the reliability of the clinical determinations derived from the signals. The goal of this work was to eliminate signal artifacts from continuous ICP and ABP monitoring via deep learning techniques and to assess the changes in the prognostic capacities of clinical parameters after artifact elimination. METHODS: The first 24 hours of monitoring ICP and ABP in a total of 309 patients with TBI was retrospectively analyzed. An artifact elimination model for ICP and ABP was constructed via a stacked convolutional autoencoder (SCAE) and convolutional neural network (CNN) with 10-fold cross-validation tests. The prevalence and prognostic capacity of ICP- and ABP-related clinical events were compared before and after artifact elimination. RESULTS: The proposed SCAE-CNN model exhibited reliable accuracy in eliminating ABP and ICP artifacts (net prediction rates of 97% and 94%, respectively). The prevalence of ICP- and ABP-related clinical events (i.e., systemic hypotension, intracranial hypertension, cerebral hypoperfusion, and poor cerebrovascular reactivity) all decreased significantly after artifact removal. CONCLUSIONS: The SCAE-CNN model can be reliably used to eliminate artifacts, which significantly improves the reliability and efficacy of ICP- and ABP-derived clinical parameters for prognostic determinations after TBI.

Description

Keywords

cerebral hypoperfusion, convolutional neural network, intracranial pressure, stacked convolutional autoencoder, traumatic brain injury

Journal Title

J Neurosurg

Conference Name

Journal ISSN

0022-3085
1933-0693

Volume Title

132

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Rights

All rights reserved