A Deep Learning Framework for Deriving Noninvasive Intracranial Pressure Waveforms from Transcranial Doppler

Author:

Megjhani Murad12ORCID,Terilli Kalijah12ORCID,Weinerman Bennett23,Nametz Daniel12,Kwon Soon Bin12,Velazquez Angela1,Ghoshal Shivani14,Roh David J.14,Agarwal Sachin14,Connolly E. Sander45,Claassen Jan14ORCID,Park Soojin1246

Affiliation:

1. Department of Neurology Columbia University New York NY USA

2. Program for Hospital and Intensive Care Informatics, Department of Neurology Columbia University New York NY USA

3. Division of Critical Care and Hospital Medicine, Department of Pediatrics Columbia University New York NY USA

4. NewYork‐Presbyterian Hospital at Columbia University Irving Medical Center New York NY USA

5. Department of Neurosurgery Columbia University New York NY USA

6. Department of Biomedical Informatics Columbia University New York NY USA

Abstract

Increased intracranial pressure (ICP) causes disability and mortality in the neurointensive care population. Current methods for monitoring ICP are invasive. We designed a deep learning framework using a domain adversarial neural network to estimate noninvasive ICP, from blood pressure, electrocardiogram, and cerebral blood flow velocity. Our model had a mean of median absolute error of 3.88 ± 3.26 mmHg for the domain adversarial neural network, and 3.94 ± 1.71 mmHg for the domain adversarial transformers. Compared with nonlinear approaches, such as support vector regression, this was 26.7% and 25.7% lower. Our proposed framework provides more accurate noninvasive ICP estimates than currently available. ANN NEUROL 2023;94:196–202

Funder

American Heart Association

National Institute of Neurological Disorders and Stroke

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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