Unique parameter identification of a cardiovascular system model using feedback control; ; Desaive, Thomas et alin Proc. 7th Intl Conf on Control and Automation (ICCA09) (2009, December) Detailed reference viewed: 18 (1 ULg) Model-based Cardiovascular Therapeutics: Capturing the patient-specific impact of inotrope therapyDesaive, Thomas ; ; et alin Proceedings of the 3rd International Meeting of the French Society of Hypertension (2009) Detailed reference viewed: 7 (0 ULg) Robust parameter identification for model-based cardiac diagnosis in critical care; ; Desaive, Thomas et alin Proceedings of the 6th IFAC Symposium on Modeling and Control in Biomedical Systems (MCBMS09) (2009) Detailed reference viewed: 14 (4 ULg) Model-based therapeutics for the cardiovascular system - a clinical focus; ; Desaive, Thomas et alin 6th IFAC Symposium on Modeling and Control in Biomedical Systems (MCBMS09) (2009) Detailed reference viewed: 10 (4 ULg) Model-Based Assessment of Dynamic FRC (DFRC)Desaive, Thomas ; ; et alin Intensive Care Medicine (2009), 35(suppl. 1), 52 Detailed reference viewed: 37 (10 ULg) The impact of model-based therapeutics on glucose control in an intensive care unit; ; Desaive, Thomas et alin Proceedings of the 4th European Congress for Medical and Biomedical Engineering (eMBEC 2008) (2008) Detailed reference viewed: 5 (0 ULg) Cardiovascular Modelling and Identification in Septic Shock - Experimental validationDesaive, Thomas ; Lambermont, Bernard ; Ghuysen, Alexandre et alin IFAC 2008 (2008) Detailed reference viewed: 17 (6 ULg) Mathematical modelling and parameter identification methods in systems; ; et al in Proceedings of the 7th joint Australia-New Zealand Mathematics Convention (ANZMC2008) (2008) Detailed reference viewed: 8 (0 ULg) Model-based detection of pulmonary embolism using an extended physiologically relevant, cardiovascular model; ; et al in Proceedings of Engineering & Physical Sciences in Medicine and Australian Biomedical Engineering Conference (EPSM ABEC 2008) (2008) Detailed reference viewed: 14 (0 ULg) Making sense of the Chaos: Model-based CVS monitoring and decision support in critical care; ; et al in Proceedings of the NZ Physiological Society 2008 Medical Science Congress (MedSci 2008) (2008) Detailed reference viewed: 8 (0 ULg) Model-based analysis of induced endotoxic shock in pigs with and without hemofiltration,; ; et al in Prodeedings of the Engineering & Physical Sciences in Medicine and Australian Biomedical Engineering Conference (EPSM ABEC 2008 (2008) Detailed reference viewed: 15 (1 ULg) Model-based assessment of right ventricular arterial coupling during septic shock - Results with a procine modelDesaive, Thomas ; Lambermont, Bernard ; Janssen, Nathalie et alin Intensive Care Medicine (2008), 34(suppl. 1), 24 Detailed reference viewed: 19 (7 ULg) Improving model-based cardiac diagnosis with an ECG; ; Desaive, Thomas et alin Proceedings (CD) of the 4th European Congress for Medical and Biomedical Engineering (eMBEC 2008), Antwerp, Belgium, Nov 23-27, 2008 (2008) Detailed reference viewed: 15 (0 ULg) Model-Based Assessment of Right Ventricular Arterial Coupling During Septic Shock – Results With a Porcine ModelDesaive, Thomas ; Lambermont, Bernard ; et alin Proceedings of the 21st European Society of Intensive Care Medicine (ESICM) Annual Congress, September 21-24, 2008, Lisbon, Portugal (2008) Detailed reference viewed: 8 (3 ULg) Model-based cardiac diagnosis of pulmonary embolism; ; et al in Computer Methods & Programs in Biomedicine (2007), 87(1), 46-60 A minimal cardiac model has been shown to accurately capture a wide range of cardiovascular system dynamics commonly seen in the intensive care unit (ICU). However, standard parameter identification ... [more ▼] A minimal cardiac model has been shown to accurately capture a wide range of cardiovascular system dynamics commonly seen in the intensive care unit (ICU). However, standard parameter identification methods for this model are highly non-linear and non-convex, hindering real-time clinical application. An integral-based identification method that transforms the problem into a linear, convex problem, has been previously developed, but was only applied on continuous simulated data with random noise. This paper extends the method to handle discrete sets of clinical data, unmodelled dynamics, a significantly reduced data set theta requires only the minimum and maximum values of the pressure in the aorta, pulmonary artery and the volumes in the ventricles. The importance of integrals in the formulation for noise reduction is illustrated by demonstrating instability in the identification using simple derivative-based approaches. The cardiovascular system (CVS) model and parameter identification method are then clinically validated on porcine data for pulmonary embolism. Errors for the identified model are within 10% when re-simulated and compared to clinical data. All identified parameter trends match clinically expected changes. This work represents the first clinical validation of these models, methods and approach to cardiovascular diagnosis in critical care. (c) 2007 Elsevier Ireland Ltd. All rights reserved. [less ▲] Detailed reference viewed: 20 (2 ULg) Study of ventricular interaction during pulmonary embolism using clinical identification in a minimum cardiovascular system model.Desaive, Thomas ; Ghuysen, Alexandre ; Lambermont, Bernard et alin Proceedings of the IEEE (2007) Cardiovascular disturbances are difficult to diagnose and treat because of the large range of possible underlying dysfunctions combined with regulatory reflex mechanisms that can result in conflicting ... [more ▼] Cardiovascular disturbances are difficult to diagnose and treat because of the large range of possible underlying dysfunctions combined with regulatory reflex mechanisms that can result in conflicting clinical data. Thus, medical professionals often rely on experience and intuition to optimize hemodynamics in the critically ill. This paper combines an existing minimal cardiovascular system model with an extended integral based parameter identification method to track the evolution of induced pulmonary embolism in porcine data. The model accounts for ventricular interaction dynamics and is shown to predict an increase in the right ventricle expansion index and a decrease in septum volume consistent with known physiological response to pulmonary embolism. The full range of hemodynamic responses was captured with mean prediction errors of 4.1% in the pressures and 3.1% in the volumes for 6 sets of clinical data. Pulmonary resistance increased significantly with the onset of embolism in all cases, as expected, with the percentage increase ranging from 89.98% to 261.44% of the initial state. These results are an important first step towards model-based cardiac diagnosis in the Intensive Care Unit. [less ▲] Detailed reference viewed: 16 (6 ULg) Modelling the cardiovascular system; ; et al in Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine (2007), 9(3), 264-269 Detailed reference viewed: 9 (0 ULg) Model-based sensor of hemodynamics in critical care; ; et al in ICST 2007 (2007) Detailed reference viewed: 5 (0 ULg) Haemodynamic Management Using a Minimal Cardiac Model,” Young Researchers Meeting on Haemodynamic Management; ; et al in Pulsion Medical Systems AG (2006) Detailed reference viewed: 8 (0 ULg) |
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