ManoMap: an automated system for characterization of colonic propagating contractions recorded by high-resolution manometry.

Rationale: Colonic high-resolution manometry (cHRM) is an emerging clinical tool for defining colonic function in health and disease. Current analysis methods are conducted manually, thus being inefficient and open to interpretation bias.Objective: The main objective of the study was to build an aut...

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Published in:Medical & Biological Engineering & Computing Vol. 59; no. 2; pp. 417 - 430
Main Authors: Paskaranandavadivel, Niranchan, Lin, Anthony Y., Cheng, Leo K., Bissett, Ian, Lowe, Andrew, Arkwright, John, Mollaee, Saeed, Dinning, Phil G., O'Grady, Gregory
Format: Journal Article
Published: Springer Nature Feb2021
Online Access:View this record in EBSCOhost
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      dt: Feb2021
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      pub: Springer Nature
      place: New York, New York
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        atl: ManoMap: an automated system for characterization of colonic propagating contractions recorded by high-resolution manometry.
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        au:
          Paskaranandavadivel, Niranchan
          Lin, Anthony Y.
          Cheng, Leo K.
          Bissett, Ian
          Lowe, Andrew
          Arkwright, John
          Mollaee, Saeed
          Dinning, Phil G.
          O'Grady, Gregory
        affil: Auckland Bioengineering Institute, University of Auckland, Private Bag 92019, 1142, Auckland, New Zealand
      sug:
        subj:
          Constipation
          Colon
          Manometry
          Algorithms
          Signal Processing, Computer Assisted
          Scales
      ab: Rationale: Colonic high-resolution manometry (cHRM) is an emerging clinical tool for defining colonic function in health and disease. Current analysis methods are conducted manually, thus being inefficient and open to interpretation bias.Objective: The main objective of the study was to build an automated system to identify propagating contractions and compare the performance to manual marking analysis.Methods: cHRM recordings were performed on 5 healthy subjects, 3 subjects with diarrhea-predominant irritable bowel syndrome, and 3 subjects with slow transit constipation. Two experts manually identified propagating contractions, from five randomly selected 10-min segments from each of the 11 subjects (72 channels per dataset, total duration 550 min). An automated signal processing and detection platform was developed to compare its effectiveness to manually identified propagating contractions. In the algorithm, individual pressure events over a threshold were identified and were then grouped into a propagating contraction. The detection platform allowed user-selectable thresholds, and a range of pressure thresholds was evaluated (2 to 20 mmHg).Key Results: The automated system was found to be reliable and accurate for analyzing cHRM with a threshold of 15 mmHg, resulting in a positive predictive value of 75%. For 5-h cHRM recordings, the automated method takes 22 ± 2 s for analysis, while manual identification would take many hours.Conclusions: An automated framework was developed to filter, detect, quantify, and visualize propagating contractions in cHRM recordings in an efficient manner that is reliable and consistent.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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