Noninvasive Acute Compartment Syndrome Diagnosis Using Random Forest Machine Learning

Fuente: arXiv
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Auteurs principaux: Hweij, Zaina Abu, Liang, Florence, Zhang, Sophie
Format: Preprint
Publié: 2024
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author Hweij, Zaina Abu
Liang, Florence
Zhang, Sophie
author_facet Hweij, Zaina Abu
Liang, Florence
Zhang, Sophie
contents Acute compartment syndrome (ACS) is an orthopedic emergency, caused by elevated pressure within a muscle compartment, that leads to permanent tissue damage and eventually death. Diagnosis of ACS relies heavily on patient-reported symptoms, a method that is clinically unreliable and often supplemented with invasive intracompartmental pressure measurements that can malfunction in motion settings. This study proposes an objective and noninvasive diagnostic for ACS. The device detects ACS through a random forest machine learning model that uses surrogate pressure readings from force-sensitive resistors (FSRs) placed on the skin. To validate the diagnostic, a data set containing FSR measurements and the corresponding simulated intracompartmental pressure was created for motion and motionless scenarios. The diagnostic achieved up to 98% accuracy. The device excelled in key performance metrics, including sensitivity and specificity, with a statistically insignificant performance difference in motion present cases. Manufactured for 73 USD, our device may be a cost-effective solution. These results demonstrate the potential of noninvasive ACS diagnostics to meet clinical accuracy standards in real world settings.
format Preprint
id arxiv_https___arxiv_org_abs_2401_10386
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Noninvasive Acute Compartment Syndrome Diagnosis Using Random Forest Machine Learning
Hweij, Zaina Abu
Liang, Florence
Zhang, Sophie
Machine Learning
Signal Processing
Medical Physics
Acute compartment syndrome (ACS) is an orthopedic emergency, caused by elevated pressure within a muscle compartment, that leads to permanent tissue damage and eventually death. Diagnosis of ACS relies heavily on patient-reported symptoms, a method that is clinically unreliable and often supplemented with invasive intracompartmental pressure measurements that can malfunction in motion settings. This study proposes an objective and noninvasive diagnostic for ACS. The device detects ACS through a random forest machine learning model that uses surrogate pressure readings from force-sensitive resistors (FSRs) placed on the skin. To validate the diagnostic, a data set containing FSR measurements and the corresponding simulated intracompartmental pressure was created for motion and motionless scenarios. The diagnostic achieved up to 98% accuracy. The device excelled in key performance metrics, including sensitivity and specificity, with a statistically insignificant performance difference in motion present cases. Manufactured for 73 USD, our device may be a cost-effective solution. These results demonstrate the potential of noninvasive ACS diagnostics to meet clinical accuracy standards in real world settings.
title Noninvasive Acute Compartment Syndrome Diagnosis Using Random Forest Machine Learning
topic Machine Learning
Signal Processing
Medical Physics
url https://arxiv.org/abs/2401.10386