A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model
Abstract Abdominal injury is a frequent cause of death for trauma patients, and early recognition is essential to limit fatalities. There is a need for a wearable sensor system for prehospital settings that can detect and monitor bleeding in the abdomen (hemoperitoneum). This study evaluates the pot...
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2021
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oai:doaj.org-article:e8c9c1f168134d0fa2273d1b0c423c582021-12-05T12:15:04ZA wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model10.1038/s41598-021-02008-52045-2322https://doaj.org/article/e8c9c1f168134d0fa2273d1b0c423c582021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02008-5https://doaj.org/toc/2045-2322Abstract Abdominal injury is a frequent cause of death for trauma patients, and early recognition is essential to limit fatalities. There is a need for a wearable sensor system for prehospital settings that can detect and monitor bleeding in the abdomen (hemoperitoneum). This study evaluates the potential for microwave technology to fill that gap. A simple prototype of a wearable microwave sensor was constructed using eight antennas. A realistic porcine model of hemoperitoneum was developed using anesthetized pigs. Ten animals were measured at healthy state and at two sizes of bleeding. Statistical tests and a machine learning method were used to evaluate blood detection sensitivity. All subjects presented similar changes due to accumulation of blood, which dampened the microwave signal ( $$p < 0.05$$ p < 0.05 ). The machine learning analysis yielded an area under the receiver operating characteristic (ROC) curve (AUC) of 0.93, showing 100% sensitivity at 90% specificity. Large inter-individual variability of the healthy state signal complicated differentiation of bleedings from healthy state. A wearable microwave instrument has potential for accurate detection and monitoring of hemoperitoneum, with automated analysis making the instrument easy-to-use. Future hardware development is necessary to suppress measurement system variability and enable detection of smaller bleedings.Stefan CandefjordLinh NguyenRuben BuendiaMarianne Oropeza-MoeNina Gjerde AndersenAndreas FhagerMikael PerssonMikael ElamNils Petter OvelandNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021) |
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Medicine R Science Q Stefan Candefjord Linh Nguyen Ruben Buendia Marianne Oropeza-Moe Nina Gjerde Andersen Andreas Fhager Mikael Persson Mikael Elam Nils Petter Oveland A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
description |
Abstract Abdominal injury is a frequent cause of death for trauma patients, and early recognition is essential to limit fatalities. There is a need for a wearable sensor system for prehospital settings that can detect and monitor bleeding in the abdomen (hemoperitoneum). This study evaluates the potential for microwave technology to fill that gap. A simple prototype of a wearable microwave sensor was constructed using eight antennas. A realistic porcine model of hemoperitoneum was developed using anesthetized pigs. Ten animals were measured at healthy state and at two sizes of bleeding. Statistical tests and a machine learning method were used to evaluate blood detection sensitivity. All subjects presented similar changes due to accumulation of blood, which dampened the microwave signal ( $$p < 0.05$$ p < 0.05 ). The machine learning analysis yielded an area under the receiver operating characteristic (ROC) curve (AUC) of 0.93, showing 100% sensitivity at 90% specificity. Large inter-individual variability of the healthy state signal complicated differentiation of bleedings from healthy state. A wearable microwave instrument has potential for accurate detection and monitoring of hemoperitoneum, with automated analysis making the instrument easy-to-use. Future hardware development is necessary to suppress measurement system variability and enable detection of smaller bleedings. |
format |
article |
author |
Stefan Candefjord Linh Nguyen Ruben Buendia Marianne Oropeza-Moe Nina Gjerde Andersen Andreas Fhager Mikael Persson Mikael Elam Nils Petter Oveland |
author_facet |
Stefan Candefjord Linh Nguyen Ruben Buendia Marianne Oropeza-Moe Nina Gjerde Andersen Andreas Fhager Mikael Persson Mikael Elam Nils Petter Oveland |
author_sort |
Stefan Candefjord |
title |
A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
title_short |
A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
title_full |
A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
title_fullStr |
A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
title_full_unstemmed |
A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
title_sort |
wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/e8c9c1f168134d0fa2273d1b0c423c58 |
work_keys_str_mv |
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