Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy

High-risk infants in the neonatal intensive care unit often encounter the problems with hemodynamic instability, and the poor blood circulation may cause shock or other sequelae. But the appearance of shock is not easy to be noticed in the initial stage, and most of the clinical judgments are subjec...

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Main Authors: Hsiu-Lin Chen, Bor-Shing Lin, Chieh-Miao Chang, Hao-Wei Chung, Shu-Ting Yang, Bor-Shyh Lin
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Journal of Translational Engineering in Health and Medicine
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Online Access:https://ieeexplore.ieee.org/document/10849653/
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author Hsiu-Lin Chen
Bor-Shing Lin
Chieh-Miao Chang
Hao-Wei Chung
Shu-Ting Yang
Bor-Shyh Lin
author_facet Hsiu-Lin Chen
Bor-Shing Lin
Chieh-Miao Chang
Hao-Wei Chung
Shu-Ting Yang
Bor-Shyh Lin
author_sort Hsiu-Lin Chen
collection DOAJ
description High-risk infants in the neonatal intensive care unit often encounter the problems with hemodynamic instability, and the poor blood circulation may cause shock or other sequelae. But the appearance of shock is not easy to be noticed in the initial stage, and most of the clinical judgments are subjectively dependent on the experienced physicians. Therefore, how to effectively evaluate the neonatal blood circulation state is important for the treatment in time. Although some instruments, such as laser Doppler flow meter, can estimate the information of blood flow, there is still lack of monitoring systems to evaluate the neonatal blood circulation directly. Based on the technique of near-infrared spectroscopy, an intelligent neonatal blood perfusion assessment system was proposed in this study, to monitor the changes of hemoglobin concentration and tissue oxygen saturation simultaneously and further estimate the neonatal blood perfusion. Several indexes were defined from the changes of hemoglobin parameters under applying and relaxing pressure to obtain the neonatal perfusion information. Moreover, the neural network-based classifier was also used to effectively classify the groups with different blood perfusion states. From the experimental results, the difference between the groups with different blood perfusion states could exactly be reflected on several defined indexes and could be effectively recognized by using the technique of neural network. Clinical and Translational Impact Statement—An intelligent neonatal blood perfusion assessment system was proposed to monitor the changes of hemoglobin concentration and tissue oxygen saturation simultaneously and further estimate the neonatal blood perfusion (Category: Preclinical Research)
format Article
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institution Kabale University
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language English
publishDate 2025-01-01
publisher IEEE
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series IEEE Journal of Translational Engineering in Health and Medicine
spelling doaj-art-cf462a63f05f403ab77bf0c1c5f7c87b2025-02-04T00:00:30ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722025-01-0113233210.1109/JTEHM.2025.353280110849653Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared SpectroscopyHsiu-Lin Chen0https://orcid.org/0000-0002-0565-4631Bor-Shing Lin1https://orcid.org/0000-0003-0498-3190Chieh-Miao Chang2Hao-Wei Chung3Shu-Ting Yang4Bor-Shyh Lin5https://orcid.org/0000-0002-8653-2571Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Computer Science and Information Engineering, National Taipei University, New Taipei City, TaiwanInstitute of Imaging and Biomedical Photonics, National Yang Ming Chiao Tung University, Tainan, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanInstitute of Imaging and Biomedical Photonics, National Yang Ming Chiao Tung University, Tainan, TaiwanHigh-risk infants in the neonatal intensive care unit often encounter the problems with hemodynamic instability, and the poor blood circulation may cause shock or other sequelae. But the appearance of shock is not easy to be noticed in the initial stage, and most of the clinical judgments are subjectively dependent on the experienced physicians. Therefore, how to effectively evaluate the neonatal blood circulation state is important for the treatment in time. Although some instruments, such as laser Doppler flow meter, can estimate the information of blood flow, there is still lack of monitoring systems to evaluate the neonatal blood circulation directly. Based on the technique of near-infrared spectroscopy, an intelligent neonatal blood perfusion assessment system was proposed in this study, to monitor the changes of hemoglobin concentration and tissue oxygen saturation simultaneously and further estimate the neonatal blood perfusion. Several indexes were defined from the changes of hemoglobin parameters under applying and relaxing pressure to obtain the neonatal perfusion information. Moreover, the neural network-based classifier was also used to effectively classify the groups with different blood perfusion states. From the experimental results, the difference between the groups with different blood perfusion states could exactly be reflected on several defined indexes and could be effectively recognized by using the technique of neural network. Clinical and Translational Impact Statement—An intelligent neonatal blood perfusion assessment system was proposed to monitor the changes of hemoglobin concentration and tissue oxygen saturation simultaneously and further estimate the neonatal blood perfusion (Category: Preclinical Research)https://ieeexplore.ieee.org/document/10849653/Neonatal intensive care unitshockblood perfusionnear-infrared spectroscopyneural network
spellingShingle Hsiu-Lin Chen
Bor-Shing Lin
Chieh-Miao Chang
Hao-Wei Chung
Shu-Ting Yang
Bor-Shyh Lin
Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
IEEE Journal of Translational Engineering in Health and Medicine
Neonatal intensive care unit
shock
blood perfusion
near-infrared spectroscopy
neural network
title Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
title_full Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
title_fullStr Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
title_full_unstemmed Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
title_short Intelligent Neonatal Blood Perfusion Assessment System Based on Near-Infrared Spectroscopy
title_sort intelligent neonatal blood perfusion assessment system based on near infrared spectroscopy
topic Neonatal intensive care unit
shock
blood perfusion
near-infrared spectroscopy
neural network
url https://ieeexplore.ieee.org/document/10849653/
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AT haoweichung intelligentneonatalbloodperfusionassessmentsystembasedonnearinfraredspectroscopy
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