RESUMEN
Continuous monitoring of blood glucose (BG) levels is a key aspect of diabetes management. Patients with Type-1 diabetes (T1D) require an effective tool to monitor these levels in order to make appropriate decisions regarding insulin administration and food intake to keep BG levels in target range. Effectively and accurately predicting future BG levels at multi-time steps ahead benefits a patient with diabetes by helping them decrease the risks of extremes in BG including hypo- and hyperglycemia. In this study, we present a novel multi-component deep learning model BG-Predict that predicts the BG levels in a multi-step look ahead fashion. The model is evaluated both quantitatively and qualitatively on actual blood glucose data for 97 patients. For the prediction horizon (PH) of 30 mins, the average values for root mean squared error (RMSE), mean absolute error (MAE), mean absolute percentage error (MAPE), and normalized mean squared error (NRMSE) are [Formula: see text] mg/dL, 16.77 ± 4.87 mg/dL, [Formula: see text] and [Formula: see text] respectively. When Clarke and Parkes error grid analyses were performed comparing predicted BG with actual BG, the results showed average percentage of points in Zone A of [Formula: see text] and [Formula: see text] respectively. We offer this tool as a mechanism to enhance the predictive capabilities of algorithms for patients with T1D.
Asunto(s)
Algoritmos , Automonitorización de la Glucosa Sanguínea/métodos , Glucemia/análisis , Aprendizaje Profundo , Diabetes Mellitus Tipo 1/patología , Redes Neurales de la Computación , Diabetes Mellitus Tipo 1/sangre , HumanosRESUMEN
The objective of the paper is to develop an open loop insulin infusion profile, which is capable of controlling the blood glucose level of people with Type 1 diabetes in the presence of broad uncertainties such as inter-patient variability and unknown meal quantity. For illustrative purposes, the Bergman model in conjunction with a gut-dynamics model is chosen to represent the human glucose-insulin dynamics. A recently developed sampling based uncertainty quantification approach is used to determine the statistics (mean and variance) of the evolving states in the model. These statistics are utilized to define chance constraints in an optimization framework. The solution obtained shows that under the assumptions made on the distribution of the model parameters, all possible glucose trajectories over time satisfy the desired glycemic control goals. The solution is also validated on the FDA approved Type 1 Diabetes Metabolic Simulator suggesting that the proposed algorithm is highly suitable for human subjects.
Asunto(s)
Glucemia , Diabetes Mellitus Tipo 1 , Hipoglucemiantes , Insulina , Modelos Estadísticos , Adulto , Algoritmos , Glucemia/metabolismo , Simulación por Computador , Diabetes Mellitus Tipo 1/sangre , Diabetes Mellitus Tipo 1/tratamiento farmacológico , Diabetes Mellitus Tipo 1/metabolismo , Humanos , Hipoglucemiantes/administración & dosificación , Hipoglucemiantes/uso terapéutico , Insulina/administración & dosificación , Insulina/sangre , Insulina/uso terapéutico , Sistemas de Infusión de Insulina , Programas InformáticosRESUMEN
Extensive use of high frequency imaging in medical applications permit the estimation of velocity fields which corresponds to motion of landmarks in the imaging field. The focus of this work is on the development of a robust local optical flow algorithm for velocity field estimation in medical applications. Local polynomial fits to the medical image intensity-maps are used to generate convolution operators to estimate the spatial gradients. A novel polynomial window function with a compact support is used to differentially weight the optical flow gradient constraints in the region of interest. Tikhonov regularization is exploited to synthesize a well posed optimization problem and to penalize large displacements. The proposed algorithm is tested and validated on benchmark datasets for deformable image registration. The ten datasets include large and small deformations, and illustrate that the proposed algorithm outperforms or is competitive with other algorithms tested on this dataset, when using mean and variance of the displacement error as performance metrics.