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Implementation of a Multi-functional Ambulatory Urodynamics Monitoring System Based on Newly Devised Abdominal Pressure Measurement

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Abstract

The measurement of the rectal pressure is considered to be the ‘gold standard’ for the assessment of the abdominal pressure. However, conventional rectal catheters can cause erroneous results and are not comfortable for the patients. To reduce these problems, we devised a non-invasive technique for the measurement of the abdominal pressure using the parametric curve fitting method, based on linear, polynomial, exponential or sine equation modeling, between the rectal pressure and electromyographic (sEMG) signals recorded simultaneously from the abdomen. The sEMG signals and rectal pressure were obtained simultaneously from 12 patients with neurogenic bladders due to spinal cord injury (age = 53.2 ± 11.9 years, BMI = 24.4 ± 2.7, ASIA classification: D). Using our algorithm, the correlation coefficient and root mean square error (RMSE) between the measured and estimated abdominal pressure obtained by the quartic polynomial modeling were 0.86 ± 0.05 and 4.70 ± 1.56, respectively. The results obtained herein suggest that the sEMG signals can be used reliably for the indirect measurement of the abdominal pressure in ambulatory urodynamics monitoring systems.

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Acknowledgments

This work was supported by the second stage of the Brain Korea 21 Project in 2009 and a Korean Science and Engineering Foundation (KOSEF) grant funded by the Korea government (MEST; no. R01-2008-000-20089-0).

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Authors and Affiliations

  1. School of Electronics and Information Engineering, College of Engineering, Chonbuk National University, 664-14, 1Ga, Deokjin-dong, Jeonju, 561-756, South Korea

    Keo Sik Kim & Chul Gyu Song

  2. School of Medicine, Department of Physical Medicine & Rehabilitation, 634-18, Keumam-dong, Dukjin-ku, Jeonju, 561-712, Korea

    Jeong Hwan Seo

  3. Department of Electrical and Computer Engineering, Johns Hopkins University, 3400 North Charles Street Baltimore, MD 21218-2685, USA

    Jin U. Kang

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  1. Keo Sik Kim
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  2. Jeong Hwan Seo
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  4. Chul Gyu Song
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Correspondence to Chul Gyu Song.

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Kim, K.S., Seo, J.H., Kang, J.U. et al. Implementation of a Multi-functional Ambulatory Urodynamics Monitoring System Based on Newly Devised Abdominal Pressure Measurement. J Med Syst 34, 1011–1021 (2010). https://doi.org/10.1007/s10916-009-9318-1

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  • DOI: https://doi.org/10.1007/s10916-009-9318-1

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