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Dual-Modality Volume Measurement Integrated on a Ventricular Assist Device
Medical Information Technology, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Aachen, Germany.ORCID iD: 0000-0003-2794-0628
pdz Zurich, Switzerland.ORCID iD: 0000-0001-6867-8270
Medical Information Technology, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Germany.ORCID iD: 0000-0001-5452-334X
Medical Information Technology, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Germany.ORCID iD: 0000-0001-5828-5406
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2022 (English)In: IEEE Transactions on Biomedical Engineering, ISSN 0018-9294, E-ISSN 1558-2531, Vol. 69, no 3, p. 1151-1161Article in journal (Refereed) Published
Abstract [en]

Objective: Ventricular assist devices (VADs)are implanted in patients suffering from end-stage heartfailure to sustain the blood circulation. Real-time volumemeasurement could be a valuable tool to monitor patientsand enable physiological control strategies to provide in-dividualized therapy. However, volume measurement usingone sensor modality requires re-calibration in the criticaltime post VAD implantation. Methods: To overcome thislimitation, we have integrated ultrasound and impedancevolume measurement techniques into a cannula of an api-cal VAD. We tested both modalities across a volume rangefrom 140–420 mL using two differently sized and shapedbiventricular silicon heart phantoms, which were subjectedto physiological pressures in an in-vitro test bench. Wecompared results from standard calibrated measurementswith calculations found by a quadratic optimization for thesingle modality and their combination (dual-modality) andvalidated the results using twofold cross-validation. Re-sults: The dual-modality approach resulted in most favor-able limits of agreement (LOA) of −0.83 ± 1.54% comparedto −13.88 ± 5.90% for ultrasound and −43.45 ± 10.28% forelectric impedance, separately. Conclusion: The results ofthe dual-modality approach were as accurate as the stan-dard calibrated measurement and valid over a large rangeof volumes (140–420 mL). In this in-vitro study, we showhow a dual-modality ventricular volume measurement of ul-trasound and electric impedance increases the robustnessand renders calibration obsolete. Significance: Ventricularvolumes could be measured accurately in the critical periodpost VAD implantation despite ventricular remodeling.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE) , 2022. Vol. 69, no 3, p. 1151-1161
Keywords [en]
Volume estimation, VAD, sensor, physiological control
National Category
Signal Processing Robotics and automation Medical Instrumentation
Research subject
Medical Technology
Identifiers
URN: urn:nbn:se:kth:diva-328195DOI: 10.1109/tbme.2021.3115019ISI: 000757852300016PubMedID: 34559630Scopus ID: 2-s2.0-85115682368OAI: oai:DiVA.org:kth-328195DiVA, id: diva2:1762771
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QC 20230607

Available from: 2023-06-05 Created: 2023-06-05 Last updated: 2025-02-10Bibliographically approved

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Dual, Seraina A.

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Korn, LeonieDual, Seraina A.Rixen, JöranMeboldt, MirkoLeonhardt, SteffenSchmid Daners, MarianneWalter, Marian
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IEEE Transactions on Biomedical Engineering
Signal ProcessingRobotics and automationMedical Instrumentation

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