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Improving the precision of model parameters using model based signal enhancement and the linear minimal model following an IVGTT in the healthy man. (English) Zbl 1137.94315

Summary: The problem of signal enhancement has been addressed by several authors in the past and continues to be of particular interest in many applications. In this respect, the present authors have been exploring the effect of the model based signal enhancement (MBSE) approach to recover the signal of blood glucose dynamics from noise contaminated measurements collected from seven healthy patients after an intravenous glucose tolerance test (IVGTT). These observations correspond to a system with an impulse-response behaviour for which it is often hypothesized that a sum of exponential signals can be used for modeling the data. The exponential model order has been derived from the singular value decomposition analysis of these data set. A linear version of the classic minimal model, known as the linear minimal model (LMM), has been used to model the patient’s behaviour. After fitting the LMM first to the experimental data and then to the MBSE signal obtained from the exponential modelling approximation, the effect on the precision of the LMM parameters has been statistically assessed. A non-parametric test has been devised to evaluate the significance of the differences between the precision obtained when no MBSE is applied and the precision after MBSE is performed. The results obtained suggest that the precision of the LMM parameters can be improved by more than 50% (\(p\)-value \(<\) 0.01) for all the model parameters. In particular, the insulin sensitivity \(S_{\text{I}}\) and glucose effectiveness \(S_{\text{G}}\) parameters that are useful diagnostic indices in Type 2 Diabetes Mellitus are improved by 50% and 62% respectively.

MSC:

94A12 Signal theory (characterization, reconstruction, filtering, etc.)
92C55 Biomedical imaging and signal processing
Full Text: DOI

References:

[1] Cadzow, James A., Signal enhancement—a composite property mapping algorithm, IEEE Transactions on Acoustics, Speech and Signal Processing, 36, 1, 49-62 (1988) · Zbl 0649.93059
[2] Carson, E. R.; Cobelli, C.; Finkelstein, L., The Mathematical Modeling of Metabolic and Endocrine Systems (1983), John Wiley & Sons: John Wiley & Sons New York
[3] Fernandez, M.; Acosta, D.; Villasana, M.; Streja, D., Enhancing parameter precision and the minimal modeling approach in type I diabetes, (Proceedings of the 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (2004), IEEE Press), 797-800
[4] Bergman, R. N.; Ider, Y. Z.; Bowden, C. R.; Cobelli, C., Quantitative estimation of insulin sensitivity, American Journal of Physiology, 236, 6, E667-E677 (1979)
[5] Fernandez, M.; Villasana, M.; Streja, D., Glucose dynamics in type I diabetes: insights from the classic and linear minimal models, Journal of Computers in Biology and Medicine, 37, 5, 611-627 (2007)
[6] M. Fernandez-Chas, Insulin sensitivity estimates from a linear model of glucose disappearance, Ph.D. thesis, University of Sussex, Brighton, UK, 2001, British Library Catalogue Number: DXN041838.; M. Fernandez-Chas, Insulin sensitivity estimates from a linear model of glucose disappearance, Ph.D. thesis, University of Sussex, Brighton, UK, 2001, British Library Catalogue Number: DXN041838.
[7] Fernandez, M.; Atherton, D. P., Analysis of insulin sensitivity estimates from linear models of glucose disappearance, Applied Mathematics and Computation, 167, 1, 528-538 (2005) · Zbl 1073.92006
[8] Cobelli, C.; Mari, A., Validation of mathematical models of complex endocrine-metabolic systems. A case study on a model of glucose regulation, Medical and Biological Engineering and Computing, 21, 390-399 (1983)
[9] Fernandez, M.; Atherton, D. P., Linearisation and simplification of a nonlinear model of the glucose regulatory system, Diabetes, Nutrition & Metabolism, 11, 1, 86 (1998), Abstracts, Symposium on Computers in Diabetes 98
[10] Szekli, R., Stochastic Ordering and Dependence in Applied Probability (1995), Springer-Verlag: Springer-Verlag New York · Zbl 0815.60017
[11] Bell, C. B.; Sen, P. K., Randomization procedures, Non-Parametric Methods. Non-Parametric Methods, Handbook of Statistics, vol. 4 (1991), North-Holland: North-Holland Amsterdam, chapter 1 · Zbl 0597.62043
[12] Anderson, T. W.; Darling, D. A., A test of goodness of fit, Journal of the American Statistical Association, 49, 765-769 (1954) · Zbl 0059.13302
[13] Stuart, A.; Ord, J. K., Kendall’s advanced theory of statistics, Distribution Theory, vol. 1 (1994), Oxford University Press: Oxford University Press New York, USA · Zbl 0880.62012
[14] Anderson, T. W., An Introduction to Multivariate Statistical Analysis. An Introduction to Multivariate Statistical Analysis, Wiley Series in Probability and Statistics (2003), Wiley Interscience: Wiley Interscience Hoboken, NJ, USA · Zbl 1039.62044
[15] Caumo, A.; Vicini, P.; Cobelli, C., Is the minimal model too minimal?, Diabetologia, 39, 8, 997-1000 (1996)
[16] Caumo, A.; Vicini, P.; Zachwieja, J. J.; Avogaro, A.; Yarasheski, K.; Bier, D. M.; Cobelli, C., Undermodeling affects minimal model indexes: insights from a two-compartmental model, American Journal of Physiology, 276, 6 Pt 1 (1999)
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