PMID- 28324991 OWN - NLM STAT- MEDLINE DCOM- 20170626 LR - 20200928 IS - 2694-0604 (Electronic) IS - 2375-7477 (Linking) VI - 2016 DP - 2016 Aug TI - Features of cerebral oxygenation detects brain injury in premature infants. PG - 3614-3617 LID - 10.1109/EMBC.2016.7591510 [doi] AB - Babies born prematurely can develop brain injury within days after birth. Early identification of high-risk infants enables appropriate clinical care to mitigate potential lifelong disabilities. Near infra-red spectroscopy is an established technology that can provide continuous measurements of cerebral oxygen saturation (rcSO(2)) over this critical period. We develop a feature set of the rcSO(2) signal for the purpose of detecting brain injury. Our feature set contains amplitude, spectral, and fractal dimension features within 5 frequency bands. Features are combined in a support vector machine (SVM) and performance is assessed within a cross-validation procedure. Using a cohort of 47 infants of <;32 weeks of gestation, we find significant (p <; 0.05) features of amplitude in the frequency band 0.9-3.6 mHz and a fractal dimension measure in the frequency band 1.8-3.6 mHz. The SVM has an area-under the receiver operator characteristic (AUC) of 0.75 with sensitivity-specificity values of 67-77%. These moderate results highlight the potential for quantitative analysis of rcSO(2) to detect brain injury and thus enable early identification of high-risk infants. FAU - O'Toole, John M AU - O'Toole JM FAU - Kenosi, Mmoloki AU - Kenosi M FAU - Finn, Daragh AU - Finn D FAU - Boylan, Geraldine B AU - Boylan GB FAU - Dempsey, Eugene M AU - Dempsey EM LA - eng PT - Journal Article PL - United States TA - Annu Int Conf IEEE Eng Med Biol Soc JT - Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference JID - 101763872 RN - S88TT14065 (Oxygen) SB - IM MH - Brain Injuries/*diagnosis MH - Cohort Studies MH - Gestational Age MH - Humans MH - Infant, Newborn MH - *Infant, Premature MH - Infant, Premature, Diseases/*diagnosis MH - Oxygen/analysis MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Signal Processing, Computer-Assisted MH - Spectroscopy, Near-Infrared/*methods MH - Support Vector Machine EDAT- 2016/01/01 00:00 MHDA- 2017/06/27 06:00 CRDT- 2017/03/23 06:00 PHST- 2017/03/23 06:00 [entrez] PHST- 2016/01/01 00:00 [pubmed] PHST- 2017/06/27 06:00 [medline] AID - 10.1109/EMBC.2016.7591510 [doi] PST - ppublish SO - Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:3614-3617. doi: 10.1109/EMBC.2016.7591510.