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Proceedings Paper

Detection of CT occult aneurismal subarachnoid hemorrhage using a novel spectrophotometric analysis of cerebral spinal fluid
Author(s): Vasant A Salgaonkar; Prashant R. Bhadri; Jian Huang; Alla S. Kumar; Gail J. Pyne; James Caffery Jr.; Joseph F. Clark; Rakesh Shukla; Fred R Beyette Jr.
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Paper Abstract

In North America, approximately 30,000 people annually suffer an aneurismal subarachnoid hemorrhage (SAH). Using computerized tomography (CT), the blood is generally not visible after 12 hours. Currently lumbar puncture (LP) results are equivocal for diagnosing SAH largely because of technical limitations in performing a quick and objective evaluation. Having ruptured once, an aneurysm is statistically more likely to rupture again. Therefore, for those individuals with a sentinel (or warning) hemorrhage, detection within the first 12 hours is paramount. We present a diagnostic technology based on visible spectroscopy to quickly and objectively assess low-blood volume SAH from a diagnostic spinal tap. This technology provides clinicians, with the resources necessary for assessing patients with suspected aneurismal SAH beyond the current 12-hour limitation imposed by CT scans. This aids in the improvement of patient care and results in rapid and appropriate treatment of the patient. To perform this diagnosis, we quantify bilirubin and hemoglobin in human CSF over a range of concentrations. Because the bilirubin and hemoglobin spectra overlap quantification is problematic. To solve this problem, two algorithmic approaches are presented: a statistical or a random stochastic component known as Partial Least Square (PLS) and a control theory based mathematical model. These algorithms account for the noise and distortion from blood in CSF leading to the quantification of bilirubin and methemoglobin spectroscopically. The configurations for a hardware platform is introduced, that is portable and user-friendly composed of specific components designed to have the sensitivity and specificity required. This aids in measuring bilirubin in CSF, hemorrhagic-CSF and CSF-like solutions. The prototype uses purpose built algorithms contained within the platform, such that physicians can use it in the hospital and lab as a point of care diagnostic test.

Paper Details

Date Published: 1 April 2005
PDF: 12 pages
Proc. SPIE 5692, Advanced Biomedical and Clinical Diagnostic Systems III, (1 April 2005); doi: 10.1117/12.590540
Show Author Affiliations
Vasant A Salgaonkar, Univ. of Cincinnati (United States)
Prashant R. Bhadri, Univ. of Cincinnati (United States)
Jian Huang, Univ. of Cincinnati College of Medicine (United States)
Alla S. Kumar, Univ. of Cincinnati (United States)
Gail J. Pyne, Univ. of Cincinnati College of Medicine (United States)
James Caffery Jr., Univ. of Cincinnati (United States)
Joseph F. Clark, Univ. of Cincinnati College of Medicine (United States)
Rakesh Shukla, Univ. of Cincinnati College of Medicine (United States)
Fred R Beyette Jr., Univ. of Cincinnati (United States)

Published in SPIE Proceedings Vol. 5692:
Advanced Biomedical and Clinical Diagnostic Systems III
Tuan Vo-Dinh; Warren S. Grundfest M.D.; David A. Benaron M.D.; Gerald E. Cohn, Editor(s)

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