Smartphone Magnetometers for Assessing Programmable Shunt Valve Settings: A Proof-of-Concept Study.

IF 3.9 2区医学 Q1 CLINICAL NEUROLOGY

Neurosurgery Pub Date : 2024-10-23 DOI:10.1227/neu.0000000000003221

Carlie McCoy, Smruti K Patel, Jesse Skoch

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引用次数: 0

Abstract

Background and objectives: Programmable shunt valves (PSVs) used to treat hydrocephalus require specialized valve-specific devices that determine their setting. However, these devices are typically only accessible in major medical centers. This study explores the feasibility of using smartphone magnetometers to assess PSV settings.

Methods: We investigated 2 PSVs, the Codman Certas Plus and Medtronic Strata II, using 3 different smartphones. Free open-source software was used to measure magnetic flux densities of the shunts, and PSV-specific algorithms were developed to interpret these measurements. All measurements were performed ex vivo.

Results: We demonstrated that this method could accurately determine PSV settings with 100% accuracy in ex vivo blinded trials. The technique was effective even with a scalp analog simulating different skin thicknesses.

Conclusion: This proof-of-concept study suggests that smartphones can be used for PSV assessment. However, further development and validation are needed to refine this method for clinical use. This technology could enhance PSV management accessibility, allowing for remote or at-home evaluations by trained individuals or caregivers, thus improving patient care in underserved areas.

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用于评估可编程分流阀设置的智能手机磁力计：概念验证研究

背景和目的：用于治疗脑积水的可编程分流阀（PSV）需要专门的阀门专用装置来决定其设置。然而，通常只有大型医疗中心才能使用这些设备。本研究探讨了使用智能手机磁力计评估 PSV 设置的可行性：我们使用 3 种不同的智能手机对 Codman Certas Plus 和 Medtronic Strata II 这两种 PSV 进行了调查。我们使用免费开源软件测量分流器的磁通密度，并开发了 PSV 专用算法来解释这些测量结果。所有测量均在体外进行：结果：我们在体外盲法试验中证明，这种方法能准确确定 PSV 设置，准确率达 100%。即使使用模拟不同皮肤厚度的头皮模拟物，该技术也能有效发挥作用：这项概念验证研究表明，智能手机可用于 PSV 评估。结论：这项概念验证研究表明，智能手机可用于 PSV 评估，但还需要进一步的开发和验证，才能将这种方法完善到临床应用中。这项技术可以提高 PSV 管理的可及性，让受过培训的个人或护理人员进行远程或在家评估，从而改善服务不足地区的患者护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosurgery 医学-临床神经学

CiteScore

8.20

自引率

6.20%

发文量

898

审稿时长

2-4 weeks

期刊介绍： Neurosurgery, the official journal of the Congress of Neurological Surgeons, publishes research on clinical and experimental neurosurgery covering the very latest developments in science, technology, and medicine. For professionals aware of the rapid pace of developments in the field, this journal is nothing short of indispensable as the most complete window on the contemporary field of neurosurgery. Neurosurgery is the fastest-growing journal in the field, with a worldwide reputation for reliable coverage delivered with a fresh and dynamic outlook.