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Updated: May 23, 2026

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients
Published on: October 17, 2017
A new approach for investigating intracranial pressure signal: filtering and morphological features extraction from
Andrea Calisto1, Massimiliano Galeano, Salvatore Serrano
1Department of Electronic Engineering, Industrial Chemistry and Engineering of the University of Messina, Messina, Italy. acalisto@unime.it
Abstract:
Nowadays, the Intracranial Pressure (ICP) monitoring has become the most common method of investigation for both traumatic and chronic neural pathologies. ICP signals are typically triphasic, that is, in a single waveform, three subpeaks can be identified. This work outlines a new algorithm to identify subpeaks from the ICP recordings and to extract a number of 20 meaningful parameter trends. The validity of the implemented method has been proved through a comparison between the automatic subpeaks identification by the algorithm and the manually marked subpeaks by a neurosurgeon. The automatic marking system has identified subpeaks for the 63.74% (mean value) of pulse waves, providing the position and amplitude of each identified subpeak within a tolerance of ±7 samples. This automatic system provides a feature set to be used by classification software to obtain more precise and easier diagnosis in all those cases that involve brain damages or diseases.

