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Updated: Jun 19, 2026

Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images
Published on: April 13, 2013
k-Shape clustering for extracting macro-patterns in intracranial pressure signals
Isabel Martinez-Tejada1,2, Casper Schwartz Riedel3, Marianne Juhler3
1Clinic of Neurosurgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. isita.martinez93@gmail.com.
Researchers developed a new method to identify intracranial pressure (ICP) macro-patterns using k-Shape clustering. This technique helps classify ICP variations for better understanding patient conditions.
Area of Science:
- Neurosurgery
- Biomedical Engineering
- Signal Processing
Background:
- Intracranial pressure (ICP) monitoring is crucial in neurosurgery.
- Telemetric devices enable broader ICP monitoring, including at home, revealing diverse ICP waveforms.
- Identifying ICP macro-patterns (seconds to minutes) may enhance understanding of patient symptoms.
Purpose of the Study:
- To establish a foundation for automatic ICP macro-pattern identification.
- To understand the distribution and clinical significance of ICP macro-patterns.
- To develop a standardized library of ICP macro-patterns.
Main Methods:
- Utilized k-Shape clustering algorithm for ICP signal analysis.
- Developed a methodology for automatic macro-pattern identification.
- Built a standard library of identified ICP macro-patterns.
Main Results:
- Successfully extracted seven distinct macro-patterns from ICP signals.
- Created a macro-pattern library for classifying ICP variations.
- Demonstrated the potential for disease-specific classification based on ICP patterns.
Conclusions:
- This study provides a computational framework for characterizing ICP recordings.
- Offers a starting point for researchers studying a wide range of neurological disorders.
- Facilitates a deeper understanding of ICP signal variations in clinical practice.
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