Multivariate Modelling and Prediction of High-Frequency Sensor-Based Cerebral Physiologic Signals: Narrative Review...

Monitoring cerebral oxygenation and metabolism, using a combination of invasive and non-invasive sensors, is vital due to frequent disruptions in hemodynamic regulation across various diseases. These sensors generate continuous high-frequency data streams, including intracranial pressure (ICP) and cerebral perfusion pressure (CPP), providing real-time insights into cerebral function. Analyzing these signals is crucial for understanding complex brain processes, identifying subtle patterns, and detecting anomalies. Computational models play an essential role in linking sensor-derived signals to the underlying physiological state of the brain. Multivariate machine learning models have proven particularly effective in this domain, capturing intricate relationships among multiple variables simultaneously and enabling the accurate modeling of cerebral physiologic signals. These models facilitate the development of advanced diagnostic and prognostic tools, promote patient-specific interventions, and improve therapeutic outcomes. Additionally, machine learning models offer great flexibility, allowing different models to be combined synergistically to address complex challenges in sensor-based data analysis. Ensemble learning techniques, which aggregate predictions from diverse models, further enhance predictive accuracy and robustness. This review explores the use of multivariate machine learning models in cerebral physiology as a whole, with an emphasis on sensor-derived signals related to hemodynamics, cerebral oxygenation, metabolism, and other modalities such as electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) where applicable. It will detail the operational principles, mathematical foundations, and clinical implications of these models, providing a deeper understanding of their significance in monitoring cerebral function.