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A joint design for functional data with application to scheduling ultrasound scans.

ABSTRACT: A joint design for sampling functional data is proposed to achieve optimal prediction of both functional data and a scalar outcome. The motivating application is fetal growth, where the objective is to determine the optimal times to collect ultrasound measurements in order to recover fetal growth trajectories and to predict child birth outcomes. The joint design is formulated using an optimization criterion and implemented in a pilot study. Performance of the proposed design is evaluated via simulation study and application to fetal ultrasound data.

SUBMITTER: Park SY

PROVIDER: S-EPMC5840761 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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A joint design for functional data with application to scheduling ultrasound scans.

Park So Young SY Xiao Luo L Willbur Jayson D JD Staicu Ana-Maria AM Jumbe N L'ntshotsholé NL

Computational statistics & data analysis 20180601

A joint design for sampling functional data is proposed to achieve optimal prediction of both functional data and a scalar outcome. The motivating application is fetal growth, where the objective is to determine the optimal times to collect ultrasound measurements in order to recover fetal growth trajectories and to predict child birth outcomes. The joint design is formulated using an optimization criterion and implemented in a pilot study. Performance of the proposed design is evaluated via sim ...[more]

PMID: 29861518

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Project description:BackgroundPainful arthropathy is a long-term complication in patients with hemophilia (PWH), affecting mobility and quality of life. A major barrier for the appraisal of joint health is the absence of point-of-care (POC) imaging modalities to promptly identify and manage arthropathic changes. Accordingly, we developed the Joint tissue Activity and Damage Exam (JADE) POC musculoskeletal ultrasound (MSKUS) protocol. JADE is validated for haemophilic joint tissue recognition with high intra/inter-rater and inter-operator reliability.AimsEvaluate associations of JADE with clinical (Hemophilia Joint Health Score, [HJHS]) and functional (total arc [combined flexion and extension range of motion [ROM]]) parameters.MethodologyIn this multi-centre prospective study, we recruited PWH A or B with at least one arthropathic joint. We evaluated joint health (both elbows, knees, and ankles) by comparing JADE measurements (soft tissue and cartilage thickness, and osteochondral alterations) with HJHS and total arc.ResultsOf 44 PWH, most had hemophilia A (35/44), were severe (36/44) and had a median age of 36 years. Increasing HJHSs and declining total arc, indicating worsening arthropathy, were associated with JADE measurements in the expected direction, including (1) increasing length of osteochondral alterations, (2) diminished cartilage thickness, and (3) greater soft tissue expansion. The ankles had the highest proportion of joints without measurable (missing) cartilage. In multivariable models MSKUS measurements explained 68% and 71% of the variation in HJHS and total arc respectively for the elbow, 55% and 29% respectively for the knee, and 50% and 73% for the ankle.ConclusionsThis study highlights the associations of direct intra-articular ultrasonography measurements using the JADE protocol with clinical and functional parameters. Our findings underscore the clinical value of POC MSKUS using the JADE protocol as a complementary instrument for the diagnosis and management of haemophilic arthropathy.

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A joint design for functional data with application to scheduling ultrasound scans.

Publications

A joint design for functional data with application to scheduling ultrasound scans.

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