A Data-Driven Approach to Artificial Pancreas Verification and Synthesis

Taisa Kushner, D. Bortz, D. Maahs, S. Sankaranarayanan
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引用次数: 14

Abstract

This paper presents a case study of a data driven approach to verification and parameter synthesis for artificial pancreas control systems which deliver insulin to patients with type-1 diabetes (T1D). We present a new approach to tuning parameters using non-deterministic data-driven models for human insulin-glucose regulation, which are inferred from patient data using multiple time scales. Taking these equations as constraints, we model the behavior of the entire closed loop system over a five-hour time horizon cast as an optimization problem. Next, we demonstrate this approach using patient data gathered from a previously conducted outpatient clinical study involving insulin and glucose data collected from 50 patients with T1D and 40 nights per patient. We use the resulting data-driven models to predict how the patients would perform under a PID-based closed loop system which forms the basis for the first commercially available hybrid closed loop device. Futhermore, we provide a re-tuning methodology which can potentially improve control for 82% of patients, based on the results of an exhaustive reachability analysis. Our results demonstrate that simple nondeterministic models allow us to efficiently tune key controller parameters, thus paving the way for interesting clinical translational applications.
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人工胰腺验证与合成的数据驱动方法
本文介绍了一种数据驱动的方法来验证和参数合成人工胰腺控制系统,为1型糖尿病患者提供胰岛素(T1D)的案例研究。我们提出了一种新的方法来调整参数使用非确定性数据驱动模型的人类胰岛素-葡萄糖调节,这是推断从患者数据使用多个时间尺度。以这些方程为约束条件,我们将整个闭环系统在5小时时间范围内的行为建模为优化问题。接下来,我们使用先前进行的门诊临床研究收集的患者数据来证明这种方法,该研究包括从50名T1D患者中收集的胰岛素和葡萄糖数据,每位患者40晚。我们使用由此产生的数据驱动模型来预测患者在基于pid的闭环系统下的表现,该系统构成了第一个商用混合闭环设备的基础。此外,根据详尽的可及性分析结果,我们提供了一种重新调整的方法,可以潜在地改善82%患者的控制。我们的研究结果表明,简单的不确定性模型使我们能够有效地调整关键控制器参数,从而为有趣的临床转化应用铺平道路。
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