Processing of laser Doppler flowmetry signals from healthy subjects and patients with varicose veins: Information categorisation approach based on intrinsic mode functions and entropy computation

•Blood flowmetry data of healthy people and patients with varicose veins are studied.•The goal is to categorize information content of flow data in the two populations.•A framework based on empirical mode decomposition and entropy computation is proposed.•The results show different dynamical pattern...

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Published inMedical engineering & physics Vol. 37; no. 6; pp. 553 - 559
Main Authors Humeau-Heurtier, Anne, Klonizakis, Markos
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.06.2015
Elsevier
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Abstract •Blood flowmetry data of healthy people and patients with varicose veins are studied.•The goal is to categorize information content of flow data in the two populations.•A framework based on empirical mode decomposition and entropy computation is proposed.•The results show different dynamical patterns for different pathological states. The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising – in a quantifiable manner – information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals – that reflect microvascular blood flow – recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.
AbstractList •Blood flowmetry data of healthy people and patients with varicose veins are studied.•The goal is to categorize information content of flow data in the two populations.•A framework based on empirical mode decomposition and entropy computation is proposed.•The results show different dynamical patterns for different pathological states. The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising – in a quantifiable manner – information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals – that reflect microvascular blood flow – recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.
The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising – in a quantifiable manner – information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals – that reflect microvascular blood flow – recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.
The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising - in a quantifiable manner - information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals - that reflect microvascular blood flow - recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.
Highlights • Blood flowmetry data of healthy people and patients with varicose veins are studied. • The goal is to categorize information content of flow data in the two populations. • A framework based on empirical mode decomposition and entropy computation is proposed. • The results show different dynamical patterns for different pathological states.
The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising - in a quantifiable manner - information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals - that reflect microvascular blood flow - recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising - in a quantifiable manner - information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals - that reflect microvascular blood flow - recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.
Author Klonizakis, Markos
Humeau-Heurtier, Anne
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CitedBy_id crossref_primary_10_1111_micc_12538
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Cites_doi 10.1159/000322853
10.1109/TBME.2013.2276351
10.1016/j.medengphy.2010.04.009
10.1109/TSP.2010.2070796
10.1016/j.mvr.2011.01.005
10.1016/j.mvr.2013.05.004
10.1109/TBCAS.2009.2035555
10.1016/j.medengphy.2011.01.009
10.1109/TBME.2012.2204882
10.1118/1.4774362
10.1152/ajpheart.1998.274.4.H1099
10.1002/art.24274
10.1016/j.bspc.2013.04.001
10.1161/01.CIR.0000164199.72440.08
10.1109/TBME.2013.2242328
10.1152/ajpheart.1994.266.4.H1643
10.1016/0167-2789(85)90011-9
10.1103/PhysRevLett.90.108103
10.1109/10.790500
10.1371/journal.pone.0061320
10.1063/1.166092
10.1073/pnas.88.6.2297
10.1098/rspa.1998.0193
10.1016/j.medengphy.2010.02.022
10.1109/TBME.2013.2243449
10.12968/jowc.2005.14.4.26757
10.1109/TSP.2010.2104144
10.1016/j.medengphy.2014.03.013
10.1088/0967-3334/35/4/607
10.1053/ejvs.2002.1953
10.1152/ajpheart.2000.278.6.H2039
10.1088/0031-9155/53/21/005
10.1007/s11517-007-0170-5
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Issue 6
Keywords Varicose vein
Laser Doppler flowmetry
Intrinsic mode function
Entropy
Microvascular blood flow
Empiricial mode decomposition
entropy
microvascular blood flow
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References Humeau-Heurtier, Guerreschi, Abraham, Mahé (bib0013) 2013; 60
Eberhardt, Raffetto (bib0015) 2005; 111
Bianchi, Mendez (bib0009) 2013; 2013
Thatte, Li, Lee, Emken, Annavaram, Narayanan (bib0008) 2011; 59
Hsiu, Hu, Wu, Hsiao (bib0012) 2013
De Angelis, Grassi, Cutolo (bib0037) 2009; 61
Wolf, Swift, Swinney, Vastano (bib0034) 1985; 16
Jan, Shen, Foreman, Ennis (bib0023) 2013; 89
Groome, Mooney, Holland, Smith, Atterbury, Loizou (bib0031) 1999; 87
Chen, Silva, Paisley, Wang, Dunson, Carin (bib0005) 2010; 58
Pincus (bib0028) 1995; 5
Richman, Moorman (bib0027) 2000; 278
Palazzolo, Estafanoux, Murray (bib0032) 1998; 274
Bernjak, Deitrick, Bauman, Stefanovska, Tuckman (bib0022) 2011; 81
Bailon, Garatachea, de la Iglesia, Casajus, Laguna (bib0010) 2013; 60
Kaluzynski (bib0001) 2014; 36
Humeau, Steenbergen, Nilsson, Strömberg (bib0020) 2007; 45
Stefanovska, Bracic, Kvernmo (bib0036) 1999; 46
Puissant, Abraham, Durand, Humeau-Heurtier, Faure, Lefthériotis (bib0016) 2013; 8
Klonizakis, Yeung, Nash, Lingam, Manning, Donnelly (bib0017) 2003; 26
Klonizakis, Humeau-Heurtier (bib0007) 2013; 40
Rasetshwane, Gorga, Neely (bib0003) 2014; 61
Pincus, Goldberger (bib0033) 1994; 266
Tankanag, Chemeris (bib0021) 2008; 53
Yang, Hseu, Yien, Goldberger, Peng (bib0038) 2003; 90
Silva, Lee, Mark (bib0004) 2012; 59
Hemington-Gorse (bib0014) 2005; 14
Sheperd, Oberg (bib0019) 1990
Massagram, Hafner, Mingqi, Macchiarulo, Lubecke, Boric-Lubecke (bib0011) 2010; 4
Guerreschi, Humeau-Heurtier, Mahe, Collette, Leftheriotis (bib0002) 2013; 8
Nguyen, Hayes-Gill, Zhu, Crowe, He, Morgan (bib0018) 2011; 33
Dunaev, Sidorov, Krupatkin, Rafailov, Palmer, Stewart (bib0024) 2014; 35
Pincus, Viscarello (bib0035) 1992; 79
Chua, Chandran, Acharya, Lim (bib0006) 2010; 32
Huang, Shen, Long, Wu, Shih, Zheng (bib0026) 1998; 454
Yeh, Sun, Shieh, Huang (bib0025) 2010; 32
Klonizakis, Manning, Donnelly (bib0030) 2011; 24
Pincus (bib0029) 1991; 88
Chua (10.1016/j.medengphy.2015.03.020_bib0006) 2010; 32
Bernjak (10.1016/j.medengphy.2015.03.020_bib0022) 2011; 81
Massagram (10.1016/j.medengphy.2015.03.020_bib0011) 2010; 4
De Angelis (10.1016/j.medengphy.2015.03.020_bib0037) 2009; 61
Klonizakis (10.1016/j.medengphy.2015.03.020_bib0017) 2003; 26
Nguyen (10.1016/j.medengphy.2015.03.020_bib0018) 2011; 33
Humeau-Heurtier (10.1016/j.medengphy.2015.03.020_bib0013) 2013; 60
Chen (10.1016/j.medengphy.2015.03.020_bib0005) 2010; 58
Groome (10.1016/j.medengphy.2015.03.020_bib0031) 1999; 87
Kaluzynski (10.1016/j.medengphy.2015.03.020_bib0001) 2014; 36
Stefanovska (10.1016/j.medengphy.2015.03.020_bib0036) 1999; 46
Richman (10.1016/j.medengphy.2015.03.020_bib0027) 2000; 278
Pincus (10.1016/j.medengphy.2015.03.020_bib0033) 1994; 266
Jan (10.1016/j.medengphy.2015.03.020_bib0023) 2013; 89
Bailon (10.1016/j.medengphy.2015.03.020_bib0010) 2013; 60
Dunaev (10.1016/j.medengphy.2015.03.020_bib0024) 2014; 35
Klonizakis (10.1016/j.medengphy.2015.03.020_bib0030) 2011; 24
Yeh (10.1016/j.medengphy.2015.03.020_bib0025) 2010; 32
Yang (10.1016/j.medengphy.2015.03.020_bib0038) 2003; 90
Pincus (10.1016/j.medengphy.2015.03.020_bib0028) 1995; 5
Hsiu (10.1016/j.medengphy.2015.03.020_bib0012) 2013
Puissant (10.1016/j.medengphy.2015.03.020_bib0016) 2013; 8
Silva (10.1016/j.medengphy.2015.03.020_bib0004) 2012; 59
Tankanag (10.1016/j.medengphy.2015.03.020_bib0021) 2008; 53
Palazzolo (10.1016/j.medengphy.2015.03.020_bib0032) 1998; 274
Pincus (10.1016/j.medengphy.2015.03.020_bib0029) 1991; 88
Thatte (10.1016/j.medengphy.2015.03.020_bib0008) 2011; 59
Hemington-Gorse (10.1016/j.medengphy.2015.03.020_bib0014) 2005; 14
Sheperd (10.1016/j.medengphy.2015.03.020_bib0019) 1990
Klonizakis (10.1016/j.medengphy.2015.03.020_bib0007) 2013; 40
Rasetshwane (10.1016/j.medengphy.2015.03.020_bib0003) 2014; 61
Guerreschi (10.1016/j.medengphy.2015.03.020_bib0002) 2013; 8
Wolf (10.1016/j.medengphy.2015.03.020_bib0034) 1985; 16
Huang (10.1016/j.medengphy.2015.03.020_bib0026) 1998; 454
Pincus (10.1016/j.medengphy.2015.03.020_bib0035) 1992; 79
Bianchi (10.1016/j.medengphy.2015.03.020_bib0009) 2013; 2013
Eberhardt (10.1016/j.medengphy.2015.03.020_bib0015) 2005; 111
Humeau (10.1016/j.medengphy.2015.03.020_bib0020) 2007; 45
References_xml – volume: 53
  start-page: 5967
  year: 2008
  end-page: 5976
  ident: bib0021
  article-title: Application of the adaptive wavelet transform for analysis of blood flow oscillations in the human skin
  publication-title: Phys Med Biol
– volume: 79
  start-page: 249
  year: 1992
  end-page: 255
  ident: bib0035
  article-title: Approximate entropy: a regularity measure for fetal heart rate analysis
  publication-title: Obstet Gynecol
– volume: 61
  start-page: 405
  year: 2009
  end-page: 410
  ident: bib0037
  article-title: A growing need for capillaroscopy in rheumatology
  publication-title: Arthritis Rheum
– volume: 4
  start-page: 19
  year: 2010
  end-page: 26
  ident: bib0011
  article-title: Digital heart-rate variability parameter monitoring and assessment asic
  publication-title: IEEE Trans Biomed Circuits Syst
– volume: 81
  start-page: 313
  year: 2011
  end-page: 318
  ident: bib0022
  article-title: Basal sympathetic activity to the microcirculation in tetraplegic man revealed by wavelet transform of laser doppler flowmetry
  publication-title: Microvasc Res
– volume: 16
  start-page: 285
  year: 1985
  end-page: 317
  ident: bib0034
  article-title: Determining lyapunov exponents from a time series
  publication-title: Physica D
– volume: 8
  start-page: 341
  year: 2013
  end-page: 345
  ident: bib0002
  article-title: Complexity quantification of signals from the heart, the macrocirculation and the microcirculation through a multiscale entropy analysis
  publication-title: Biomed Signal Process Control
– volume: 24
  start-page: 136
  year: 2011
  end-page: 143
  ident: bib0030
  article-title: Assessment of lower limb microcirculation: exploring the reproducibility and clinical application of laser doppler techniques
  publication-title: Skin Pharmacol Physiol
– volume: 36
  start-page: 859
  year: 2014
  end-page: 868
  ident: bib0001
  article-title: Empirical mode decomposition of simulated and real ultrasonic doppler signals of periodic fetal activity
  publication-title: Med Eng Phys
– volume: 14
  start-page: 151
  year: 2005
  end-page: 153
  ident: bib0014
  article-title: A comparison of laser doppler imaging with other measurement techniques to assess burn depth
  publication-title: J Wound Care
– volume: 278
  start-page: H2039
  year: 2000
  end-page: H2049
  ident: bib0027
  article-title: Physiological time-series analysis using approximate entropy and sample entropy
  publication-title: Am J Physiol Heart Circ Physiol
– volume: 266
  start-page: H1643
  year: 1994
  end-page: H1656
  ident: bib0033
  article-title: Physiological time-series analysis: what does regularity quantify?
  publication-title: Am J Physiol Heart Circ Physiol
– volume: 61
  start-page: 64
  year: 2014
  end-page: 75
  ident: bib0003
  article-title: Signal-processing strategy for restoration of cross-channel suppression in hearing-impaired listeners
  publication-title: IEEE Trans Biomed Eng
– volume: 88
  start-page: 2297
  year: 1991
  end-page: 2301
  ident: bib0029
  article-title: Approximate entropy as a measure of system complexity
  publication-title: Proc Natl Acad Sci USA
– volume: 40
  year: 2013
  ident: bib0007
  article-title: Multifractal analysis of laser doppler flowmetry signals before and after arm-cranking exercise in an older healthy population
  publication-title: Med Phys
– volume: 8
  year: 2013
  ident: bib0016
  article-title: Reproducibility of non-invasive assessment of skin endothelial function using laser Doppler flowmetry and laser speckle contrast imaging
  publication-title: PLoS One
– volume: 32
  start-page: 679
  year: 2010
  end-page: 689
  ident: bib0006
  article-title: Application of higher order statistics/spectra in biomedical signals–a review
  publication-title: Med Eng Phys
– volume: 274
  start-page: H1099
  year: 1998
  end-page: H1105
  ident: bib0032
  article-title: Entropy measures of heart rate variation in conscious dogs
  publication-title: Am J Physiol Heart Circ Physiol
– volume: 59
  start-page: 2476
  year: 2012
  end-page: 2485
  ident: bib0004
  article-title: Signal quality estimation with multichannel adaptive filtering in intensive care settings
  publication-title: IEEE Trans Biomed Eng
– volume: 59
  start-page: 1843
  year: 2011
  end-page: 1857
  ident: bib0008
  article-title: Optimal time-resource allocation for energy-efficient physical activity detection
  publication-title: IEEE Trans Signal Process
– volume: 111
  start-page: 2398
  year: 2005
  end-page: 2409
  ident: bib0015
  article-title: Chronic venous insufficiency
  publication-title: Circulation
– volume: 46
  start-page: 1230
  year: 1999
  end-page: 1239
  ident: bib0036
  article-title: Wavelet analysis of oscillations in the peripheral blood circulation measured by laser doppler technique
  publication-title: IEEE Trans Biomed Eng
– volume: 58
  start-page: 6140
  year: 2010
  end-page: 6155
  ident: bib0005
  article-title: Compressive sensing on manifolds using a nonparametric mixture of factor analyzers: algorithm and performance bounds
  publication-title: IEEE Trans Signal Process
– volume: 89
  start-page: 40
  year: 2013
  end-page: 46
  ident: bib0023
  article-title: Skin blood flow response to locally applied mechanical and thermal stresses in the diabetic foot
  publication-title: Microvasc Res
– volume: 90
  year: 2003
  ident: bib0038
  article-title: Linguistic analysis of the human heartbeat using frequency and rank order statistics
  publication-title: Phys Rev Lett
– volume: 45
  start-page: 421
  year: 2007
  end-page: 435
  ident: bib0020
  article-title: Laser doppler perfusion monitoring and imaging: novel approaches
  publication-title: Med Biol Eng Comput
– volume: 33
  start-page: 720
  year: 2011
  end-page: 729
  ident: bib0018
  article-title: Low resource processing algorithms for laser doppler blood flow imaging
  publication-title: Med Eng Phys
– volume: 60
  start-page: 659
  year: 2013
  end-page: 666
  ident: bib0013
  article-title: Relevance of laser doppler and laser speckle techniques for assessing vascular function: state of the art and future trends
  publication-title: IEEE Trans Biomed Eng
– volume: 2013
  start-page: 6579
  year: 2013
  end-page: 6582
  ident: bib0009
  article-title: Methods for heart rate variability analysis during sleep
  publication-title: Conf Proc IEEE Eng Med Biol Soc
– volume: 35
  start-page: 607
  year: 2014
  end-page: 621
  ident: bib0024
  article-title: Investigating tissue respiration and skin microhaemocirculation under adaptive changes and the synchronization of blood flow and oxygen saturation rhythms
  publication-title: Physiol Meas
– volume: 32
  start-page: 490
  year: 2010
  end-page: 496
  ident: bib0025
  article-title: Investigating fractal property and respiratory modulation of human heartbeat time series using empirical mode decomposition
  publication-title: Med Eng Phys
– year: 1990
  ident: bib0019
  publication-title: Laser Doppler blood flowmetry
– volume: 60
  start-page: 1796
  year: 2013
  end-page: 1805
  ident: bib0010
  article-title: Influence of running stride frequency in heart rate variability analysis during treadmill exercise testing
  publication-title: IEEE Trans Biomed Eng
– volume: 87
  start-page: 530
  year: 1999
  end-page: 537
  ident: bib0031
  article-title: Human fetuses have nonlinear cardiac dynamics
  publication-title: J Appl Phys
– volume: 454
  start-page: 903
  year: 1998
  end-page: 995
  ident: bib0026
  article-title: The empirical mode decomposition and the hilbert spectrum for nonlinear and non-stationary time series analysis
  publication-title: Proc R Soc London A
– volume: 26
  start-page: 100
  year: 2003
  end-page: 104
  ident: bib0017
  article-title: Effects of posture and venous insufficiency on endothelial-dependent and -independent cutaneous vasodilation in the perimalleolar region
  publication-title: Eur J Vasc Endovasc Surg
– year: 2013
  ident: bib0012
  article-title: Characteristics in the beat-to-beat laser-doppler waveform indices in subjects with diabetes
  publication-title: Clin Hemorheol Microcirc
– volume: 5
  start-page: 110
  year: 1995
  end-page: 117
  ident: bib0028
  article-title: Approximate entropy (ApEn) as a complexity measure
  publication-title: Chaos
– volume: 24
  start-page: 136
  issue: 3
  year: 2011
  ident: 10.1016/j.medengphy.2015.03.020_bib0030
  article-title: Assessment of lower limb microcirculation: exploring the reproducibility and clinical application of laser doppler techniques
  publication-title: Skin Pharmacol Physiol
  doi: 10.1159/000322853
– volume: 61
  start-page: 64
  year: 2014
  ident: 10.1016/j.medengphy.2015.03.020_bib0003
  article-title: Signal-processing strategy for restoration of cross-channel suppression in hearing-impaired listeners
  publication-title: IEEE Trans Biomed Eng
  doi: 10.1109/TBME.2013.2276351
– volume: 32
  start-page: 679
  year: 2010
  ident: 10.1016/j.medengphy.2015.03.020_bib0006
  article-title: Application of higher order statistics/spectra in biomedical signals–a review
  publication-title: Med Eng Phys
  doi: 10.1016/j.medengphy.2010.04.009
– volume: 58
  start-page: 6140
  year: 2010
  ident: 10.1016/j.medengphy.2015.03.020_bib0005
  article-title: Compressive sensing on manifolds using a nonparametric mixture of factor analyzers: algorithm and performance bounds
  publication-title: IEEE Trans Signal Process
  doi: 10.1109/TSP.2010.2070796
– volume: 81
  start-page: 313
  year: 2011
  ident: 10.1016/j.medengphy.2015.03.020_bib0022
  article-title: Basal sympathetic activity to the microcirculation in tetraplegic man revealed by wavelet transform of laser doppler flowmetry
  publication-title: Microvasc Res
  doi: 10.1016/j.mvr.2011.01.005
– volume: 89
  start-page: 40
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0023
  article-title: Skin blood flow response to locally applied mechanical and thermal stresses in the diabetic foot
  publication-title: Microvasc Res
  doi: 10.1016/j.mvr.2013.05.004
– volume: 4
  start-page: 19
  year: 2010
  ident: 10.1016/j.medengphy.2015.03.020_bib0011
  article-title: Digital heart-rate variability parameter monitoring and assessment asic
  publication-title: IEEE Trans Biomed Circuits Syst
  doi: 10.1109/TBCAS.2009.2035555
– volume: 33
  start-page: 720
  year: 2011
  ident: 10.1016/j.medengphy.2015.03.020_bib0018
  article-title: Low resource processing algorithms for laser doppler blood flow imaging
  publication-title: Med Eng Phys
  doi: 10.1016/j.medengphy.2011.01.009
– volume: 2013
  start-page: 6579
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0009
  article-title: Methods for heart rate variability analysis during sleep
  publication-title: Conf Proc IEEE Eng Med Biol Soc
– volume: 59
  start-page: 2476
  year: 2012
  ident: 10.1016/j.medengphy.2015.03.020_bib0004
  article-title: Signal quality estimation with multichannel adaptive filtering in intensive care settings
  publication-title: IEEE Trans Biomed Eng
  doi: 10.1109/TBME.2012.2204882
– volume: 40
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0007
  article-title: Multifractal analysis of laser doppler flowmetry signals before and after arm-cranking exercise in an older healthy population
  publication-title: Med Phys
  doi: 10.1118/1.4774362
– volume: 274
  start-page: H1099
  year: 1998
  ident: 10.1016/j.medengphy.2015.03.020_bib0032
  article-title: Entropy measures of heart rate variation in conscious dogs
  publication-title: Am J Physiol Heart Circ Physiol
  doi: 10.1152/ajpheart.1998.274.4.H1099
– volume: 61
  start-page: 405
  issue: 3
  year: 2009
  ident: 10.1016/j.medengphy.2015.03.020_bib0037
  article-title: A growing need for capillaroscopy in rheumatology
  publication-title: Arthritis Rheum
  doi: 10.1002/art.24274
– volume: 8
  start-page: 341
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0002
  article-title: Complexity quantification of signals from the heart, the macrocirculation and the microcirculation through a multiscale entropy analysis
  publication-title: Biomed Signal Process Control
  doi: 10.1016/j.bspc.2013.04.001
– volume: 111
  start-page: 2398
  year: 2005
  ident: 10.1016/j.medengphy.2015.03.020_bib0015
  article-title: Chronic venous insufficiency
  publication-title: Circulation
  doi: 10.1161/01.CIR.0000164199.72440.08
– volume: 60
  start-page: 1796
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0010
  article-title: Influence of running stride frequency in heart rate variability analysis during treadmill exercise testing
  publication-title: IEEE Trans Biomed Eng
  doi: 10.1109/TBME.2013.2242328
– volume: 266
  start-page: H1643
  year: 1994
  ident: 10.1016/j.medengphy.2015.03.020_bib0033
  article-title: Physiological time-series analysis: what does regularity quantify?
  publication-title: Am J Physiol Heart Circ Physiol
  doi: 10.1152/ajpheart.1994.266.4.H1643
– volume: 16
  start-page: 285
  year: 1985
  ident: 10.1016/j.medengphy.2015.03.020_bib0034
  article-title: Determining lyapunov exponents from a time series
  publication-title: Physica D
  doi: 10.1016/0167-2789(85)90011-9
– volume: 79
  start-page: 249
  year: 1992
  ident: 10.1016/j.medengphy.2015.03.020_bib0035
  article-title: Approximate entropy: a regularity measure for fetal heart rate analysis
  publication-title: Obstet Gynecol
– volume: 90
  year: 2003
  ident: 10.1016/j.medengphy.2015.03.020_bib0038
  article-title: Linguistic analysis of the human heartbeat using frequency and rank order statistics
  publication-title: Phys Rev Lett
  doi: 10.1103/PhysRevLett.90.108103
– volume: 46
  start-page: 1230
  year: 1999
  ident: 10.1016/j.medengphy.2015.03.020_bib0036
  article-title: Wavelet analysis of oscillations in the peripheral blood circulation measured by laser doppler technique
  publication-title: IEEE Trans Biomed Eng
  doi: 10.1109/10.790500
– volume: 8
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0016
  article-title: Reproducibility of non-invasive assessment of skin endothelial function using laser Doppler flowmetry and laser speckle contrast imaging
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0061320
– volume: 5
  start-page: 110
  year: 1995
  ident: 10.1016/j.medengphy.2015.03.020_bib0028
  article-title: Approximate entropy (ApEn) as a complexity measure
  publication-title: Chaos
  doi: 10.1063/1.166092
– volume: 88
  start-page: 2297
  year: 1991
  ident: 10.1016/j.medengphy.2015.03.020_bib0029
  article-title: Approximate entropy as a measure of system complexity
  publication-title: Proc Natl Acad Sci USA
  doi: 10.1073/pnas.88.6.2297
– volume: 454
  start-page: 903
  year: 1998
  ident: 10.1016/j.medengphy.2015.03.020_bib0026
  article-title: The empirical mode decomposition and the hilbert spectrum for nonlinear and non-stationary time series analysis
  publication-title: Proc R Soc London A
  doi: 10.1098/rspa.1998.0193
– volume: 32
  start-page: 490
  year: 2010
  ident: 10.1016/j.medengphy.2015.03.020_bib0025
  article-title: Investigating fractal property and respiratory modulation of human heartbeat time series using empirical mode decomposition
  publication-title: Med Eng Phys
  doi: 10.1016/j.medengphy.2010.02.022
– volume: 60
  start-page: 659
  year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0013
  article-title: Relevance of laser doppler and laser speckle techniques for assessing vascular function: state of the art and future trends
  publication-title: IEEE Trans Biomed Eng
  doi: 10.1109/TBME.2013.2243449
– volume: 14
  start-page: 151
  year: 2005
  ident: 10.1016/j.medengphy.2015.03.020_bib0014
  article-title: A comparison of laser doppler imaging with other measurement techniques to assess burn depth
  publication-title: J Wound Care
  doi: 10.12968/jowc.2005.14.4.26757
– volume: 87
  start-page: 530
  year: 1999
  ident: 10.1016/j.medengphy.2015.03.020_bib0031
  article-title: Human fetuses have nonlinear cardiac dynamics
  publication-title: J Appl Phys
– volume: 59
  start-page: 1843
  year: 2011
  ident: 10.1016/j.medengphy.2015.03.020_bib0008
  article-title: Optimal time-resource allocation for energy-efficient physical activity detection
  publication-title: IEEE Trans Signal Process
  doi: 10.1109/TSP.2010.2104144
– year: 1990
  ident: 10.1016/j.medengphy.2015.03.020_bib0019
– volume: 36
  start-page: 859
  year: 2014
  ident: 10.1016/j.medengphy.2015.03.020_bib0001
  article-title: Empirical mode decomposition of simulated and real ultrasonic doppler signals of periodic fetal activity
  publication-title: Med Eng Phys
  doi: 10.1016/j.medengphy.2014.03.013
– year: 2013
  ident: 10.1016/j.medengphy.2015.03.020_bib0012
  article-title: Characteristics in the beat-to-beat laser-doppler waveform indices in subjects with diabetes
  publication-title: Clin Hemorheol Microcirc
– volume: 35
  start-page: 607
  year: 2014
  ident: 10.1016/j.medengphy.2015.03.020_bib0024
  article-title: Investigating tissue respiration and skin microhaemocirculation under adaptive changes and the synchronization of blood flow and oxygen saturation rhythms
  publication-title: Physiol Meas
  doi: 10.1088/0967-3334/35/4/607
– volume: 26
  start-page: 100
  year: 2003
  ident: 10.1016/j.medengphy.2015.03.020_bib0017
  article-title: Effects of posture and venous insufficiency on endothelial-dependent and -independent cutaneous vasodilation in the perimalleolar region
  publication-title: Eur J Vasc Endovasc Surg
  doi: 10.1053/ejvs.2002.1953
– volume: 278
  start-page: H2039
  year: 2000
  ident: 10.1016/j.medengphy.2015.03.020_bib0027
  article-title: Physiological time-series analysis using approximate entropy and sample entropy
  publication-title: Am J Physiol Heart Circ Physiol
  doi: 10.1152/ajpheart.2000.278.6.H2039
– volume: 53
  start-page: 5967
  year: 2008
  ident: 10.1016/j.medengphy.2015.03.020_bib0021
  article-title: Application of the adaptive wavelet transform for analysis of blood flow oscillations in the human skin
  publication-title: Phys Med Biol
  doi: 10.1088/0031-9155/53/21/005
– volume: 45
  start-page: 421
  year: 2007
  ident: 10.1016/j.medengphy.2015.03.020_bib0020
  article-title: Laser doppler perfusion monitoring and imaging: novel approaches
  publication-title: Med Biol Eng Comput
  doi: 10.1007/s11517-007-0170-5
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Snippet •Blood flowmetry data of healthy people and patients with varicose veins are studied.•The goal is to categorize information content of flow data in the two...
Highlights • Blood flowmetry data of healthy people and patients with varicose veins are studied. • The goal is to categorize information content of flow data...
The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage....
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SubjectTerms Acetylcholine
Empiricial mode decomposition
Engineering Sciences
Entropy
Humans
Intrinsic mode function
Laser Doppler flowmetry
Laser-Doppler Flowmetry - methods
Microvascular blood flow
Microvessels - diagnostic imaging
Microvessels - drug effects
Radiology
Regional Blood Flow - drug effects
Signal Processing, Computer-Assisted
Ultrasonography
Varicose vein
Varicose Veins - diagnostic imaging
Vasodilator Agents
Title Processing of laser Doppler flowmetry signals from healthy subjects and patients with varicose veins: Information categorisation approach based on intrinsic mode functions and entropy computation
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https://dx.doi.org/10.1016/j.medengphy.2015.03.020
https://www.ncbi.nlm.nih.gov/pubmed/25921722
https://www.proquest.com/docview/1680956015
https://hal.science/hal-01392067
Volume 37
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