Continuous recording of intraluminal pressures for extended periods of
time is currently regarded as a valuable method for detection of esop
hageal motor abnormalities. A subsequent automatic analysis of the res
ulting motility data relies on strict mathematical criteria for recogn
ition of pressure events. Due to great variation in events, this metho
d often fails to detect biologically relevant pressure variations. We
have tried to develop a new concept for recognition of pressure events
based on a neural network. Pressures were recorded for over 23 hours
in 29 normal volunteers by means of a portable data recording system.
A number of pressure events and non-events were selected from 9 record
ings and used for training the network. The performance of the trained
network was then verified on recordings from the remaining 20 volunte
ers. The accuracy and sensitivity of the two systems were comparable.
However, the neural network recognized pressure peaks clearly generate
d by muscular activity that had escaped detection by the conventional
program. In conclusion, we believe that neurocomputing has potential a
dvantages for automatic analysis of gastrointestinal motility data.