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A new method for Gastroesophageal Reflux Disease Diagnosis: Signal Detection Theory Approach

Signal Detection Theory Approach for Symptom Analysis of Impedance-pH Monitoring Signal Data of Patients with Heartburn and Regurgitation

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12612000782831
Enrollment
70
Registered
2012-07-24
Start date
2011-05-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Signal Detection Theory (SDT) provides a method that measures discriminability (d’) of any stimulus (signal) without response bias (c) effect . The aim of the study was to adapt SDT approach to gastroesophageal reflux disease (GERD) diagnosis in order to develop a new analysis method for temporal relationship between reflux and symptom for 24 hour impedance-pHmeter monitoring data. We have considered reflux and symptom as signal and response respectively in this context. In conclusion, SDT approach using 1 min time window to GERD diagnosis provides us a simple, quantitative measure of reflux-symptom relationship that appears to more accurate than SAP index for MII-pH monitoring analysis.

Interventions

24 hour ambulatory impedance-pHmeter monitoring. A thin catheter (diameter 2.1 mm) which have attached a data logger (a walkman-sized portable electronic recording device) passed through a nostril and positioned according to lower esophageal sphincter's upper border. Patients then returned home with instructions to press buttons which are located on the data logger for symptoms, meal intake times and sleeping. They were encouraged to carry out normal daily activities without dietary restrictions

24 hour ambulatory impedance-pHmeter monitoring. A thin catheter (diameter 2.1 mm) which have attached a data logger (a walkman-sized portable electronic recording device) passed through a nostril and positioned according to lower esophageal sphincter's upper border. Patients then returned home with instructions to press buttons which are located on the data logger for symptoms, meal intake times and sleeping. They were encouraged to carry out normal daily activities without dietary restrictions. At the completion of the study (that is 24 hour), the catheter is removed and the data logger is uploaded to the computer for analysis.

Sponsors

Marmara University
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Diagnosis
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Patients with heartburn and/or gastric regurgitation

Exclusion criteria

Gastrointestinal surgery history

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026