Biometrics, 2021 · DOI: 10.1111/biom.13313 · Published: June 1, 2021
The paper introduces an adaptive design for efficiently optimizing the programming of a neurostimulator. This is based on patient-reported preferences and Bayesian optimization techniques. The device is programmed with configurations, and patient preferences are recorded. These preferences are then used to update the configuration for the next follow-up period. The process balances exploration of different device settings with maximizing the patient's reported preferences, repeating until a stopping rule is met or the calibration period ends.
Tailoring neurostimulator programming to individual patient preferences can improve rehabilitation outcomes.
Adaptive design and early stopping rules can reduce the time and resources required for device calibration.
A rigorous device calibration phase may assist with larger trials to evaluate the innovations in SCS devices