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使用一种新型光电容积脉搏波参数增强基于脉搏轮廓分析的动脉僵硬度估计

Enhancing the pulse contour analysis-based arterial stiffness estimation using a novel photoplethysmographic parameter.

作者信息

Jang Dae-Geun, Park Seung-Hun, Hahn Minsoo

出版信息

IEEE J Biomed Health Inform. 2015 Jan;19(1):256-62. doi: 10.1109/JBHI.2014.2306679.

Abstract

In this paper, we propose a novel method for enhancing pulse contour analysis-based arterial stiffness estimation using a simple and low-complexity photoplethysmographic parameter (P2Ocd). The method first eliminates baseline wanders in the digital volume pulse (DVP) by applying a simple morphological filter. The filtered DVP signal is then transformed into a slope sum function signal to simplify the pulse peak detection process by enhancing the upslope of the DVP signal while suppressing its downslope. An adaptive thresholding scheme is applied to detect pulse peaks from the transformed signal. Pulse onsets are then identified as the minimum values between consecutive pulse peaks. The P2Ocd is finally calculated by dividing the time interval between the pulse peak and the pulse onset by the pulse length. In order to assess the agreement of the P2Ocd with an established technique, brachial-ankle pulse wave velocity, we performed Bland-Altman and correlation analyses. Furthermore, we evaluated the P2Ocd-based arterial stiffness estimation in terms of prediction accuracy (% error rate) and repeatability (coefficient of variation). The results show that the proposed measurement agrees well with the established technique and shows a high repeatability; it also has a better predictive accuracy than that of conventional methods. In addition, we show that the proposed parameter further improves the predictive accuracy by combining it with age. The proposed method is therefore highly applicable to small ubiquitous healthcare applications.

摘要

在本文中,我们提出了一种新颖的方法,用于使用简单且低复杂度的光电容积脉搏波参数(P2Ocd)来增强基于脉搏轮廓分析的动脉僵硬度估计。该方法首先通过应用简单的形态学滤波器消除数字容积脉搏波(DVP)中的基线漂移。然后将滤波后的DVP信号转换为斜率和函数信号,通过增强DVP信号的上升斜率同时抑制其下降斜率来简化脉搏峰值检测过程。应用自适应阈值方案从转换后的信号中检测脉搏峰值。然后将脉搏起始点识别为连续脉搏峰值之间的最小值。最终通过将脉搏峰值与脉搏起始点之间的时间间隔除以脉搏长度来计算P2Ocd。为了评估P2Ocd与一种既定技术——臂踝脉搏波速度的一致性,我们进行了布兰德 - 奥特曼分析和相关性分析。此外,我们从预测准确性(误差率百分比)和重复性(变异系数)方面评估了基于P2Ocd的动脉僵硬度估计。结果表明,所提出的测量方法与既定技术吻合良好且具有高重复性;它还具有比传统方法更好的预测准确性。此外,我们表明通过将所提出的参数与年龄相结合可进一步提高预测准确性。因此,所提出的方法高度适用于小型普及型医疗保健应用。

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