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基于机器学习的脂肪肝和肝硬化患者脉象诊断信号分析

Pulse Diagnosis Signals Analysis of Fatty Liver Disease and Cirrhosis Patients by Using Machine Learning.

作者信息

Nanyue Wang, Youhua Yu, Dawei Huang, Bin Xu, Jia Liu, Tongda Li, Liyuan Xue, Zengyu Shan, Yanping Chen, Jia Wang

机构信息

Experimental Research Center, China Academy of Chinese Medical Sciences, Beijing 100700, China.

Department of Computer Science and Technology, Tsinghua University, Beijing 100084, China.

出版信息

ScientificWorldJournal. 2015;2015:859192. doi: 10.1155/2015/859192. Epub 2015 Nov 28.

DOI:10.1155/2015/859192
PMID:27088124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4814941/
Abstract

OBJECTIVE

. To compare the signals of pulse diagnosis of fatty liver disease (FLD) patients and cirrhosis patients.

METHODS

After collecting the pulse waves of patients with fatty liver disease, cirrhosis patients, and healthy volunteers, we do pretreatment and parameters extracting based on harmonic fitting, modeling, and identification by unsupervised learning Principal Component Analysis (PCA) and supervised learning Least squares Regression (LS) and Least Absolute Shrinkage and Selection Operator (LASSO) with cross-validation step by step for analysis.

RESULTS

There is significant difference between the pulse diagnosis signals of healthy volunteers and patients with FLD and cirrhosis, and the result was confirmed by 3 analysis methods. The identification accuracy of the 1st principal component is about 75% without any classification formation by PCA, and supervised learning's accuracy (LS and LASSO) was even more than 93% when 7 parameters were used and was 84% when only 2 parameters were used.

CONCLUSION

The method we built in this study based on the combination of unsupervised learning PCA and supervised learning LS and LASSO might offer some confidence for the realization of computer-aided diagnosis by pulse diagnosis in TCM. In addition, this study might offer some important evidence for the science of pulse diagnosis in TCM clinical diagnosis.

摘要

目的

比较脂肪肝(FLD)患者和肝硬化患者的脉诊信号。

方法

收集脂肪肝患者、肝硬化患者及健康志愿者的脉搏波后,基于谐波拟合进行预处理和参数提取,通过无监督学习主成分分析(PCA)以及带交叉验证的监督学习最小二乘回归(LS)和最小绝对收缩和选择算子(LASSO)逐步进行建模与识别以进行分析。

结果

健康志愿者与FLD患者及肝硬化患者的脉诊信号存在显著差异,且该结果得到3种分析方法的证实。通过PCA在未进行任何分类构成的情况下,第一主成分的识别准确率约为75%,而当使用7个参数时,监督学习(LS和LASSO)的准确率甚至超过93%,仅使用2个参数时准确率为84%。

结论

本研究基于无监督学习PCA与监督学习LS和LASSO相结合构建的方法,可能为中医脉诊实现计算机辅助诊断提供一定信心。此外,本研究可能为中医临床诊断中的脉诊科学提供一些重要证据。

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