基于数据挖掘技术的新型连续血压估计方法。
A Novel Continuous Blood Pressure Estimation Approach Based on Data Mining Techniques.
出版信息
IEEE J Biomed Health Inform. 2017 Nov;21(6):1730-1740. doi: 10.1109/JBHI.2017.2691715. Epub 2017 Apr 28.
Continuous blood pressure (BP) estimation using pulse transit time (PTT) is a promising method for unobtrusive BP measurement. However, the accuracy of this approach must be improved for it to be viable for a wide range of applications. This study proposes a novel continuous BP estimation approach that combines data mining techniques with a traditional mechanism-driven model. First, 14 features derived from simultaneous electrocardiogram and photoplethysmogram signals were extracted for beat-to-beat BP estimation. A genetic algorithm-based feature selection method was then used to select BP indicators for each subject. Multivariate linear regression and support vector regression were employed to develop the BP model. The accuracy and robustness of the proposed approach were validated for static, dynamic, and follow-up performance. Experimental results based on 73 subjects showed that the proposed approach exhibited excellent accuracy in static BP estimation, with a correlation coefficient and mean error of 0.852 and -0.001 ± 3.102 mmHg for systolic BP, and 0.790 and -0.004 ± 2.199 mmHg for diastolic BP. Similar performance was observed for dynamic BP estimation. The robustness results indicated that the estimation accuracy was lower by a certain degree one day after model construction but was relatively stable from one day to six months after construction. The proposed approach is superior to the state-of-the-art PTT-based model for an approximately 2-mmHg reduction in the standard derivation at different time intervals, thus providing potentially novel insights for cuffless BP estimation.
利用脉搏传输时间(PTT)进行连续血压(BP)估计是一种很有前途的非侵入式 BP 测量方法。然而,为了使其在广泛的应用中具有可行性,必须提高这种方法的准确性。本研究提出了一种新的连续 BP 估计方法,该方法将数据挖掘技术与传统的基于机制的模型相结合。首先,从同时记录的心电图和光容积脉搏波信号中提取了 14 个特征,用于逐拍 BP 估计。然后,使用基于遗传算法的特征选择方法为每个受试者选择 BP 指标。采用多元线性回归和支持向量回归来开发 BP 模型。对静态、动态和后续性能进行了验证,以评估所提出方法的准确性和稳健性。基于 73 名受试者的实验结果表明,该方法在静态 BP 估计中表现出了优异的准确性,收缩压的相关系数和平均误差为 0.852 和 -0.001 ± 3.102 mmHg,舒张压的相关系数和平均误差为 0.790 和 -0.004 ± 2.199 mmHg。动态 BP 估计也表现出了类似的性能。稳健性结果表明,模型构建一天后,估计精度会降低一定程度,但从模型构建后的一天到六个月后,精度相对稳定。与基于 PTT 的最先进模型相比,该方法在不同时间间隔下的标准偏差降低了约 2mmHg,为无袖带 BP 估计提供了潜在的新见解。