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利用心震图技术在健康个体中自动检测主动脉瓣开放。

Automatic Detection of Aortic Valve Opening Using Seismocardiography in Healthy Individuals.

出版信息

IEEE J Biomed Health Inform. 2019 May;23(3):1032-1040. doi: 10.1109/JBHI.2018.2829608. Epub 2018 Apr 24.

Abstract

Accurate detection of fiducial points in a seismocardiogram (SCG) is a challenging research problem for its clinical application. In this paper, an automated method for detecting aortic valve opening (AO) instants using the dorso-ventral component of the SCG signal is proposed. This method does not require electrocardiogram (ECG) as a reference signal. After preprocessing the SCG, multiscale wavelet decomposition is carried out to get signal components in different wavelet subbands. The subbands having possible AO peaks are selected by a newly proposed dominant-multiscale-kurtosis- and dominant-multiscale-central-frequency-based criterion. The signal is reconstructed using selected subbands, and it is emphasized using the weights derived from the proposed relative squared dominant multiscale kurtosis. The Shannon energy followed by autocorrelation coefficients is computed for systole envelope construction. Finally, AO peaks are detected by a Gaussian-derivative-filtering-based scheme. The robustness of the proposed method is tested using clean and noisy SCG signals from the combined measurement of ECG, breathing, and SCG database. Evaluation results show that the method can achieve an average sensitivity of 94%, a prediction rate of 90%, and a detection accuracy of 86% approximately over 4585 analyzed beats.

摘要

在临床应用中,准确检测心冲击图(SCG)中的基准点是一个具有挑战性的研究问题。本文提出了一种使用 SCG 信号的背腹分量自动检测主动脉瓣开放(AO)时刻的方法。该方法不需要心电图(ECG)作为参考信号。在对 SCG 进行预处理之后,进行多尺度小波分解以获取不同小波子带中的信号分量。通过新提出的基于主导多尺度峰度和主导多尺度主频的准则选择可能包含 AO 峰值的子带。使用从所提出的相对平方主导多尺度峰度导出的权重对选定的子带进行重构,并对其进行强调。使用 Shannon 能量和自相关系数计算收缩期包络的构建。最后,通过基于高斯导数滤波的方案检测 AO 峰值。使用来自 ECG、呼吸和 SCG 联合测量的清洁和噪声 SCG 信号对所提出的方法的鲁棒性进行了测试。评估结果表明,该方法在分析的 4585 个节拍中,平均灵敏度约为 94%,预测率约为 90%,检测准确率约为 86%。

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