IEEE J Biomed Health Inform. 2020 Jul;24(7):1887-1898. doi: 10.1109/JBHI.2020.2980979. Epub 2020 Mar 16.
The seismocardiogram (SCG) measures the movement of the chest wall in response to underlying cardiovascular events. Though this signal contains clinically-relevant information, its morphology is both patient-specific and highly transient. In light of recent work suggesting the existence of population-level patterns in SCG signals, the objective of this study is to develop a method which harnesses these patterns to enable robust signal processing despite morphological variability. Specifically, we introduce seismocardiogram generative factor encoding (SGFE), which models the SCG waveform as a stochastic sample from a low-dimensional subspace defined by a unified set of generative factors. We then demonstrate that during dynamic processes such as exercise-recovery, learned factors correlate strongly with known generative factors including aortic opening (AO) and closing (AC), following consistent trajectories in subspace despite morphological differences. Furthermore, we found that changes in sensor location affect the perceived underlying dynamic process in predictable ways, thereby enabling algorithmic compensation for sensor misplacement during generative factor inference. Mapping these trajectories to AO and AC yielded R values from 0.81-0.90 for AO and 0.72-0.83 for AC respectively across five sensor positions. Identification of consistent behavior of SCG signals in low dimensions corroborates the existence of population-level patterns in these signals; SGFE may also serve as a harbinger for processing methods that are abstracted from the time domain, which may ultimately improve the feasibility of SCG utilization in ambulatory and outpatient settings.
心震图(SCG)测量胸腔对潜在心血管事件的运动反应。尽管这个信号包含有临床相关的信息,但它的形态既具有个体特异性,又具有高度瞬态性。鉴于最近的研究表明 SCG 信号中存在群体水平的模式,本研究的目的是开发一种方法,利用这些模式在形态变化的情况下实现稳健的信号处理。具体来说,我们引入了心震图生成因子编码(SGFE),它将 SCG 波形建模为一个随机样本,来自由一组统一的生成因子定义的低维子空间。然后,我们证明在动态过程中,例如运动恢复,学习到的因子与已知的生成因子(包括主动脉开放(AO)和关闭(AC))强烈相关,尽管存在形态差异,但在子空间中沿着一致的轨迹。此外,我们发现传感器位置的变化以可预测的方式影响感知到的潜在动态过程,从而能够在生成因子推断过程中对传感器错位进行算法补偿。将这些轨迹映射到 AO 和 AC 上,在五个传感器位置上,AO 的 R 值为 0.81-0.90,AC 的 R 值为 0.72-0.83。SCG 信号在低维空间中的一致行为的识别证实了这些信号中存在群体水平的模式;SGFE 也可能成为从时域抽象出来的处理方法的先驱,这最终可能提高 SCG 在非卧床和门诊环境中的应用的可行性。