College of Engineering and Mathematical Sciences, The University of Vermont, Burlington, VT 05405, USA.
Department of Medicine, Larner College of Medicine, University of Vermont, Burlington, VT 05405, USA.
Sensors (Basel). 2020 Nov 13;20(22):6481. doi: 10.3390/s20226481.
Rapid assessment of breathing patterns is important for several emergency medical situations. In this research, we developed a non-invasive breathing analysis system that automatically detects different types of breathing patterns of clinical significance. Accelerometer and gyroscopic data were collected from light-weight wireless sensors placed on the chest and abdomen of 100 normal volunteers who simulated various breathing events (central sleep apnea, coughing, obstructive sleep apnea, sighing, and yawning). We then constructed synthetic datasets by injecting annotated examples of the various patterns into segments of normal breathing. A one-dimensional convolutional neural network was implemented to detect the location of each event in each synthetic dataset and to classify it as belonging to one of the above event types. We achieved a mean F1 score of 92% for normal breathing, 87% for central sleep apnea, 72% for coughing, 51% for obstructive sleep apnea, 57% for sighing, and 63% for yawning. These results demonstrate that using deep learning to analyze chest and abdomen movement data from wearable sensors provides an unobtrusive means of monitoring the breathing pattern. This could have application in a number of critical medical situations such as detecting apneas during sleep at home and monitoring breathing events in mechanically ventilated patients in the intensive care unit.
快速评估呼吸模式对于许多紧急医疗情况非常重要。在这项研究中,我们开发了一种非侵入式呼吸分析系统,可自动检测具有临床意义的不同类型的呼吸模式。我们从放置在 100 名正常志愿者胸部和腹部的轻便无线传感器中收集了加速度计和陀螺仪数据,这些志愿者模拟了各种呼吸事件(中枢性睡眠呼吸暂停、咳嗽、阻塞性睡眠呼吸暂停、叹息和打哈欠)。然后,我们通过将各种模式的注释示例注入正常呼吸的片段中,构建了合成数据集。实现了一个一维卷积神经网络,用于检测每个合成数据集中每个事件的位置,并将其分类为属于上述事件类型之一。我们实现了正常呼吸的平均 F1 得分为 92%,中枢性睡眠呼吸暂停为 87%,咳嗽为 72%,阻塞性睡眠呼吸暂停为 51%,叹息为 57%,打哈欠为 63%。这些结果表明,使用深度学习分析来自可穿戴传感器的胸部和腹部运动数据提供了一种非侵入式监测呼吸模式的手段。这在许多关键医疗情况下可能有应用,例如在家中检测睡眠中的呼吸暂停和在重症监护病房中监测机械通气患者的呼吸事件。