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结合预训练和部分微调的深度神经网络的无创血压估计。

Non-invasive blood pressure estimation combining deep neural networks with pre-training and partial fine-tuning.

机构信息

School of Computer and Information, Hefei University of Technology, Hefei 230009, People's Republic of China.

Anhui Key Laboratory of Industry Safety and Emergency Technology, Hefei 230009, People's Republic of China.

出版信息

Physiol Meas. 2022 Nov 11;43(11). doi: 10.1088/1361-6579/ac9d7f.

DOI:10.1088/1361-6579/ac9d7f
PMID:36301705
Abstract

. Daily blood pressure (BP) monitoring is essential since BP levels can reflect the functions of heart pumping and vasoconstriction. Although various neural network-based BP estimate approaches have been proposed, they have certain practical shortcomings, such as low estimation accuracy and poor model generalization. Based on the strategy of pre-training and partial fine-tuning, this work proposes a non-invasive method for BP estimation using the photoplethysmography (PPG) signal.. To learn the PPG-BP relationship, the deep convolutional bidirectional recurrent neural network (DC-Bi-RNN) was pre-trained with data from the public medical information mark for intensive care (MIMIC III) database. A tiny quantity of data from the target subject was used to fine-tune the specific layers of the pre-trained model to learn more individual-specific information to achieve highly accurate BP estimation.The mean absolute error and the Pearson correlation coefficient () of the proposed algorithm are 3.21 mmHg and 0.919 for systolic BP, and 1.80 mmHg and 0.898 for diastolic BP (DBP). The experimental results show that our method outperforms other methods and meets the requirements of the Association for the Advancement of Medical Instrumentation standard, and received an A grade according to the British Hypertension Society standard.The proposed method applies the strategy of pre-training and partial fine-tuning to BP estimation and verifies its effectiveness in improving the accuracy of non-invasive BP estimation.

摘要

. 由于血压水平可以反映心脏泵血和血管收缩的功能,因此日常血压监测至关重要。虽然已经提出了各种基于神经网络的血压估计方法,但它们存在某些实际的缺点,例如估计精度低和模型泛化能力差。基于预训练和部分微调的策略,本工作提出了一种使用光体积描记图 (PPG) 信号进行血压估计的非侵入性方法。为了学习 PPG-BP 关系,深度卷积双向递归神经网络 (DC-Bi-RNN) 使用来自公共医疗信息监护 (MIMIC III) 数据库的数据进行预训练。使用目标主体的少量数据来微调预训练模型的特定层,以学习更多个体特定的信息,从而实现高精度的血压估计。所提出算法的平均绝对误差和 Pearson 相关系数 () 分别为收缩压 3.21mmHg 和 0.919,舒张压 1.80mmHg 和 0.898。实验结果表明,我们的方法优于其他方法,满足医疗仪器协会标准的要求,并根据英国高血压学会标准获得 A 级。所提出的方法将预训练和部分微调策略应用于血压估计,并验证了其在提高非侵入性血压估计精度方面的有效性。

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引用本文的文献

1
Analysis of the Chaotic Component of Photoplethysmography and Its Association with Hemodynamic Parameters.光电容积脉搏波混沌成分分析及其与血流动力学参数的关联
Entropy (Basel). 2023 Nov 24;25(12):1582. doi: 10.3390/e25121582.
2
Temporal complexity in photoplethysmography and its influence on blood pressure.光电容积脉搏波描记法中的时间复杂性及其对血压的影响。
Front Physiol. 2023 Aug 31;14:1187561. doi: 10.3389/fphys.2023.1187561. eCollection 2023.