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一种用于阻塞性睡眠呼吸暂停评估的可穿戴式功能近红外光谱 (fNIRS) 系统。

A Wearable Functional Near-Infrared Spectroscopy (fNIRS) System for Obstructive Sleep Apnea Assessment.

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2023;31:1837-1846. doi: 10.1109/TNSRE.2023.3260303.

Abstract

Obstructive sleep apnea (OSA), one of the most common sleep-related breathing disorders, contributes as a potentially life-threatening disease. In this paper, a wearable functional near-infrared spectroscopy (fNIRS) system for OSA monitoring is proposed. As a non-invasive system that can monitor oxygenation and cerebral hemodynamics, the proposed system is dedicated to mapping the pathogenic characteristics of OSA to dynamic changes in blood oxygen concentration and to constructing an automatic approach for assessing OSA. An algorithm including feature extraction, feature selection, and classification is proposed to signals. Permutation entropy(PE), for quantitative measuring the complexity of time series, is firstly involved to characterize the features of the physiological signals. Subsequently, the principal component analysis (PCA) for feature dimensionality reduction and support vector machine (SVM) algorithm for OSA classification are applied. The proposed method has been validated on a dataset that collected by the wearable system. It includes 40 subjects and composes of normal, and various severity cessation of breathing (e.g., mild, moderate, and severe). Experimental results exhibit that the proposed system can effectively distinguish OSA and non-OSA subjects, with an accuracy of 91.89%. The proposed system is expected to pave the novel perspective for OSA assessment in terms of cerebral hemodynamics.

摘要

阻塞性睡眠呼吸暂停(OSA)是最常见的睡眠相关呼吸障碍之一,可能危及生命。本文提出了一种用于 OSA 监测的可穿戴式功能性近红外光谱(fNIRS)系统。作为一种可以监测氧合和脑血流动力学的非侵入式系统,该系统专门用于将 OSA 的发病特征映射到血氧浓度的动态变化,并构建一种自动评估 OSA 的方法。提出了一种包括特征提取、特征选择和分类的算法来处理信号。首先引入排列熵(PE)来定量测量时间序列的复杂性,以表征生理信号的特征。然后,应用主成分分析(PCA)进行特征降维和支持向量机(SVM)算法进行 OSA 分类。该方法已经在由可穿戴系统采集的数据集上进行了验证。它包括 40 个受试者,由正常和各种严重程度的呼吸暂停(如轻度、中度和重度)组成。实验结果表明,该系统能够有效地区分 OSA 和非 OSA 受试者,准确率为 91.89%。该系统有望为脑血流动力学方面的 OSA 评估开辟新的视角。

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