Ma Gang, Zhang Jie, Liu Jing, Wang Lirong, Yu Yong
School of Biomedical Engineering, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230026, China.
Suzhou Institute of Biomedical Engineering and Technology, China Academy of Sciences, Suzhou 215163, China.
Micromachines (Basel). 2023 Mar 31;14(4):804. doi: 10.3390/mi14040804.
Blood pressure (BP) is an essential physiological indicator to identify and determine health status. Compared with the isolated BP measurement conducted by traditional cuff approaches, cuffless BP monitoring can reflect the dynamic changes in BP values and is more helpful to evaluate the effectiveness of BP control. In this paper, we designed a wearable device for continuous physiological signal acquisition. Based on the collected electrocardiogram (ECG) and photoplethysmogram (PPG), we proposed a multi-parameter fusion method for noninvasive BP estimation. An amount of 25 features were extracted from processed waveforms and Gaussian copula mutual information (MI) was introduced to reduce feature redundancy. After feature selection, random forest (RF) was trained to realize systolic BP (SBP) and diastolic BP (DBP) estimation. Moreover, we used the records in public MIMIC-III as the training set and private data as the testing set to avoid data leakage. The mean absolute error (MAE) and standard deviation (STD) for SBP and DBP were reduced from 9.12 ± 9.83 mmHg and 8.31 ± 9.23 mmHg to 7.93 ± 9.12 mmHg and 7.63 ± 8.61 mmHg by feature selection. After calibration, the MAE was further reduced to 5.21 mmHg and 4.15 mmHg. The result showed that MI has great potential in feature selection during BP prediction and the proposed multi-parameter fusion method can be used for long-term BP monitoring.
血压(BP)是识别和确定健康状况的重要生理指标。与传统袖带法进行的孤立血压测量相比,无袖带血压监测可以反映血压值的动态变化,更有助于评估血压控制的效果。在本文中,我们设计了一种用于连续生理信号采集的可穿戴设备。基于采集到的心电图(ECG)和光电容积脉搏波描记图(PPG),我们提出了一种用于无创血压估计的多参数融合方法。从处理后的波形中提取了25个特征,并引入高斯Copula互信息(MI)以减少特征冗余。经过特征选择后,训练随机森林(RF)以实现收缩压(SBP)和舒张压(DBP)估计。此外,我们使用公共MIMIC-III中的记录作为训练集,私有数据作为测试集,以避免数据泄露。通过特征选择,SBP和DBP的平均绝对误差(MAE)和标准差(STD)从9.12±9.83 mmHg和8.31±9.23 mmHg降低到7.93±9.12 mmHg和7.63±8.61 mmHg。校准后,MAE进一步降低到5.21 mmHg和4.15 mmHg。结果表明,MI在血压预测的特征选择中具有很大潜力,所提出的多参数融合方法可用于长期血压监测。