Department of Electrical and Computer Engineering, University of Pittsburgh School of Engineering, Pittsburgh, PA, United States of America.
UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America.
PLoS One. 2023 Jul 27;18(7):e0289076. doi: 10.1371/journal.pone.0289076. eCollection 2023.
Functional and motility-related gastrointestinal (GI) disorders affect nearly 40% percent of the population. Disturbances of GI myoelectric activity have been proposed to play a significant role in these disorders. A significant barrier to usage of these signals in diagnosis and treatment is the lack of consistent relationships between GI myoelectric features and function. A potential cause of this issue is the use of arbitrary classification criteria, such as percentage of power in tachygastric and bradygastric frequency bands. Here we applied automatic feature extraction using a deep neural network architecture on GI myoelectric signals from free-moving ferrets. For each animal, we recorded during baseline control and feeding conditions lasting for 1 h. Data were trained on a 1-dimensional residual convolutional network, followed by a fully connected layer, with a decision based on a sigmoidal output. For this 2-class problem, accuracy was 90%, sensitivity (feeding detection) was 90%, and specificity (baseline detection) was 89%. By comparison, approaches using hand-crafted features (e.g., SVM, random forest, and logistic regression) produced an accuracy from 54% to 82%, sensitivity from 46% to 84% and specificity from 66% to 80%. These results suggest that automatic feature extraction and deep neural networks could be useful to assess GI function for comparing baseline to an active functional GI state, such as feeding. In future testing, the current approach could be applied to determine normal and disease-related GI myoelectric patterns to diagnosis and assess patients with GI disease.
功能性和运动相关的胃肠道(GI)疾病影响近 40%的人群。胃肠道肌电活动的紊乱被认为在这些疾病中起着重要作用。这些信号在诊断和治疗中的应用存在一个显著障碍,即胃肠道肌电特征与功能之间缺乏一致的关系。造成这个问题的一个潜在原因是使用了任意的分类标准,例如快胃节律和慢胃节律频带中的功率百分比。在这里,我们应用深度神经网络架构对自由移动雪貂的胃肠道肌电信号进行自动特征提取。对于每只动物,我们在 1 小时的基线对照和进食条件下进行记录。数据在一维残差卷积网络上进行训练,然后是全连接层,基于 Sigmoid 输出进行决策。对于这个 2 类问题,准确率为 90%,敏感性(进食检测)为 90%,特异性(基线检测)为 89%。相比之下,使用手工特征(例如 SVM、随机森林和逻辑回归)的方法产生的准确率为 54%至 82%,敏感性为 46%至 84%,特异性为 66%至 80%。这些结果表明,自动特征提取和深度神经网络可用于评估胃肠道功能,以比较基线与活跃的功能性胃肠道状态,如进食。在未来的测试中,当前的方法可应用于确定正常和与疾病相关的胃肠道肌电模式,以诊断和评估胃肠道疾病患者。