心血管疾病是死亡率最严重的原因之一,每年在世界各地遭受沉重的生命。对血压的持续监测似乎是最可行的选择,但这需要一个侵入性的过程,带来了几层复杂性。这激发了我们开发一种通过使用光杀解功能图(PPG)信号的非侵入性方法来预测连续动脉血压(ABP)波形的方法。此外,我们探索了深度学习的优势,因为它可以通过使手工制作的功能计算无关紧要,这将使我们无法坚持理想形状的PPG信号,这是现有方法的缺点。因此,我们提出了一种基于深度学习的方法PPG2ABP,该方法可以从输入PPG信号中预测连续的ABP波形,平均绝对误差为4.604 mmHg,可保留一致的形状,大小和相位。但是,PPG2ABP的更惊人的成功事实证明,来自预测的ABP波形的DBP,MAP和SBP的计算值超过了几个指标下的现有作品,尽管没有明确培训PPG2ABP。
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心血管疾病是世界各地最常见的死亡原因。为了检测和治疗心脏相关的疾病,需要连续血压(BP)监测以及许多其他参数。为此目的开发了几种侵入性和非侵入性方法。用于持续监测BP的医院中使用的大多数现有方法是侵入性的。相反,基于袖带的BP监测方法,可以预测收缩压(SBP)和舒张压(DBP),不能用于连续监测。几项研究试图从非侵​​入性可收集信号(例如光学肌谱(PPG)和心电图(ECG))预测BP,其可用于连续监测。在这项研究中,我们探讨了自动化器在PPG和ECG信号中预测BP的适用性。在12,000岁的MIMIC-II数据集中进行了调查,发现了一个非常浅的一维AutoEncoder可以提取相关功能,以预测与最先进的SBP和DBP在非常大的数据集上的性能。从模拟-II数据集的一部分的独立测试分别为SBP和DBP提供了2.333和0.713的MAE。在40个主题的外部数据集上,模型在MIMIC-II数据集上培训,分别为SBP和DBP提供2.728和1.166的MAE。对于这种情况来说,结果达到了英国高血压协会(BHS)A级并超越了目前文学的研究。
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血压(BP)是心血管疾病和中风最有影响力的生物标志物之一;因此,需要定期监测以诊断和预防医疗并发症的任何出现。目前携带的携带BP监测的无齿状方法,虽然是非侵入性和不引人注目的,涉及围绕指尖光肌谱(PPG)信号的显式特征工程。为了规避这一点,我们提出了一种端到端的深度学习解决方案,BP-Net,它使用PPG波形来估计通过中间连续动脉BP来估计收缩压BP(SBP),平均压力(MAP)和舒张压BP(DBP) (ABP)波形。根据英国高血压协会(BHS)标准的条款,BP-Net为SBP估计实现了DBP和地图估计和B级的A级。 BP-Net还满足了医疗仪器(AAMI)标准的推进和地图估计,分别实现了5.16mmHg和2.89mmHg的平均误差(MAE),分别用于SBP和DBP。此外,我们通过在Raspberry PI 4设备上部署BP-Net来建立我们的方法的无处不在的潜力,并为我们的模型实现4.25毫秒的推理时间来将PPG波形转换为ABP波形。
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目的:本文侧重于开发鲁棒和准确的加工解决方案,用于连续和较低的血压(BP)监测。在这方面,提出了一种基于深入的基于深度学习的框架,用于计算收缩和舒张BP上的低延迟,连续和无校准的上限和下界。方法:称为BP-Net,所提出的框架是一种新型卷积架构,可提供更长的有效内存,同时实现偶然拨号卷积和残留连接的卓越性能。利用深度学习的实际潜力在提取内在特征(深度特征)并增强长期稳健性,BP-Net使用原始的心电图(ECG)和光电觉体图(PPG)信号而无需提取任何形式的手工制作功能在现有解决方案中很常见。结果:通过利用最近文献中使用的数据集未统一和正确定义的事实,基准数据集由来自PhysoioNet获得的模拟I和MIMIC-III数据库构建。所提出的BP-Net是基于该基准数据集进行评估,展示了有希望的性能并显示出优异的普遍能力。结论:提出的BP-NET架构比规范复发网络更准确,增强了BP估计任务的长期鲁棒性。意义:建议的BP-NET架构解决了现有的BP估计解决方案的关键缺点,即,严重依赖于提取手工制作的特征,例如脉冲到达时间(PAT),以及;缺乏稳健性。最后,构造的BP-Net DataSet提供了一个统一的基础,用于评估和比较基于深度学习的BP估计算法。
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近年来,基于生理信号的认证表现出伟大的承诺,因为其固有的对抗伪造的鲁棒性。心电图(ECG)信号是最广泛研究的生物关像,也在这方面获得了最高的关注。已经证明,许多研究通过分析来自不同人的ECG信号,可以识别它们,可接受的准确性。在这项工作中,我们展示了EDITH,EDITH是一种基于深入的ECG生物识别认证系统的框架。此外,我们假设并证明暹罗架构可以在典型的距离指标上使用,以提高性能。我们使用4个常用的数据集进行了评估了伊迪丝,并使用少量节拍表现优于先前的工作。 Edith使用仅单一的心跳(精度为96-99.75%)进行竞争性,并且可以通过融合多个节拍(从3到6个节拍的100%精度)进一步提高。此外,所提出的暹罗架构管理以将身份验证等错误率(eer)降低至1.29%。具有现实世界实验数据的Edith的有限案例研究还表明其作为实际认证系统的潜力。
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使用人工智能算法对连续,非侵入性,无齿状血压(BP)测量进行了广泛的研究。这种方法涉及从ECG,PPG,ICG,BCG等生理信号中提取某些特征作为独立变量,并从动脉血压(ABP)信号中提取特征作为依赖变量,然后使用机器学习算法来开发血压估计基于这些数据的模型。该领域的最大挑战是估计模型的准确性不足。本文提出了一种具有聚类步骤的新型血压估计方法,用于精度改善。所提出的方法涉及从心电图(ECG)和光电读数(PPG)信号中提取脉冲传输时间(PPG),PPG强度比(PIR)和心率(HR)特征作为聚类和回归的输入,提取收缩压( SBP)和舒张压(DBP)来自ABP信号的特征作为依赖变量,最后通过应用梯度升压回归(GBR),随机森林回归(RFR)和每个群集的多层的Perceptron回归(MLP)开发回归模型。使用MIMICII数据集来实现该方法,其中用于确定最佳数量的簇的轮廓标准。结果表明,由于采用群集算法,然后在每个簇上开发回归模型,并且最终加权平均可以显着提高,因此可以显着改善精度。结果基于每个群集的错误。当用5个集群和GBR实施时,该方法产生了2.56的MAE,对于SBP估计,2.23对于DBP估计,这显着优于没有聚类的最佳结果(DBP:6.27,SBP:6.36)。
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呼吸率(RR)是重要的生物标志物,因为RR变化可以反映严重的医学事件,例如心脏病,肺部疾病和睡眠障碍。但是,不幸的是,标准手动RR计数容易出现人为错误,不能连续执行。这项研究提出了一种连续估计RR,RRWAVENET的方法。该方法是一种紧凑的端到端深度学习模型,不需要特征工程,可以将低成本的原始光摄影学(PPG)用作输入信号。对RRWAVENET进行了独立于主题的测试,并与三个数据集(BIDMC,Capnobase和Wesad)中的基线进行了比较,并使用三个窗口尺寸(16、32和64秒)进行了比较。 RRWAVENET优于最佳窗口大小为1.66 \ pm 1.01、1.59 \ pm 1.08的最佳绝对错误的最新方法,每个数据集每分钟每分钟呼吸0.96。在远程监视设置(例如在WESAD数据集中),我们将传输学习应用于其他两个ICU数据集,将MAE降低到1.52 \ pm每分钟0.50呼吸,显示此模型可以准确且实用的RR对负担得起的可穿戴设备进行准确估算。我们的研究表明,在远程医疗和家里,远程RR监测的可行性。
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智能手表或健身追踪器由于负担得起和纵向监测功能而获得了潜在的健康跟踪设备的广泛欢迎。为了进一步扩大其健康跟踪能力,近年来,研究人员开始研究在实时利用光摄影学(PPG)数据中进行心房颤动(AF)检测的可能性,这是一种几乎所有智能手表中广泛使用的廉价传感器。从PPG信号检测AF检测的重大挑战来自智能手表PPG信号中的固有噪声。在本文中,我们提出了一种基于深度学习的新方法,即利用贝叶斯深度学习的力量来准确地从嘈杂的PPG信号中推断出AF风险,同时提供了预测的不确定性估计。在两个公开可用数据集上进行的广泛实验表明,我们提出的方法贝尼斯甲的表现优于现有的最新方法。此外,贝内斯比特(Bayesbeat)的参数比最先进的基线方法要少40-200倍,使其适合在资源约束可穿戴设备中部署。
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远程光插图学(RPPG)是一种快速,有效,廉价和方便的方法,用于收集生物识别数据,因为它可以使用面部视频来估算生命体征。事实证明,远程非接触式医疗服务供应在COVID-19大流行期间是可怕的必要性。我们提出了一个端到端框架,以根据用户的视频中的RPPG方法来衡量人们的生命体征,包括心率(HR),心率变异性(HRV),氧饱和度(SPO2)和血压(BP)(BP)(BP)用智能手机相机捕获的脸。我们以实时的基于深度学习的神经网络模型来提取面部标志。通过使用预测的面部标志来提取多个称为利益区域(ROI)的面部斑块(ROI)。应用了几个过滤器,以减少称为血量脉冲(BVP)信号的提取的心脏信号中ROI的噪声。我们使用两个公共RPPG数据集培训和验证了机器学习模型,即Tokyotech RPPG和脉搏率检测(PURE)数据集,我们的模型在其上实现了以下平均绝对错误(MAE):a),HR,1.73和3.95 BEATS- beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-beats-s-s-s-s-s-y-peats-beats-beats-beats-ship-s-s-s-in-chin-p-in-in-in-in-in-c--in-in-c-le-in-in- -t一下制。每分钟(bpm),b)分别为HRV,分别为18.55和25.03 ms,c)对于SPO2,纯数据集上的MAE为1.64。我们在现实生活环境中验证了端到端的RPPG框架,修订,从而创建了视频HR数据集。我们的人力资源估计模型在此数据集上达到了2.49 bpm的MAE。由于没有面对视频的BP测量不存在公开可用的RPPG数据集,因此我们使用了带有指标传感器信号的数据集来训练我们的模型,还创建了我们自己的视频数据集Video-BP。在我们的视频BP数据集中,我们的BP估计模型的收缩压(SBP)达到6.7 mmHg,舒张压(DBP)的MAE为9.6 mmHg。
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心血管疾病(CVD)是全球死亡的第一大原因。尽管有越来越多的证据表明心房颤动(AF)与各种CVD有着密切的关联,但这种心律不齐通常是使用心电图(ECG)诊断的,这是一种无风险,无侵入性和具有成本效益的工具。在任何威胁生命的疾病/疾病发展之前,不断和远程监视受试者的心电图信息迅速诊断和及时对AF进行预处理的潜力。最终,可以降低CVD相关的死亡率。在此手稿中,展示了体现可穿戴心电图设备,移动应用程序和后端服务器的个性化医疗系统的设计和实施。该系统不断监视用户的心电图信息,以提供个性化的健康警告/反馈。用户能够通过该系统与他们的配对健康顾问进行远程诊断,干预措施等。已经评估了实施的可穿戴ECG设备,并显示出极好的一致性(CVRMS = 5.5%),可接受的一致性(CVRMS = CVRMS = CVRMS = 12.1%),可忽略不计的RR间隙错误(<1.4%)。为了提高可穿戴设备的电池寿命,提出了使用ECG信号的准周期特征来实现压缩的有损压缩模式。与公认的架构相比,它在压缩效率和失真方面优于其他模式,并在MIT-BIH数据库中以ECG信号的某个PRD或RMSE达到了至少2倍的Cr。为了在拟议系统中实现自动化AF诊断/筛查,开发了基于重新系统的AF检测器。对于2017年Physionet CINC挑战的ECG记录,该AF探测器获得了平均测试F1 = 85.10%和最佳测试F1 = 87.31%,表现优于最先进。
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人类生理学中的各种结构遵循特异性形态,通常在非常细的尺度上表达复杂性。这种结构的例子是胸前气道,视网膜血管和肝血管。可以观察到可以观察到可以观察到可以观察到可以观察到空间排列的磁共振成像(MRI),计算机断层扫描(CT),光学相干断层扫描(OCT)等医学成像模式(MRI),计算机断层扫描(CT),可以观察到空间排列的大量2D和3D图像的集合。这些结构在医学成像中的分割非常重要,因为对结构的分析提供了对疾病诊断,治疗计划和预后的见解。放射科医生手动标记广泛的数据通常是耗时且容易出错的。结果,在过去的二十年中,自动化或半自动化的计算模型已成为医学成像的流行研究领域,迄今为止,许多计算模型已经开发出来。在这项调查中,我们旨在对当前公开可用的数据集,细分算法和评估指标进行全面审查。此外,讨论了当前的挑战和未来的研究方向。
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对医疗保健监控的远程工具的需求从未如此明显。摄像机测量生命体征利用成像装置通过分析人体的图像来计算生理变化。建立光学,机器学习,计算机视觉和医学的进步这些技术以来的数码相机的发明以来已经显着进展。本文介绍了对生理生命体征的相机测量综合调查,描述了它们可以测量的重要标志和实现所做的计算技术。我涵盖了临床和非临床应用以及这些应用需要克服的挑战,以便从概念上推进。最后,我描述了对研究社区可用的当前资源(数据集和代码),并提供了一个全面的网页(https://cameravitals.github.io/),其中包含这些资源的链接以及其中引用的所有文件的分类列表文章。
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信号处理是几乎任何传感器系统的基本组件,具有不同科学学科的广泛应用。时间序列数据,图像和视频序列包括可以增强和分析信息提取和量化的代表性形式的信号。人工智能和机器学习的最近进步正在转向智能,数据驱动,信号处理的研究。该路线图呈现了最先进的方法和应用程序的关键概述,旨在突出未来的挑战和对下一代测量系统的研究机会。它涵盖了广泛的主题,从基础到工业研究,以简明的主题部分组织,反映了每个研究领域的当前和未来发展的趋势和影响。此外,它为研究人员和资助机构提供了识别新前景的指导。
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Electrocardiography (ECG), an electrical measurement which captures cardiac activities, is the gold standard for diagnosing cardiovascular disease (CVD). However, ECG is infeasible for continuous cardiac monitoring due to its requirement for user participation. By contrast, photoplethysmography (PPG) provides easy-to-collect data, but its limited accuracy constrains its clinical usage. To combine the advantages of both signals, recent studies incorporate various deep learning techniques for the reconstruction of PPG signals to ECG; however, the lack of contextual information as well as the limited abilities to denoise biomedical signals ultimately constrain model performance. In this research, we propose Performer, a novel Transformer-based architecture that reconstructs ECG from PPG and combines the PPG and reconstructed ECG as multiple modalities for CVD detection. This method is the first time that Transformer sequence-to-sequence translation has been performed on biomedical waveform reconstruction, combining the advantages of both PPG and ECG. We also create Shifted Patch-based Attention (SPA), an effective method to encode/decode the biomedical waveforms. Through fetching the various sequence lengths and capturing cross-patch connections, SPA maximizes the signal processing for both local features and global contextual representations. The proposed architecture generates a state-of-the-art performance of 0.29 RMSE for the reconstruction of PPG to ECG on the BIDMC database, surpassing prior studies. We also evaluated this model on the MIMIC-III dataset, achieving a 95.9% accuracy in CVD detection, and on the PPG-BP dataset, achieving 75.9% accuracy in related CVD diabetes detection, indicating its generalizability. As a proof of concept, an earring wearable named PEARL (prototype), was designed to scale up the point-of-care (POC) healthcare system.
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Nowadays, due to the widespread use of smartphones in everyday life and the improvement of computational capabilities of these devices, many complex tasks can now be deployed on them. Concerning the need for continuous monitoring of vital signs, especially for the elderly or those with certain types of diseases, the development of algorithms that can estimate vital signs using smartphones has attracted researchers worldwide. Such algorithms estimate vital signs (heart rate and oxygen saturation level) by processing an input PPG signal. These methods often apply multiple pre-processing steps to the input signal before the prediction step. This can increase the computational complexity of these methods, meaning only a limited number of mobile devices can run them. Furthermore, multiple pre-processing steps also require the design of a couple of hand-crafted stages to obtain an optimal result. This research proposes a novel end-to-end solution to mobile-based vital sign estimation by deep learning. The proposed method does not require any pre-processing. Due to the use of fully convolutional architecture, the parameter count of our proposed model is, on average, a quarter of the ordinary architectures that use fully-connected layers as the prediction heads. As a result, the proposed model has less over-fitting chance and computational complexity. A public dataset for vital sign estimation, including 62 videos collected from 35 men and 27 women, is also provided. The experimental results demonstrate state-of-the-art estimation accuracy.
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Cardiac resynchronization therapy (CRT) is a treatment that is used to compensate for irregularities in the heartbeat. Studies have shown that this treatment is more effective in heart patients with left bundle branch block (LBBB) arrhythmia. Therefore, identifying this arrhythmia is an important initial step in determining whether or not to use CRT. On the other hand, traditional methods for detecting LBBB on electrocardiograms (ECG) are often associated with errors. Thus, there is a need for an accurate method to diagnose this arrhythmia from ECG data. Machine learning, as a new field of study, has helped to increase human systems' performance. Deep learning, as a newer subfield of machine learning, has more power to analyze data and increase systems accuracy. This study presents a deep learning model for the detection of LBBB arrhythmia from 12-lead ECG data. This model consists of 1D dilated convolutional layers. Attention mechanism has also been used to identify important input data features and classify inputs more accurately. The proposed model is trained and validated on a database containing 10344 12-lead ECG samples using the 10-fold cross-validation method. The final results obtained by the model on the 12-lead ECG data are as follows. Accuracy: 98.80+-0.08%, specificity: 99.33+-0.11 %, F1 score: 73.97+-1.8%, and area under the receiver operating characteristics curve (AUC): 0.875+-0.0192. These results indicate that the proposed model in this study can effectively diagnose LBBB with good efficiency and, if used in medical centers, will greatly help diagnose this arrhythmia and early treatment.
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Seizure type identification is essential for the treatment and management of epileptic patients. However, it is a difficult process known to be time consuming and labor intensive. Automated diagnosis systems, with the advancement of machine learning algorithms, have the potential to accelerate the classification process, alert patients, and support physicians in making quick and accurate decisions. In this paper, we present a novel multi-path seizure-type classification deep learning network (MP-SeizNet), consisting of a convolutional neural network (CNN) and a bidirectional long short-term memory neural network (Bi-LSTM) with an attention mechanism. The objective of this study was to classify specific types of seizures, including complex partial, simple partial, absence, tonic, and tonic-clonic seizures, using only electroencephalogram (EEG) data. The EEG data is fed to our proposed model in two different representations. The CNN was fed with wavelet-based features extracted from the EEG signals, while the Bi-LSTM was fed with raw EEG signals to let our MP-SeizNet jointly learns from different representations of seizure data for more accurate information learning. The proposed MP-SeizNet was evaluated using the largest available EEG epilepsy database, the Temple University Hospital EEG Seizure Corpus, TUSZ v1.5.2. We evaluated our proposed model across different patient data using three-fold cross-validation and across seizure data using five-fold cross-validation, achieving F1 scores of 87.6% and 98.1%, respectively.
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物理信息的神经网络(PINN)是神经网络(NNS),它们作为神经网络本身的组成部分编码模型方程,例如部分微分方程(PDE)。如今,PINN是用于求解PDE,分数方程,积分分化方程和随机PDE的。这种新颖的方法已成为一个多任务学习框架,在该框架中,NN必须在减少PDE残差的同时拟合观察到的数据。本文对PINNS的文献进行了全面的综述:虽然该研究的主要目标是表征这些网络及其相关的优势和缺点。该综述还试图将出版物纳入更广泛的基于搭配的物理知识的神经网络,这些神经网络构成了香草·皮恩(Vanilla Pinn)以及许多其他变体,例如物理受限的神经网络(PCNN),各种HP-VPINN,变量HP-VPINN,VPINN,VPINN,变体。和保守的Pinn(CPINN)。该研究表明,大多数研究都集中在通过不同的激活功能,梯度优化技术,神经网络结构和损耗功能结构来定制PINN。尽管使用PINN的应用范围广泛,但通过证明其在某些情况下比有限元方法(FEM)等经典数值技术更可行的能力,但仍有可能的进步,最著名的是尚未解决的理论问题。
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血压(BP)监测对于日常医疗保健至关重要,尤其是对于心血管疾病。但是,BP值主要是通过接触传感方法获得的,这是不方便且不友好的BP测量。因此,我们提出了一个有效的端到端网络,以估算面部视频中的BP值,以实现日常生活中的远程BP测量。在这项研究中,我们首先得出了短期(〜15s)面部视频的时空图。根据时空图,我们随后通过设计的血压分类器回归了BP范围,并同时通过每个BP范围内的血压计算器来计算特定值。此外,我们还制定了一种创新的过采样培训策略,以解决不平衡的数据分配问题。最后,我们在私有数据集ASPD上培训了拟议的网络,并在流行的数据集MMSE-HR上对其进行了测试。结果,拟议的网络实现了收缩压和舒张压测量的最先进的MAE,为12.35 mmHg和9.5 mmHg,这比最近的工作要好。它得出的结论是,在现实世界中,提出的方法对于基于摄像头的BP监测具有巨大潜力。
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Much of the information of breathing is contained within the photoplethysmography (PPG) signal, through changes in venous blood flow, heart rate and stroke volume. We aim to leverage this fact, by employing a novel deep learning framework which is a based on a repurposed convolutional autoencoder. Our model aims to encode all of the relevant respiratory information contained within photoplethysmography waveform, and decode it into a waveform that is similar to a gold standard respiratory reference. The model is employed on two photoplethysmography data sets, namely Capnobase and BIDMC. We show that the model is capable of producing respiratory waveforms that approach the gold standard, while in turn producing state of the art respiratory rate estimates. We also show that when it comes to capturing more advanced respiratory waveform characteristics such as duty cycle, our model is for the most part unsuccessful. A suggested reason for this, in light of a previous study on in-ear PPG, is that the respiratory variations in finger-PPG are far weaker compared with other recording locations. Importantly, our model can perform these waveform estimates in a fraction of a millisecond, giving it the capacity to produce over 6 hours of respiratory waveforms in a single second. Moreover, we attempt to interpret the behaviour of the kernel weights within the model, showing that in part our model intuitively selects different breathing frequencies. The model proposed in this work could help to improve the usefulness of consumer PPG-based wearables for medical applications, where detailed respiratory information is required.
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