在手术重症监护病房持续呼吸速率估计的基于光电缩图的深度学习模型的评估
Chi Shin Hwang1, Yong Hwan Kim1, Jung Kyun Hyun1
1Spass Inc., 905Ho, RnD Tower, 396, Worldcup Buk-ro, Mapo-gu, Seoul 03925, Republic of Korea.
这项研究探讨了深度学习模型,用于估计使用光斑血图 (PPG) 信号的呼吸速率 (RR). 虽然具有挑战性,但Dilated ResNet模型显示出有希望的结果,表明改善RR监控的潜力.
科学领域:
- 生物医学工程 生物医学工程
- 医疗保健中的人工智能
- 生理监测 生理监测
背景情况:
- 呼吸速率 (RR) 是一个关键的预后指标,但其测量通常需要专门的设备或间接估计.
- 通常用于血液循环监测的光电图 (PPG) 信号包含有关RR的胸内压力变化的间接信息.
- 准确和持续的RR监测是必不可少的,特别是在重症监护机构.
研究的目的:
- 评估各种深度学习模型的有效性,以从PPG信号中持续准确地估计呼吸速率.
- 为了比较一个新的扩展残余神经网络的性能与RR估计的现有模型.
- 评估在临床环境中使用PPG用于非侵入性RR监测的可行性.
主要方法:
- 一个数据集的PPG信号从100名成年患者在手术重症监护室收集.
- 公共数据集 (BIDMC,CapnoBase) 也被分析.
- 七个深度学习模型,包括扩展残余神经网络,经过5倍交叉验证,以平均绝对误差 (MAE) 为主要指标进行训练和验证.
主要成果:
- 扩展残留神经网络取得了最佳表现,在BIDMC数据集上MAE为1.2628 ± 0.2697,在收集的数据集上MAE为3.1268 ± 0.6363.
- 该研究表明了PPG衍生深度学习模型对RR估计的潜力.
- 数据集的性能各不相同,突出显示了数据特征的影响.
结论:
- 使用深度学习从PPG信号中估计呼吸率仍然是一个具有局限性的具有挑战性的任务.
- 开发的Dilated ResNet模型显示了RR估计的前景,在特定数据集上表现优于其他评估模型.
- 需要对更大,更多样化的数据集进行进一步的研究,以提高基于PPG的RR监测模型的准确性和可靠性.
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