基于 ICEEMDAN-MSE 的左室舒张功能 障碍心音信号的识别研究
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TP391. 4 TH77

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国家自然科学基金(31870980,31800823,31570003)项目资助


Study on left ventricular diastolic dysfunction heart sound signals identification based on ICEEMDAN-MSE
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    摘要:

    左室舒张功能障碍(LVDD)加重会导致左室重构、室壁僵硬、顺应性降低,从而走向不可逆阶段并进展为射血分数保留 型心力衰竭。 为早期诊断 LVDD,本文提出一种基于改进的自适应噪声完全集合经验模式分解( ICEEMDAN) 多尺度样本熵 (MSE)的心音特征结合逻辑回归模型的无创检测方法。 首先,采用改进的小波去噪方法对心音信号进行预处理。 其次,通过 ICEEMDAN 方法将非平稳的心音信号分解为多个反映心音本体特征的平稳的固有模态函数(IMF),再利用互相关系数准则筛 选 IMF,并提取所筛选 IMF 的 MSE,以构成特征向量作为分类器的输入。 最后,通过与其他 3 种分类模型的性能比较,将逻辑回 归应用于 LVDD 识别。 结果表明,该方法能有效提取心音特征,其准确率为 89. 85% ,灵敏度为 92. 17% ,特异度为 87. 63% ,证明 了采用心音信号对 LVDD 进行早期诊断的有效性。

    Abstract:

    The aggravation of left ventricular diastolic dysfunction (LVDD) could lead to left ventricular remodeling, wall stiffness, and the reduced compliance, which make progression to heart failure with preserved ejection fraction (HFpEF). To achieve early diagnosis of LVDD, a non-invasive method is proposed, which utilizes the improved complete ensemble empirical mode decomposition with adaptive noise (ICEEMDAN) multi-scale sample entropy (MSE) characteristics and the logistic regression model. Firstly, the improved wavelet denoising method is used for heart sound signals preprocessing. Then, the non-stationary heart sound signals are decomposed into several intrinsic mode functions ( IMF) which reflect the characteristics of heart sound itself by the ICEEMDAN method. The mutual correlation coefficient criterion is used to select IMF. The MSE values of the selected IMFs are extracted to form the eigenvectors, which are used as the input into the classifier for identification. Finally, the logistic regression is applied for LVDD identification by the comparison of performances with other three models. Results show that the proposed method could effectively extract the features of heart sound with 89. 85% accuracy, 92. 17% sensitivity and 87. 63% specificity, which demonstrate the effectiveness of heart sound signals for LVDD diagnosis.

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杨 洋,郭兴明,郑伊能,王 慧.基于 ICEEMDAN-MSE 的左室舒张功能 障碍心音信号的识别研究[J].仪器仪表学报,2022,43(1):274-281

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  • 在线发布日期: 2023-02-06
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