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Zhan J, Wu X, Fu X, Li C, Deng KQ, Wei Q, Zhang C, Zhao T, Li C, Huang L, Chen K, Wang Q, Li Z, Lu Z. Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation. Sci Rep 2024; 14:3269. [PMID: 38332169 PMCID: PMC10853251 DOI: 10.1038/s41598-024-53464-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 01/31/2024] [Indexed: 02/10/2024] Open
Abstract
Continuous monitoring of cardiac motions has been expected to provide essential cardiac physiology information on cardiovascular functioning. A fiber-optic micro-vibration sensing system (FO-MVSS) makes it promising. This study aimed to explore the correlation between Ballistocardiography (BCG) waveforms, measured using an FO-MVSS, and myocardial valve activity during the systolic and diastolic phases of the cardiac cycle in participants with normal cardiac function and patients with congestive heart failure (CHF). A high-sensitivity FO-MVSS acquired continuous BCG recordings. The simultaneous recordings of BCG and electrocardiogram (ECG) signals were obtained from 101 participants to examine their correlation. BCG, ECG, and intracavitary pressure signals were collected from 6 patients undergoing cardiac catheter intervention to investigate BCG waveforms and cardiac cycle phases. Tissue Doppler imaging (TDI) measured cardiac time intervals in 51 participants correlated with BCG intervals. The BCG recordings were further validated in 61 CHF patients to assess cardiac parameters by BCG. For heart failure evaluation machine learning was used to analyze BCG-derived cardiac parameters. Significant correlations were observed between cardiac physiology parameters and BCG's parameters. Furthermore, a linear relationship was found betwen IJ amplitude and cardiac output (r = 0.923, R2 = 0.926, p < 0.001). Machine learning techniques, including K-Nearest Neighbors (KNN), Decision Tree Classifier (DTC), Support Vector Machine (SVM), Logistic Regression (LR), Random Forest (RF), and XGBoost, respectively, demonstrated remarkable performance. They all achieved average accuracy and AUC values exceeding 95% in a five-fold cross-validation approach. We establish an electromagnetic-interference-free and non-contact method for continuous monitoring of the cardiac cycle and myocardial contractility and measure the different phases of the cardiac cycle. It presents a sensitive method for evaluating changes in both cardiac contraction and relaxation in the context of heart failure assessment.
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Affiliation(s)
- Jing Zhan
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Xiaoyan Wu
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China
| | - Xuelei Fu
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Chenze Li
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China
| | - Ke-Qiong Deng
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China
| | - Qin Wei
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Chao Zhang
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China
| | - Tao Zhao
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Congcong Li
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Longting Huang
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Kewei Chen
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China
| | - Qiongxin Wang
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China
| | - Zhengying Li
- Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of Technology, Wuhan, 430070, Hubei, China.
- National Engineering Research Center of Optical Fiber Sensing Technology and Networks, Wuhan University of Technology, Wuhan, 430070, Hubei, China.
- State Key Laboratory of Silicate Materials for Architectures, Wuhan University of Technology, Wuhan, 430070, Hubei, China.
- State Key Laboratory of Advanced Technology for Materials Synthesis and Processing, Wuhan University of Technology, Wuhan, 430070, Hubei, China.
| | - Zhibing Lu
- Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China.
- Institute of Myocardial Injury and Repair, Wuhan University, Wuhan, 430071, Hubei, China.
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