Non-invasive continuous blood pressure measurement based on mean impact value method, BP neural network, and genetic algorithm

A review: Blood pressure monitoring based on PPG and circadian rhythm

The demand for ambulatory blood pressure monitoring (ABPM) is increasing due to the global rise in cardiovascular disease patients. However, conventional ABPM methods are discontinuous and can disrupt daily activities and sleep patterns. Photoplethysmography (PPG) is gaining attention from researchers due to its simplicity, portability, affordability, and ease of signal acquisition. This paper critically examines the advancements achieved in the technology of PPG-guided noninvasive blood pressure (BP) monitoring and explores future opportunities. We have performed a literature search using the Web of Science and PubMed search engines, from January 2018 to October 2023, for PPG signal quality assessment (SQA), cuffless BP estimation using single PPG, and associations between circadian rhythm and BP. Based on this foundation, we first examine the impact of PPG signal quality on blood pressure estimation results while focusing on methods for assessing PPG signal quality. Subsequently, the methods documented for estimating cuff-free BP from PPG signals are summarized. Furthermore, the study examines how individual differences affect the accuracy of BP estimation, incorporating the factors that influence arterial blood pressure (ABP) and elucidating the impact of circadian rhythm on blood pressure. Finally, there will be a summary of the study's findings and suggestions for future research directions.

Advances in Cuffless Continuous Blood Pressure Monitoring Technology Based on PPG Signals

Objective. To review the progress of research on photoplethysmography- (PPG-) based cuffless continuous blood pressure monitoring technologies and prospect the challenges that need to be addressed in the future. Methods. Using Web of Science and PubMed as search engines, the literature on cuffless continuous blood pressure studies using PPG signals in the recent five years were searched. Results. Based on the retrieved literature, this paper describes the available open datasets, commonly used signal preprocessing methods, and model evaluation criteria. Early researches employed multisite PPG signals to calculate pulse wave velocity or time and predicted blood pressure by a simple linear equation. Later, extensive researches were dedicated to mine the features of PPG signals related to blood pressure and regressed blood pressure by machine learning models. Most recently, many researches have emerged to experiment with complex deep learning models for blood pressure prediction with the raw PPG signal as input. Conclusion. This paper summarized the methods in the retrieved literature, provided insight into the artificial intelligence algorithms employed in the literature, and concluded with a discussion of the challenges and opportunities for the development of cuffless continuous blood pressure monitoring technologies.

Evaluating and Visualizing the Contribution of ECG Characteristic Waveforms for PPG-Based Blood Pressure Estimation

Non-invasive continuous blood pressure monitoring is of great significance for the preventing, diagnosing, and treating of cardiovascular diseases (CVDs). Studies have demonstrated that photoplethysmogram (PPG) and electrocardiogram (ECG) signals can effectively and continuously predict blood pressure (BP). However, most of the BP estimation models focus on the waveform features of the PPG signal, while the peak value of R-wave in ECG is only used as a time reference, and few references investigated the ECG waveforms. This paper aims to evaluate the influence of three characteristic waveforms in ECG on the improvement of BP estimation. PPG is the primary signal, and five input combinations are formed by adding ECG, P wave, QRS complex, T wave, and none. We employ five common convolutional neural networks (CNN) to validate the consistency of the contribution. Meanwhile, with the visualization of Gradient-weighted class activation mapping (Grad-CAM), we generate the heat maps and further visualize the distribution of CNN's attention to each waveform of PPG and ECG. The heat maps show that networks pay more attention to the QRS complex and T wave. In the comparison results, the QRS complex and T wave have more contribution to minimizing errors than P wave. By separately adding P wave, QRS complex, and T wave, the average MAE of these networks reaches 7.87 mmHg, 6.57 mmHg, and 6.21 mmHg for systolic blood pressure (SBP), and 4.27 mmHg, 3.65 mmHg, and 3.73 mmHg, respectively, for diastolic blood pressure (DBP). The results of the experiment show that QRS complex and T wave deserves more attention and feature extraction like PPG waveform features in the continuous BP estimation.

Management work mode of college students based on emotional management and incentives

The student management work model in colleges and universities is an effective plan for college student management, but the traditional college student management work is not very good in terms of student psychology, resulting in negative attitudes such as low learning desire, low learning efficiency, and inactive learning. In recent years, with the development of artificial intelligence technologies such as sentiment analysis and incentive theory, emotional management and incentive theory have been applied to the management of college students. The emotional management and incentive model is a way to help college students get rid of psychological obstacles and guide students to establish positive and correct values by predict and analyze the psychological state of college students through language emotion recognition and BP neural network. This paper compares the college student management work model based on emotional management and incentives with the traditional college management work mode through experiments. The results show that the students’ learning enthusiasm is better than the traditional college student management work mode based on emotional management and incentives. The student management work model in colleges and universities is 15.8% better, and the students’ grades have improved by 12.5%; the college student management work model based on emotional management and incentives also has a positive role in helping students’ mental health. The way of emotional management and motivation can make better use of college students’ psychology to effectively manage students and guide students to develop in a good direction.

Study on Toughening and Temperature Sensitivity of Polyurethane Cement (PUC)

Polyurethane cement (PUC) is now commonly used in the reinforcement of old bridges, which exhibit various issues such as poor toughness, temperature-sensitive mechanical properties, and brittle failure. These problems can lead to the failure of the reinforcement effect of the PUC on old bridges in certain operating environments, leading to the collapse of such reinforced bridges. In order to alleviate these shortcomings, in this study, the toughness of PUC is improved by adding polyvinyl alcohol (PVA) fiber, carbon fiber, and steel fiber. In addition, we study the change law of the flexural strength of PUC between −40 °C and +40 °C. The control parameters evaluated are fiber type, fiber volume ratio, and temperature. A series of flexural tests and scanning electron microscope (SEM) test results show that the flexural strength first increases and then decreases with the increase in the volume-doping ratio of the three fibers. The optimum volume-mixing ratios of polyvinyl alcohol (PVA) fiber, carbon fiber, and steel fiber are 0.3%, 0.04% and 1%, respectively. Excessive addition of fiber will affect the operability and will adversely affect the mechanical properties. The flexural strength of both fiber-reinforced and control samples decreases with increasing temperature. Using the flexural test results, a two-factor (fiber content, temperature) BP neural network flexural strength prediction model is established. It is verified that the model is effective and accurate, and the experimental value and the predicted value are in good agreement.

Visual Mechanism Characteristics of Static Painting Based on PSO-BP Neural Network

Static painting works have independent theme significance in the framework of Chinese painting history, and their overall structure, lightness structure, and color structure all show different characteristics of visual mechanism. In order to extract the visual mechanism features effectively, this experiment uses the PSO algorithm to optimize the BP neural network, constructs the PSO-BP neural network for feature recognition and extraction, and compares it with the training results of other algorithms. The results show that the prediction accuracy, recognition accuracy, and ROC curve of PSO-BP neural network are high, which shows that the convergence of PSO-BP neural network is good, and it can effectively complete the recognition and analysis of people and effectively extract the visual mechanism features of static writing paintings.

Learning and non-learning algorithms for cuffless blood pressure measurement: a review

The machine learning approach has gained a significant attention in the healthcare sector because of the prospect of developing new techniques for medical devices and handling the critical database of chronic diseases. The learning approach has potential to analyze complex medical data, disease diagnosis, and patient monitoring system, and to monitor e-health record. Non-invasive cuffless blood pressure (CLBP) measurement secured a significant position in the patient monitoring system. From a few recent decades, the importance of cuffless technology has been perceived towards continuous monitoring of blood pressure (BP) and supplementary efforts have been made towards its continuous monitoring. However, the optimal method that measures BP unambiguously and continuously has not yet emerged along with issues like calibration time, accuracy and long-term estimation of BP with miniaturizing hardware. The present study provides an insight into several learning algorithms along with their feature selection models. Various challenges and future improvements towards the current state of machine learning in healthcare industries are discussed in the present review. The bottom line of this study is to provide a comprehensive perspective of the machine learning approach of CLBP for the generation of highly precise predictive models for continuous BP measurement.

Fluorescence imaging and Raman spectroscopy applied for the accurate diagnosis of breast cancer with deep learning algorithms

Deep learning is usually combined with a single detection technique in the field of disease diagnosis. This study focused on simultaneously combining deep learning with multiple detection technologies, fluorescence imaging and Raman spectroscopy, for breast cancer diagnosis. A number of fluorescence images and Raman spectra were collected from breast tissue sections of 14 patients. Pseudo-color enhancement algorithm and a convolutional neural network were applied to the fluorescence image processing, so that the discriminant accuracy of test sets, 88.61%, was obtained. Two different BP-neural networks were applied to the Raman spectra that mainly comprised collagen and lipid, so that the discriminant accuracy of 95.33% and 98.67% of test sets were gotten, respectively. Then the discriminant results of fluorescence images and Raman spectra were counted and arranged into a characteristic variable matrix to predict the breast tissue samples with partial least squares (PLS) algorithm. As a result, the predictions of all samples are correct, with minor error of predictive value. This study proves that deep learning algorithms can be applied into multiple diagnostic optics/spectroscopy techniques simultaneously to improve the accuracy in disease diagnosis.

Leaf Area Index Estimation Algorithm for GF-5 Hyperspectral Data Based on Different Feature Selection and Machine Learning Methods

Leaf area index (LAI) is an essential vegetation parameter that represents the light energy utilization and vegetation canopy structure. As the only in-operation hyperspectral satellite launched by China, GF-5 is potentially useful for accurate LAI estimation. However, there is no research focus on evaluating GF-5 data for LAI estimation. Hyperspectral remote sensing data contains abundant information about the reflective characteristics of vegetation canopies, but these abound data also easily result in a dimensionality curse. Therefore, feature selection (FS) is necessary to reduce data redundancy to achieve more reliable estimations. Currently, machine learning (ML) algorithms have been widely used for FS. Moreover, the same ML algorithm is usually conducted for both FS and regression in LAI estimation. However, no evidence suggests that this is the optimal solution. Therefore, this study focuses on evaluating the capacity of GF-5 spectral reflectance for estimating LAI and the performances of different combination of FS and ML algorithms. Firstly, the PROSAIL model, which coupled leaf optical properties model PROSPECT and the scattering by arbitrarily inclined leaves (SAIL) model, was used to generate simulated GF-5 reflectance data under different vegetation and soil conditions, and then three FS methods, including random forest (RF), K-means clustering (K-means) and mean impact value (MIV), and three ML algorithms, including random forest regression (RFR), back propagation neural network (BPNN) and K-nearest neighbor (KNN) were used to develop nine LAI estimation models. The FS process was conducted twice using different strategies: Firstly, three FS methods were conducted to search the lowest dimension number, which maintained the estimation accuracy of all bands. Then, the sequential backward selection (SBS) method was used to eliminate the bands having minimal impact on LAI estimation accuracy. Finally, three best estimation models were selected and evaluated using reference LAI. The results showed that although the RF_RFR model (RF used for feature selection and RFR used for regression) achieved reliable LAI estimates (coefficient of determination (R2) = 0.828, root mean square error (RMSE) = 0.839), the poor performance (R2 = 0.763, RMSE = 0.987) of the MIV_BPNN model (MIV used for feature selection and BPNN used for regression) suggested using feature selection and regression conducted by the same ML algorithm could not always ensure an optimal estimation. Moreover, RF selection preserved the most informative bands for LAI estimation so that each ML regression method could achieve satisfactory estimation results. Finally, the results indicated that the RF_KNN model (RF used as feature selection and KNN used for regression) with seven GF-5 spectral band reflectance achieved the better estimation results than others when validated by simulated data (R2 = 0.834, RMSE = 0.824) and actual reference LAI (R2 = 0.659, RMSE = 0.697).

Non-Invasive Continuous Blood-Pressure Monitoring Models Based on Photoplethysmography and Electrocardiography

Blood pressure is an extremely important blood hemodynamic parameter. The pulse wave contains abundant blood-pressure information, and the convenience and non-invasivity of its measurement make it ideal for non-invasive continuous monitoring of blood pressure. Based on combined photoplethysmography and electrocardiogram signals, this study aimed to extract the waveform information, introduce individual characteristics, and construct systolic and diastolic blood-pressure (SBP and DBP) estimation models using the back-propagation error (BP) neural network. During the model construction process, the mean impact value method was employed to investigate the impact of each feature on the model output and reduce feature redundancy. Moreover, the multiple population genetic algorithm was applied to optimize the BP neural network and determine the initial weights and threshold of the network. Finally, the models were integrated for further optimization to generate the final individualized continuous blood-pressure monitoring models. The results showed that the predicted values of the model in this study correlated significantly with the measured values of the electronic sphygmomanometer. The estimation errors of the model met the Association for the Advancement of Medical Instrumentation (AAMI) criteria (the SBP error was 2.5909 ± 3.4148 mmHg, and the DBP error was 2.6890 ± 3.3117 mmHg) and the Grade A British Hypertension Society criteria.

A Non-Invasive Continuous Blood Pressure Estimation Approach Based on Machine Learning

Considering the existing issues of traditional blood pressure (BP) measurement methods and non-invasive continuous BP measurement techniques, this study aims to establish the systolic BP and diastolic BP estimation models based on machine learning using pulse transit time and characteristics of pulse waveform. In the process of model construction, the mean impact value method was introduced to investigate the impact of each feature on the models and the genetic algorithm was introduced to implement parameter optimization. The experimental results showed that the proposed models could effectively describe the nonlinear relationship between the features and BP and had higher accuracy than the traditional methods with the error of 3.27 ± 5.52 mmHg for systolic BP and 1.16 ± 1.97 mmHg for diastolic BP. Moreover, the estimation errors met the requirements of the Advancement of Medical Instrumentation and British Hypertension Society criteria. In conclusion, this study was helpful in promoting the practical application of methods for non-invasive continuous BP estimation models.

PPG-Based Systolic Blood Pressure Estimation Method Using PLS and Level-Crossing Feature

This paper proposes a cuff-less systolic blood pressure (SBP) estimation method using partial least-squares (PLS) regression. Level-crossing features (LCFs) were used in this method, which were extracted from the contour lines arbitrarily drawn on the second-derivative photoplethysmography waveform. Unlike conventional height ratio features (HRFs), which are extracted on the basis of the peaks in the waveform, LCFs can be reliably extracted even if there are missing peaks in the waveform. However, the features extracted from adjacent contour lines show similar trends; thus, there is a strong correlation between the features, which leads to multicollinearity when conventional multiple regression analysis (MRA) is used. Hence, we developed a multivariate estimation method based on PLS regression to address this issue and estimate the SBP on the basis of the LCFs. Two-hundred-and-sixty-five subjects (95 males and 170 females [(Mean ± Standard Deviation) SBP: 133.1 ± 18.4 mmHg; age: 62.8 ± 16.8 years] participated in the experiments. Of the total number of subjects, 180 were considered as learning data, while 85 were considered as testing data. The values of the correlation coefficient between the measured and estimated values were found to be 0.78 for the proposed method (LCFs + PLS), 0.58 for comparison method 1 (HRFs + MRA), and 0.62 for comparison method 2 (HRFs + MRA). The proposed method was therefore found to demonstrate the highest accuracy among the three methods being compared.