A new deep learning framework based on blood pressure range constraint for continuous cuffless BP estimation.

Journal: Neural networks : the official journal of the International Neural Network Society
Published Date:

Abstract

Blood pressure (BP) is known as an indicator of human health status, and regular measurement is helpful for early detection of cardiovascular diseases. Traditional techniques for measuring BP are either invasive or cuff-based and thus are not suitable for continuous measurement. Aiming at the deficiencies in existing studies, a novel cuffless BP estimation framework of Receptive Field Parallel Attention Shrinkage Network (RFPASN) and BP range constraint is proposed. Firstly, RFPASN uses the multi-scale large receptive field convolution module to capture the long-term dynamics in the photoplethysmography (PPG) signal without using long short-term memory (LSTM). On this basis, the features acquired by the parallel mixed domain attention module are used as thresholds, and the soft threshold function is used to screen the input features to enhance the discriminability and robustness of features, which can significantly improve the prediction accuracy of diastolic blood pressure (DBP) and systolic blood pressure (SBP). Finally, in order to prevent large fluctuations in the prediction results of RFPASN, RFPASN based on BP range constraint is proposed to make the prediction results of RFPASN more accurate and reasonable. The performance of the proposed method is demonstrated on a publically available MIMIC-II database. The database contains normal, hypertensive and hypotensive people. We have achieved MAE of 1.63/1.59 (DBP) and 2.26/2.15 (SBP) mmHg for BP on total population of 1562 subjects. A comparative study shows that the proposed algorithm is more promising than the state-of-the-art.

Authors

  • Yongyi Chen
    Research Center of Automation and Artificial Intelligence, Zhejiang University of Technology, Hangzhou 310023, Zhejiang, PR China.
  • Dan Zhang
    School of Pharmacy, Southwest Medical University, Luzhou 646000, China.
  • Hamid Reza Karimi
    Department of Engineering, Faculty of Technology and Science, University of Agder, N-4898 Grimstad, Norway.
  • Chao Deng
    School of Mechanical Science & Engineering, Huazhong University Of Science & Technology, 1037 Luoyu Road, Wuhan, China. Electronic address: dengchao@hust.edu.cn.
  • Wutao Yin
    Research Institute of Advanced Composite Forming Technology and Equipment, Institute of Jiangsu Industrial Technology Research Institute, Wuxi 214000, Jiangsu, PR China.