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Autor(en) / Beteiligte
Titel
Aortic pressure waveform reconstruction using a multi-channel Newton blind system identification algorithm
Ist Teil von
  • Computers in biology and medicine, 2021-08, Vol.135, p.104545-104545, Article 104545
Ort / Verlag
Oxford: Elsevier Ltd
Erscheinungsjahr
2021
Link zum Volltext
Quelle
Elsevier ScienceDirect Journals
Beschreibungen/Notizen
  • Central aortic pressure (CAP) as the major load on the left heart is of great importance in the diagnosis of cardiovascular disease. Studies have pointed out that CAP has a higher predictive value for cardiovascular disease than peripheral artery pressure (PAP) measured by means of traditional sphygmomanometry. However, direct measurement of the CAP waveform is invasive and expensive, so there remains a need for a reliable and well validated non-invasive approach. In this study, a multi-channel Newton (MCN) blind system identification algorithm was employed to noninvasively reconstruct the CAP waveform from two PAP waveforms. In simulation experiments, CAP waveforms were recorded in a previous study, on 25 patients and the PAP waveforms (radial and femoral artery pressure) were generated by FIR models. To analyse the noise-tolerance of the MCN method, variable amounts of noise were added to the peripheral signals, to give a range of signal-to-noise ratios. In animal experiments, central aortic, brachial and femoral pressure waveforms were simultaneously recorded from 2 Sprague-Dawley rats. The performance of the proposed MCN algorithm was compared with the previously reported cross-relation and canonical correlation analysis methods. The results showed that the root mean square error of the measured and reconstructed CAP waveforms and less noise-sensitive using the MCN algorithm was smaller than those of the cross-relation and canonical correlation analysis approaches. The MCN method can be exploited to reconstruct the CAP waveform. Reliable estimation of the CAP waveform from non-invasive measurements may aid in early diagnosis of cardiovascular disease. •The article proposes a new MCN approach for reconstructing the central aortic pressure waveform.•The main aim is to use Newton's iterative optimization method to derive an adaptive transfer function.•The MCN algorithm has good noise resistance and rapid convergence.•The adaptive transfer function provides a patient-specific approach to meeting the demand for a clinically useful way.•The performance of the proposed method is superior to that of other state-of-the-art methods.

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