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An automated approach: from physiological signals classification to signal processing and analysis

机译:自动化方法:从生理信号分类到信号处理和分析

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摘要

By increased and widespread usage of wearable monitoring devices a huge volume of data is generated which requires various automated methods for analyzing and processing them and also extracting useful information from them. Since it is almost impossible for physicians and nurses to monitor physical activities of their patients for a long time, there is a need for automated data analysis techniques that abstract the information and highlight the significant events for clinicians and healthcare experts. The main objective of this thesis work was towards an automatic digital signal processing approach from physiological signal classification to processing and analyzing the two most vital physiological signals in long-term healthcare monitoring (ECG and IP). At the first stage, an automated generic physiological signal classifier for detecting an unknown recorded signal was introduced and then different algorithms for processing and analyzing the ECG and IP signals were developed and evaluated. This master thesis was a part of DISSE project which its aim was to design a new health-care system with the aim of providing medical expertise more accessible, affordable, and convenient. In this work, different publicly available databases such as MIT-BIH arrhythmia and CEBS were used in the development and evaluation phases. The proposed novel generic physiological signal classifier has the ability to distinguish five types of physiological signals (ECG, Resp, SCG, EMG and PPG) from each other with 100 % accuracy. Although the proposed classifier was not very successful in distinguishing lead I and II of ECG signal from each other (error of 27% was reported) which means that the general purpose features were enough discriminating to recognize different physiological signals from each other but not enough for classifying different ECG leads. For ECG processing and analysis section, three QRS detection methods were implemented which modified Pan-Tompkins gave the best performance with 97% sensitivity and 96,45% precision. The morphological based ectopic detection method resulted in sensitivity of 85,74% and specificity of 84,34%. Furthermore, for the first PVC detection algorithm (sum of trough) the optimal threshold and range were studied according to the AUC of ROC plot which the highest sensitivity and specificity were obtained with threshold of −5 and range of 11 : 25 that were equal to 87% and 82%, respectively. For the second PVC detection method (R-peak with minimum) the best performance was achieved with threshold of −0.7 that resulted in sensitivity of 68% and specificity of 72%. In the IP analysis section, an ACF approach was implemented for respiratory rate estimation. The estimated respira- tion rate obtained from IP signal and oronasal mask were compared and the total MAE and RMSE errors were computed that were equal to 0.40 cpm and 1.20 cpm, respectively. The implemented signal processing techniques and algorithms can be tested and improved with measured data from wearable devices for ambulatory applications.
机译:通过可穿戴监视设备的增加和广泛使用,生成了大量数据,这需要各种自动化方法来分析和处理它们,并从中提取有用的信息。由于医生和护士几乎不可能长时间监视患者的身体活动,因此需要一种自动数据分析技术来抽象化信息并突出临床医生和医疗保健专家的重要事件。本文工作的主要目标是建立一种自动数字信号处理方法,从生理信号分类到处理和分析长期医疗保健监视中最重要的两个生理信号(ECG和IP)。在第一阶段,引入了一种用于检测未知记录信号的自动通用生理信号分类器,然后开发并评估了用于处理和分析ECG和IP信号的不同算法。该硕士论文是DISSE项目的一部分,其目的是设计一种新的医疗保健系统,旨在为医疗专家提供更容易获得,可负担得起的服务和更多便利。在这项工作中,在开发和评估阶段使用了不同的公开可用数据库,例如MIT-BIH心律失常和CEBS。提出的新型通用生理信号分类器具有以100%的准确度相互区​​分五种生理信号(ECG,Resp,SCG,EMG和PPG)的能力。尽管提出的分类器不能很好地区分ECG信号的I和II导联(据报道误差为27%),这意味着通用特征足以区分彼此,以识别不同的生理信号,但不足以对不同的心电图线索进行分类。对于心电图处理和分析部分,实施了三种QRS检测方法,其中改进的Pan-Tompkins以97%的灵敏度和96,45%的精度提供了最佳性能。基于形态学的异位检测方法导致灵敏度为85.74%,特异性为84.34%。此外,对于第一个PVC检测算法(谷值的总和),根据ROC图的AUC研究了最佳阈值和范围,该图的灵敏度和特异性最高,阈值为-5,范围为11:25,等于分别为87%和82%。对于第二种PVC检测方法(最小R峰),以-0.7的阈值可获得最佳性能,从而导致灵敏度为68%,特异性为72%。在IP分析部分,实施了ACF方法来估算呼吸频率。比较了从IP信号和口鼻罩获得的估计呼吸频率,计算出的总MAE和RMSE误差分别等于0.40 cpm和1.20 cpm。已实现的信号处理技术和算法可以通过用于移动应用的可穿戴设备的测量数据进行测试和改进。

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  • 作者

    Mahdiani Shadi;

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  • 年度 2017
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