WO2019127623A1 - Method and device for constructing model for estimating arterial blood vessel age - Google Patents

Method and device for constructing model for estimating arterial blood vessel age Download PDF

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WO2019127623A1
WO2019127623A1 PCT/CN2018/070071 CN2018070071W WO2019127623A1 WO 2019127623 A1 WO2019127623 A1 WO 2019127623A1 CN 2018070071 W CN2018070071 W CN 2018070071W WO 2019127623 A1 WO2019127623 A1 WO 2019127623A1
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age
feature
features
blood vessel
wave
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PCT/CN2018/070071
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French (fr)
Chinese (zh)
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李烨
刘记奎
苗芬
闻博
刘增丁
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中国科学院深圳先进技术研究院
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/02007Evaluating blood vessel condition, e.g. elasticity, compliance

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  • the invention relates to the technical field of cardiovascular disease monitoring, in particular to a method and a device for constructing an arterial blood vessel age estimation model.
  • Cardiovascular disease has the characteristics of high morbidity and high disability, and has been the leading cause of death in China since 1990. Therefore, it is of great clinical significance to achieve screening and primary prevention of high-risk populations of asymptomatic CVD.
  • Arteriosclerosis and changes in the elasticity of the arterial lumen play an important role in the development of CVD and are prerequisites for the occurrence of cardiovascular disease. Therefore, monitoring of vascular sclerosis and elastic changes is more predictive of cardiovascular events.
  • the criteria for judging arterial elasticity and age mainly include the following three types: Framingham score, pulse wave velocity, and carotid intima-media thickness.
  • the Framingham score is a good indicator of the age of arterial aging, giving the risk of cardiovascular and cerebrovascular disease within ten years.
  • this method does not give the corresponding blood vessel age, and the blood vessel age is more intuitive than the risk of the disease, and the psychological feeling is more able to urge the patient to adopt a more reasonable lifestyle; in addition, the implementation of the above technology can only be carried out in the hospital, many patients In the case of no onset, it is rare to go to the hospital for examination, thus greatly reducing the prevention of cardiovascular disease.
  • the object of the present invention is to provide a method and a device for constructing an arterial blood vessel age estimation model, which can realize the estimation of blood vessel age through portable or wearable devices, and is accurate and suitable for home medical treatment, and improves cardiovascular disease. Preventive effects.
  • an embodiment of the present invention provides a method for constructing an arterial blood vessel age estimation model, comprising: collecting a reference arterial blood vessel age, a physiological signal, and individualized information of a sample user; the physiological signal includes a synchronized PPG signal and an ECG signal; The information includes gender and wingspan; for each sample user, weighted feature acquisition operations are performed separately according to gender: feature extraction is performed according to physiological signals and individualized information; the above features include: pulse wave velocity, normalized heavy wave Time delay with the main wave, normalized pulse wave rise time and BMI index; normalization of each feature to obtain normalized features; respectively, according to the correlation coefficient between each feature and the reference arterial age Weighting coefficient; calculating the weighted features of each feature according to the normalized feature and the weighting coefficient; training the neural network with the weighted features of each sample user and the reference arterial age as sample data, and obtaining an arterial blood vessel age estimation model.
  • the step of collecting physiological signals of a plurality of users of the same sex comprises: measuring upper arm blood pressure, PPG signal and ECG signal of a plurality of users of the same sex; measuring order of upper arm blood pressure, PPG signal and ECG signal is: first upper arm Blood pressure measurement, PPG signal and ECG signal synchronization measurement, second upper arm blood pressure measurement; when the difference between the measured values of the upper arm blood pressure measurement is not greater than the preset deviation threshold, the PPG signal and the ECG signal are determined as the user's body information.
  • the step of extracting features according to the physiological signal and the individualized information comprises: performing R wave peak point detection on the ECG signal, and performing pulse wave start point A, main wave B, tidal wave C, and notch D on the PPG signal and The doubling wave E detection; dividing the pulse conduction distance by the average time delay of the pulse wave starting point A and the R wave peak point to obtain the pulse wave conduction velocity; dividing the average time delay of the dicrotic wave E and the main wave B by the average heartbeat period The time delay of normalizing the heavy wave and the main wave; dividing the average time delay of the main wave B and the starting pulse wave A by the average heartbeat cycle to obtain the normalized pulse wave rising branch time.
  • the step of calculating the weight coefficients of the respective features according to the correlation coefficients of the respective features and the reference arterial age includes: respectively calculating the correlation coefficient L i of the feature and the reference arterial blood vessel age by correlation coefficient analysis; Calculate the weighting factor c i of each feature:
  • n is the number of features.
  • the step of calculating the weighting features of the respective features according to the normalized features and the weighting coefficients comprises: multiplying the normalized features by the corresponding weighting coefficients respectively to obtain weighting features of the respective features.
  • the method further comprises: performing denoising preprocessing on the PPG signal and the ECG signal.
  • the personalized information includes one or more of the following: natural age, height, weight, and smoking age;
  • the step of normalizing each feature to obtain a normalized feature includes: normalizing each feature in combination with natural age and smoke age to obtain a normalized feature.
  • the method further includes: collecting a physiological signal and individualized information of the target user; performing a weighted feature acquisition operation on the target user; and inputting a weighted feature of the target user into an arterial blood vessel age estimation model corresponding to the gender of the target user to obtain a target The user's arterial age.
  • an embodiment of the present invention further provides an apparatus for constructing an arterial blood vessel age estimation model, comprising: a sample collection module, configured to collect reference arterial blood vessel age, physiological signals, and individualized information of a sample user; the physiological signal includes a synchronized PPG.
  • the signal and the ECG signal, the individualized information includes a gender and a span;
  • the weighted feature acquisition module is configured to perform a weighted feature acquisition operation according to the gender for each sample user: extracting features according to the physiological signal and the individualized information; : pulse wave conduction velocity, time delay of normalized heavy wave and main wave, normalized pulse wave rising branch time and BMI index; normalization of each feature to obtain normalized features; according to various features and references
  • the correlation coefficient of arterial age is used to calculate the weight coefficients of each feature respectively; the weighted features of each feature are calculated according to the normalized features and the weight coefficients;
  • the training module is used to take the weighted features of each sample user and the reference arterial age as samples Data training neural network, get the arterial age estimation model type.
  • the method further includes: a target acquisition module, configured to collect physiological signals and individualized information of the target user; a target weighted feature acquisition module, configured to perform a weighted feature acquisition operation on the target user; and an age estimation module, configured to target the user
  • the weighted feature inputs an arterial blood vessel age estimation model corresponding to the gender of the target user, and obtains the arterial blood vessel age of the target user.
  • the embodiments of the present invention bring about the following beneficial effects: the method and device for constructing an arterial blood vessel age estimation model provided by the embodiments of the present invention, the non-linear fitting of the blood vessel age by the reference user's reference arterial age and body information, the artery is constructed
  • the blood vessel age estimation model can improve the estimation accuracy of arterial blood vessel age, and can estimate the blood vessel age through portable or wearable devices.
  • the estimation is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
  • FIG. 1 is a schematic flow chart of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention
  • FIG. 2 is a schematic diagram of a PPG and an ECG according to an embodiment of the present invention
  • FIG. 3 is a schematic flow chart of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention
  • FIG. 4 is a schematic structural diagram of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention
  • FIG. 5 is a schematic structural diagram of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention
  • FIG. 6 is a schematic structural diagram of a monitoring device according to an embodiment of the present invention.
  • Framingham score The American Framingham study conducted a cardiovascular disease risk score (Flemingham score) based on cholesterol and non-cholesterol factors, including non-cholesterol factors including diabetes (high risk factors), age (male) >45, female>55), smoking, hypertension, high-density lipoprotein, a history of coronary heart disease in first-degree relatives. The study scores each factor by a large amount of data that is tracked cumulatively, and then judges the risk based on the overall score, which can reflect the vascular aging according to the risk score.
  • Pulse wave velocity can reflect the softness and hardness of the blood vessel. For example, the harder the elastic, the weaker the blood vessel PWV, and the slower the elastic PWV. Therefore, in some studies, pulse rate is often used as a measure of blood vessel hardness.
  • the arteriosclerosis measuring instrument developed by Omron reflects the degree of vascular sclerosis by measuring the pulse wave velocity cfPWV of the neck-femoral artery, and then converting the arterial age with other measured indexes.
  • the above three methods may not accurately reflect the aging of the arteries, or may not directly give the age of the arterial vessels, and are not suitable for use in home medical measurement, which is not conducive to the prevention and treatment of cardiovascular diseases.
  • the method and device for constructing an arterial blood vessel age estimation model provided by the embodiments of the present invention can realize the estimation of the blood vessel age through a portable or wearable device, and the estimation is accurate and suitable for home medical treatment.
  • the embodiment of the invention provides a method for constructing an arterial blood vessel age estimation model, and a flow chart of the method for constructing an arterial blood vessel age estimation model shown in FIG. 1 , the method comprising the following steps:
  • step S102 the reference arterial blood vessel age, physiological signal and individualized information of the sample user are collected.
  • the physiological signals include synchronized PPG (photoplethysmograph) signals and ECG (electrocardiogram) signals, and individualized information includes gender and abduction.
  • the arm extension is used to calculate the pulse wave conduction velocity.
  • the reference arterial blood vessel age of the sample user can be measured by using an OMRON arteriosclerosis apparatus.
  • the reference arterial blood vessel age can also be obtained by other means, which is not limited in this embodiment.
  • the estimation of the age of the individual arterial vessels can be performed by the home medical device (electronic sphygmomanometer) and the wearable device (measuring the fingertip photoplethysmographic pulse wave and the electrocardiogram), so that the measurement can be independently performed by the user in the home medical treatment.
  • step S104 for each sample user, the weighted feature acquisition operation is performed separately according to the gender.
  • the weighted feature acquisition operation may include: extracting features according to physiological signals and individualized information; normalizing each feature to obtain normalized features; calculating respective features according to correlation coefficients of respective features and reference arterial ages Weighting coefficient; calculating the weighting characteristics of each feature according to the normalized feature and the weighting coefficient.
  • Feature extraction based on the above physiological signals and individualized information including feature extraction of PPG and ECG.
  • Key points are detected on PPG and ECG before extraction.
  • the detection of key points of ECG includes R wave peak detection, which is used as the starting time reference for pulse wave conduction; PPG key point detection mainly detects pulse wave starting point A , main wave B, tidal wave C, notch D and heavy wave wave E. Referring to the schematic diagrams of PPG and ECG shown in Figure 2, the above various key points are shown.
  • the above extracted features may include: pulse wave velocity, time delay of normalized heavy wave and main wave, normalized pulse wave rise time, and BMI index. Referring to Figure 2, the above features are calculated as follows:
  • T2 Normalized pulse wave rising branch time
  • BMI index kilograms of body weight / square of height meters. It should be noted that when collecting the individualized information of the sample user, the height and weight of the sample user can also be collected, and then the BMI index can be calculated by height and weight, or if the sample user knows his own BMI index. The BMI index of the sample user can be directly collected, which is not limited in this embodiment.
  • the above PWV, T1, T2, and BMI are normalized to the interval [a, b], respectively.
  • ⁇ and ⁇ are the mean and standard deviation of all the features of the sample set (the normalization of the feature is for each
  • the feature attributes are normalized separately.
  • the normalization method can also adopt other existing normalization methods, which is not limited in this embodiment.
  • the correlation coefficient L i of the feature and the reference arterial age can be separately solved by correlation coefficient analysis, and then the weight coefficient c i of each feature is calculated according to the following formula:
  • n is the number of features.
  • the weighted features of the respective features described above can be obtained by multiplying the normalized features obtained in the above step (2) by the corresponding weight coefficients obtained in the above step (3).
  • step S106 the neural network is trained with the weighted feature of each sample user and the reference arterial age as sample data to obtain an arterial age estimation model.
  • the neural network can be used to fit the blood vessel age, and the neural network is trained by the sample data of the sample set to obtain the optimal network parameters, thereby obtaining a nonlinear model with good blood vessel age prediction ability for the test sample.
  • the input to the neural network is the above characteristics PWV, T1, T2, and BMI, and the output is the arterial age.
  • the above neural network may be a multi-layer neural network, and the number of hidden layers and the number of nodes per layer may be any number that achieves a superior result.
  • the method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by the reference user's reference arterial age and body information, and constructs an arterial blood vessel age estimation model, which can improve the estimation accuracy of the arterial blood vessel age.
  • the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
  • the measurement order of the upper arm blood pressure, the PPG signal and the ECG signal is: the first upper arm blood pressure measurement, the PPG signal and the ECG signal synchronous measurement, and the second upper arm blood pressure measurement.
  • the collection position of the PPG is located at the finger end, and the ECG measurement can select the limb lead mode to facilitate user operation.
  • the PPG signal and the ECG signal are measured simultaneously to facilitate the calculation of the features in subsequent steps.
  • the preset deviation threshold may be determined according to the stability requirement of the blood pressure, for example, may be determined to be 15 mmHg.
  • the sample user may be in an unstable state or the measurement is in a problem, and the PPG signal of the measurement is discarded. And the ECG signal, measured again in the above order.
  • the performing weighted feature acquisition operation further includes the steps of performing denoising preprocessing on the PPG signal and the ECG signal.
  • Denoising pre-processing of the original PPG and ECG signals collected may include de-baseline drift, power frequency interference, and other noise.
  • the noise is mainly the baseline drift.
  • the high-pass filter with a cutoff frequency of 0.3HZ can be used to remove the baseline drift.
  • the baseline drift can be removed by wavelet technique and then denoised by wavelet and Butterworth filter. The method removes other interference noise from the ECG.
  • the individualized information of the sample user may also include one or more of the following: natural age, height, weight, and age of smoke. Among them, height and weight can be used to calculate the BMI index.
  • the above personalized information can be obtained by user input.
  • the step of normalizing the above features to obtain a normalized feature may further include: normalizing each feature according to the natural age and the smoke age to obtain a normalized feature, that is, increasing Characteristics: The natural age and the smoke age are also normalized, and the subsequent steps of calculating the weight coefficient and the corresponding weighting feature are performed with all the features after adding the above features, and the model is fitted using the weighted features of all the above features. .
  • arterial age fitting can be performed according to various models, such as a one-dimensional linear model, multiple linear regression, multiple nonlinear regression, and the like.
  • the arterial blood vessel age estimation model After obtaining the arterial blood vessel age estimation model by the method of the present embodiment, it can be used to estimate the arterial blood vessel age of the target user, and the weighted feature is input to the arterial blood vessel age estimation model to obtain the arterial blood vessel age output of the target user.
  • the above method of the embodiment further includes the steps of: collecting body information of the target user; performing a weighted feature acquisition operation on the target user; and inputting the weighted feature of the target user into an arterial blood vessel age estimation model corresponding to the gender of the target user to obtain the target user.
  • the age of the arteries The age of the arteries.
  • the steps of the acquisition step and the weighting feature acquisition step are the same as those in the process of constructing the above-mentioned arterial blood vessel age estimation model, and are not described herein again.
  • the method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention can estimate the arterial blood vessel age of the target user after constructing the arterial blood vessel age estimation model, and the estimation is accurate and suitable for family medical treatment, and can provide more useful for family health. Physiological parameters.
  • the embodiment of the invention provides a method for constructing an arterial blood vessel age estimation model, which is described by taking the user's body information including age, PWV, T1, T2, BMI index and smoke age as an example.
  • the selected parameters are reasonably designed according to the existing medical and mathematical theories, and all of them have a significant influence on the age of the user's arteries, and the detailed analysis is as follows:
  • the age of blood vessels generally increases with the increase of natural age, but due to individual factors (such as smoking, diet, obesity, etc.), the increase of the two is not linear;
  • PWV is a direct response to arterial elasticity. Important indicators, the better the vascular elasticity, the slower the PWV, the harder the blood vessel is, the faster the PWV is.
  • the time delay between the main wave and the tremor wave in the pulse wave is directly related to the elasticity of the blood vessel. The better the elasticity, the time delay of the blood vessel T1 (4)
  • the pulse wave rise time T2 reflects the time from the start of the blood to the maximum blood pressure.
  • the method for constructing an arterial blood vessel age estimation model includes the following steps:
  • Step S302 recording basic data of the sample user.
  • the basic data includes age, gender, height, weight, arm span (both arms straight and shoulder level, measuring the distance L between the two middle finger tips) and the age of the smoke.
  • the male and female models are independently modeled, and the age of the samples is evenly distributed between 30 and 70 years old.
  • Step S304 acquiring the upper arm blood pressure, the PPG signal and the ECG signal of the sample user.
  • Step S306 performing denoising preprocessing on the PPG signal and the ECG signal.
  • Step S308 performing ECG and PPG key point detection. After obtaining the ECG and PPG after denoising preprocessing, key points are detected on the waveforms of the two.
  • Step S310 performing feature extraction on the ECG and the PPG.
  • This feature includes the above PWV, T1, and T2.
  • step S312 correlation coefficients L1, L2, L3, L4, L5, and L6 between blood vessel age and age, PWV, T1, T2, BMI index, and smoke age are automatically analyzed by correlation coefficients.
  • the correlation coefficient is automatically calculated by a pre-written program.
  • L1 ⁇ L6 are the correlation coefficient between blood vessel age and age, PWV, T1, T2, BMI index and tobacco age.
  • the correlation coefficient L1 is taken as an example.
  • step S314 the age, PWV, T1, T2, BMI index, and smoke age are respectively normalized.
  • a, p, t1, t2, bmi and s are respectively used to represent the feature vector normalized by the above feature.
  • step S316 the feature weights of age, PWV, T1, T2, BMI index, and smoke age are calculated.
  • Step S318, calculating a weighting feature The normalized feature obtained in step S314 is multiplied by the feature weight obtained in step S316 to obtain a weighted feature vector.
  • the weighted feature vector can be expressed as [a*c1, p*c2, t1*c3, t2*c4, bmi*c5, s*c6].
  • step S320 the nonlinear model is fitted to obtain an artery blood vessel age estimation model.
  • a multi-layer neural network can be used to fit the blood vessel age.
  • the input characteristics of the multi-layer neural network are: age, PWV, T1, T2, BMI index, and smoke age, and the output is the estimated arterial age.
  • Step S322 input the weighted feature of the natural age, PWV, T1, T2, BMI index and the age of the target user to the above estimated model to obtain the estimated arterial age of the target user.
  • the method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by the reference user's reference arterial age and body information, and constructs an arterial blood vessel age estimation model, which can improve the estimation accuracy of the arterial blood vessel age.
  • the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
  • An embodiment of the present invention provides a device for constructing an arterial blood vessel age estimation model.
  • the sample collection module 10 the weighted feature acquisition module 20, and the training module 30 are provided.
  • the functions of each module are as follows:
  • the sample collection module 10 is configured to collect reference arterial blood vessel age, physiological signals and individualized information of the sample user; the physiological signals include synchronized PPG signals and ECG signals, and the individualized information includes gender and abduction;
  • the weighted feature obtaining module 20 is configured to perform a weighted feature acquisition operation according to the gender for each sample user: extracting features according to the physiological signal and the individualized information; the features include: pulse wave conduction velocity, normalized heavy wave and The time delay of the main wave, the normalized pulse wave rise time and the BMI index; normalize each feature to obtain a normalized feature; calculate the weight of each feature according to the correlation coefficient between each feature and the reference arterial age Coefficient; calculating a weighted feature of each feature based on the normalized feature and the weighting coefficient;
  • the training module 30 is configured to train the neural network with the weighted features of each sample user and the reference arterial age as sample data to obtain an arterial age estimation model.
  • the apparatus further includes:
  • the target collection module 40 is configured to collect physiological signals and individualized information of the target user
  • the target weighted feature obtaining module 50 is configured to perform a weighted feature obtaining operation on the target user
  • the age estimation module 60 is configured to input a weighted feature of the target user into an arterial blood age estimation model corresponding to the gender of the target user, to obtain an arterial blood vessel age of the target user.
  • the apparatus for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by using the reference arterial blood vessel age and body information of the sample user, and constructing an arterial blood vessel age estimation model can improve the estimation accuracy of the arterial blood vessel age.
  • the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
  • Embodiments of the present invention also provide a monitoring device that can be separately provided, and with a home medical device (such as an electronic sphygmomanometer) and a wearable device (for example, a wristband that can measure the fingertip photoelectric volume pulse wave and the electrocardiogram, exercise)
  • a home medical device such as an electronic sphygmomanometer
  • a wearable device for example, a wristband that can measure the fingertip photoelectric volume pulse wave and the electrocardiogram, exercise
  • a communication connection such as a watch, may also be provided inside the above-mentioned home medical device or wearable device, thereby utilizing the hardware conditions of the above-described home medical device or wearable device.
  • the monitoring device may include the arterial blood vessel age estimation model constructing device provided by the above embodiments.
  • a processor 600 and a machine readable storage medium 601 are stored.
  • the machine readable storage medium 601 stores machine executable instructions executable by the processor 600, and the processor 600 executes The machine executable instructions to implement the methods provided by the above embodiments.
  • the monitoring device shown in FIG. 6 further includes a bus 602 and a communication interface 603, and the processor 600, the communication interface 603, and the machine readable storage medium 601 are connected by a bus 602.
  • the communication interface 603 can be communicably connected with the above-mentioned home medical device and the wearable device, and acquire physiological signals or individualized information, such as PPG, ECG, and the like collected by the home medical device and the wearable device.
  • the machine readable storage medium 601 may include a high speed random access memory (RAM), and may also include a non-volatile memory, such as at least one disk storage.
  • the communication connection between the system network element and the at least one other network element may be implemented by using at least one communication interface 603 (which may be wired or wireless), and may use an Internet, a wide area network, a local network, a metropolitan area network, or the like.
  • the bus 602 can be an ISA bus, a PCI bus, or an EISA bus.
  • the bus can be divided into an address bus, a data bus, a control bus, and the like. For ease of representation, only one double-headed arrow is shown in Figure 6, but it does not mean that there is only one bus or one type of bus.
  • Processor 600 may be an integrated circuit chip with signal processing capabilities. In the implementation process, each step of the above method may be completed by an integrated logic circuit of hardware in the processor 600 or an instruction in a form of software.
  • the processor 600 may be a general-purpose processor, including a central processing unit (CPU), a network processor (NP processor, etc.), or a digital signal processor (DSP). ), Application Specific Integrated Circuit (ASIC), Field-Programmable Gate Array (FPGA) or other programmable logic device, discrete gate or transistor logic device, discrete hardware component.
  • the methods, steps, and logical block diagrams disclosed in the embodiments of the invention may be implemented or carried out.
  • the general purpose processor may be a microprocessor or the processor or any conventional processor or the like.
  • the steps of the method disclosed in connection with the embodiments of the present disclosure may be directly embodied by the hardware decoding processor, or by a combination of hardware and software modules in the decoding processor.
  • the software module can be located in a conventional storage medium such as random access memory, flash memory, read only memory, programmable read only memory or electrically erasable programmable memory, registers, and the like.
  • the storage medium is located in a machine readable storage medium 601, and the processor 600 reads information in the machine readable storage medium 601, in combination with hardware thereof, to perform the steps of the method of the foregoing embodiments, including construction of an arterial blood vessel age estimation model and use of the model Estimate the arterial age of the target user.
  • Embodiments of the present invention also provide a machine readable storage medium storing machine executable instructions that, when invoked and executed by a processor, cause the processor to implement the above The method of the embodiment.
  • the above functions, if implemented in the form of software functional units and sold or used as stand-alone products, may be stored in a computer readable storage medium.
  • a computer device which may be a personal computer, server, or network device, etc.
  • the foregoing storage medium includes: a U disk, a mobile hard disk, a read-only memory (ROM), a random access memory (RAM), a magnetic disk, or an optical disk, and the like.

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Abstract

A method and device for constructing a model for estimating arterial blood vessel age, which relates to the technical field of cardiovascular disease monitoring, the method comprising: collecting reference arterial blood vessel ages, physiological signals, and individualized information of sample users; executing a weighted feature acquisition operation according to gender for each sample user respectively; extracting features according to the physiological signals and the individualized information; normalizing each feature to obtain a normalized feature; calculating a weight coefficient of each feature respectively according to a correlation coefficient between each feature and the reference arterial blood vessel age; calculating a weighted feature of each feature according to the normalized feature and the weight coefficient; training a neural network by using the weighted features of each sample user and the reference arterial blood vessel age as sample data to obtain a model for estimating arterial blood vessel age. The device and method estimate accurately and are suitable for household medical treatment, and may provide more useful physiological parameters for home healthcare.

Description

动脉血管年龄估算模型构建方法和装置Method and device for constructing arterial blood vessel age estimation model
相关申请的交叉引用Cross-reference to related applications
本申请要求于2017年12月27日提交中国专利局的申请号为201711453635.7、名称为“动脉血管年龄估算模型构建方法和装置”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。The present application claims priority to Chinese Patent Application No. 201711453635.7, entitled "Method and Apparatus for Constructing Arterial Vascular Age Estimation Model", filed on December 27, 2017, the entire contents of which is incorporated herein by reference. in.
技术领域Technical field
本发明涉及心血管疾病监测技术领域,尤其是涉及一种动脉血管年龄估算模型构建方法和装置。The invention relates to the technical field of cardiovascular disease monitoring, in particular to a method and a device for constructing an arterial blood vessel age estimation model.
背景技术Background technique
心血管疾病(CVD)具有高发病率、高致残率等特点,从1990年起持续成为我国居民首位死亡原因。因此,实现对无症状CVD高危人群的筛查并进行一级预防具有重要的临床意义。动脉硬化和动脉血管腔弹性的改变在CVD的发生发展中起到重要作用,是心血管疾病发生的前提。因此,对于血管硬化及弹性改变的监测对心血管事件的发生更具有预见性。对于动脉血管弹性与年龄的判断标准主要包括以下三种:弗雷明汉分数、脉搏波速度以及颈动脉内-中膜厚度。Cardiovascular disease (CVD) has the characteristics of high morbidity and high disability, and has been the leading cause of death in China since 1990. Therefore, it is of great clinical significance to achieve screening and primary prevention of high-risk populations of asymptomatic CVD. Arteriosclerosis and changes in the elasticity of the arterial lumen play an important role in the development of CVD and are prerequisites for the occurrence of cardiovascular disease. Therefore, monitoring of vascular sclerosis and elastic changes is more predictive of cardiovascular events. The criteria for judging arterial elasticity and age mainly include the following three types: Framingham score, pulse wave velocity, and carotid intima-media thickness.
弗雷明汉分数能够很好地反映动脉老化级别情况,给出十年内心脑血管疾病的发病风险。但是该方法并没有给出相应的血管年龄,而血管年龄相比发病风险更加直观,造成的心理感觉更能够督促患者采取更合理的生活方式;此外上述技术的实施只能在医院进行,许多患者在不发病的情况很少会去医院进行检查,因而大大降低了对心血管疾病的预防效果。The Framingham score is a good indicator of the age of arterial aging, giving the risk of cardiovascular and cerebrovascular disease within ten years. However, this method does not give the corresponding blood vessel age, and the blood vessel age is more intuitive than the risk of the disease, and the psychological feeling is more able to urge the patient to adopt a more reasonable lifestyle; in addition, the implementation of the above technology can only be carried out in the hospital, many patients In the case of no onset, it is rare to go to the hospital for examination, thus greatly reducing the prevention of cardiovascular disease.
发明内容Summary of the invention
有鉴于此,本发明的目的在于提供一种动脉血管年龄估算模型构建方法和装置,可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗,提高了对心血管疾病的预防效果。In view of this, the object of the present invention is to provide a method and a device for constructing an arterial blood vessel age estimation model, which can realize the estimation of blood vessel age through portable or wearable devices, and is accurate and suitable for home medical treatment, and improves cardiovascular disease. Preventive effects.
第一方面,本发明实施例提供了一种动脉血管年龄估算模型构建方法,包括:采集样本用户的参考动脉血管年龄,生理信号以及个体化信息;生理信号包括同步的PPG信号和ECG信号;个体化信息包括性别和臂展;对于每个样本用户,按照性别分别执行加权特征获取操作:根据生理信号与个体化信息进行特征的提取;上述特征包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数;对各个特征进行归一化处理得到归一化特征;根据各个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数;根据归一化特征和权重系数计算各个特征的加权特征;以每个样本用户的加权特征和参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。In a first aspect, an embodiment of the present invention provides a method for constructing an arterial blood vessel age estimation model, comprising: collecting a reference arterial blood vessel age, a physiological signal, and individualized information of a sample user; the physiological signal includes a synchronized PPG signal and an ECG signal; The information includes gender and wingspan; for each sample user, weighted feature acquisition operations are performed separately according to gender: feature extraction is performed according to physiological signals and individualized information; the above features include: pulse wave velocity, normalized heavy wave Time delay with the main wave, normalized pulse wave rise time and BMI index; normalization of each feature to obtain normalized features; respectively, according to the correlation coefficient between each feature and the reference arterial age Weighting coefficient; calculating the weighted features of each feature according to the normalized feature and the weighting coefficient; training the neural network with the weighted features of each sample user and the reference arterial age as sample data, and obtaining an arterial blood vessel age estimation model.
进一步地,采集多个相同性别用户的生理信号的步骤,包括:测量多个相同性别用户的上臂血压、PPG信号和ECG信号;上臂血压、PPG信号和ECG信号的测量顺序为:第一次上臂血压测量、PPG信号与ECG信号同步测量、第二次上臂血压测量;当两次上臂血压测量的测量值的差值不大于预设偏差阈值时,确定PPG信号和ECG信号为用户的身体信息。Further, the step of collecting physiological signals of a plurality of users of the same sex comprises: measuring upper arm blood pressure, PPG signal and ECG signal of a plurality of users of the same sex; measuring order of upper arm blood pressure, PPG signal and ECG signal is: first upper arm Blood pressure measurement, PPG signal and ECG signal synchronization measurement, second upper arm blood pressure measurement; when the difference between the measured values of the upper arm blood pressure measurement is not greater than the preset deviation threshold, the PPG signal and the ECG signal are determined as the user's body information.
进一步地,根据生理信号与个体化信息进行特征的提取的步骤,包括:对ECG信号进行R波峰值点检测,对PPG信号进行脉搏波起点A、主波B、潮波C、切迹D以及重博波E检测;将脉搏传导距离除以脉搏波起点A与R波峰值点的平均时间延迟得到脉搏波传导速度;将重博波E与主波B的平均时间延迟除以平均心跳周期得到归一化重博波与主波的时间延迟;将 主波B与起点脉搏波A的平均时间延迟除以平均心跳周期得到归一化脉搏波上升支时间。Further, the step of extracting features according to the physiological signal and the individualized information comprises: performing R wave peak point detection on the ECG signal, and performing pulse wave start point A, main wave B, tidal wave C, and notch D on the PPG signal and The doubling wave E detection; dividing the pulse conduction distance by the average time delay of the pulse wave starting point A and the R wave peak point to obtain the pulse wave conduction velocity; dividing the average time delay of the dicrotic wave E and the main wave B by the average heartbeat period The time delay of normalizing the heavy wave and the main wave; dividing the average time delay of the main wave B and the starting pulse wave A by the average heartbeat cycle to obtain the normalized pulse wave rising branch time.
进一步地,根据各个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数的步骤,包括:通过相关系数分析分别求解特征与参考动脉血管年龄的相关性系数L i;按照以下公式分别计算各个特征的权重系数c iFurther, the step of calculating the weight coefficients of the respective features according to the correlation coefficients of the respective features and the reference arterial age includes: respectively calculating the correlation coefficient L i of the feature and the reference arterial blood vessel age by correlation coefficient analysis; Calculate the weighting factor c i of each feature:
Figure PCTCN2018070071-appb-000001
Figure PCTCN2018070071-appb-000001
其中,n为特征的数量。Where n is the number of features.
进一步地,根据归一化特征和权重系数计算各个特征的加权特征的步骤,包括:将归一化特征分别乘以对应的权重系数获得各个特征的加权特征。Further, the step of calculating the weighting features of the respective features according to the normalized features and the weighting coefficients comprises: multiplying the normalized features by the corresponding weighting coefficients respectively to obtain weighting features of the respective features.
进一步地,在根据身体信息进行特征的提取的步骤之前,还包括:对PPG信号和ECG信号进行去噪预处理。Further, before the step of extracting features according to the body information, the method further comprises: performing denoising preprocessing on the PPG signal and the ECG signal.
进一步地,上述个体化信息还包括以下一项或多项:自然年龄、身高、体重和烟龄;Further, the personalized information includes one or more of the following: natural age, height, weight, and smoking age;
对各个特征进行归一化处理得到归一化特征的步骤,包括:结合自然年龄和烟龄对各个特征进行归一化处理得到归一化特征。The step of normalizing each feature to obtain a normalized feature includes: normalizing each feature in combination with natural age and smoke age to obtain a normalized feature.
进一步地,上述方法还包括:采集目标用户的生理信号与个体化信息;对目标用户执行加权特征获取操作;将目标用户的加权特征输入与目标用户的性别对应的动脉血管年龄估算模型,得到目标用户的动脉血管年龄。Further, the method further includes: collecting a physiological signal and individualized information of the target user; performing a weighted feature acquisition operation on the target user; and inputting a weighted feature of the target user into an arterial blood vessel age estimation model corresponding to the gender of the target user to obtain a target The user's arterial age.
第二方面,本发明实施例还提供一种动脉血管年龄估算模型构建装置,包括:样本采集模块,用于采集样本用户的参考动脉血管年龄、生理信号及个体化信息;生理信号包括同步的PPG信号和ECG信号,个体化信息包括性别和臂展;加权特征获取模块,用于对于每个样本用户,按照性别分 别执行加权特征获取操作:根据生理信号与个体化信息进行特征的提取;特征包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数;对各个特征进行归一化处理得到归一化特征;根据各个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数;根据归一化特征和权重系数计算各个特征的加权特征;训练模块,用于以每个样本用户的加权特征和参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。In a second aspect, an embodiment of the present invention further provides an apparatus for constructing an arterial blood vessel age estimation model, comprising: a sample collection module, configured to collect reference arterial blood vessel age, physiological signals, and individualized information of a sample user; the physiological signal includes a synchronized PPG. The signal and the ECG signal, the individualized information includes a gender and a span; the weighted feature acquisition module is configured to perform a weighted feature acquisition operation according to the gender for each sample user: extracting features according to the physiological signal and the individualized information; : pulse wave conduction velocity, time delay of normalized heavy wave and main wave, normalized pulse wave rising branch time and BMI index; normalization of each feature to obtain normalized features; according to various features and references The correlation coefficient of arterial age is used to calculate the weight coefficients of each feature respectively; the weighted features of each feature are calculated according to the normalized features and the weight coefficients; the training module is used to take the weighted features of each sample user and the reference arterial age as samples Data training neural network, get the arterial age estimation model type.
进一步地,还包括:目标采集模块,用于采集目标用户的生理信号及个体化信息;目标加权特征获取模块,用于对目标用户执行加权特征获取操作;年龄估计模块,用于将目标用户的加权特征输入与目标用户的性别对应的动脉血管年龄估算模型,得到目标用户的动脉血管年龄。Further, the method further includes: a target acquisition module, configured to collect physiological signals and individualized information of the target user; a target weighted feature acquisition module, configured to perform a weighted feature acquisition operation on the target user; and an age estimation module, configured to target the user The weighted feature inputs an arterial blood vessel age estimation model corresponding to the gender of the target user, and obtains the arterial blood vessel age of the target user.
本发明实施例带来了以下有益效果:本发明实施例提供的动脉血管年龄估算模型构建方法和装置,通过样本用户的参考动脉血管年龄及身体信息对血管年龄进行非线性拟合,该构建动脉血管年龄估算模型,可以提高动脉血管年龄的估算精度,并且可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗,可以为家庭健康提供更有用的生理参数。The embodiments of the present invention bring about the following beneficial effects: the method and device for constructing an arterial blood vessel age estimation model provided by the embodiments of the present invention, the non-linear fitting of the blood vessel age by the reference user's reference arterial age and body information, the artery is constructed The blood vessel age estimation model can improve the estimation accuracy of arterial blood vessel age, and can estimate the blood vessel age through portable or wearable devices. The estimation is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
本公开的其他特征和优点将在随后的说明书中阐述,或者,部分特征和优点可以从说明书推知或毫无疑义地确定,或者通过实施本公开的上述技术即可得知。Other features and advantages of the present disclosure will be set forth in the description which follows.
为使本公开的上述目的、特征和优点能更明显易懂,下文特举较佳实施例,并配合所附附图,作详细说明如下。The above described objects, features, and advantages of the present invention will become more apparent from the description of the appended claims.
附图说明DRAWINGS
为了更清楚地说明本发明具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍, 显而易见地,下面描述中的附图是本发明的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific embodiments of the present invention or the technical solutions in the prior art, the drawings used in the specific embodiments or the description of the prior art will be briefly described below, and obviously, the attached in the following description The drawings are some embodiments of the present invention, and those skilled in the art can obtain other drawings based on these drawings without any creative work.
图1为本发明实施例提供的一种动脉血管年龄估算模型构建方法的流程示意图;1 is a schematic flow chart of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention;
图2为本发明实施例提供的一种PPG及ECG的示意图;2 is a schematic diagram of a PPG and an ECG according to an embodiment of the present invention;
图3为本发明实施例提供的一种动脉血管年龄估算模型构建方法的流程示意图;3 is a schematic flow chart of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention;
图4为本发明实施例提供的一种动脉血管年龄估算模型构建方法的结构示意图;4 is a schematic structural diagram of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention;
图5为本发明实施例提供的一种动脉血管年龄估算模型构建方法的结构示意图;FIG. 5 is a schematic structural diagram of a method for constructing an arterial blood vessel age estimation model according to an embodiment of the present invention; FIG.
图6为本发明实施例提供的一种监测设备的结构示意图。FIG. 6 is a schematic structural diagram of a monitoring device according to an embodiment of the present invention.
具体实施方式Detailed ways
为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合附图对本发明的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The embodiments of the present invention will be clearly and completely described in detail with reference to the accompanying drawings. An embodiment. All other embodiments obtained by those skilled in the art based on the embodiments of the present invention without creative efforts are within the scope of the present invention.
对于动脉血管弹性与年龄的上述判断标准具体如下:The above criteria for jugular elasticity and age are as follows:
(1)弗雷明汉分数:美国弗雷明汉研究根据胆固醇和非胆固醇因素来进行心血管疾病危险评分(弗雷明汉分数),其中非胆固醇因素包括糖尿病(高危因素),年龄(男性>45,女性>55),吸烟,高血压,高密度脂蛋白,一级亲属中发生冠心病的病史。该研究通过对累计跟踪的大量数据对 每个因素进行打分,然后根据总的打分情况对受试者进行风险判定,可以根据危险评分反映血管老化情况。(1) Framingham score: The American Framingham study conducted a cardiovascular disease risk score (Flemingham score) based on cholesterol and non-cholesterol factors, including non-cholesterol factors including diabetes (high risk factors), age (male) >45, female>55), smoking, hypertension, high-density lipoprotein, a history of coronary heart disease in first-degree relatives. The study scores each factor by a large amount of data that is tracked cumulatively, and then judges the risk based on the overall score, which can reflect the vascular aging according to the risk score.
(2)脉搏波速度:脉搏波速度(PWV)可以反映血管的软硬程度,例如越硬弹性越差的血管PWV越快,而对于弹性较好的血管PWV则比较慢。因此,在一些研究中常常将脉搏速度作为反映血管硬度的测量指标。例如欧姆龙研发的动脉硬化测量仪通过测量颈-股动脉的脉搏波速度cfPWV来反映血管硬化程度,然后再结合其它测量指标换算出动脉血管年龄。(2) Pulse wave velocity: The pulse wave velocity (PWV) can reflect the softness and hardness of the blood vessel. For example, the harder the elastic, the weaker the blood vessel PWV, and the slower the elastic PWV. Therefore, in some studies, pulse rate is often used as a measure of blood vessel hardness. For example, the arteriosclerosis measuring instrument developed by Omron reflects the degree of vascular sclerosis by measuring the pulse wave velocity cfPWV of the neck-femoral artery, and then converting the arterial age with other measured indexes.
(3)颈动脉内-中膜厚度:在动脉中,内膜和中膜越厚,动脉血管越容易被动脉硬化的斑块堵塞。医生可以通过超声轻易的测量出颈动脉的内-中膜厚度,该测量值可以用来估计血管年龄。(3) Carotid intima-media thickness: In arteries, the thicker the intima and media, the more easily the arterial vessels are blocked by arteriosclerotic plaques. The doctor can easily measure the intima-media thickness of the carotid artery by ultrasound, and this measurement can be used to estimate the age of the blood vessel.
上述三种方式或者不能准确反应动脉的老化情况,或者不能直接给出动脉血管年龄,且均不适用在家庭医疗测量中使用,不利于对心血管疾病的防治。基于此,本发明实施例提供的一种动脉血管年龄估算模型构建方法和装置,可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗。The above three methods may not accurately reflect the aging of the arteries, or may not directly give the age of the arterial vessels, and are not suitable for use in home medical measurement, which is not conducive to the prevention and treatment of cardiovascular diseases. Based on this, the method and device for constructing an arterial blood vessel age estimation model provided by the embodiments of the present invention can realize the estimation of the blood vessel age through a portable or wearable device, and the estimation is accurate and suitable for home medical treatment.
下面结合附图,对本发明的具体实施方式作详细说明。The specific embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
实施例一Embodiment 1
本发明实施例提供了一种动脉血管年龄估算模型构建方法,参见图1所示的动脉血管年龄估算模型构建方法的流程示意图,该方法包括如下步骤:The embodiment of the invention provides a method for constructing an arterial blood vessel age estimation model, and a flow chart of the method for constructing an arterial blood vessel age estimation model shown in FIG. 1 , the method comprising the following steps:
步骤S102,采集样本用户的参考动脉血管年龄、生理信号及个体化信息。In step S102, the reference arterial blood vessel age, physiological signal and individualized information of the sample user are collected.
由于性别不同的用户存在较大的生理差异,在进行动脉血管年龄估算模型构建时,考虑到估计模型的准确性,将针对男性和女性分别构建估算模型。其中,不同性别的模型使用的数据种类相同,特征提取及模型训练也采用相同的方式。上述生理信号包括同步的PPG(photoplethysmograph, 利用光电容积描记)信号和ECG(electrocardiogram,心电图)信号,个体化信息包括性别和臂展。其中,臂展用于计算脉搏波传导速度。Because of the large physiological differences among users with different genders, in the construction of the arterial blood vessel age estimation model, considering the accuracy of the estimation model, an estimation model will be constructed for men and women respectively. Among them, different gender models use the same kind of data, and feature extraction and model training also use the same method. The physiological signals include synchronized PPG (photoplethysmograph) signals and ECG (electrocardiogram) signals, and individualized information includes gender and abduction. Among them, the arm extension is used to calculate the pulse wave conduction velocity.
在本实施例中可以使用欧姆龙动脉硬化仪测量获取样本用户的参考动脉血管年龄,也可以使用其他手段获得该参考动脉血管年龄,本实施例对此不作限定。本实施例可以通过家用医疗设备(电子血压计)和可穿戴设备(可测量指端光电容积脉搏波及心电图)进行个人动脉血管年龄的估计,因此在家庭医疗中可以由用户独立完成测量。In the present embodiment, the reference arterial blood vessel age of the sample user can be measured by using an OMRON arteriosclerosis apparatus. The reference arterial blood vessel age can also be obtained by other means, which is not limited in this embodiment. In this embodiment, the estimation of the age of the individual arterial vessels can be performed by the home medical device (electronic sphygmomanometer) and the wearable device (measuring the fingertip photoplethysmographic pulse wave and the electrocardiogram), so that the measurement can be independently performed by the user in the home medical treatment.
步骤S104,对于每个样本用户,按照性别分别执行加权特征获取操作。In step S104, for each sample user, the weighted feature acquisition operation is performed separately according to the gender.
加权特征获取操作可以包括:根据生理信号与个体化信息进行特征的提取;对各个特征进行归一化处理得到归一化特征;根据各个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数;根据归一化特征和权重系数计算各个特征的加权特征。The weighted feature acquisition operation may include: extracting features according to physiological signals and individualized information; normalizing each feature to obtain normalized features; calculating respective features according to correlation coefficients of respective features and reference arterial ages Weighting coefficient; calculating the weighting characteristics of each feature according to the normalized feature and the weighting coefficient.
(1)根据上述生理信号与个体化信息进行特征的提取,包括对PPG及ECG的特征提取。在提取之前先对PPG及ECG进行关键点检测,ECG关键点的检测包括进行R波峰值点检测,该点作为脉搏波传导的起始时间参考;PPG关键点的检测主要检出脉搏波起点A、主波B、潮波C、切迹D以及重博波E。参见图2所示的PPG及ECG的示意图,其中示出了上述各关键点。(1) Feature extraction based on the above physiological signals and individualized information, including feature extraction of PPG and ECG. Key points are detected on PPG and ECG before extraction. The detection of key points of ECG includes R wave peak detection, which is used as the starting time reference for pulse wave conduction; PPG key point detection mainly detects pulse wave starting point A , main wave B, tidal wave C, notch D and heavy wave wave E. Referring to the schematic diagrams of PPG and ECG shown in Figure 2, the above various key points are shown.
提取的上述特征可以包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数。参见图2,上述特征的计算方式如下:The above extracted features may include: pulse wave velocity, time delay of normalized heavy wave and main wave, normalized pulse wave rise time, and BMI index. Referring to Figure 2, the above features are calculated as follows:
脉搏波传导速度(PWV):首先根据PPG起点A与ECG的R波间的时间延迟计算脉搏传递时间(PTT),然后通过以下公式计算:PWV=脉搏传导距离(L/2)/PTT。其中PTT为多次计算得出的平均脉搏波时间,L为臂展(双臂伸直与肩平,测量两中指指端间的距离)。Pulse wave conduction velocity (PWV): First, the pulse transit time (PTT) is calculated from the time delay between the PPG start point A and the R wave of the ECG, and then calculated by the following formula: PWV = pulse conduction distance (L/2) / PTT. Among them, PTT is the average pulse wave time calculated by multiple times, and L is the arm extension (the arms are straight and shoulder flat, and the distance between the two middle finger ends is measured).
归一化重博波与主波的时间延迟(T1):测量主波B与重博波E间的时间延迟Tbe,然后计算T1,其求解公式为:T1=Tbe/RR,其中Tbe为平均时间延迟,RR为测量的平均心跳周期,即两个相邻R波的平均时间差。Time delay of normalized heavy wave and main wave (T1): measure the time delay Tbe between main wave B and heavy wave E, and then calculate T1, which is solved by T1=Tbe/RR, where Tbe is average Time delay, RR is the measured average heartbeat period, that is, the average time difference between two adjacent R waves.
归一化脉搏波上升支时间(T2):测量主波B与起点A间的时间延迟Tab,然后计算T2,其计算公式为:T2=Tab/RR,其中Tab为平均时间延迟。Normalized pulse wave rising branch time (T2): Measure the time delay Tab between the main wave B and the starting point A, and then calculate T2, which is calculated as: T2=Tab/RR, where Tab is the average time delay.
BMI指数:通过以下公式计算BMI指数:BMI指数=体重公斤数/身高米数的平方。在此需要说明的是,在采集样本用户的个体化信息时,还可以采集样本用户的身高和体重,再通过身高、体重计算出BMI指数,或者在样本用户已知自身的BMI指数的情况下,可以直接采集样本用户的BMI指数,本实施例对此不作限定。BMI index: The BMI index is calculated by the following formula: BMI index = kilograms of body weight / square of height meters. It should be noted that when collecting the individualized information of the sample user, the height and weight of the sample user can also be collected, and then the BMI index can be calculated by height and weight, or if the sample user knows his own BMI index. The BMI index of the sample user can be directly collected, which is not limited in this embodiment.
(2)对各个特征进行归一化处理得到归一化特征。(2) Normalize each feature to obtain a normalized feature.
将上述PWV、T1、T2和BMI分别归一化到区间[a,b]。归一化方法可以采用Z-score标准法,其转化函数为x *=x-μ/σ,其中μ与σ为样本集所有某一特征的均值与标准差(特征的归一化是对每个特征属性分别进行归一化)。在使用本实施例构建的模型进行估算时,使用同样的μ与σ进行特征归一化。上述归一化的方法还可以采用现有的其他归一化方法,本实施例对此不作限定。 The above PWV, T1, T2, and BMI are normalized to the interval [a, b], respectively. The normalization method can use the Z-score standard method, and its conversion function is x * = x - μ / σ, where μ and σ are the mean and standard deviation of all the features of the sample set (the normalization of the feature is for each The feature attributes are normalized separately). When estimating using the model constructed in this embodiment, the same μ and σ are used for feature normalization. The normalization method can also adopt other existing normalization methods, which is not limited in this embodiment.
(3)根据各个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数。(3) The weight coefficients of the respective features are respectively calculated according to the correlation coefficients of the respective features and the reference arterial age.
在本步骤中可以通过相关系数分析分别求解特征与参考动脉血管年龄的相关性系数L i,然后按照以下公式分别计算各个特征的权重系数c iIn this step, the correlation coefficient L i of the feature and the reference arterial age can be separately solved by correlation coefficient analysis, and then the weight coefficient c i of each feature is calculated according to the following formula:
Figure PCTCN2018070071-appb-000002
Figure PCTCN2018070071-appb-000002
其中,n为特征的数量。在本实施例中使用了三个特征PWV、T1和T2,各相关性系数分别使用L 1、L 2、L 3表示,n=3。 Where n is the number of features. Three features PWV, T1, and T2 are used in this embodiment, and each correlation coefficient is represented by L 1 , L 2 , and L 3 , respectively, and n=3.
(4)根据归一化特征和权重系数计算各个特征的加权特征。(4) Calculate the weighting features of each feature based on the normalized features and the weight coefficients.
将上述步骤(2)中得到的归一化特征分别乘以上述步骤(3)中得到的对应的权重系数,即可获得上述各个特征的加权特征。The weighted features of the respective features described above can be obtained by multiplying the normalized features obtained in the above step (2) by the corresponding weight coefficients obtained in the above step (3).
步骤S106,以每个样本用户的加权特征和参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。In step S106, the neural network is trained with the weighted feature of each sample user and the reference arterial age as sample data to obtain an arterial age estimation model.
本实施例可以采用神经网络对血管年龄进行拟合,通过样本集的样本数据对神经网络进行训练获得最佳网络参数,从而获得对测试样本具有很好血管年龄预测能力的非线性模型。神经网络的输入为上述特征PWV、T1、T2和BMI,输出为动脉血管年龄。上述神经网络可以为多层神经网络,其隐含层层数以及每层节点个数可以为达到较优结果的任意数。In this embodiment, the neural network can be used to fit the blood vessel age, and the neural network is trained by the sample data of the sample set to obtain the optimal network parameters, thereby obtaining a nonlinear model with good blood vessel age prediction ability for the test sample. The input to the neural network is the above characteristics PWV, T1, T2, and BMI, and the output is the arterial age. The above neural network may be a multi-layer neural network, and the number of hidden layers and the number of nodes per layer may be any number that achieves a superior result.
本发明实施例提供的动脉血管年龄估算模型构建方法,通过样本用户的参考动脉血管年龄及身体信息对血管年龄进行非线性拟合,该构建动脉血管年龄估算模型,可以提高动脉血管年龄的估算精度,并且可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗,可以为家庭健康提供更有用的生理参数。The method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by the reference user's reference arterial age and body information, and constructs an arterial blood vessel age estimation model, which can improve the estimation accuracy of the arterial blood vessel age. And the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
在进行用户的身体信息的采集时,为了减小测量误差,可以按照如下方式进行:In order to reduce the measurement error when collecting the user's body information, it can be done as follows:
(1)测量用户的上臂血压、PPG信号和ECG信号。其中,上臂血压、PPG信号和ECG信号的测量顺序为:第一次上臂血压测量、PPG信号与ECG信号同步测量、第二次上臂血压测量。通过两次血压测量然后求平均可以减少测量带来的误差,按照上述顺序测量血压求取的平均值更能反映测量PPG与ECG时的血压值。PPG的采集位置位于指端,ECG测量可以选择肢体导联方式,以方便用户操作。PPG信号和ECG信号同步测量,以便于后续步骤中对特征的计算。(1) Measure the user's upper arm blood pressure, PPG signal, and ECG signal. The measurement order of the upper arm blood pressure, the PPG signal and the ECG signal is: the first upper arm blood pressure measurement, the PPG signal and the ECG signal synchronous measurement, and the second upper arm blood pressure measurement. By taking two blood pressure measurements and then averaging, the error caused by the measurement can be reduced, and the average value of the blood pressure measurement according to the above sequence can better reflect the blood pressure value when measuring PPG and ECG. The collection position of the PPG is located at the finger end, and the ECG measurement can select the limb lead mode to facilitate user operation. The PPG signal and the ECG signal are measured simultaneously to facilitate the calculation of the features in subsequent steps.
(2)当两次上臂血压测量的测量值的差值不大于预设偏差阈值时,确定PPG信号和ECG信号为用户的身体信息。(2) When the difference between the measured values of the upper arm blood pressure measurement is not greater than the preset deviation threshold, it is determined that the PPG signal and the ECG signal are the user's body information.
上述预设偏差阈值可以根据血压的平稳性需求确定,例如可以确定为15mmHg,当两次测量的误差大于15mmHg时,样本用户可能处于不稳定的状态或者测量存在问题,放弃此次测量的PPG信号和ECG信号,重新按上述顺序测量。The preset deviation threshold may be determined according to the stability requirement of the blood pressure, for example, may be determined to be 15 mmHg. When the error of the two measurements is greater than 15 mmHg, the sample user may be in an unstable state or the measurement is in a problem, and the PPG signal of the measurement is discarded. And the ECG signal, measured again in the above order.
考虑到采集的PPG信号和ECG信号存在噪声,为了提高特征提取的精度,在执行加权特征获取操作还包括对PPG信号和ECG信号进行去噪预处理的步骤。对采集的原始PPG、ECG信号进行去噪预处理,可以包括去基线漂移、工频干扰及其它噪声。对于PPG,其噪声主要是基线漂移,可以采用截止频率为0.3HZ的高通滤波器去除基线漂移;对于ECG信号,可以先通过小波技术去除基线漂移,然后通过小波与巴特沃兹滤波器联合去噪方法去除ECG其它干扰噪声。Considering that there is noise in the collected PPG signal and the ECG signal, in order to improve the accuracy of feature extraction, the performing weighted feature acquisition operation further includes the steps of performing denoising preprocessing on the PPG signal and the ECG signal. Denoising pre-processing of the original PPG and ECG signals collected may include de-baseline drift, power frequency interference, and other noise. For PPG, the noise is mainly the baseline drift. The high-pass filter with a cutoff frequency of 0.3HZ can be used to remove the baseline drift. For the ECG signal, the baseline drift can be removed by wavelet technique and then denoised by wavelet and Butterworth filter. The method removes other interference noise from the ECG.
为了提高动脉血管年龄模型的估计精度,可以增加更多参数进行模型拟合,上述样本用户的个体化信息还可以包括以下一项或多项:自然年龄、身高、体重和烟龄。其中,身高和体重可以用来计算BMI指数。上述个体化信息可以通过用户主动输入获得。在增加上述个体化信息后,上述各个特征进行归一化处理得到归一化特征的步骤还可以包括:结合自然年龄和烟龄对各个特征进行归一化处理得到归一化特征,即对增加的特征:自然年龄和烟龄也进行归一化处理,并且以增加上述特征后的所有特征执行后续的计算权重系数及对应的加权特征的步骤,并使用上述所有特征的加权特征进行模型拟合。In order to improve the estimation accuracy of the arterial blood vessel age model, more parameters may be added for model fitting. The individualized information of the sample user may also include one or more of the following: natural age, height, weight, and age of smoke. Among them, height and weight can be used to calculate the BMI index. The above personalized information can be obtained by user input. After adding the individualized information, the step of normalizing the above features to obtain a normalized feature may further include: normalizing each feature according to the natural age and the smoke age to obtain a normalized feature, that is, increasing Characteristics: The natural age and the smoke age are also normalized, and the subsequent steps of calculating the weight coefficient and the corresponding weighting feature are performed with all the features after adding the above features, and the model is fitted using the weighted features of all the above features. .
通过上述自然年龄、PWV、T1、T2、BMI指数、烟龄,可以根据多种模型进行动脉血管年龄拟合,例如一元线性模型、多元线性回归、多元非线性回归等。Through the above-mentioned natural age, PWV, T1, T2, BMI index, and smoking age, arterial age fitting can be performed according to various models, such as a one-dimensional linear model, multiple linear regression, multiple nonlinear regression, and the like.
在本实施例的方法得到动脉血管年龄估算模型后,即可用于估算目标用户的动脉血管年龄,在向动脉血管年龄估算模型输入加权后的特征,即可得到该目标用户的动脉血管年龄输出。本实施例的上述方法还包括如下步骤:采集目标用户的身体信息;对目标用户执行加权特征获取操作;将目标用户的加权特征输入与目标用户的性别对应的动脉血管年龄估算模型,得到目标用户的动脉血管年龄。After obtaining the arterial blood vessel age estimation model by the method of the present embodiment, it can be used to estimate the arterial blood vessel age of the target user, and the weighted feature is input to the arterial blood vessel age estimation model to obtain the arterial blood vessel age output of the target user. The above method of the embodiment further includes the steps of: collecting body information of the target user; performing a weighted feature acquisition operation on the target user; and inputting the weighted feature of the target user into an arterial blood vessel age estimation model corresponding to the gender of the target user to obtain the target user. The age of the arteries.
其中采集步骤和加权特征获取步骤,均与上述动脉血管年龄估算模型构建过程中的步骤相同,在此不再赘述。The steps of the acquisition step and the weighting feature acquisition step are the same as those in the process of constructing the above-mentioned arterial blood vessel age estimation model, and are not described herein again.
本发明实施例提供的动脉血管年龄估算模型构建方法,在构建动脉血管年龄估算模型后,可以对目标用户的动脉血管年龄进行估算,估算准确且适用于家庭医疗,可以为家庭健康提供更有用的生理参数。The method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention can estimate the arterial blood vessel age of the target user after constructing the arterial blood vessel age estimation model, and the estimation is accurate and suitable for family medical treatment, and can provide more useful for family health. Physiological parameters.
实施例二Embodiment 2
本发明实施例提供了一种动脉血管年龄估算模型构建方法,该方法以用户的身体信息包括年龄、PWV、T1、T2、BMI指数和烟龄为例进行说明。本实施例提供的方法,选取的上述参数是根据现有医学及数学理论进行合理设计的,其均对用户的动脉血管年龄有较明显影响,详细分析如下:The embodiment of the invention provides a method for constructing an arterial blood vessel age estimation model, which is described by taking the user's body information including age, PWV, T1, T2, BMI index and smoke age as an example. In the method provided by the embodiment, the selected parameters are reasonably designed according to the existing medical and mathematical theories, and all of them have a significant influence on the age of the user's arteries, and the detailed analysis is as follows:
(1)血管年龄一般会随着自然年龄的增加而增加,但由于个体因素(如抽烟,饮食、肥胖等),二者的增加并不成线性关系;(2)PWV是直接反应动脉血管弹性的重要指标,血管弹性越好PWV越慢,血管越硬PWV越快;(3)脉搏波中的主波与重搏波间的时间延迟与血管弹性有直接关系,弹性越好的血管时间延迟T1越大;(4)脉搏波上升支时间T2反应了心脏从射血开始到血压最大值的时间,该时间越长说明外周阻力越大,间接说明血管老化程度越大;(5)BMI指数越大说明人体越肥胖,肥胖是心血管疾病的重要因素;(6)弗雷明汉研究证明吸烟对心血管有严重的危害,烟龄越大危害越大。(1) The age of blood vessels generally increases with the increase of natural age, but due to individual factors (such as smoking, diet, obesity, etc.), the increase of the two is not linear; (2) PWV is a direct response to arterial elasticity. Important indicators, the better the vascular elasticity, the slower the PWV, the harder the blood vessel is, the faster the PWV is. (3) The time delay between the main wave and the tremor wave in the pulse wave is directly related to the elasticity of the blood vessel. The better the elasticity, the time delay of the blood vessel T1 (4) The pulse wave rise time T2 reflects the time from the start of the blood to the maximum blood pressure. The longer the time, the greater the peripheral resistance, which indirectly indicates the greater the degree of vascular aging; (5) The higher the BMI index It is said that the more obese people are, the obesity is an important factor of cardiovascular disease; (6) Framingham study proves that smoking has serious harm to cardiovascular disease, and the greater the age of smoke, the greater the harm.
本实施例提供的动脉血管年龄估算模型构建方法,参见图3所示的流程示意图,包括如下步骤:The method for constructing an arterial blood vessel age estimation model provided by this embodiment, see the flow diagram shown in FIG. 3, includes the following steps:
步骤S302,记录样本用户的基本数据。Step S302, recording basic data of the sample user.
该基本数据包括年龄、性别、身高、体重、臂展(双臂伸直与肩平,测量两中指指端间的距离L)以及烟龄。本实施例采用男女独立建模的方式,样本的年龄均匀分布在30~70岁之间。The basic data includes age, gender, height, weight, arm span (both arms straight and shoulder level, measuring the distance L between the two middle finger tips) and the age of the smoke. In this embodiment, the male and female models are independently modeled, and the age of the samples is evenly distributed between 30 and 70 years old.
步骤S304,获取样本用户的上臂血压、PPG信号和ECG信号。Step S304, acquiring the upper arm blood pressure, the PPG signal and the ECG signal of the sample user.
步骤S306,对PPG信号和ECG信号进行去噪预处理。Step S306, performing denoising preprocessing on the PPG signal and the ECG signal.
步骤S308,进行ECG和PPG关键点检测。在获得经过去噪预处理后的ECG和PPG后,对两者的波形进行关键点检测。Step S308, performing ECG and PPG key point detection. After obtaining the ECG and PPG after denoising preprocessing, key points are detected on the waveforms of the two.
步骤S310,对ECG和PPG进行特征提取。该特征包括上述PWV、T1、和T2。Step S310, performing feature extraction on the ECG and the PPG. This feature includes the above PWV, T1, and T2.
步骤S312,分别通过相关系数自动分析求解血管年龄与年龄、PWV、T1、T2、BMI指数、烟龄间的相关性系数L1、L2、L3、L4、L5、L6。In step S312, correlation coefficients L1, L2, L3, L4, L5, and L6 between blood vessel age and age, PWV, T1, T2, BMI index, and smoke age are automatically analyzed by correlation coefficients.
其中,相关性系数通过预先编写的程序自动计算。L1~L6分别为血管年龄与年龄、PWV、T1、T2、BMI指数、烟龄间的相关性系数,以相关性系数L1为例,动脉血管年龄与年龄之间的相关系数表明了二者的相关程度(0≤L1≤1),当时L1=0时表示血管年龄与年龄间没有任何关系,当L1=1时表明二者完全相关。Among them, the correlation coefficient is automatically calculated by a pre-written program. L1~L6 are the correlation coefficient between blood vessel age and age, PWV, T1, T2, BMI index and tobacco age. The correlation coefficient L1 is taken as an example. The correlation coefficient between arterial age and age indicates the two. Correlation degree (0 ≤ L1 ≤ 1), when L1 = 0, there is no relationship between blood vessel age and age. When L1 = 1, it indicates that the two are completely related.
步骤S314,将年龄、PWV、T1、T2、BMI指数、烟龄分别归一化。在本实施例中分别使用a,p,t1,t2,bmi和s表示上述特征归一化后的特征向量。In step S314, the age, PWV, T1, T2, BMI index, and smoke age are respectively normalized. In the present embodiment, a, p, t1, t2, bmi and s are respectively used to represent the feature vector normalized by the above feature.
步骤S316,计算年龄、PWV、T1、T2、BMI指数、烟龄的特征权重。在本实施例中分别使用c i(i=1,…,6)表示年龄、PWV、T1、T2、BMI指数、烟龄对于血管年龄估计模型的贡献权重。 In step S316, the feature weights of age, PWV, T1, T2, BMI index, and smoke age are calculated. In the present embodiment, c i (i = 1, ..., 6) is used to express the contribution weights of the age, PWV, T1, T2, BMI index, and smoke age for the blood vessel age estimation model.
步骤S318,计算加权特征。将步骤S314得到的归一化特征乘以步骤S316获得的特征权重,获得加权特征向量。该加权特征向量可以表示为[a*c1,p*c2,t1*c3,t2*c4,bmi*c5,s*c6]。Step S318, calculating a weighting feature. The normalized feature obtained in step S314 is multiplied by the feature weight obtained in step S316 to obtain a weighted feature vector. The weighted feature vector can be expressed as [a*c1, p*c2, t1*c3, t2*c4, bmi*c5, s*c6].
步骤S320,非线性模型拟合,得到动脉血管年龄估算模型。In step S320, the nonlinear model is fitted to obtain an artery blood vessel age estimation model.
本实施例可以采用多层神经网络对血管年龄进行拟合,该多层神经网络的输入特征为:年龄、PWV、T1、T2、BMI指数和烟龄,输出为估算的动脉血管年龄。In this embodiment, a multi-layer neural network can be used to fit the blood vessel age. The input characteristics of the multi-layer neural network are: age, PWV, T1, T2, BMI index, and smoke age, and the output is the estimated arterial age.
步骤S322,向上述估算模型输入目标用户的自然年龄、PWV、T1、T2、BMI指数和烟龄的加权特征,获得估算的该目标用户的动脉血管年龄。Step S322, input the weighted feature of the natural age, PWV, T1, T2, BMI index and the age of the target user to the above estimated model to obtain the estimated arterial age of the target user.
本发明实施例提供的动脉血管年龄估算模型构建方法,通过样本用户的参考动脉血管年龄及身体信息对血管年龄进行非线性拟合,该构建动脉血管年龄估算模型,可以提高动脉血管年龄的估算精度,并且可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗,可以为家庭健康提供更有用的生理参数。The method for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by the reference user's reference arterial age and body information, and constructs an arterial blood vessel age estimation model, which can improve the estimation accuracy of the arterial blood vessel age. And the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
实施例三Embodiment 3
本发明实施例提供了一种动脉血管年龄估算模型构建装置,参见图4所示的动脉血管年龄估算模型构建装置的结构示意图,包括样本采集模块10、加权特征获取模块20和训练模块30,其中,各模块的功能如下:An embodiment of the present invention provides a device for constructing an arterial blood vessel age estimation model. Referring to the structure of the arterial blood vessel age estimation model construction device shown in FIG. 4, the sample collection module 10, the weighted feature acquisition module 20, and the training module 30 are provided. The functions of each module are as follows:
样本采集模块10,用于采集样本用户的参考动脉血管年龄、生理信号及个体化信息;生理信号包括同步的PPG信号和ECG信号,个体化信息包括性别和臂展;The sample collection module 10 is configured to collect reference arterial blood vessel age, physiological signals and individualized information of the sample user; the physiological signals include synchronized PPG signals and ECG signals, and the individualized information includes gender and abduction;
加权特征获取模块20,用于对于每个样本用户,按照性别分别执行加权特征获取操作:根据生理信号与个体化信息进行特征的提取;特征包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数;对各个特征进行归一化处理得到归一化特征;根据各 个特征与参考动脉血管年龄的相关性系数分别计算各个特征的权重系数;根据归一化特征和权重系数计算各个特征的加权特征;The weighted feature obtaining module 20 is configured to perform a weighted feature acquisition operation according to the gender for each sample user: extracting features according to the physiological signal and the individualized information; the features include: pulse wave conduction velocity, normalized heavy wave and The time delay of the main wave, the normalized pulse wave rise time and the BMI index; normalize each feature to obtain a normalized feature; calculate the weight of each feature according to the correlation coefficient between each feature and the reference arterial age Coefficient; calculating a weighted feature of each feature based on the normalized feature and the weighting coefficient;
训练模块30,用于以每个样本用户的加权特征和参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。The training module 30 is configured to train the neural network with the weighted features of each sample user and the reference arterial age as sample data to obtain an arterial age estimation model.
参见图5所示的动脉血管年龄估算模型构建装置的结构示意图,上述装置还包括:Referring to the structural diagram of the apparatus for constructing an arterial age estimation model shown in FIG. 5, the apparatus further includes:
目标采集模块40,用于采集目标用户的生理信号及个体化信息;The target collection module 40 is configured to collect physiological signals and individualized information of the target user;
目标加权特征获取模块50,用于对目标用户执行加权特征获取操作;The target weighted feature obtaining module 50 is configured to perform a weighted feature obtaining operation on the target user;
年龄估计模块60,用于将目标用户的加权特征输入与目标用户的性别对应的动脉血管年龄估算模型,得到目标用户的动脉血管年龄。The age estimation module 60 is configured to input a weighted feature of the target user into an arterial blood age estimation model corresponding to the gender of the target user, to obtain an arterial blood vessel age of the target user.
本发明实施例提供的动脉血管年龄估算模型构建装置,通过样本用户的参考动脉血管年龄及身体信息对血管年龄进行非线性拟合,该构建动脉血管年龄估算模型,可以提高动脉血管年龄的估算精度,并且可以通过便携式或穿戴式设备实现血管年龄的估算,估算准确且适用于家庭医疗,可以为家庭健康提供更有用的生理参数。The apparatus for constructing an arterial blood vessel age estimation model provided by the embodiment of the present invention nonlinearly fits the blood vessel age by using the reference arterial blood vessel age and body information of the sample user, and constructing an arterial blood vessel age estimation model can improve the estimation accuracy of the arterial blood vessel age. And the estimation of blood vessel age can be achieved by portable or wearable devices, which is accurate and suitable for home medical treatment, and can provide more useful physiological parameters for family health.
本发明实施方式还提供了一种监测设备,该监测设备可以单独设置,并与家用医疗设备(例如电子血压计)和可穿戴设备(例如可测量指端光电容积脉搏波及心电图的手环、运动手表等设备)通信连接,也可以设置在上述家用医疗设备或可穿戴设备内部,从而利用上述家用医疗设备或可穿戴设备的硬件条件。该监测设备可以包括上述实施例提供的动脉血管年龄估算模型构建装置。Embodiments of the present invention also provide a monitoring device that can be separately provided, and with a home medical device (such as an electronic sphygmomanometer) and a wearable device (for example, a wristband that can measure the fingertip photoelectric volume pulse wave and the electrocardiogram, exercise) A communication connection, such as a watch, may also be provided inside the above-mentioned home medical device or wearable device, thereby utilizing the hardware conditions of the above-described home medical device or wearable device. The monitoring device may include the arterial blood vessel age estimation model constructing device provided by the above embodiments.
参见图6所示的一种监测设备的结构示意图,包括处理器600和机器可读存储介质601,机器可读存储介质601存储有能够被处理器600执行的机器可执行指令,处理器600执行机器可执行指令以实现上述实施例提供的方法。Referring to the structural diagram of a monitoring device shown in FIG. 6, a processor 600 and a machine readable storage medium 601 are stored. The machine readable storage medium 601 stores machine executable instructions executable by the processor 600, and the processor 600 executes The machine executable instructions to implement the methods provided by the above embodiments.
图6所示的监测设备还包括总线602和通信接口603,处理器600、通信接口603和机器可读存储介质601通过总线602连接。其中,通信接口603可以与上述家用医疗设备和可穿戴设备进行通信连接,并获取其采集的生理信号或个体化信息,例如PPG、ECG等信号。The monitoring device shown in FIG. 6 further includes a bus 602 and a communication interface 603, and the processor 600, the communication interface 603, and the machine readable storage medium 601 are connected by a bus 602. The communication interface 603 can be communicably connected with the above-mentioned home medical device and the wearable device, and acquire physiological signals or individualized information, such as PPG, ECG, and the like collected by the home medical device and the wearable device.
其中,机器可读存储介质601可能包含高速随机存取存储器(RAM,Random Access Memory),也可能还包括非不稳定的存储器(non-volatile memory),例如至少一个磁盘存储器。通过至少一个通信接口603(可以是有线或者无线)实现该系统网元与至少一个其他网元之间的通信连接,可以使用互联网,广域网,本地网,城域网等。总线602可以是ISA总线、PCI总线或EISA总线等。总线可以分为地址总线、数据总线、控制总线等。为便于表示,图6中仅用一个双向箭头表示,但并不表示仅有一根总线或一种类型的总线。The machine readable storage medium 601 may include a high speed random access memory (RAM), and may also include a non-volatile memory, such as at least one disk storage. The communication connection between the system network element and the at least one other network element may be implemented by using at least one communication interface 603 (which may be wired or wireless), and may use an Internet, a wide area network, a local network, a metropolitan area network, or the like. The bus 602 can be an ISA bus, a PCI bus, or an EISA bus. The bus can be divided into an address bus, a data bus, a control bus, and the like. For ease of representation, only one double-headed arrow is shown in Figure 6, but it does not mean that there is only one bus or one type of bus.
处理器600可能是一种集成电路芯片,具有信号的处理能力。在实现过程中,上述方法的各步骤可以通过处理器600中的硬件的集成逻辑电路或者软件形式的指令完成。上述的处理器600可以是通用处理器,包括中央处理器(Central Processing Unit,简称CPU)、网络处理器(Network Processor,简称NP)等;还可以是数字信号处理器(Digital Signal Processing,简称DSP)、专用集成电路(Application Specific Integrated Circuit,简称ASIC)、现成可编程门阵列(Field-Programmable Gate Array,简称FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件。可以实现或者执行本发明实施方式中的公开的各方法、步骤及逻辑框图。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。结合本公开实施方式所公开的方法的步骤可以直接体现为硬件译码处理器执行完成,或者用译码处理器中的硬件及软件模块组合执行完成。软件模块可以位于随机存储器,闪存、只读存储器,可编程只读存储器或者电可擦写可编程存储器、寄存器等本领域成熟的存储介质中。该存储介质位于机 器可读存储介质601,处理器600读取机器可读存储介质601中的信息,结合其硬件完成前述实施方式的方法的步骤,包括动脉血管年龄估算模型的构建和使用该模型估计目标用户的动脉血管年龄。 Processor 600 may be an integrated circuit chip with signal processing capabilities. In the implementation process, each step of the above method may be completed by an integrated logic circuit of hardware in the processor 600 or an instruction in a form of software. The processor 600 may be a general-purpose processor, including a central processing unit (CPU), a network processor (NP processor, etc.), or a digital signal processor (DSP). ), Application Specific Integrated Circuit (ASIC), Field-Programmable Gate Array (FPGA) or other programmable logic device, discrete gate or transistor logic device, discrete hardware component. The methods, steps, and logical block diagrams disclosed in the embodiments of the invention may be implemented or carried out. The general purpose processor may be a microprocessor or the processor or any conventional processor or the like. The steps of the method disclosed in connection with the embodiments of the present disclosure may be directly embodied by the hardware decoding processor, or by a combination of hardware and software modules in the decoding processor. The software module can be located in a conventional storage medium such as random access memory, flash memory, read only memory, programmable read only memory or electrically erasable programmable memory, registers, and the like. The storage medium is located in a machine readable storage medium 601, and the processor 600 reads information in the machine readable storage medium 601, in combination with hardware thereof, to perform the steps of the method of the foregoing embodiments, including construction of an arterial blood vessel age estimation model and use of the model Estimate the arterial age of the target user.
本发明实施方式还提供了一种机器可读存储介质,该机器可读存储介质存储有机器可执行指令,机器可执行指令在被处理器调用和执行时,机器可执行指令促使处理器实现上述实施方式的方法。Embodiments of the present invention also provide a machine readable storage medium storing machine executable instructions that, when invoked and executed by a processor, cause the processor to implement the above The method of the embodiment.
所属领域的技术人员可以清楚地了解到,为描述的方便和简洁,上述描述的系统和装置的具体工作过程,可以参考前述方法实施方式中的对应过程,在此不再赘述。A person skilled in the art can clearly understand that for the convenience and brevity of the description, the specific working process of the system and the device described above can refer to the corresponding process in the foregoing method embodiments, and details are not described herein again.
上述功能如果以软件功能单元的形式实现并作为独立的产品销售或使用时,可以存储在一个计算机可读取存储介质中。基于这样的理解,本公开的技术方案本质上或者说对现有技术做出贡献的部分或者该技术方案的部分可以以软件产品的形式体现出来,该计算机软件产品存储在一个存储介质中,包括若干指令用以使得一台计算机设备(可以是个人计算机,服务器,或者网络设备等)执行本公开各个实施方式上述方法的全部或部分步骤。而前述的存储介质包括:U盘、移动硬盘、只读存储器(ROM,Read-Only Memory)、随机存取存储器(RAM,Random Access Memory)、磁碟或者光盘等各种可以存储程序代码的介质。The above functions, if implemented in the form of software functional units and sold or used as stand-alone products, may be stored in a computer readable storage medium. Based on such understanding, the portion of the technical solution of the present disclosure that contributes in essence or to the prior art or the portion of the technical solution may be embodied in the form of a software product stored in a storage medium, including The instructions are used to cause a computer device (which may be a personal computer, server, or network device, etc.) to perform all or part of the steps of the above-described methods of various embodiments of the present disclosure. The foregoing storage medium includes: a U disk, a mobile hard disk, a read-only memory (ROM), a random access memory (RAM), a magnetic disk, or an optical disk, and the like. .
最后应说明的是:以上实施方式,仅为本公开的具体实施方式,用以说明本公开的技术方案,而非对其限制,本公开的保护范围并不局限于此,尽管参照前述实施方式对本公开进行了详细的说明,本领域技术人员应当理解:任何熟悉本技术领域的技术人员在本公开揭露的技术范围内,其依然可以对前述实施方式所记载的技术方案进行修改或可轻易想到变化,或者对其中部分技术特征进行等同替换;而这些修改、变化或者替换,并不使相应技术方案的本质脱离本公开实施方式技术方案的精神和范围,都应 涵盖在本公开的保护范围之内。因此,本公开的保护范围应以权利要求的保护范围为准。It should be noted that the above embodiments are merely specific embodiments of the present disclosure, and are not intended to limit the technical solutions of the present disclosure, and the scope of protection of the present disclosure is not limited thereto, although reference is made to the foregoing embodiments. The present disclosure has been described in detail, and those skilled in the art should understand that any one skilled in the art can still modify the technical solutions described in the foregoing embodiments or can easily think of the technical solutions disclosed in the foregoing embodiments. Variations, or equivalents to some of the technical features; and the modifications, variations, or substitutions of the present invention are not to be construed as departing from the spirit and scope of the embodiments of the present disclosure. Inside. Therefore, the scope of protection of the disclosure should be determined by the scope of the claims.

Claims (10)

  1. 一种动脉血管年龄估算模型构建方法,其特征在于,包括:A method for constructing an arterial blood vessel age estimation model, comprising:
    采集样本用户的参考动脉血管年龄、生理信号及个体化信息;所述生理信号包括同步的PPG信号和ECG信号,所述个体化信息包括性别和臂展;Collecting reference arterial age, physiological signals, and individualized information of the sample user; the physiological signals include synchronized PPG signals and ECG signals, the individualized information including gender and abduction;
    对于每个所述样本用户,按照性别分别执行加权特征获取操作:根据所述生理信号与所述个体化信息进行特征的提取;所述特征包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数;对各个所述特征进行归一化处理得到归一化特征;根据各个所述特征与所述参考动脉血管年龄的相关性系数分别计算各个所述特征的权重系数;根据所述归一化特征和所述权重系数计算各个所述特征的加权特征;For each of the sample users, performing a weighted feature acquisition operation according to gender: extracting features according to the physiological signal and the personalized information; the features include: pulse wave conduction velocity, normalized heavy wave and Time delay of the main wave, normalized pulse wave rise time and BMI index; normalization of each of the features to obtain a normalized feature; correlation coefficient according to each of the characteristics and the reference arterial age Calculating weight coefficients of each of the features separately; calculating weighting features of each of the features according to the normalized features and the weight coefficients;
    以每个所述样本用户的所述加权特征和所述参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。The neural network is trained with the weighting feature of each of the sample users and the reference arterial age as sample data to obtain an arterial age estimation model.
  2. 根据权利要求1所述的方法,其特征在于,所述采集多个相同性别用户的生理信号的步骤,包括:The method according to claim 1, wherein the step of collecting physiological signals of a plurality of users of the same gender comprises:
    测量多个相同性别用户的上臂血压、PPG信号和ECG信号;所述上臂血压、所述PPG信号和所述ECG信号的测量顺序为:第一次上臂血压测量、PPG信号与ECG信号同步测量、以及第二次上臂血压测量;Measuring an upper arm blood pressure, a PPG signal, and an ECG signal of a plurality of users of the same sex; the upper arm blood pressure, the PPG signal, and the ECG signal are measured in the following order: first upper arm blood pressure measurement, PPG signal and ECG signal simultaneous measurement, And the second upper arm blood pressure measurement;
    当两次上臂血压测量的测量值的差值不大于预设偏差阈值时,确定所述PPG信号和所述ECG信号为用户的身体信息。When the difference between the measured values of the two upper arm blood pressure measurements is not greater than the preset deviation threshold, it is determined that the PPG signal and the ECG signal are user's body information.
  3. 根据权利要求1所述的方法,其特征在于,所述根据所述生理信号与所述个体化信息进行特征的提取的步骤,包括:The method according to claim 1, wherein the step of extracting features according to the physiological signal and the personalized information comprises:
    对ECG信号进行R波峰值点检测,对PPG信号进行脉搏波起点A、主波B、潮波C、切迹D以及重博波E检测;Performing R wave peak point detection on the ECG signal, and performing pulse wave start point A, main wave B, tidal wave C, notch D, and heavy wave wave E detection on the PPG signal;
    将脉搏传导距离除以所述脉搏波起点A与所述R波峰值点的平均时间延迟得到所述脉搏波传导速度;Dividing the pulse conduction distance by the average time delay of the pulse wave start point A and the R wave peak point to obtain the pulse wave conduction velocity;
    将所述重博波E与所述主波B的平均时间延迟除以平均心跳周期得到所述归一化重博波与主波的时间延迟;Dividing the average time delay of the heavy wave E and the main wave B by an average heartbeat period to obtain a time delay of the normalized dicrotic wave and the main wave;
    将所述主波B与所述起点脉搏波A的平均时间延迟除以所述平均心跳周期得到所述归一化脉搏波上升支时间。Dividing the average time delay of the main wave B and the starting pulse wave A by the average heartbeat period results in the normalized pulse wave rising branch time.
  4. 根据权利要求1所述的方法,其特征在于,所述根据各个所述特征与所述参考动脉血管年龄的相关性系数分别计算各个所述特征的权重系数的步骤,包括:The method according to claim 1, wherein said calculating a weighting coefficient of each of said features according to a correlation coefficient of each of said characteristics and said reference arterial age comprises:
    通过相关系数分析分别求解所述特征与所述参考动脉血管年龄的相关性系数L iCorrelation coefficient L i of the feature and the reference arterial age is respectively solved by correlation coefficient analysis;
    按照以下公式分别计算各个所述特征的权重系数c iThe weighting coefficients c i of each of the features are respectively calculated according to the following formula:
    Figure PCTCN2018070071-appb-100001
    Figure PCTCN2018070071-appb-100001
    其中,n为所述特征的数量。Where n is the number of features.
  5. 根据权利要求1所述的方法,其特征在于,所述根据所述归一化特征和所述权重系数计算各个所述特征的加权特征的步骤,包括:The method according to claim 1, wherein the step of calculating a weighting feature of each of the features according to the normalized feature and the weighting coefficient comprises:
    将所述归一化特征分别乘以对应的所述权重系数获得各个所述特征的加权特征。The normalized features are respectively multiplied by the corresponding weight coefficients to obtain weighted features of each of the features.
  6. 根据权利要求1所述的方法,其特征在于,在所述根据所述身体信息进行特征的提取的步骤之前,还包括:The method according to claim 1, wherein before the step of extracting features according to the body information, the method further comprises:
    对所述PPG信号和所述ECG信号进行去噪预处理。Denoising preprocessing is performed on the PPG signal and the ECG signal.
  7. 根据权利要求1所述的方法,其特征在于,所述个体化信息还包括以下一项或多项:自然年龄、身高、体重和烟龄;The method according to claim 1, wherein the personalized information further comprises one or more of the following: natural age, height, weight, and age of smoke;
    对各个所述特征进行归一化处理得到归一化特征的步骤,包括:结合自然年龄和烟龄对各个所述特征进行归一化处理得到归一化特征。The step of normalizing each of the features to obtain a normalized feature comprises: normalizing each of the features in combination with a natural age and a smoke age to obtain a normalized feature.
  8. 根据权利要求1所述的方法,其特征在于,所述方法还包括:The method of claim 1 further comprising:
    采集目标用户的生理信号及个体化信息;Collecting physiological signals and individualized information of the target user;
    对所述目标用户执行所述加权特征获取操作;Performing the weighted feature acquisition operation on the target user;
    将所述目标用户的加权特征输入与所述目标用户的性别对应的所述动脉血管年龄估算模型,得到所述目标用户的动脉血管年龄。The weighted feature of the target user is input to the arterial blood vessel age estimation model corresponding to the gender of the target user to obtain an arterial blood vessel age of the target user.
  9. 一种动脉血管年龄估算模型构建装置,其特征在于,包括:An apparatus for constructing an arterial blood vessel age estimation model, comprising:
    样本采集模块,用于采集样本用户的参考动脉血管年龄、生理信号及个体化信息;所述生理信号包括同步的PPG信号和ECG信号,所述个体化信息包括性别和臂展;a sample collection module, configured to collect reference arterial age, physiological signals, and individualized information of the sample user; the physiological signal includes a synchronized PPG signal and an ECG signal, the individualized information including gender and abduction;
    加权特征获取模块,用于对于每个所述样本用户,按照性别分别执行加权特征获取操作:根据所述生理信号与所述个体化信息进行特征的提取;所述特征包括:脉搏波传导速度、归一化重博波与主波的时间延迟、归一化脉搏波上升支时间以及BMI指数;对各个所述特征进行归一化处理得到归一化特征;根据各个所述特征与所述参考动脉血管年龄的相关性系数分别计算各个所述特征的权重系数;根据所述归一化特征和所述权重系数计算各个所述特征的加权特征;a weighted feature acquisition module, configured to perform a weighted feature acquisition operation according to a gender for each of the sample users: extracting features according to the physiological signal and the personalized information; the features include: pulse wave conduction speed, Normalizing the time delay of the bobo wave and the main wave, normalizing the pulse wave rising branch time, and the BMI index; normalizing each of the features to obtain a normalized feature; according to each of the features and the reference Calculating a weight coefficient of each of the features by calculating a correlation coefficient of an arterial age; calculating a weighting feature of each of the features according to the normalized feature and the weighting coefficient;
    训练模块,用于以每个所述样本用户的所述加权特征和所述参考动脉血管年龄作为样本数据训练神经网络,得到动脉血管年龄估算模型。And a training module, configured to train the neural network with the weighted feature of each of the sample users and the reference arterial age as sample data to obtain an arterial age estimation model.
  10. 根据权利要求9所述的装置,其特征在于,所述装置还包括:The device according to claim 9, wherein the device further comprises:
    目标采集模块,用于采集目标用户的生理信号及个体化信息;a target acquisition module, configured to collect physiological signals and individualized information of the target user;
    目标加权特征获取模块,用于对所述目标用户执行所述加权特征获取操作;a target weighted feature obtaining module, configured to perform the weighted feature obtaining operation on the target user;
    年龄估计模块,用于将所述目标用户的加权特征输入与所述目标用户的性别对应的所述动脉血管年龄估算模型,得到所述目标用户的动脉血管年龄。And an age estimation module, configured to input the weighted feature of the target user into the arterial blood vessel age estimation model corresponding to the gender of the target user, to obtain an arterial blood vessel age of the target user.
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