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Guo C, Jiang Z, He H, Liao Y, Zhang D. Wrist pulse signal acquisition and analysis for disease diagnosis: A review. Comput Biol Med 2022; 143:105312. [PMID: 35203039 DOI: 10.1016/j.compbiomed.2022.105312] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 01/22/2022] [Accepted: 02/07/2022] [Indexed: 11/26/2022]
Abstract
Pulse diagnosis (PD) plays an indispensable role in healthcare in China, India, Korea, and other Orient countries. It requires considerable training and experience to master. The results of pulse diagnosis rely heavily on the practitioner's subjective analysis, which means that the results from different physicians may be inconsistent. To overcome these drawbacks, computational pulse diagnosis (CPD) is used with advanced sensing techniques and analytical methods. Focusing on the main processes of CPD, this paper provides a systematic review of the latest advances in pulse signal acquisition, signal preprocessing, feature extraction, and signal recognition. The most relevant principles and applications are presented along with current progress. Extensive comparisons and analyses are conducted to evaluate the merits of different methods employed in CPD. While much progress has been made, a lack of datasets and benchmarks has limited the development of CPD. To address this gap and facilitate further research, we present a benchmark to evaluate different methods. We conclude with observations of the status and prospects of CPD.
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Affiliation(s)
- Chaoxun Guo
- The Chinese University of Hong Kong(Shenzhen), Shenzhen, 518172, Guangdong, China; Shenzhen Research Institute of Big Data, Shenzhen, 518172, Guangdong, China; Shenzhen Institute of Artificial Intelligence and Robotics for Society, Shenzhen, 518172, Guangdong, China.
| | - Zhixing Jiang
- The Chinese University of Hong Kong(Shenzhen), Shenzhen, 518172, Guangdong, China; Shenzhen Institute of Artificial Intelligence and Robotics for Society, Shenzhen, 518172, Guangdong, China.
| | - Haoze He
- New York University, New York, 10012, New York, United States
| | - Yining Liao
- The Chinese University of Hong Kong(Shenzhen), Shenzhen, 518172, Guangdong, China; Shenzhen Institute of Artificial Intelligence and Robotics for Society, Shenzhen, 518172, Guangdong, China
| | - David Zhang
- The Chinese University of Hong Kong(Shenzhen), Shenzhen, 518172, Guangdong, China; Shenzhen Research Institute of Big Data, Shenzhen, 518172, Guangdong, China; Shenzhen Institute of Artificial Intelligence and Robotics for Society, Shenzhen, 518172, Guangdong, China.
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Ouyang C, Gan Z, Zhen J, Guan Y, Zhu X, Zhou P. Inter-Patient Classification With Encoded Peripheral Pulse Series and Multi-Task Fusion CNN: Application in Type 2 Diabetes. IEEE J Biomed Health Inform 2021; 25:3130-3140. [PMID: 33635799 DOI: 10.1109/jbhi.2021.3061114] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Diabetes mellitus, a chronic disease associated with elevated accumulation of glucose in the blood, is generally diagnosed through an invasive blood test such as oral glucose tolerance test (OGTT). An effective method is proposed to test type 2 diabetes using peripheral pulse waves, which can be measured fast, simply and inexpensively by a force sensor on the wrist over the radial artery. A self-designed pulse waves collection platform includes a wristband, force sensor, cuff, air tubes, and processing module. A dataset was acquired clinically for more than one year by practitioners. A group of 127 healthy candidates and 85 patients with type 2 diabetes, all between the ages of 45 and 70, underwent assessments in both OGTT and pulse data collection at wrist arteries. After preprocessing, pulse series were encoded as images using the Gramian angular field (GAF), Markov transition field (MTF), and recurrence plots (RPs). A four-layer multi-task fusion convolutional neural network (CNN) was developed for feature recognition, the network was well-trained within 30 minutes based on our server. Compared to single-task CNN, multi-task fusion CNN was proved better in classification accuracy for nine of twelve settings with empirically selected parameters. The results show that the best accuracy reached 90.6% using an RP with threshold ϵ of 6000, which is competitive to that using state-of-the-art algorithms in diabetes classification.
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