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Zhou S, Yao Y, Liu W, Yang J, Wang J, Hao L, Wang L, Xu L, Avolio A. Ultrasound-based method for individualized estimation of central aortic blood pressure from flow velocity and diameter. Comput Biol Med 2022; 143:105254. [PMID: 35093843 DOI: 10.1016/j.compbiomed.2022.105254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 01/10/2022] [Accepted: 01/20/2022] [Indexed: 11/16/2022]
Abstract
Central aortic blood pressure (CABP) is a better predictor for cardiovascular events than brachial blood pressure. However, direct CABP measurement is invasive. The objective of this paper is to develop an ultrasound-based method using individualized Windkessel (WK) models for non-invasive estimation of CABP. Three WK models (with two-, three- and four-element WK, named, WK2, WK3 and WK4, respectively) were created and the model parameters were individualized based on aortic flow velocity and diameter waveforms measured by ultrasound (US). Experimental data were acquired in 42 subjects aged 21-67 years. The CABP estimated by WK models was compared with the reference CABP obtained using a commercial system. The results showed that the overall performance of the WK3 and WK4 models was similar, outperforming the WK2 model. The estimated CABP based on WK3/WK4 model showed good agreement with the reference CABP: the absolute errors of systolic blood pressure (SBP), 2.4 ± 2.1/2.4 ± 2.0 mmHg; diastolic blood pressure (DBP), 1.4 ± 1.1/1.7 ± 1.5 mmHg; mean blood pressure (MBP), 1.3 ± 0.8/1.3 ± 0.8 mmHg; pulse pressure (PP), 3.0 ± 2.3/3.2 ± 2.6 mmHg; the root mean square error (RMSE) of the waveforms, 2.5 ± 1.0/2.6 ± 1.1 mmHg. Therefore, the proposed method can provide a non-invasive CABP estimation during routine cardiac US examination.
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Affiliation(s)
- Shuran Zhou
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110169, China
| | - Yang Yao
- School of Information Science and Technology, Shanghai Tech University, Shanghai, 201210, China
| | - Wenyan Liu
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110169, China
| | - Jun Yang
- The First Hospital of China Medical University, Shenyang, 110122, China
| | - Junli Wang
- The First Hospital of China Medical University, Shenyang, 110122, China
| | - Liling Hao
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110169, China
| | - Lu Wang
- School of Computer Science and Engineering, Northeastern University, Shenyang, 110169, China
| | - Lisheng Xu
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110169, China; Engineering Research Center of Medical Imaging and Intelligent Analysis, Ministry of Education, Shenyang, 110169, China; Neusoft Research of Intelligent Healthcare Technology, Co. Ltd., Shenyang, 110169, China.
| | - Alberto Avolio
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, 2109, New South Wales, Australia
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