论文标题
SPO $ _2 $估算的反射率脉搏血氧仪的强大建模
Robust Modelling of Reflectance Pulse Oximetry for SpO$_2$ Estimation
论文作者
论文摘要
连续监测血氧饱和度水平对于患有肺部疾病的患者至关重要。传统上,由于其可靠性,SPO $ _2 $监测是使用透射脉冲血氧仪进行的。但是,来自透射脉冲血氧仪的SPO $ _2 $测量仅限于外围区域。随着血液灌注外围物的降低,这在非常低的温度下成为一个劣势。另一方面,可以在手指,手腕,胸部和额头等各个位置使用反射率脉搏血氧仪。此外,可以将反射率脉搏血氧仪缩放到不干扰用户昼夜活动的负担得起的补丁。但是,由于其患者依赖性,测量的主观性质,反射率脉搏血氧仪的准确SPO $ _2 $估计是具有挑战性的。最近,使用机器学习(ML)方法将反射波形建模为从传输波形获得的SPO $ _2 $。但是,该模型对新患者的普遍性尚未测试。鉴于此,当前的工作实施了多种基于ML的方法,随后发现这些方法无法推广到新患者。此外,采用了最小的数据驱动方法,以从反射率PPG波形中获得SPO $ _2 $。所提出的解决方案对未见患者产生的平均平均绝对误差为1.81 \%,这在临床上允许的误差为2 \%之内。进行了两次统计检验,以确定所提出方法的有效性。
Continuous monitoring of blood oxygen saturation levels is vital for patients with pulmonary disorders. Traditionally, SpO$_2$ monitoring has been carried out using transmittance pulse oximeters due to its dependability. However, SpO$_2$ measurement from transmittance pulse oximeters is limited to peripheral regions. This becomes a disadvantage at very low temperatures as blood perfusion to the peripherals decreases. On the other hand, reflectance pulse oximeters can be used at various sites like finger, wrist, chest and forehead. Additionally, reflectance pulse oximeters can be scaled down to affordable patches that do not interfere with the user's diurnal activities. However, accurate SpO$_2$ estimation from reflectance pulse oximeters is challenging due to its patient dependent, subjective nature of measurement. Recently, a Machine Learning (ML) method was used to model reflectance waveforms onto SpO$_2$ obtained from transmittance waveforms. However, the generalizability of the model to new patients was not tested. In light of this, the current work implemented multiple ML based approaches which were subsequently found to be incapable of generalizing to new patients. Furthermore, a minimally calibrated data driven approach was utilized in order to obtain SpO$_2$ from reflectance PPG waveforms. The proposed solution produces an average mean absolute error of 1.81\% on unseen patients which is well within the clinically permissible error of 2\%. Two statistical tests were conducted to establish the effectiveness of the proposed method.