Repository logo

Infoscience

  • English
  • French
Log In
Logo EPFL, École polytechnique fédérale de Lausanne

Infoscience

  • English
  • French
Log In
  1. Home
  2. Academic and Research Output
  3. Journal articles
  4. Estimation of Left Ventricular End-Systolic Elastance From Brachial Pressure Waveform via Deep Learning
 
research article

Estimation of Left Ventricular End-Systolic Elastance From Brachial Pressure Waveform via Deep Learning

Bikia, Vasiliki  
•
Lazaroska, Marija
•
Scherrer Ma, Deborah
Show more
October 27, 2021
Frontiers In Bioengineering And Biotechnology

Determination of left ventricular (LV) end-systolic elastance (E- es ) is of utmost importance for assessing the cardiac systolic function and hemodynamical state in humans. Yet, the clinical use of E- es is not established due to the invasive nature and high costs of the existing measuring techniques. The objective of this study is to introduce a method to assess cardiac contractility, using as a sole measurement an arterial blood pressure (BP) waveform. Particularly, we aim to provide evidence on the potential in using the morphology of the brachial BP waveform and its time derivative for predicting LV E- es via convolution neural networks (CNNs). The requirement of a broad training dataset is addressed by the use of an in silico dataset (n = 3,748) which is generated by a validated one-dimensional mathematical model of the cardiovasculature. We evaluated two CNN configurations: 1) a one-channel CNN (CNN1) with only the raw brachial BP signal as an input, and 2) a two-channel CNN (CNN2) using as inputs both the brachial BP wave and its time derivative. Accurate predictions were yielded using both CNN configurations. For CNN1, Pearson's correlation coefficient (r) and RMSE were equal to 0.86 and 0.27 mmHg/ml, respectively. The performance was found to be greatly improved for CNN2 (r = 0.97 and RMSE = 0.13 mmHg/ml). Moreover, all absolute errors from CNN2 were found to be less than 0.5 mmHg/ml. Importantly, the brachial BP wave appeared to be a promising source of information for estimating E- es . Predictions were found to be in good agreement with the reference E- es values over an extensive range of LV contractility values and loading conditions. Therefore, the proposed methodology could be easily transferred to the bedside and potentially facilitate the clinical use of E- es for monitoring the contractile state of the heart in the real-life setting.

  • Files
  • Details
  • Metrics
Type
research article
DOI
10.3389/fbioe.2021.754003
Web of Science ID

WOS:000717634200001

Author(s)
Bikia, Vasiliki  
Lazaroska, Marija
Scherrer Ma, Deborah
Zhao, Meline
Rovas, Georgios  
Pagoulatou, Stamatia  
Stergiopulos, Nikolaos  
Date Issued

2021-10-27

Publisher

FRONTIERS MEDIA SA

Published in
Frontiers In Bioengineering And Biotechnology
Volume

9

Article Number

754003

Subjects

Biotechnology & Applied Microbiology

•

Multidisciplinary Sciences

•

Science & Technology - Other Topics

•

cardiac monitoring

•

convolution neural networks

•

cardiovascular modelling

•

non-invasive

•

contractility

•

time-varying elastance

•

single-beat estimation

•

one-dimensional model

•

volume relation

•

velocity

•

ratio

•

hemodynamics

•

performance

•

validation

•

ejection

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
December 4, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/183488
Logo EPFL, École polytechnique fédérale de Lausanne
  • Contact
  • infoscience@epfl.ch

  • Follow us on Facebook
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Follow us on X
  • Follow us on Youtube
AccessibilityLegal noticePrivacy policyCookie settingsEnd User AgreementGet helpFeedback

Infoscience is a service managed and provided by the Library and IT Services of EPFL. © EPFL, tous droits réservés