Open AccessBilateral photoplethysmography for peripheral arterial disease screening in haemodialysis patients using astable multivibrator and machine learning classifier
Author(s) -
Wu JianXing,
Lin ChiaHung,
Kan ChungDann,
Chen WeiLing
Publication year - 2019
Publication title -
iet science, measurement and technology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.418
H-Index - 49
eISSN - 1751-8830
pISSN - 1751-8822
DOI - 10.1049/iet-smt.2018.5330
Subject(s) - photoplethysmogram , multivibrator , peripheral , arterial disease , medicine , computer science , artificial intelligence , cardiology , engineering , computer vision , vascular disease , electrical engineering , filter (signal processing) , voltage
Peripheral arterial disease (PAD) is highly prevalent in haemodialysis (HD) patients with type 2 diabetes. Atherosclerosis may occur in both lower and upper peripheral arteries, causing progressive dialysis access stenosis in HD patients. To assess the risk of PAD, non‐invasive bilateral photoplethysmography (PPG) can be used to obtain continuous variations in blood flow volume in in vivo examinations. The authors propose an astable multivibrator to model the peripheral circulation system and to produce PPG oscillation with time constants, duty ratio (rising time), and amplitude ratio of systolic and diastolic pressures. Then, the bilateral differences in the time constant and duty ratio are used to separate the normal condition from PAD. The machine learning decision‐making process utilises a screening method to automatically detect subjects with and without the risk of PAD. The radial‐based function is employed to parameterise the similarity and dissimilarity levels using probability values. Colour relation analysis incorporates the probability values into the perceptual colour relationships for PAD screening. The experimental results indicate that in comparison with bilateral timing parameters, degree of stenosis, and resistive index, the proposed screening method is efficient in preventing complications of PAD and is easily implemented in an embedded system.