基于马氏距离分类准则的室间隔缺损诊断研究
On the Mahalanobis Distance Classification Criterion for a Ventricular Septal Defect Diagnostic System
摘要: 本研究提出一种基于马氏距离的分类准则实现对三种室间隔缺损(VSD)的诊断。与诊断方法对应的三个阶段概括如下。第一阶段,通过电子听诊器采集心音,然后利用小波分解进行预处理。在第二阶段提取时频特征并进行主成分分析(PCA)降维。第三阶段,描述了基于马氏距离分类准则的VSD诊断方法。最后,通过与其它诊断VSD的分类方法进行比较来评价本方法效果。分析研究结果,本研究对三种室间隔缺损与正常心音的分类精度分别为95.2%、94.4%、97.1%、99.1%,优于其它知名分类器。因此本研究可为医护人员或患者诊断VSD提供一种有效的方法。
Abstract: This study proposes a criterion based on the Mahalanobis distance for diagnosing three-type ventricular septal defects (VSDs). The three stages corresponding to the diagnostic method are generally summarized as follows. In the first stage, the heart sound is collected via an electronic stethoscope and preprocessed using the wavelet decomposition. The time-frequency features are extracted in the second stage. And finally, the third stage describes the Mahalanobis distance classification criterion-based diagnostic method used to diagnose the VSD. The performance of this proposed method is evaluated by comparing with other well-knows classification methods in diagnosing sounds from patients with VSDs. The classification accuracy of three-kind of VSDs and normal heart sound are 95.2%, 94.4%, 97.1%, and 99.1%, respectively, which are greater than other well-known classifier methods. Therefore, the proposed method can provide an efficient way to diagnose VSD for medical staff or patients.
文章引用:孙树平, 李肖航, 陈豪, 张弼强, 黄婷婷, 庞宏祥. 基于马氏距离分类准则的室间隔缺损诊断研究[J]. 医学诊断, 2020, 10(1): 42-50. https://doi.org/10.12677/MD.2020.101007

参考文献

[1] Liu, Y., et al. (2019) Early Childhood Global Birth Prevalence of Congenital Heart Defects 1970-2017: Updated Systematic Review and Meta-Analysis of 260 Studies. International Journal of Epidemiology, 48, 455-463. [Google Scholar] [CrossRef] [PubMed]
[2] Sun, S., Wang, H., Jiang, Z., Fang, Y. and Tao, T. (2014) Segmentation-Based Heart Sound Feature Extraction Combined with Classifier Models for a VSD Diagnosis System. Expert Systems with Applications, 41, 1769-1780. [Google Scholar] [CrossRef
[3] Bhatikar, S.R., DeGroff, C. and Mahajan, R.L. (2005) A Classifier Based on the Artificial Neural Network Approach for Cardiologic Auscultation in Pediatrics. Artificial Intelligence in Medicine, 33, 251-260. [Google Scholar] [CrossRef] [PubMed]
[4] Higuchi, K., Sato, K., Makuuchi, H., Furuse, A., Takamoto, S. and Takeda, H. (2006) Automated Diagnosis of Heart Disease in Patients with Heart Murmurs: Application of a Neural Network Technique. Journal of Medical Engineering & Technology, 30, 61-68. [Google Scholar] [CrossRef] [PubMed]
[5] 谭朝文, 王威廉, 宗容, 等. 卷积神经网络应用于先心病心音信号分类研究[J]. 计算机工程与应用, 2019, 55(12): 174-180.
[6] Nieto, M., Cuevas, C. and Salgado, L. (2009) Measurement-Based Reclustering for Multiple Object Tracking with Particle Filters. International Conference on Image Processing, Cairo, 7-10 November 2009, 4097-4100. [Google Scholar] [CrossRef
[7] Suhr, J.K., Jung, H.G., Li, G. and Kim, J. (2011) Mixture of Gaussians-Based Background Subtraction for Bayer-Pattern Image Sequences. IEEE Transactions on Circuits and Systems for Video Technology, 21, 365-370. [Google Scholar] [CrossRef
[8] Hassanpour, H., Sedighi, M. and Manashty, A.R. (2011) Video Frame’s Background Modeling: Reviewing the Techniques. Journal of Signal and Information Processing, 2, 72-78. [Google Scholar] [CrossRef
[9] Gallego, J., Pardàs, M. and Haro, G. (2012) Enhanced Foreground Segmentation and Tracking Combining Bayesian Background, Shadow and Foreground Modeling. Pattern Recognition Letters, 33, 1558-1568. [Google Scholar] [CrossRef
[10] Color, S. and Cues, V. (2013) Heart Sounds. iWorx Physiology Lab Experiment, 03820, 1-8.
[11] Littmann Library, Ventricular Septal Defect Database, 3M Company.
http://www.3m.com/healthcare/littmann/pn111.html
[12] 高巍, 彭宇. 基于马氏距离多核学习的高光谱图像分类[J]. 仪器仪表学报, 2018(3): 250-257.
[13] Nilsson, M., Funk, P., Olsson, E.M.G., Von Schéele, B. and Xiong, N. (2006) Clinical Decision-Support for Diagnosing Stress-Related Disorders by Applying Psychophysiological Medical Knowledge to an Instance-Based Learning System. Artificial Intelligence in Medicine, 36, 159-176. [Google Scholar] [CrossRef] [PubMed]
[14] Jabbari, S. and Ghassemian, H. (2009) Sparse Modeling of Heart Sounds and Murmurs Based on Orthogonal Matching Pursuit. 14th CSICC, Tehran, 20-21 October 2009, 355-360. [Google Scholar] [CrossRef
[15] Choi, S. and Jiang, Z. (2010) Cardiac Sound Murmurs Classification with Autoregressive Spectral Analysis and Multi-Support Vector Machine Technique. Computers in Biology and Medicine, 40, 8-20. [Google Scholar] [CrossRef] [PubMed]
[16] Choi, S., Shin, Y. and Park, H.K. (2011) Selection of Wavelet Packet Measures for Insufficiency Murmur Identification. Expert Systems with Applications, 38, 4264-4271. [Google Scholar] [CrossRef
[17] Ali, M.N., El-Dahshan, E.S.A. and Yahia, A.H. (2017) Denoising of Heart Sound Signals Using Discrete Wavelet Transform. Circuits, Systems, and Signal Processing, 36, 4482-4497. [Google Scholar] [CrossRef
[18] Hamidi, M., Ghassemian, H. and Imani, M. (2018) Classification of Heart Sound Signal Using Curve Fitting and Fractal Dimension. Biomedical Signal Processing and Control, 39, 351-359. [Google Scholar] [CrossRef
[19] 肖应旺, 杨军, 张承忠, 等. 统计监控建模数据预处理离群点检测算法[J]. 控制工程, 2013, 20(4): 756-761.
[20] De Maesschalck, R. and Massart, D.L. (2000) The Mahalanobis Distance. Chemometrics and Intelligent Laboratory Systems, 50, 1-18. [Google Scholar] [CrossRef
[21] Etherington, T.R. (2019) Mahalanobis Distances and Ecological Niche Modelling: Correcting a Chi-Squared Probability Error. PeerJ, 7, e6678. [Google Scholar] [CrossRef] [PubMed]
[22] Gallego, G., Cuevas, C., Mohedano, R. and García, N. (2013) On the Mahalanobis Distance Classification Criterion for Multidimensional Normal Distributions. The IEEE Transactions on Signal Processing, 61, 4387-4396. [Google Scholar] [CrossRef
[23] Qiu, L., Yuan, S., Chang, F.K., Bao, Q. and Mei, H. (2014) On-Line Updating Gaussian Mixture Model for Aircraft Wing Spar Damage Evaluation under Time-Varying Boundary Condition. Smart Materials and Structures, 23, Article ID: 125001. [Google Scholar] [CrossRef
[24] Pinto, R.C. and Engel, P.M. (2015) A Fast Incremental Gaussian Mixture Model. PLoS ONE, 10, e0139931. [Google Scholar] [CrossRef] [PubMed]
[25] Proïa, F., Pernet, A., Thouroude, T., Michel, G. and Clotault, J. (2016) On the Characterization of Flowering Curves Using Gaussian Mixture Models. Journal of Theoretical Biology, 402, 75-88. [Google Scholar] [CrossRef] [PubMed]
[26] Mungai, P.K. and Huang, R. (2017) Using Keystroke Dynamics in a Multi-Level Architecture to Protect Online Examinations from Impersonation. IEEE 2nd International Conference on Big Data Analysis, Beijing, 10-12 March 2017, 622-627. [Google Scholar] [CrossRef
[27] Aryafar, A., Mikaeil, R., Doulati Ardejani, F., Shaffiee Haghshenas, S. and Jafarpour, A. (2018) Application of Non-Linear Regression and Soft Computing Techniques for Modeling Process of Pollutant Adsorption from Industrial Wastewaters. Journal of Mining and Environment, 10, 327-337.