Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation

Abstract Continuous monitoring of cardiac motions has been expected to provide essential cardiac physiology information on cardiovascular functioning. A fiber-optic micro-vibration sensing system (FO-MVSS) makes it promising. This study aimed to explore the correlation between Ballistocardiography (...

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Main Authors: Jing Zhan, Xiaoyan Wu, Xuelei Fu, Chenze Li, Ke-Qiong Deng, Qin Wei, Chao Zhang, Tao Zhao, Congcong Li, Longting Huang, Kewei Chen, Qiongxin Wang, Zhengying Li, Zhibing Lu
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-53464-8
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author Jing Zhan
Xiaoyan Wu
Xuelei Fu
Chenze Li
Ke-Qiong Deng
Qin Wei
Chao Zhang
Tao Zhao
Congcong Li
Longting Huang
Kewei Chen
Qiongxin Wang
Zhengying Li
Zhibing Lu
author_facet Jing Zhan
Xiaoyan Wu
Xuelei Fu
Chenze Li
Ke-Qiong Deng
Qin Wei
Chao Zhang
Tao Zhao
Congcong Li
Longting Huang
Kewei Chen
Qiongxin Wang
Zhengying Li
Zhibing Lu
author_sort Jing Zhan
collection DOAJ
description Abstract Continuous monitoring of cardiac motions has been expected to provide essential cardiac physiology information on cardiovascular functioning. A fiber-optic micro-vibration sensing system (FO-MVSS) makes it promising. This study aimed to explore the correlation between Ballistocardiography (BCG) waveforms, measured using an FO-MVSS, and myocardial valve activity during the systolic and diastolic phases of the cardiac cycle in participants with normal cardiac function and patients with congestive heart failure (CHF). A high-sensitivity FO-MVSS acquired continuous BCG recordings. The simultaneous recordings of BCG and electrocardiogram (ECG) signals were obtained from 101 participants to examine their correlation. BCG, ECG, and intracavitary pressure signals were collected from 6 patients undergoing cardiac catheter intervention to investigate BCG waveforms and cardiac cycle phases. Tissue Doppler imaging (TDI) measured cardiac time intervals in 51 participants correlated with BCG intervals. The BCG recordings were further validated in 61 CHF patients to assess cardiac parameters by BCG. For heart failure evaluation machine learning was used to analyze BCG-derived cardiac parameters. Significant correlations were observed between cardiac physiology parameters and BCG's parameters. Furthermore, a linear relationship was found betwen IJ amplitude and cardiac output (r = 0.923, R2 = 0.926, p < 0.001). Machine learning techniques, including K-Nearest Neighbors (KNN), Decision Tree Classifier (DTC), Support Vector Machine (SVM), Logistic Regression (LR), Random Forest (RF), and XGBoost, respectively, demonstrated remarkable performance. They all achieved average accuracy and AUC values exceeding 95% in a five-fold cross-validation approach. We establish an electromagnetic-interference-free and non-contact method for continuous monitoring of the cardiac cycle and myocardial contractility and measure the different phases of the cardiac cycle. It presents a sensitive method for evaluating changes in both cardiac contraction and relaxation in the context of heart failure assessment.
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spelling doaj.art-0f484f66d1c5454cb344f48a362f1dcd2024-03-05T18:42:29ZengNature PortfolioScientific Reports2045-23222024-02-0114111410.1038/s41598-024-53464-8Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluationJing Zhan0Xiaoyan Wu1Xuelei Fu2Chenze Li3Ke-Qiong Deng4Qin Wei5Chao Zhang6Tao Zhao7Congcong Li8Longting Huang9Kewei Chen10Qiongxin Wang11Zhengying Li12Zhibing Lu13Hubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityHubei Key Laboratory of Broadband Wireless Communication and Sensor Networks, School of Information Engineering, Wuhan University of TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan UniversityAbstract Continuous monitoring of cardiac motions has been expected to provide essential cardiac physiology information on cardiovascular functioning. A fiber-optic micro-vibration sensing system (FO-MVSS) makes it promising. This study aimed to explore the correlation between Ballistocardiography (BCG) waveforms, measured using an FO-MVSS, and myocardial valve activity during the systolic and diastolic phases of the cardiac cycle in participants with normal cardiac function and patients with congestive heart failure (CHF). A high-sensitivity FO-MVSS acquired continuous BCG recordings. The simultaneous recordings of BCG and electrocardiogram (ECG) signals were obtained from 101 participants to examine their correlation. BCG, ECG, and intracavitary pressure signals were collected from 6 patients undergoing cardiac catheter intervention to investigate BCG waveforms and cardiac cycle phases. Tissue Doppler imaging (TDI) measured cardiac time intervals in 51 participants correlated with BCG intervals. The BCG recordings were further validated in 61 CHF patients to assess cardiac parameters by BCG. For heart failure evaluation machine learning was used to analyze BCG-derived cardiac parameters. Significant correlations were observed between cardiac physiology parameters and BCG's parameters. Furthermore, a linear relationship was found betwen IJ amplitude and cardiac output (r = 0.923, R2 = 0.926, p < 0.001). Machine learning techniques, including K-Nearest Neighbors (KNN), Decision Tree Classifier (DTC), Support Vector Machine (SVM), Logistic Regression (LR), Random Forest (RF), and XGBoost, respectively, demonstrated remarkable performance. They all achieved average accuracy and AUC values exceeding 95% in a five-fold cross-validation approach. We establish an electromagnetic-interference-free and non-contact method for continuous monitoring of the cardiac cycle and myocardial contractility and measure the different phases of the cardiac cycle. It presents a sensitive method for evaluating changes in both cardiac contraction and relaxation in the context of heart failure assessment.https://doi.org/10.1038/s41598-024-53464-8
spellingShingle Jing Zhan
Xiaoyan Wu
Xuelei Fu
Chenze Li
Ke-Qiong Deng
Qin Wei
Chao Zhang
Tao Zhao
Congcong Li
Longting Huang
Kewei Chen
Qiongxin Wang
Zhengying Li
Zhibing Lu
Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
Scientific Reports
title Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
title_full Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
title_fullStr Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
title_full_unstemmed Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
title_short Non-contact assessment of cardiac physiology using FO-MVSS-based ballistocardiography: a promising approach for heart failure evaluation
title_sort non contact assessment of cardiac physiology using fo mvss based ballistocardiography a promising approach for heart failure evaluation
url https://doi.org/10.1038/s41598-024-53464-8
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