Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level

<italic>Goal:</italic> To evaluate the suitability of seismocardiogram (SCG) and gyrocardiogram (GCG) recorded at the skin level to classify aortic stenosis (AS) patients from healthy volunteers, and to determine the optimal sensor position for the classification. <italic>Methods:&...

Full description

Saved in:
Bibliographic Details
Main Authors: Chiara Romano, Emanuele Maiorana, Annunziata Nusca, Simone Circhetta, Sergio Silvestri, Schena Emiliano, Gian Paolo Ussia, Carlo Massaroni
Format: Article
Language:English
Published: IEEE 2024-01-01
Series:IEEE Open Journal of Engineering in Medicine and Biology
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10534834/
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832540532137525248
author Chiara Romano
Emanuele Maiorana
Annunziata Nusca
Simone Circhetta
Sergio Silvestri
Schena Emiliano
Gian Paolo Ussia
Carlo Massaroni
author_facet Chiara Romano
Emanuele Maiorana
Annunziata Nusca
Simone Circhetta
Sergio Silvestri
Schena Emiliano
Gian Paolo Ussia
Carlo Massaroni
author_sort Chiara Romano
collection DOAJ
description <italic>Goal:</italic> To evaluate the suitability of seismocardiogram (SCG) and gyrocardiogram (GCG) recorded at the skin level to classify aortic stenosis (AS) patients from healthy volunteers, and to determine the optimal sensor position for the classification. <italic>Methods:</italic> SCG and GCG were recorded along three axes at five chest locations of fifteen healthy subjects and AS patients. Signal frames underwent feature extraction in frequency and time-frequency domains. Then, binary classification was performed through three machine learning and three deep learning methods, considering SCG, GCG, and their combination. <italic>Results:</italic> The highest classification accuracies were achieved using Support Vector Machine (SVM) classifier, with the best sensor locations being at the mitral valve for SCG signals (92.3&#x0025; accuracy) and at the pulmonary valve for GCG (92.1&#x0025;). Combining SCG and GCG data allows for further improvement in the achievable accuracy (93.5&#x0025;). Jointly exploiting SCG and GCG signals and both SVM- and ResNet18-based classifiers, 40 s of monitoring allows for reaching 97.2&#x0025; accuracy with a single sensor on the pulmonary valve. <italic>Conclusions:</italic> Combining SCG and GCG with adequate machine learning and deep learning classifiers allows reliable classification of AS patients.
format Article
id doaj-art-657abf9749854c5289deec37633a93db
institution Kabale University
issn 2644-1276
language English
publishDate 2024-01-01
publisher IEEE
record_format Article
series IEEE Open Journal of Engineering in Medicine and Biology
spelling doaj-art-657abf9749854c5289deec37633a93db2025-02-05T00:01:18ZengIEEEIEEE Open Journal of Engineering in Medicine and Biology2644-12762024-01-01586787610.1109/OJEMB.2024.340215110534834Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin LevelChiara Romano0https://orcid.org/0000-0003-3525-0213Emanuele Maiorana1https://orcid.org/0000-0002-4312-6434Annunziata Nusca2https://orcid.org/0000-0002-5616-3197Simone Circhetta3Sergio Silvestri4https://orcid.org/0000-0002-5863-8336Schena Emiliano5https://orcid.org/0000-0002-9696-1265Gian Paolo Ussia6https://orcid.org/0000-0001-8849-3097Carlo Massaroni7https://orcid.org/0000-0002-3090-5623Research Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Universit&#x00E0; Campus Bio-Medico di Roma, Rome, ItalyBiometric Systems and Multimedia Forensics (BioMedia4n6) Laboratory of the Department of Industrial, Electronic and Mechanical Engineering, Roma Tre University, Rome, ItalyFondazione Policlinico Universitario Campus Bio-Medico, Roma, ItalyFondazione Policlinico Universitario Campus Bio-Medico, Roma, ItalyResearch Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Universit&#x00E0; Campus Bio-Medico di Roma, Rome, ItalyResearch Unit of Measurements and Biomedical instrumentation, Department of Engineering, Universit&#x00E0; Campus Bio-Medico di Roma, Rome, ItalyFondazione Policlinico Universitario Campus Bio-Medico, Roma, ItalyResearch Unit of Measurements and Biomedical instrumentation, Department of Engineering, Universit&#x00E0; Campus Bio-Medico di Roma, Rome, Italy<italic>Goal:</italic> To evaluate the suitability of seismocardiogram (SCG) and gyrocardiogram (GCG) recorded at the skin level to classify aortic stenosis (AS) patients from healthy volunteers, and to determine the optimal sensor position for the classification. <italic>Methods:</italic> SCG and GCG were recorded along three axes at five chest locations of fifteen healthy subjects and AS patients. Signal frames underwent feature extraction in frequency and time-frequency domains. Then, binary classification was performed through three machine learning and three deep learning methods, considering SCG, GCG, and their combination. <italic>Results:</italic> The highest classification accuracies were achieved using Support Vector Machine (SVM) classifier, with the best sensor locations being at the mitral valve for SCG signals (92.3&#x0025; accuracy) and at the pulmonary valve for GCG (92.1&#x0025;). Combining SCG and GCG data allows for further improvement in the achievable accuracy (93.5&#x0025;). Jointly exploiting SCG and GCG signals and both SVM- and ResNet18-based classifiers, 40 s of monitoring allows for reaching 97.2&#x0025; accuracy with a single sensor on the pulmonary valve. <italic>Conclusions:</italic> Combining SCG and GCG with adequate machine learning and deep learning classifiers allows reliable classification of AS patients.https://ieeexplore.ieee.org/document/10534834/Wearablesseismocardiogramgyrocardiogrammachine learningaortic stenosis (AS)sensors
spellingShingle Chiara Romano
Emanuele Maiorana
Annunziata Nusca
Simone Circhetta
Sergio Silvestri
Schena Emiliano
Gian Paolo Ussia
Carlo Massaroni
Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
IEEE Open Journal of Engineering in Medicine and Biology
Wearables
seismocardiogram
gyrocardiogram
machine learning
aortic stenosis (AS)
sensors
title Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
title_full Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
title_fullStr Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
title_full_unstemmed Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
title_short Classification of Aortic Stenosis Patients via ECG-Independent Multi-Site Measurements of Cardiac-Induced Accelerations and Angular Velocities at the Skin Level
title_sort classification of aortic stenosis patients via ecg independent multi site measurements of cardiac induced accelerations and angular velocities at the skin level
topic Wearables
seismocardiogram
gyrocardiogram
machine learning
aortic stenosis (AS)
sensors
url https://ieeexplore.ieee.org/document/10534834/
work_keys_str_mv AT chiararomano classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT emanuelemaiorana classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT annunziatanusca classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT simonecirchetta classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT sergiosilvestri classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT schenaemiliano classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT gianpaoloussia classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel
AT carlomassaroni classificationofaorticstenosispatientsviaecgindependentmultisitemeasurementsofcardiacinducedaccelerationsandangularvelocitiesattheskinlevel