Regression and classification of Windkessel parameters from non-invasive cardiovascular quantities using a fully connected neural network

Despite their simplicity, three-element Windkessel models (WK-3) provide an effective and straightforward representation of the aortic input impedance. The WK-3 model not only captures valuable information about the mechanical and structural characteristics of the aortic arch but also generates reli...

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Bibliographic Details
Main Authors: Ahmed Gdoura, Stefan Bernhard
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Informatics in Medicine Unlocked
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352914825000024
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Summary:Despite their simplicity, three-element Windkessel models (WK-3) provide an effective and straightforward representation of the aortic input impedance. The WK-3 model not only captures valuable information about the mechanical and structural characteristics of the aortic arch but also generates reliable estimations of the central blood pressure (cBP) wave, a significant cardiovascular risk indicator. However, fitting the parameters of the WK-3 model typically requires invasively collected data, which carries substantial risk and high cost for patients.This study aims to enable non-invasive impedance estimation of the WK-3 model using cardiovascular signals. As a proof of concept, we developed and trained a fully connected neural network (FCNN) on an in-silico dataset to predict the WK-3 parameters: characteristic impedance, peripheral arterial resistance, and arterial compliance. These predictions are based on non-invasive parameters, including zero-flow pressure intercept, heart rate, stroke volume, and left ventricular ejection time.The proposed model achieved an overall accuracy of 80% with an average area under the curve (AUC) of 0.91±0.11. The implementation and best-fitting model are available for download from this link.
ISSN:2352-9148