利用皮电活动和机器学习预测中枢神经系统氧中毒症状

IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL
Md-Billal Hossain , Kia Golzari , Youngsun Kong , Bruce J. Derrick , Richard E. Moon , Michael J. Natoli , M. Claire Ellis , Christopher Winstead-Derlega , Sara I. Gonzalez , Christopher M. Allen , Mathew S. Makowski , Brian M. Keuski , John J. Freiberger , Hugo F. Posada-Quintero , Ki H. Chon
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引用次数: 0

摘要

目的在水肺潜水前吸入过高的氧分压(PO2)会增加中枢神经系统氧中毒(CNS-OT)的风险,从而影响潜水表现或导致癫痫发作和随后的溺水。我们的目的是研究在高压氧环境(HBO2)中呼吸高 PO2 时的皮电活动(EDA)动态,以此作为预测即将发生的 CNS-OT 的一种可能手段。为此,我们利用机器学习,通过从时域和频域的 EDA 中提取的特征,自动检测和预测人类 CNS-OT 相关症状的发生。方法我们收集了 49 次暴露于 HBO2 时的皮电活动(EDA)数据,当时受试者正在高压氧舱中进行认知负荷和运动。实验期间有四位独立专家在场,对高压氧中毒相关症状进行监测和分类。我们计算了高灵敏度的时变频谱 EDA 指数(命名为 TVSymp),并从皮肤电导反应(SCR)中提取了信息特征。我们对机器学习算法进行了训练和验证,以便将来自 SCR 和 TVSymp 的特征分类为 CNS-OT 相关或非 CNS-OT 相关特征。结果通过 LOSO 验证,我们的机器学习模型能够以 100% 的灵敏度和 84% 的特异性对与 CNS-OT 相关的 EDA 动态进行分类。此外,CNS-OT 症状的中位预测时间比实际症状发生时间早 250 秒。虽然研究结果很有希望,但还需要独立的验证数据集来证实研究结果。不过,目前的研究结果在一项动物研究中得到了很好的证实,该研究一致显示癫痫发作前的预测时间为 2 分钟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prediction of central nervous system oxygen toxicity symptoms using electrodermal activity and machine learning

Objective

Breathing elevated oxygen partial pressures (PO2) prior to SCUBA diving increases the risk of developing central nervous system oxygen toxicity (CNS-OT), which could impair performance or result in seizure and subsequent drowning. We aimed to study the dynamics of electrodermal activity (EDA) while breathing elevated PO2 in the hyperbaric environment (HBO2) as a possible means to predict impending CNS-OT. To this end, we used machine learning to automatically detect and predict the onset of symptoms associated with CNS-OT in humans by using features derived from EDA in both time and frequency domains.

Methods

We collected electrodermal activity (EDA) data from forty-nine exposures to HBO2 while subjects were undergoing cognitive load and exercise in a hyperbaric oxygen chamber. Four independent experts were present during the experiment to monitor and classify any symptoms associated with hyperbaric oxygen toxicity. We computed a highly sensitive time varying spectral EDA index, named TVSymp, and extracted informative features from skin conductance responses (SCRs). Machine learning algorithms were trained and validated for classifying features from SCRs and TVSymp as CNS-OT related or non-CNS-OT related. Machine learning models were validated using a subject-independent leave one subject out (LOSO) validation scheme.

Results

Our machine learning model was able to classify EDA dynamics related to CNS-OT with 100 % sensitivity and 84 % specificity via LOSO validation. Moreover, the median prediction time for CNS-OT symptoms was ∼ 250 s preceding the occurrence of actual symptoms.

Significance

This study shows that EDA can potentially be used for early prediction of CNS-OT in divers with a high sensitivity and sufficient prediction time for countermeasures. While the study results are promising, independent validation datasets are warranted to confirm the findings. However, the current results are well corroborated in an animal study, which consistently showed seizure prediction time of 2 min prior to seizure.

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来源期刊
CiteScore
16.50
自引率
6.20%
发文量
77
审稿时长
38 days
期刊介绍: Biocybernetics and Biomedical Engineering is a quarterly journal, founded in 1981, devoted to publishing the results of original, innovative and creative research investigations in the field of Biocybernetics and biomedical engineering, which bridges mathematical, physical, chemical and engineering methods and technology to analyse physiological processes in living organisms as well as to develop methods, devices and systems used in biology and medicine, mainly in medical diagnosis, monitoring systems and therapy. The Journal''s mission is to advance scientific discovery into new or improved standards of care, and promotion a wide-ranging exchange between science and its application to humans.
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