Title
A Data-Driven Approach to Transfer Function Analysis for Superior Discriminative Power: Optimized Assessment of Dynamic Cerebral Autoregulation
Abstract
Transfer function analysis (TFA) is extensively used to assess human physiological functions. However, extracting parameters from TFA is not usually optimized for detecting impaired function. In this study, we propose to use data-driven approaches to improve the performance of TFA in assessing blood flow control in the brain (dynamic cerebral autoregulation, dCA). Data were collected from two distinct groups of subjects deemed to have normal and impaired dCA. Continuous arterial blood pressure (ABP) and cerebral blood flow velocity (CBFV) were simultaneously recorded for approximately 10 mins in 82 subjects (including 41 healthy controls) to give 328 labeled samples of the TFA variables. The recordings were further divided into 4,294 short data segments to generate 17,176 unlabeled samples of the TFA variables. We optimized TFA post-processing with a generic semi-supervised learning strategy and a novel semi-supervised stacked ensemble learning (SSEL) strategy for classification into normal and impaired dCA. The generic strategy led to a performance with no significant difference to that of the conventional dCA analysis methods, whereas the proposed new strategy boosted the performance of TFA to an accuracy of 93.3%. To our knowledge, this is the best dCA discrimination performance obtained to date and the first attempt at optimizing TFA through machine learning techniques. Equivalent methods can potentially also be applied to assessing a wide spectrum of other human physiological functions.
Year
DOI
Venue
2021
10.1109/JBHI.2020.3015907
IEEE Journal of Biomedical and Health Informatics
Keywords
DocType
Volume
Blood Flow Velocity,Blood Pressure,Brain,Cerebrovascular Circulation,Homeostasis,Humans
Journal
25
Issue
ISSN
Citations 
4
2168-2194
0
PageRank 
References 
Authors
0.34
0
8
Name
Order
Citations
PageRank
Jia Liu111.02
Zhen-Ni Guo200.34
David M Simpson32910.48
Pandeng Zhang411.64
Chang Liu592.13
Jia-Ning Song600.34
Xinyi Leng700.68
Yi Yang800.34