Key result
Machine learning accurately estimates aortic impedance and arterial compliance using cuff pressure in silico.
Why the study?
In-vivo assessment of aortic characteristic impedance and total arterial compliance has been hampered by the need for invasive, inconvenient, or expensive methods requiring simultaneous recordings of aortic pressure, flow, wall thickness, and cross-sectional area.
Does a machine learning model using non-invasive regional pulse wave velocities accurately estimate aortic characteristic impedance and total arterial compliance in an in-silico model?
Does a machine learning model using non-invasive regional pulse wave velocities accurately estimate aortic characteristic impedance and total arterial compliance in an in-silico model?
A machine learning approach using non-invasive regional pulse wave velocities accurately estimates aortic characteristic impedance and total arterial compliance in an in-silico model, offering a potential tool for assessing arterial stiffness.
Answers are grounded in this paper and cite their sources.
May support noninvasive arterial stiffness assessment; leaves open human validation before any clinical use.
In-vivo assessment of aortic characteristic impedance (Z ao ) and total arterial compliance (C T ) has been hampered by the need for either invasive or inconvenient and expensive methods to access simultaneous recordings of aortic pressure and flow, wall thickness, and cross-sectional area. In contrast, regional pulse wave velocity (PWV) measurements are non-invasive and clinically available. In this study, we present a non-invasive method for estimating Z ao and C T using cuff pressure, carotid-femoral PWV (cfPWV), and carotid-radial PWV (crPWV). Regression analysis is employed for both Z ao and C T . The regressors are trained and tested using a pool of virtual subjects ( n = 3,818) generated from a previously validated in-silico model. Predictions achieved an accuracy of 7.40%, r = 0.90, and 6.26%, r = 0.95, for Z ao , and C T , respectively. The proposed approach constitutes a step forward to non-invasive screening of elastic vascular properties in humans by exploiting easily obtained measurements. This study could introduce a valuable tool for assessing arterial stiffness reducing the cost and the complexity of the required measuring techniques. Further clinical studies are required to validate the method in-vivo .
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Bikia et al. (2021) studied Arterial stiffness (n=3,818). Machine learning models (Random Forest Regressor and Artificial Neural Network) vs. Analytical solutions from 1-D cardiovascular model was evaluated on Prediction accuracy for aortic characteristic impedance (Zao) and total arterial compliance (CT) (r = 0.90 (Zao), r = 0.95 (CT), p=<0.001). A machine learning approach using cuff pressure and regional pulse wave velocities accurately estimated aortic characteristic impedance (r = 0.90) and total arterial compliance (r = 0.95) in an in-silico population.
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