بهره‌گیری از نقشه‌ی بازگشتی متقاطع لیدهای سینه‌ای، برای تشخیص محل مسیرهای فرعی در بیماران دارای نشانگان ولف-پارکینسون-وایت
الموضوعات :
سکینه یحیی زاده ساروی
1
(گروه مهندسی پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران)
نادر جعفرنیا دابانلو
2
(گروه مهندسی پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران)
علی مطیع نصرآبادی
3
(گروه مهندسی پزشکی، دانشگاه شاهد، تهران، ایران)
علیرضا قربانی شریف
4
(کلینیک آریتمی دکتر قربانی شریف، تهران، ایران)
الکلمات المفتاحية: تعیین محل, راه فرعی, سندروم ولف-پارکینسون-وایت, نقشه‌ی بازگشتی متقاطع,
ملخص المقالة :
تعیین محل غیرتهاجمی راه فرعی (AP) در بیماران با سندروم ولف-پارکینسون-وایت (WPW) اغلب با تشخیص پزشک از طریق مشاهده سیگنال الکتروکاردیوگرام(ECG) انجام می‌شود و گاهی تشخیص پزشکان در این خصوص با هم متفاوت است. بنابراین یک روش خودکار با صحت بالا می‌تواند این تفاوت را کاهش دهد. هدف این مطالعه، تعیین محل نیمه‌خودکار AP در بیماران WPW با استفاده از ویژگی‌های استخراج شده از نقشه‌ی بازگشتی متقاطع (CRP) لیدهای سینه‌ای متوالی ECG است. شرکت‌کنندگان شامل 31 بیمار WPWی آشکار (69-8 سال، با میانگین سنی 31.19±14.69سال، 32.3%خانم) هستند که در اولین جلسه، از طریق ابلیشن درمان شدند. ویژگی‌های استخراج شده از CRP لیدهای سینه‌ای متوالی، شامل لامیناریتی(LAM) ، ترپ‌تایم (TT)، دترمینیسم (DET) و میانگین طول خطوط قطری(L) محاسبه شدند. برای کاهش ویژگی، روش جستجوی مستقیم ترتیبی (SFS)، برای طبقه‌بندی روش K– نزدیک‌ترین همسایه(KNN) و برای اعتبارسنجی متقابل (CV) روش LOO استفاده شد. روش ارائه شده توانست APهای راست و چپ را در بیماران WPW با صحت 87% (حساسیت: 93.33%، اختصاصیت: 81.25%) تمایز دهد. این نتیجه با استفاده از ویژگی‌های LAM و L استخراج شده به ترتیب از CRP لیدهای V1 و V2 و CRP لیدهای V3 و V4 به دست آمد.
The localization of APs with a semi-automatic approach using ECG signal was achieved non-invasively.
The feature LAM yielded from the CRP of leads V1 and V2 was effective in the localization of APs.
The feature L yielded from the CRP of leads V3 and V4 was effective in the localization of APs.
The localization of right- and left-sided APs had 87% accuracy.
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