arXiv:2512.10745physics.med-phcs.LG2025-12被引 1

用生理模型+AI精准估算血压,还能解释血管状态变化。

PMB-NN: Physiology-Centred Hybrid AI for Personalized Hemodynamic Monitoring from Photoplethysmography

  • 结合血管物理模型与神经网络,用脉搏波信号算血压。
  • 收缩压误差仅7.2毫米汞柱,舒张压比纯数据模型更准。
  • 能同时输出血管阻力和顺应性,结果有生理意义,适合健康监测。

持续监测血压及外周阻力(R)和动脉顺应性(C)等血流动力学参数对早期发现血管功能异常至关重要。尽管光电容积脉搏波(PPG)可穿戴设备日益普及,现有数据驱动的血压估计算法缺乏可解释性。本文改进了先前提出的生理中心混合人工智能方法——生理模型-基于神经网络(PMB-NN),将深度学习与基于两元件Windkessel模型相结合,以R和C为物理约束参数。PMB-NN采用个体化训练,利用PPG提取的时间特征,并通过人口统计信息推断心输出量作为中间变量。在10名健康成人中进行静态与骑行活动测试,跨两天验证模型稳定性。对比了全连接网络(FCNN)、CNN-LSTM、Transformer等深度学习模型以及独立的风箱模型(PM)。从准确性、可解释性与生理合理性三个角度评估:PMB-NN在收缩压上达到7.2 mmHg MAE,与深度学习基准相当;舒张压表现更优(MAE: 3.9 mmHg);且在生理合理性上优于所有基线模型。此外,训练中同步估计出的外周阻力(ME: 0.15 mmHg·s/ml)和动脉顺应性(ME: -0.35 ml/mmHg)精度接近单独风箱模型,证明嵌入的生理约束赋予了混合框架可解释性。该成果为日常血流动力学监测提供了兼顾准确性与生理合理性的替代方案。

原文摘要 · Abstract (English)

Continuous monitoring of blood pressure (BP) and hemodynamic parameters such as peripheral resistance (R) and arterial compliance (C) are critical for early vascular dysfunction detection. While photoplethysmography (PPG) wearables has gained popularity, existing data-driven methods for BP estimation lack interpretability. We advanced our previously proposed physiology-centered hybrid AI method-Physiological Model-Based Neural Network (PMB-NN)-in blood pressure estimation, that unifies deep learning with a 2-element Windkessel based model parameterized by R and C acting as physics constraints. The PMB-NN model was trained in a subject-specific manner using PPG-derived timing features, while demographic information was used to infer an intermediate variable: cardiac output. We validated the model on 10 healthy adults performing static and cycling activities across two days for model's day-to-day robustness, benchmarked against deep learning (DL) models (FCNN, CNN-LSTM, Transformer) and standalone Windkessel based physiological model (PM). Validation was conducted on three perspectives: accuracy, interpretability and plausibility. PMB-NN achieved systolic BP accuracy (MAE: 7.2 mmHg) comparable to DL benchmarks, diastolic performance (MAE: 3.9 mmHg) lower than DL models. However, PMB-NN exhibited higher physiological plausibility than both DL baselines and PM, suggesting that the hybrid architecture unifies and enhances the respective merits of physiological principles and data-driven techniques. Beyond BP, PMB-NN identified R (ME: 0.15 mmHg$\cdot$s/ml) and C (ME: -0.35 ml/mmHg) during training with accuracy similar to PM, demonstrating that the embedded physiological constraints confer interpretability to the hybrid AI framework. These results position PMB-NN as a balanced, physiologically grounded alternative to purely data-driven approaches for daily hemodynamic monitoring.

血压监测混合AI生理建模可解释性

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