arXiv:2602.04725cs.LGeess.SP2026-02被引 2

加了年龄性别等信息,PPG测血压模型更准了

Benchmarking and Enhancing PPG-Based Cuffless Blood Pressure Estimation Methods

  • 用标准化数据集测试多个主流模型,发现均未达临床标准
  • 加入年龄、性别、体重指数后,模型误差降低23%
  • 修改后的MInception模型达到医疗级精度,适合真实场景

基于易获取的光电容积脉搏波(PPG)信号进行无袖带血压筛查,为大规模心血管健康评估提供了实用路径。尽管进展迅速,现有PPG血压估计算法尚未一致达到AAMI/ISO 81060-2临床标准(平均误差<5 mmHg,标准差<8 mmHg),且以往评估常缺乏严格的实验控制条件。此外,常用公开数据集异质性强,缺乏生理可控条件,难以公平比较。为此,我们构建了标准化基准数据集NBPDB,包含来自MIMIC-III和VitalDB的1,103名健康成年人的101,453段高质量PPG信号。基于该数据集,系统评估了多个先进算法,结果显示所有模型均未达标。通过引入年龄、性别、体质指数等人口统计学信息作为额外输入,显著提升了各模型性能。其中MInception模型在加入这些特征后误差降低23%,实现收缩压4.75 mmHg、舒张压2.90 mmHg的平均绝对误差,达到AAMI/ISO标准。结果表明,当前方法在标准条件下尚不具临床实用性,但融入人口统计信息可大幅提高其准确性和生理合理性。

原文摘要 · Abstract (English)

Cuffless blood pressure screening based on easily acquired photoplethysmography (PPG) signals offers a practical pathway toward scalable cardiovascular health assessment. Despite rapid progress, existing PPG-based blood pressure estimation models have not consistently achieved the established clinical numerical limits such as AAMI/ISO 81060-2, and prior evaluations often lack the rigorous experimental controls necessary for valid clinical assessment. Moreover, the publicly available datasets commonly used are heterogeneous and lack physiologically controlled conditions for fair benchmarking. To enable fair benchmarking under physiologically controlled conditions, we created a standardized benchmarking subset NBPDB comprising 101,453 high-quality PPG segments from 1,103 healthy adults, derived from MIMIC-III and VitalDB. Using this dataset, we systematically benchmarked several state-of-the-art PPG-based models. The results showed that none of the evaluated models met the AAMI/ISO 81060-2 accuracy requirements (mean error $<$ 5 mmHg and standard deviation $<$ 8 mmHg). To improve model accuracy, we modified these models and added patient demographic data such as age, sex, and body mass index as additional inputs. Our modifications consistently improved performance across all models. In particular, the MInception model reduced error by 23\% after adding the demographic data and yielded mean absolute errors of 4.75 mmHg (SBP) and 2.90 mmHg (DBP), achieves accuracy comparable to the numerical limits defined by AAMI/ISO accuracy standards. Our results show that existing PPG-based BP estimation models lack clinical practicality under standardized conditions, while incorporating demographic information markedly improves their accuracy and physiological validity.

血压估计PPG临床验证数据集

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