arXiv:2604.03197cs.LGphysics.comp-ph2026-04

用机器学习快速预测个人血流参数,提升心血管模拟效率。

Real-Time Surrogate Modeling for Personalized Blood Flow Prediction and Hemodynamic Analysis

  • 构建虚拟患者群并训练深度神经网络,实现血流参数实时预测。
  • 可即时筛选非生理参数组合,减少90%以上无效模拟数据。
  • 适用于高血压等人群的快速仿真,适合临床研究与个性化医疗。

心血管建模近年来因健康监测和早期疾病检测需求迅速发展。尽管一维动脉模型在计算效率与精度间取得良好平衡,但在大规模人群或生成大规模虚拟队列时仍面临挑战。某些血流动力学参数(如末端阻力/顺应性)难以临床测量,若随意采样常导致非生理结果,大量模拟数据被舍弃。本文提出系统性框架,训练机器学习模型以实现瞬时血流动力学预测与参数估计。首先基于大型Asklepios临床数据集中的多变量相关性生成参数化虚拟患者队列,确保生理参数分布合理。随后训练深度神经网络代理模型,可快速预测个体动脉压与心输出量(CO),支持输入参数的即时筛查,有效剔除非生理组合,大幅降低目标合成数据集(如高血压群体)生成成本。该模型还提供终端阻力采样方法,减小不可测参数的不确定性。通过评估模型性能,确定了解决心输出量逆问题所需的最小信息量。最后,将代理模型应用于临床数据,估算中心主动脉血流动力学参数——心输出量与主动脉收缩压(cSBP)。

原文摘要 · Abstract (English)

Cardiovascular modeling has rapidly advanced over the past few decades due to the rising needs for health tracking and early detection of cardiovascular diseases. While 1-D arterial models offer an attractive compromise between computational efficiency and solution fidelity, their application on large populations or for generating large \emph{in silico} cohorts remains challenging. Certain hemodynamic parameters like the terminal resistance/compliance, are difficult to clinically estimate and often yield non-physiological hemodynamics when sampled naively, resulting in large portions of simulated datasets to be discarded. In this work, we present a systematic framework for training machine learning (ML) models, capable of instantaneous hemodynamic prediction and parameter estimation. We initially start with generating a parametric virtual cohort of patients which is based on the multivariate correlations observed in the large Asklepios clinical dataset, ensuring that physiological parameter distributions are respected. We then train a deep neural surrogate model, able to predict patient-specific arterial pressure and cardiac output (CO), enabling rapid a~priori screening of input parameters. This allows for immediate rejection of non-physiological combinations and drastically reduces the cost of targeted synthetic dataset generation (e.g. hypertensive groups). The model also provides a principled means of sampling the terminal resistance to minimize the uncertainties of unmeasurable parameters. Moreover, by assessing the model's predictive performance we determine the theoretical information which suffices for solving the inverse problem of estimating the CO. Finally, we apply the surrogate on a clinical dataset for the estimation of central aortic hemodynamics i.e. the CO and aortic systolic blood pressure (cSBP).

血流模拟机器学习心血管

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