دورية أكاديمية
Derivation and validation of gray-box models to estimate noninvasive in-vivo percentage glycated hemoglobin using digital volume pulse waveform
العنوان: | Derivation and validation of gray-box models to estimate noninvasive in-vivo percentage glycated hemoglobin using digital volume pulse waveform |
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المؤلفون: | Shifat Hossain, Shantanu Sen Gupta, Tae-Ho Kwon, Ki-Doo Kim |
المصدر: | Scientific Reports, Vol 11, Iss 1, Pp 1-18 (2021) |
بيانات النشر: | Nature Portfolio, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Medicine, Science |
الوصف: | Abstract Glycated hemoglobin and blood oxygenation are the two most important factors for monitoring a patient’s average blood glucose and blood oxygen levels. Digital volume pulse acquisition is a convenient method, even for a person with no previous training or experience, can be utilized to estimate the two abovementioned physiological parameters. The physiological basis assumptions are utilized to develop two-finger models for estimating the percent glycated hemoglobin and blood oxygenation levels. The first model consists of a blood-vessel-only hypothesis, whereas the second model is based on a whole-finger model system. The two gray-box systems were validated on diabetic and nondiabetic patients. The mean absolute errors for the percent glycated hemoglobin (%HbA1c) and percent oxygen saturation (%SpO2) were 0.375 and 1.676 for the blood-vessel model and 0.271 and 1.395 for the whole-finger model, respectively. The repeatability analysis indicated that these models resulted in a mean percent coefficient of variation (%CV) of 2.08% and 1.74% for %HbA1c and 0.54% and 0.49% for %SpO2 in the respective models. Herein, both models exhibited similar performances (HbA1c estimation Pearson’s R values were 0.92 and 0.96, respectively), despite the model assumptions differing greatly. The bias values in the Bland–Altman analysis for both models were – 0.03 ± 0.458 and – 0.063 ± 0.326 for HbA1c estimation, and 0.178 ± 2.002 and – 0.246 ± 1.69 for SpO2 estimation, respectively. Both models have a very high potential for use in real-world scenarios. The whole-finger model with a lower standard deviation in bias and higher Pearson’s R value performs better in terms of higher precision and accuracy than the blood-vessel model. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2045-2322 |
Relation: | https://doaj.org/toc/2045-2322 |
DOI: | 10.1038/s41598-021-91527-2 |
URL الوصول: | https://doaj.org/article/1c6cb457f2c94361bc76fe57e818c06d |
رقم الأكسشن: | edsdoj.1c6cb457f2c94361bc76fe57e818c06d |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20452322 |
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DOI: | 10.1038/s41598-021-91527-2 |