A Highly Sensitive Pressure-Sensing Array for Blood Pressure Estimation Assisted by Machine-Learning Techniques

This work describes the development of a pressure-sensing array for noninvasive continuous blood pulse-wave monitoring. The sensing elements comprise a conductive polymer film and interdigital electrodes patterned on a flexible Parylene C substrate. The polymer film was patterned with microdome structures to enhance the acuteness of pressure sensing. The proposed device uses three pressure-sensing elements in a linear array, which greatly facilitates the blood pulse-wave measurement. The device exhibits high sensitivity (−0.533 kPa−1) and a fast dynamic response. Furthermore, various machine-learning algorithms, including random forest regression (RFR), gradient-boosting regression (GBR), and adaptive boosting regression (ABR), were employed for estimating systolic blood pressure (SBP) and diastolic blood pressure (DBP) from the measured pulse-wave signals. Among these algorithms, the RFR-based method gave the best performance, with the coefficients of determination for the reference and estimated blood pressures being R2 = 0.871 for SBP and R2 = 0.794 for DBP, respectively.

[1]  Yaping Zang,et al.  Flexible suspended gate organic thin-film transistors for ultra-sensitive pressure detection , 2015, Nature Communications.

[2]  Robert M Carey,et al.  The 2017 Clinical Practice Guideline for High Blood Pressure. , 2017, JAMA.

[3]  Jing Li,et al.  Recent progress in flexible pressure sensor arrays: from design to applications , 2018 .

[4]  W. Littler,et al.  Which is the most accurate method of measuring blood pressure? , 1989, American heart journal.

[5]  Zhaona Wang,et al.  Eardrum‐Inspired Active Sensors for Self‐Powered Cardiovascular System Characterization and Throat‐Attached Anti‐Interference Voice Recognition , 2015, Advanced materials.

[6]  Gaël Varoquaux,et al.  Scikit-learn: Machine Learning in Python , 2011, J. Mach. Learn. Res..

[7]  Yonggang Huang,et al.  Conformable amplified lead zirconate titanate sensors with enhanced piezoelectric response for cutaneous pressure monitoring , 2014, Nature Communications.

[8]  T. Ozawa,et al.  Accuracy of a continuous blood pressure monitor based on arterial tonometry. , 1993, Hypertension.

[9]  Bahram Azizollah-Ganji,et al.  Design of small size and high sensitive less-invasive wireless blood pressure sensor using MEMS technology , 2019, IET Circuits Devices Syst..

[10]  Maxime Cannesson,et al.  Non-invasive continuous blood pressure monitoring: a review of current applications , 2013, Frontiers of Medicine.

[11]  Harris Drucker,et al.  Improving Regressors using Boosting Techniques , 1997, ICML.

[12]  Hiroyuki Matsui,et al.  Fully Printed Wearable Vital Sensor for Human Pulse Rate Monitoring using Ferroelectric Polymer , 2018, Scientific Reports.

[13]  Yiannos Manoli,et al.  Implantable accelerometer system for the determination of blood pressure using reflected wave transit time , 2014 .

[14]  Leo Breiman,et al.  Random Forests , 2001, Machine Learning.

[15]  Gianfranco Parati,et al.  Assessment and management of blood-pressure variability , 2014, Nature Reviews Cardiology.

[16]  Robert E. Schapire,et al.  The Boosting Approach to Machine Learning An Overview , 2003 .

[17]  Bo Wen,et al.  Cuffless Blood Pressure Estimation Using Pressure Pulse Wave Signals , 2018, Sensors.

[18]  Christofer Toumazou,et al.  Continuous in vivo blood pressure measurements using a fully implantable wireless SAW sensor , 2013, Biomedical Microdevices.

[19]  R. N. Haldar,et al.  Global Brief on Hypertension: Silent Killer, Global Public Health Crisis , 2013 .

[20]  J. Friedman Greedy function approximation: A gradient boosting machine. , 2001 .

[21]  Wei Wang,et al.  Recent Developments for Flexible Pressure Sensors: A Review , 2018, Micromachines.

[22]  M. Mandel,et al.  Radial artery cannulation and complications in 1,000 patients: Precautions , 1977 .

[23]  Y. Yang,et al.  Highly-sensitive linear tactile array for continuously monitoring blood pulse waves , 2018, Sensors and Actuators A: Physical.

[24]  Shoko Yoshikawa,et al.  Resistivities of conductive composites , 1992 .

[25]  Toshiya Arakawa,et al.  Recent Research and Developing Trends of Wearable Sensors for Detecting Blood Pressure , 2018, Sensors.

[26]  Sanjay Saint,et al.  Guidelines for the prevention of intravascular catheter-related infections. , 2011, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[27]  A. Yamashina,et al.  Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement. , 2002, Hypertension research : official journal of the Japanese Society of Hypertension.

[28]  Qiao Zhang,et al.  Noninvasive cuffless blood pressure estimation using pulse transit time and Hilbert-Huang transform , 2013, Comput. Electr. Eng..

[29]  Changhyun Pang,et al.  Recent advances in flexible sensors for wearable and implantable devices , 2013 .

[30]  Mahdi Shabany,et al.  Cuffless Blood Pressure Estimation Algorithms for Continuous Health-Care Monitoring , 2017, IEEE Transactions on Biomedical Engineering.

[31]  M. Mandel,et al.  Radial artery cannulation in 1,000 patients: precautions and complications. , 1977, The Journal of hand surgery.

[32]  J. Whitworth,et al.  2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension , 2003, Journal of hypertension.