A machine learning model for real-time asynchronous breathing monitoring

The occurrence of asynchronous breathing (AB) during mechanical ventilation (MV) can have detrimental effect towards a patient's recovery. Hence, it is essential to develop an algorithm to automate AB detection in real-time. In this study, a method for AB detection using machine learning, in pa...

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Main Authors: Loo, Nienloong, Chiew, Y. S., Tan, C. P., Arunachalam, Ganesaramachandran, Md Ralib, Azrina, Mat Nor, Mohd Basri
Format: Article
Language:English
English
Published: Elsevier B.V. 2018
Subjects:
Online Access:http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/1/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_article.pdf
http://irep.iium.edu.my/70025/2/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_scopus.pdf
id iium-70025
recordtype eprints
spelling iium-700252019-01-23T07:37:38Z http://irep.iium.edu.my/70025/ A machine learning model for real-time asynchronous breathing monitoring Loo, Nienloong Chiew, Y. S. Tan, C. P. Arunachalam, Ganesaramachandran Md Ralib, Azrina Mat Nor, Mohd Basri R Medicine (General) RC Internal medicine RC803 Specialties of Internal Medicine-Diseases of The Digestive System. Gastroenterology RD81 Anesthesiology The occurrence of asynchronous breathing (AB) during mechanical ventilation (MV) can have detrimental effect towards a patient's recovery. Hence, it is essential to develop an algorithm to automate AB detection in real-time. In this study, a method for AB detection using machine learning, in particular, Convolutional Neural Network, (CNN), is presented and its performance in identifying AB when trained with different amount of training datasets and different types of training datasets is evaluated and compared between standard manual detection. A total of 486,200 breaths were analyzed in this study. It was found that the CNN algorithm achieved 69.4% sensitivity and 37.1% specificity when trained with 2000 AB cycles and 1000 normal breathing (NB) cycles; however, when it was trained with 5500 AB and 5500 NB, the CNN achieved 96.9% sensitivity and 63.7% specificity. The experimental results also indicate that the CNN was trained with modified images (region under the curve) CNN yielded sensitivity of 98.5% and specificity of 89.4% as opposed to sensitivity of 25.3% and 83.9% specificity when trained with line graph instead. Therefore the proposed method can potentially provide real-time assessment and information for the clinicians. Elsevier B.V. 2018 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/70025/1/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_article.pdf application/pdf en http://irep.iium.edu.my/70025/2/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_scopus.pdf Loo, Nienloong and Chiew, Y. S. and Tan, C. P. and Arunachalam, Ganesaramachandran and Md Ralib, Azrina and Mat Nor, Mohd Basri (2018) A machine learning model for real-time asynchronous breathing monitoring. IFAC-PapersOnLine, 51 (27). pp. 378-383. ISSN 2405-8963 https://reader.elsevier.com/reader/sd/pii/S2405896318333196?token=6A4211F58F309EFCB97F3CCDD97FD990729A8D8A00F3E9C219E972976D8AAC2FB4CCEADC4E650E2C68D6E8E822A41582 10.1016/j.ifacol.2018.11.610
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic R Medicine (General)
RC Internal medicine
RC803 Specialties of Internal Medicine-Diseases of The Digestive System. Gastroenterology
RD81 Anesthesiology
spellingShingle R Medicine (General)
RC Internal medicine
RC803 Specialties of Internal Medicine-Diseases of The Digestive System. Gastroenterology
RD81 Anesthesiology
Loo, Nienloong
Chiew, Y. S.
Tan, C. P.
Arunachalam, Ganesaramachandran
Md Ralib, Azrina
Mat Nor, Mohd Basri
A machine learning model for real-time asynchronous breathing monitoring
description The occurrence of asynchronous breathing (AB) during mechanical ventilation (MV) can have detrimental effect towards a patient's recovery. Hence, it is essential to develop an algorithm to automate AB detection in real-time. In this study, a method for AB detection using machine learning, in particular, Convolutional Neural Network, (CNN), is presented and its performance in identifying AB when trained with different amount of training datasets and different types of training datasets is evaluated and compared between standard manual detection. A total of 486,200 breaths were analyzed in this study. It was found that the CNN algorithm achieved 69.4% sensitivity and 37.1% specificity when trained with 2000 AB cycles and 1000 normal breathing (NB) cycles; however, when it was trained with 5500 AB and 5500 NB, the CNN achieved 96.9% sensitivity and 63.7% specificity. The experimental results also indicate that the CNN was trained with modified images (region under the curve) CNN yielded sensitivity of 98.5% and specificity of 89.4% as opposed to sensitivity of 25.3% and 83.9% specificity when trained with line graph instead. Therefore the proposed method can potentially provide real-time assessment and information for the clinicians.
format Article
author Loo, Nienloong
Chiew, Y. S.
Tan, C. P.
Arunachalam, Ganesaramachandran
Md Ralib, Azrina
Mat Nor, Mohd Basri
author_facet Loo, Nienloong
Chiew, Y. S.
Tan, C. P.
Arunachalam, Ganesaramachandran
Md Ralib, Azrina
Mat Nor, Mohd Basri
author_sort Loo, Nienloong
title A machine learning model for real-time asynchronous breathing monitoring
title_short A machine learning model for real-time asynchronous breathing monitoring
title_full A machine learning model for real-time asynchronous breathing monitoring
title_fullStr A machine learning model for real-time asynchronous breathing monitoring
title_full_unstemmed A machine learning model for real-time asynchronous breathing monitoring
title_sort machine learning model for real-time asynchronous breathing monitoring
publisher Elsevier B.V.
publishDate 2018
url http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/
http://irep.iium.edu.my/70025/1/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_article.pdf
http://irep.iium.edu.my/70025/2/70025_A%20MACHINE%20LEARNING%20MODEL%20FOR%20REAL-TIME%20_scopus.pdf
first_indexed 2023-09-18T21:39:25Z
last_indexed 2023-09-18T21:39:25Z
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