학술논문

A Multichannel Intraluminal Impedance Gastroesophageal Reflux Characterization Algorithm Based On Sparse Representation
Document Type
Periodical
Source
IEEE Journal of Biomedical and Health Informatics IEEE J. Biomed. Health Inform. Biomedical and Health Informatics, IEEE Journal of. 25(9):3576-3586 Sep, 2021
Subject
Bioengineering
Communication, Networking and Broadcast Technologies
Components, Circuits, Devices and Systems
Computing and Processing
Signal Processing and Analysis
Impedance
Dictionaries
Monitoring
Biomedical imaging
Liquids
Indexes
Timing
MII signal
GER characterization
dictionary learning
sparse coding
+%24{%5Cell+%5F{%5Cboldsymbol{p}}}%24<%2Ftex-math>+<%2Finline-formula>–norm%22"> ${\ell _{\boldsymbol{p}}}$ –norm
Language
ISSN
2168-2194
2168-2208
Abstract
Gastroesophageal reflux disease (GERD) is a common digestive disorder with troublesome symptoms that has been affected millions of people worldwide. Multichannel Intraluminal Impedance–pH (MII–pH) monitoring is a recently developed technique, which is currently considered as the gold standard for the diagnosis of GERD. In this paper, we address the problem of characterizing gastroesophageal reflux events in MII signals. A GER detection algorithm has been developed based on the sparse representation of local segments. Two dictionaries are trained using the online dictionary learning approach from the distal impedance data of selected patches of GER and no specific patterns intervals. A classifier is then designed based on the ${\ell _{\boldsymbol{p}}}$–norm of dictionary approximations. Next, a preliminary permutation mask is obtained from the classification results of patches, which is then used in post–processing procedure to investigate the exact timings of GERs at all impedance sites. Our algorithm was tested on 33 MII episodes, resulting a sensitivity of 96.97% and a positive predictive value of 94.12%.