Системы нечёткой логики в диагностике диссинхронии миокарда
DOI:
https://doi.org/10.15587/2313-8416.2015.43286Słowa kluczowe:
автоматизированная система, диссинхрония миокарда, нечёткая логика, искусственная нейронная сеть, диагностикаAbstrakt
Цель работы – построение иерархической структурной модели диссинхронии для автоматизированной системы диагностики диссинхронии миокарда. Метод исследования – нечеткая искуственная нейронная сеть (ИНС) как инструмент анализа данных пациентов и формирователь диагностических гипотез. Проверка функционирования ИНС осуществляется путем имитационного моделирования работы системы по реальным данным пациентов.
Результаты работы ИНС – множество оценок диссинхронии (по каждому пациенту и по каждому компоненту диссинхронии). Выводы – разработанная модель диссинхронии а также нечеткая ИНС пригодны для использования в автоматизированных системах медицинской диагностики.
Bibliografia
Belenkov, Yu. N., Ternovoy, S. K. (2013). Funkcionalnaya diagnostika serdechno-sosudistyh zabolevaniy Мoscow: GEOTAR-Media, 355–412.
Yaroschuk, N. A., Kochmashova, V. V., Dityatyev, V. P. (2012). Otsenka sistolicheskoy funktsiyi i pokazateley dissinhroniyi u bol’nyh infarktom miokarda //Russian cardiology magazine, 4 (96), 13–17.
Trukshina, М. А., Sitnikova, М. Yu. (2013). Vzaimosvyaz’ dissinhroniyi miokarda s etiologiyey serdechnoy nedostatochnosti i prodolzhitel’nostyu kompleksa QRS u patsientov s klinicheski vyrazhennoy HSN. Russian cardiology magazine 4 (96), 6–11.
Costa, F. M., Ferreira, J., Aguiar, C., Dores, H., Figueira, J., Mendes, M. (2012). Impact of ESC/ACCF/AHA/WHF universal definition of myocardial infarction on mortality at 10 years. European Heart Journal, 33 (20), 2544–2550. doi: 10.1093/eurheartj/ehs311
Ruschitzka, F., Abraham, W. T., Singh, J. P., Bax, J. J., Borer, J. S., Brugada, J. et. al. (2013). Cardiac-Resynchronization Therapy in Heart Failure with a Narrow QRS Complex. New England Journal of Medicine, 369 (15), 1395–1405. doi: 10.1056/nejmoa1306687
Bokeriya, L. A., Bokeriya, L. J., Kislitsina, O. N., Kirtbaya, L. N. (2010). Metodika primeneniya I otsenka effektivnosti ispol’zovaniya ehokardiografiyi v diagnostike dissinhronii do i posle implantatsii ustroystv resinhronizatsii serdtsa. Arythmology annals, 3, 31–42.
Cazeau, S., Bordachar, P., Jauvert, G., Lazarus, A., Alonso, C., Vandrell, M. C. et. al. (2003). Echocardiographic Modeling of Cardiac Dyssynchrony Before and During Multisite Stimulation: A Prospective Study. Pacing and Clinical Electrophysiology, 26 (1), 137–143. doi: 10.1046/j.1460-9592.2003.00003.x
De Castro, S., Faletra, F., Di Angelantonio, E., Conca, C., Marcantonio, A., Francone, M. et. al. (2008). Tomographic Left Ventricular Volumetric Emptying Analysis by Real-Time 3-Dimensional Echocardiography: Influence of Left Ventricular Dysfunction With and Without Electrical Dyssynchrony. Circulation: Cardiovascular Imaging, 1 (1), 41–49. doi: 10.1161/circimaging.107.763110
Leitman, M., Lysyansky, P., Sidenko, S., Shir, V., Peleg, E., Binenbaum, M. et. al. (2004). Two-dimensional strain–a novel software for real-time quantitative echocardiographic assessment of myocardial function. Journal of the American Society of Echocardiography, 17 (10), 1021–1029. doi: 10.1016/j.echo.2004.06.019
Smiseth, O. A., Russell, K., Skulstad, H. (2011). The role of echocardiography in quantification of left ventricular dyssynchrony: state of the art and future directions. European Heart Journal - Cardiovascular Imaging, 13 (1), 61–68. doi: 10.1093/ejechocard/jer243
Yarushkina, N. G. (2002). Gibridnie sistemy, osnovanniye na myagkih vichisleniyah. Software products and systems Russia,Tver’, MNIIPU, 3, 19–22.
Dmitrieva, N. V. (2002). Poliparametricheskaya diagnostika v medico-biologicheskih issledovaniyah. Software products and systems Russia, Tver’, MNIIPU, 3, 32–34.
Linde, C., Ellenbogen, K., McAlister, F. A. (2012). Cardiac resynchronization therapy (CRT): Clinical trials, guidelines, and target populations. Heart Rhythm, 9 (8), 3–13. doi: 10.1016/j.hrthm.2012.04.026
Sundell, J., Engblom, E., Koistinen, J., Ylitalo, A., Naum, A., Stolen, K. Q. et. al. (2004). The effects of cardiac resynchronization therapy on left ventricular function, myocardial energetics, and metabolic reserve in patients with dilated cardiomyopathy and heart failure. Journal of the American College of Cardiology, 43 (6), 1027–1033. doi: 10.1016/j.jacc.2003.10.044
Ukkonen, H. (2002). Effect of Cardiac Resynchronization on Myocardial Efficiency and Regional Oxidative Metabolism. Circulation, 107 (1), 28–31. doi: 10.1161/01.cir.0000047068.02226.95
Van Veldhuisen, D. J., Maass, A. H., Priori, S. G., Stolt, P., van Gelder, I. C., Dickstein, K., Swedberg, K. (2009). Implementation of device therapy (cardiac resynchronization therapy and implantable cardioverter defibrillator) for patients with heart failure in Europe: changes from 2004 to 2008. European Journal of Heart Failure, 11 (12), 1143–1151. doi: 10.1093/eurjhf/hfp149
Vitarelli, A., Franciosa, P., Conde, Y., Cimino, E., Nguyen, B. L., Ciccaglione, A. et. al. (2005). Echocardiographic Assessment of Ventricular Asynchrony in Dilated Cardiomyopathy and Congenital Heart Disease: Tools and Hopes. Journal of the American Society of Echocardiography, 18 (12), 1424–1439. doi: 10.1016/j.echo.2005.08.022
Wokenbah, J (2014). “Excel 2013: VBA professional programming ” / Russia. Moscow: DIALEKTIKA, 960.
Galushkin, A. I. (2014). Neyronnie seti: osnovy teorii. Moscow: Goryachaya liniya-Telekom, 496.
Rutkovskaya, D., Pilinskiy, M., Rutkovskiy, L. (2013) Neyronniye seti, geneticheskiye algoritmy i nechyotkiye sistemy. Moscow: Goryachaya liniya-Telekom, 384.
Yu, C.-M., Lin, H., Ho, P.-C., Yang, H. (2003). Assessment of Left and Right Ventricular Systolic and Diastolic Synchronicity in Normal Subjects by Tissue Doppler Echocardiography and the Effects of Age and Heart Rate. Echocardiography, 20 (1), 19–27. doi: 10.1046/j.1540-8175.2003.00003.x
Yu, C. M., Zhang, Q., Chan ,Y. S. et al. (2006). Tissue Doppler velocity is superior to displacement and strain mapping in predicting left ventricular reverse remodeling response after cardiac resynchronization therapy. Heart, 19, 422–428.
Yu, C.-M., Bax, J. J., Gorcsan, J. (2009). Critical appraisal of methods to assess mechanical dyssynchrony. Current Opinion in Cardiology, 24 (1), 18–28. doi: 10.1097/hco.0b013e32831bc34e
##submission.downloads##
Opublikowane
Numer
Dział
Licencja
Copyright (c) 2015 Татьяна Анатольевна Руденко, Михаил Антонович Власенко
Utwór dostępny jest na licencji Creative Commons Uznanie autorstwa 4.0 Międzynarodowe.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.