DOI QR코드

DOI QR Code

지첨-족지 지수에 의한 동맥 혈관 특성화 연구

A Study on Arterial Characterization using Finger-Toe Index (FTI)

  • 변미경 (명지대학교 전자공학과) ;
  • 한상휘 (명지대학교 전자공학과) ;
  • 허웅 (명지대학교 전자공학과)
  • Byeon, M.K. (Department of Electronic Engineering, Myongji University) ;
  • Han, S.W. (Department of Electronic Engineering, Myongji University) ;
  • Huh, W. (Department of Electronic Engineering, Myongji University)
  • 발행 : 2007.12.31

초록

In this paper, Finger-Toe Index (FTI) is proposed as an analytic parameter for the characterization of arterial vessel. Different from the currently being employed pulse wave velocity (PWV) information of the volume pulse wave measured from 4 arterial channels, the proposed FTI uses the ratio of the shorter of the two up-stroke time of PPG from fingers ($UT_{finger}$) and that of PPG (Photoplethysmography) from toes ($UT_{toe}$). To verify the usefulness of the proposed method, Finger-Toe Indexes were derived from the volume pulse waves acquired from 50 people under examination aged from 12 to 81 years old, and they were then compared with blood pressure ankle-brachial index (ABI). It was successfully demonstrated that the arterial stiffness can be estimated with respect to age and FTI is more strongly correlated with the pulse transit time than ABI. From the regression analysis, we also found that FTI has significant correlation PWV for a quantitative index of arterial stiffness and provides more accurate information than ABI for the characterization of arterial vessel.

키워드

참고문헌

  1. B. K. Lee, 'Theory and practice of modernization for the examination of the pulse for diagnosis, Seongbosa, 2003
  2. C. H. Kim, 'A blood vessel ageing and hypertension', The Korean Geriatrics Society 30th conference symposium, 2002
  3. J. L. Izzo and B. E. Shykoff, 'Arterial stiffness: clinical relevance, measurement, and treatment,' Rev Cardiovasc. Med., vol. 2, no. 1, pp. 29-40, 2001
  4. S. W. Han, 'A study on arterial characterization by using Photoplethysmogram', Ph. D. Thesis, Myongji University, 2002
  5. M. R. Jaff, 'Lower extremity arterial disease diagnostic aspects,' Cardiol. Clin., vol. 20, pp. 491-500, 2002 https://doi.org/10.1016/S0733-8651(02)00087-5
  6. J.A. Beckman, C. O. Higgins, and M. G. Herman, 'Automated oscillometric determination of the ankle-brachial index provides accuracy necessary for office practice,' Hypertension, vol. 47, pp. 35-38, 2006 https://doi.org/10.1161/01.HYP.0000196686.85286.9c
  7. S. C. Millasseau, R. P. Kelly, J. M. Ritter, and P. J. Chowienczyk, 'Determination of age-related increases in large artery stiffness by digital pulse contour analysis,' Clinical Science, vol. 103, pp. 371-377, 2002 https://doi.org/10.1042/cs1030371
  8. Korea Patent, Publication Number: KR20020073374
  9. M. K. Byeon, 'A study on arterial characterization by using upstroke time of Photoplethysmogram', Ph. D. Thesis, Myongji University, 2006
  10. F. J. Callaghan, L. A. Geddes, C. F. Babbs, and J. D. Bourland, 'Relationship between pulse-wave velocity and arterial elasticity,' Med. & Biol. Eng. & Comput., vol. 24, pp. 248-254, 1986 https://doi.org/10.1007/BF02441620
  11. M. Nitan, B. Khanokn, and Y. Slovik, 'The difference in pulse transit time to the toe and finger measured by photoplethysmography,' Physiol. Meas., vol. 23, pp. 85-93, 2002 https://doi.org/10.1088/0967-3334/23/1/308
  12. J. Lass, K. Meigas, D. Karai, R. Kattai, J. Kaik, M. Rossmann, 'Continuous blood pressure monitoring during exercise using pulse wave transit time measurement,' in Proc. the 26th Annual International Conference of the IEEE MEBS, September, 2004
  13. X. F. Teng and Y. T. Zhang, 'Continuous and noninvasive estimation of arterial blood pressure using a photoplethysmographic approach,' in Proc the 25th Annual International of the IEEE EMBS Cancum, pp.17-21, 2003
  14. A. Porta, C. Gasperi, et. al., 'Sequence analysis of pulse transit time and systolic blood pressure during dynamic exercise,' Computers in Cardiology, vol. 32, pp. 849-852, 2005
  15. J. K-J. Li, The Arterial Circulation: Physical Principles and Clinical Applications, Humana Press, 2000
  16. K. B. Chandran, Cardiovascular Biomechanics, New York University Press, 1992
  17. R. J. Woodman and G. F. Watts, 'Measurement and application of arterial stiffness in clinical research: focus on new methodologies and diabetes mellitus,' Med. Sci. Monit., vol. 9, no. 5, RA101-109, 2003
  18. W. Chen, T. Kovayashi, S. Ichikawa, and Y. Takeuchi, 'Continuous estimation of systolic blood pressure using the pulse arrival time and intermittent calibration,' Med. Biol. Eng. Comput., vol. 38, pp.569-574, 2000 https://doi.org/10.1007/BF02345755