Skip to main content

Advertisement

Log in

Combining Bootstrap Aggregation with Support Vector Regression for Small Blood Pressure Measurement

  • Image & Signal Processing
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

Blood pressure measurement based on oscillometry is one of the most popular techniques to check a health condition of individual subjects. This paper proposes a support vector using fusion estimator with a bootstrap technique for oscillometric blood pressure (BP) estimation. However, some inherent problems exist with this approach. First, it is not simple to identify the best support vector regression (SVR) estimator, and worthy information might be omitted when selecting one SVR estimator and discarding others. Additionally, our input feature data, acquired from only five BP measurements per subject, represent a very small sample size. This constitutes a critical limitation when utilizing the SVR technique and can cause overfitting or underfitting, depending on the structure of the algorithm. To overcome these challenges, a fusion with an asymptotic approach (based on combining the bootstrap with the SVR technique) is utilized to generate the pseudo features needed to predict the BP values. This ensemble estimator using the SVR technique can learn to effectively mimic the non-linear relations between the input data acquired from the oscillometry and the nurse’s BPs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Lee, S., Chang, J.-H., Nam, S.W., Lim, C., Rajan, S., Dajani, H., and Groza, V., Oscillometric blood pressure estimation based on maximum amplitude algorithm employing Gaussin mixture regression. IEEE Trans. Instumen. Meas. 62(12):3387–3389, 2013.

    Article  Google Scholar 

  2. Lee, S., Bolic, M., Groza, V., Dajani, H., and Rajan, S., Confidence interval estimation for oscillometric blood pressure measurements using bootstrap approach. IEEE Trans. Instumen. Meas. 60(10):3405–3415, 2011.

    Article  Google Scholar 

  3. Forouzanfar, M., Dajani, H., Groza, V., Bolic, M., and Rajan, S., Feature-based neural network approach for oscillometric blood pressure estimation. IEEE Trans. Instumen. Meas. 60(8):2786–2796, 2011.

    Article  CAS  Google Scholar 

  4. Lee, S. et al., Improved Gaussian mixture regression based on pseudo feature generation using bootstrap in blood pressure measurement. IEEE Trans. Ind. Informat. 12(6):2269–2280 , 2016.

    Article  Google Scholar 

  5. Association for the advancement of medical instrumentation (AAMI), American national standard manual, electronic or automated sphygmonanometers. AASI/AAMI SP 10:2002, 2003.

    Google Scholar 

  6. Rakotomamonjy, A., Analysis of SVM regression bound for variable ranking. Neurocomputing 70:1489–1491, 2007.

    Article  Google Scholar 

  7. Theodoridis, S., Machine learning. London: Academic Press, 2015.

    Google Scholar 

  8. Buhlmann, P., and Yu, B., Analyzing bagging. ANN. STAT. 30(4):927–961, 2002.

    Article  Google Scholar 

  9. Lee, S., and Chang, J.-H., Deep belief networks ensemble for blood pressure estimation. IEEE ACCESS 5:9962–9972, 2017.

    Article  Google Scholar 

  10. Lee, S., and Chang, J.-H., Deep learning ensemble with asymptotic techniques based on bootstrap for oscillometric blood pressure estimation. Comput. Methods Prog. Biomed. 151:1–13, 2017.

    Article  Google Scholar 

  11. Sangaiah, A.K., Samuel, O.W., Li, X., Abdel-Basset, M., and Wang, H.: Towards an efficient risk assessment in software projects–Fuzzy reinforcement paradigm. Computers & Electrical Engineering. in press, 2017

  12. Aborokbah, M.M., Al-Mutairi, S., Sangaiah, A.K., and Samuel, O.W.: Adaptive context aware decision computing paradigm for intensive health care delivery in smart cities—A case analysis, sustainable cities and society,in press, 2017

  13. Wu, F., Li, X., Sangaiah, A.K., Xu, L., Kumari, S., Wu, L., and Shen, J.: A lightweight and robust two-factor authentication scheme for personalized healthcare systems using wireless medical sensor networks, Futur. Gener. Comput. Syst. in press, 2017

  14. Ahmad, S., Bolic, M., Dajani, H., Groza, V., Batkin, I., and Rajan, S., Measurement of heart rate variability using an oscillometric blood pressure monitor. IEEE Trans. Instumen. Meas. 59(10):2575–2590, 2010.

    Article  Google Scholar 

  15. Efron, B., and Tibshirani, R., Bootstrap methods for standard errors, confidence interval, and other measures of statistical accuracy. Stat. Sci. 1(1):54–77, 1986.

    Article  Google Scholar 

  16. Lee, S., Rajan, S., Park, C.H., Chang, J.-H., Dajani, H., and Groza, V., Estimated confidence interval from single blood pressure measurement based on algorithm fusion. Comput. Biol. Med. 62:154–163, 2015.

    Article  PubMed  Google Scholar 

  17. O’Brien, E. et al., European society of hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J. of Hypertension 21(5):821–848, 2003.

    Article  Google Scholar 

  18. Sangaiah, A.K., Thangavelu, A.K., Gao, X.Z., Anbazhagan, N., and Durai, M.S., An ANFIS approach for evaluation of team-level service climate in GSD projects using Taguchi-genetic learning algorithm. Appl. Soft Comput. 30:628–635, 2015.

    Article  Google Scholar 

  19. Medhane, D. V., and Sangaiah, A. K., ESCAPE: Effective Scalable Clustering Approach For Parallel Execution of continuous position-based queries in position monitoring applications. IEEE Transactions on Sustainable Computing 2(2):49–61 , 2017.

    Article  Google Scholar 

  20. Qiu, T., Zhang, Y., Qiao, D., Zhang, X., Wymore, M.L., and Sangaiah, A.K.: A robust time synchronization scheme for industrial internet of things, IEEE Trans. Ind. Inf., to appear

  21. Qiu, T., Qiao, R., Han, M., Sangaiah, A. K., and Lee, I., A Lifetime-Enhanced data collecting scheme for the internet of things. IEEE Communications Magazine 55(11):132–137 , 2017.

    Article  Google Scholar 

Download references

Acknowledgments

This work was supported by the NRF Grant funded by the Korean Government 2016R1D1A1B03932925 and 2015R1D1A1A01058171.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Soojeong Lee or Gwanggil Jeon.

Additional information

This article is part of the Topical Collection on Image & Signal Processing

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, S., Ahmad, A. & Jeon, G. Combining Bootstrap Aggregation with Support Vector Regression for Small Blood Pressure Measurement. J Med Syst 42, 63 (2018). https://doi.org/10.1007/s10916-018-0913-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10916-018-0913-x

Keywords

Navigation