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作者:

Mao, Boyan (Mao, Boyan.) | Feng, Yue (Feng, Yue.) | Wang, Wenxin (Wang, Wenxin.) | Li, Bao (Li, Bao.) | Zhao, Zhou (Zhao, Zhou.) | Zhang, Xiaoyan (Zhang, Xiaoyan.) | Jin, Chunbo (Jin, Chunbo.) | Wu, Dandan (Wu, Dandan.) | Liu, Youjun (Liu, Youjun.) (学者:刘有军)

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摘要:

In the existing patency prediction model of coronary artery bypass grafting (CABG), the characteristics are based on graft flow, but no researchers selected hemodynamic factors as the characteristics. The purpose of this paper is to study whether the introduction of hemodynamic factors will affect the performance of the prediction model. Transit time flow-meter (TTFM) waveforms and 1-year postoperative patency results were obtained from 50 internal mammary arterial grafts (LIMA) and 82 saphenous venous grafts (SVG) in 60 patients. Taking TTFM waveforms as the boundary conditions, the CABG ideal models were constructed to obtain hemodynamic factors in grafts. Based on clinical characteristics and combination of clinical and hemodynamic characteristics, patency prediction models based on support vector machine (SVM) were constructed respectively. For LIMA, after the introduction of hemodynamic factors, the accuracy, sensitivity and specificity of the prediction model increased from 70.35%, 50% and 74.17% to 78.02%, 70% and 78.89%, respectively. For SVG, the accuracy, sensitivity and specificity of the prediction model increased from 63.24%, 40% and 76.91% to 74.41%, 60.1% and 82.73%, respectively. The performance of the prediction model can be improved by introducing hemodynamic factors into the characteristics of the model. The accuracy, sensitivity and specificity of the prediction results are higher with the addition of hemodynamic characteristics. (C) 2019 Elsevier Ltd. All rights reserved.

关键词:

Coronary artery bypass grafting Graft patency Hemodynamics Support vector machine Transit time flow-meter

作者机构:

  • [ 1 ] [Mao, Boyan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 2 ] [Feng, Yue]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 3 ] [Wang, Wenxin]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 4 ] [Li, Bao]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 5 ] [Zhang, Xiaoyan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 6 ] [Jin, Chunbo]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 7 ] [Wu, Dandan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 8 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 9 ] [Zhao, Zhou]Peking Univ, Cardiac Surg Dept, Peoples Hosp, 11th South Ave, Beijing, Peoples R China
  • [ 10 ] [Wang, Wenxin]Neusoft Beijing R&D Ctr, Neusoft Med Syst, Zhongguancun Software Pk 10,Xibeiwang East Rd, Beijing 100194, Peoples R China

通讯作者信息:

  • 刘有军

    [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China

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来源 :

JOURNAL OF BIOMECHANICS

ISSN: 0021-9290

年份: 2020

卷: 98

2 . 4 0 0

JCR@2022

ESI学科: MOLECULAR BIOLOGY & GENETICS;

ESI高被引阀值:47

JCR分区:3

被引次数:

WoS核心集被引频次: 6

SCOPUS被引频次: 9

ESI高被引论文在榜: 0 展开所有

万方被引频次:

中文被引频次:

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