基于电阻抗成像双分支融合的肺功能异常识别研究
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1.南京林业大学机械电子工程学院;2.苏州大学附属第二医院呼吸科;3.安徽理工大学医学院;4.广州医科大学附属妇女儿童医疗中心麻醉科

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TH772

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国家自然科学基金项目(62501288),广东省基础与应用基础研究基金项目(2025A1515220159),南京林业大学大学生创新训练项目(202610298125Y)和南京林业大学自制仪器项目(nlzzyq202605)资助。


A Study on Pulmonary Function Abnormality Recognition Based on Dual-Branch Fusion of Electrical Impedance Tomography
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1.College of Mechanical and Electronic Engineering, Nanjing Forestry University, Nanjing 210037, China;2.The Second Affiliated Hospital of Soochow University, Suzhou 215004, China;3.School of Medicine, Anhui University of Science and Technology, Huainan 232000, China;4.Guangzhou Women and Children&5.amp;6.#39;7.&8.s Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou 510623, China

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This work was supported by grants from The National Natural Science Foundation of China (62501288), Guangdong Basic and Applied Basic Research Foundation (2025A1515220159), College Students' Innovation Training Projects of Nanjing Forestry University (202610298125Y), and Self-developed Experimental Teaching Instrument Project of Nanjing Forestry University (nlzzyq202605).

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    摘要:

    目的 针对肺功能检查依赖受试者配合且难以反映区域通气异质性的问题,提出基于电阻抗成像双分支融合的肺功能异常识别方法,评估其筛查和分型可行性。方法 共纳入肺功能健康样本244例和肺功能异常样本263例,采集用力呼气过程中电阻抗成像边界电压并重建电导率图像,以获取呼吸动力学变化与肺内通气分布信息。截取呼气阶段64帧数据,构建电压信号和电导率图像双分支,采用不同深度残差网络(residual network,ResNet)提取特征,经拼接形成时空融合特征。结合支持向量机、K近邻、决策树、线性判别分析及堆叠集成学习(Stacking)等分类器,采用五折交叉验证完成健康与异常二分类、不同肺功能异常三分类及多类型通气障碍四分类任务。结果 融合通道整体优于单一电压或电导率通道,平均准确率和F1值分别为0.835±0.053和0.765±0.073,较电压通道提高6.5%和9.7%。ResNet18综合性能最佳,提示浅层网络更适合EIT时空特征学习。Stacking分类器获得最高综合得分,准确率和F1值分别为0.830 8±0.059 9和0.821 9±0.060 7。结论 基于电阻抗成像的电压信号与电导率图像双分支融合可有效表征肺通气异常时空特征,为肺功能异常无创筛查、辅助分型和床旁动态评估提供新方法。

    Abstract:

    Objective Conventional pulmonary function testing remains the primary clinical approach for evaluating respiratory dysfunction, but its reliability is strongly dependent on subject cooperation and test execution. In addition, global spirometric indices provide limited information on regional ventilation heterogeneity, which is important for understanding the spatial characteristics of pulmonary functional abnormalities. To address these limitations, this study proposed a dual-branch fusion method based on electrical impedance tomography (EIT) for the identification of pulmonary function abnormalities and evaluated its feasibility in screening and auxiliary classification tasks.Methods A total of 507 valid EIT-pulmonary function examination samples were included, comprising 244 samples with normal pulmonary function and 263 samples with abnormal pulmonary function. During forced expiration, thoracic EIT boundary voltage signals were collected, and corresponding conductivity image sequences were reconstructed to represent both respiratory dynamic changes and intrapulmonary ventilation distribution. For each valid examination sample, 64 consecutive frames from the expiratory phase were selected as the model input. A dual-branch architecture was then constructed, in which one branch used boundary voltage signals to characterize temporal respiratory dynamics, while the other branch used reconstructed conductivity images to describe spatial ventilation patterns. Residual network (ResNet) models with different depths, including ResNet18, ResNet50, and ResNet101, were employed for feature extraction. The extracted voltage and image features were concatenated to generate a unified spatiotemporal representation. Several machine learning classifiers, including support vector machine, k-nearest neighbor, decision tree, linear discriminant analysis, and Stacking ensemble learning, were further applied for classification. Five-fold cross-validation was used to evaluate model performance in binary classification between normal and abnormal pulmonary function, three-class classification among normal, obstructive, and non-obstructive pulmonary function patterns, and four-class classification involving multiple ventilatory dysfunction types. Accuracy and macro-averaged F1-score were used as the main evaluation metrics. Feature extraction, feature standardization, classifier training, and model evaluation were independently completed within each fold to reduce the risk of information leakage.Results On average, the fused voltage-conductivity channel outperformed the single voltage and single conductivity-image channels. The average accuracy and F1-score of the fusion channel reached 0.835 ± 0.053 and 0.765 ± 0.073, respectively, representing improvements of 6.5% and 9.7% compared with the voltage-only channel. Among the different network depths, ResNet18 achieved the best overall performance, suggesting that a relatively shallow residual network may be more suitable for learning EIT-based spatiotemporal features, probably because the key pathological information in EIT is mainly reflected by low-frequency temporal changes and large-scale regional ventilation differences rather than fine image textures. Among the classifiers, the Stacking strategy achieved the highest comprehensive performance, with an accuracy of 0.830 8 ± 0.059 9 and an F1-score of 0.821 9 ± 0.060 7, indicating that ensemble learning can further improve the robustness of multi-class recognition. The overall advantage of the fusion channel also supports the complementary value of temporal boundary-voltage dynamics and spatial conductivity-distribution information in characterizing pulmonary function abnormalities.Conclusion These findings demonstrate that dual-branch fusion of EIT voltage signals and conductivity images can effectively characterize spatiotemporal features associated with abnormal pulmonary ventilation. By integrating temporal respiratory dynamics with regional ventilation distribution, the proposed framework reduces dependence on a single predefined EIT index and provides a more comprehensive representation of pulmonary function abnormalities. The proposed method offers a non-invasive and radiation-free approach for pulmonary function abnormality screening, auxiliary classification, and bedside dynamic assessment, and may support the future development of wearable or portable EIT-based respiratory monitoring systems.

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吴阳,钱俐伶,徐雨恒,周海燕,周童,胡刘兵,程秋菊.基于电阻抗成像双分支融合的肺功能异常识别研究[J].生物化学与生物物理进展,,():

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  • 收稿日期:2026-06-17
  • 最后修改日期:2026-08-10
  • 录用日期:2026-08-12
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