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基于A-CNN-LSTM模型的静脉壶凝血等级在线预测OA

Online Prediction of Venous Chamber Hemostasis Level Based on the A-CNN-LSTM Model

中文摘要英文摘要

凝血是血液透析过程中的常见并发症,严重时易导致无法逆转的瀑布式凝血反应,因此提前预测凝血出现对保证患者的透析效果和生命安全具有重要意义.文中提出了一种基于透析静脉壶图像序列的凝血等级预测模型A-CNN-LSTM(Attention-Convolutional Neural Network-Long Short-Term Memory),对肾病患者透析过程中的凝血等级进行在线预测.在保证相同预测准确率的情况下,A-CNN-LSTM模型能够使用更短的图像序列预测更长时间的凝血等级,对患者凝血等级的预测准确率可达 93.5%.相较于传统预测模型LSTM和CNN-LSTM,所提模型的预测准确率分别提高了 9.9百分点和 5.3 百分点.在将输入帧数扩大 3 倍后,A-CNN-LSTM模型预测准确度达到了 94%.实验结果表明,通过多尺度卷积对静脉壶凝血特征进行提取能够解决输入的凝血图像、血液凝固区形状和大小具有的不确定性问题,还可以提高预测精度.将注意力机制集成到所提模型中提高了权重分配的准确性,加快了误差收敛速度并降低了误差值.

Coagulation is a common complication during hemodialysis.In severe cases,it can easily lead to ir-reversible waterfall coagulation reactions.Therefore,predicting the occurrence of coagulation in advance is of great significance for ensuring the dialysis effect and life safety of patients.A coagulation grade prediction model A-CNN-LSTM(Attention-Convolutional Neural Network-Long Short-Term Memory)based on the image sequence of dialysis venous kettles is proposed to predict the coagulation grade of patients with nephropathy during dialysis online.Under the condition of ensuring the same prediction accuracy,the A-CNN-LSTM model can predict the coagulation grade for a longer time using a shorter image sequence,and the prediction accuracy of the coagulation grade for patients can reach 93.5%.Compared with the traditional prediction models LSTM and CNN-LSTM,the prediction accuracy of the proposed model has increased by 9.9 percentage points and 5.3 percentage points,respectively.After tripling the number of input frames,the prediction accuracy of the A-CNN-LSTM model reaches 94%.The experimental results show that extracting the coagulation features of venous kettles through multi-scale convolution can solve the uncertain-ty problems of the input coagulation images,the shape and size of the blood coagulation area,and also can improve the prediction accuracy.Integrating the attention mechanism into the proposed model improves the accuracy of weight distribution,accelerates the convergence speed of errors and reduces the error value.

倪硕;李一鸣;邵青;刘盈秀;刘楠梅;杨晖

上海理工大学 光电信息与计算机工程学院,上海 200093||上海健康医学院 医疗器械学院,上海 201318上海健康医学院 医疗器械学院,上海 201318海军特色医学中心 肾内科,上海 200052上海交通大学医学院附属新华医院 麻醉与重症医学科,上海 200092海军特色医学中心 肾内科,上海 200052上海理工大学 光电信息与计算机工程学院,上海 200093||上海健康医学院 医疗器械学院,上海 201318

信息技术与安全科学

血液透析凝血等级预测卷积神经网络长短期记忆注意力机制多尺度静脉壶图像预测模型

hemodialysishemostasis level predictionconvolutional neural networklong short-term memoryattention mechanismmulti-scalevenous chamber imagesprediction model

《电子科技》 2026 (6)

54-62,9

国家自然科学基金(12372384,12072200)上海理工大学高水平大学建设医工交叉项目(海军特色医学中心)(1022302504)National Natural Science Foundation of China(12372384,12072200)University of Shanghai for Science and Technology High-Level Univer-sity Construction Biomedical Engineering Interdisciplinary Project(Naval Medical Center of PLA)(1022302504)

10.16180/j.cnki.issn1007-7820.2026.06.007

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