基于三通道声学阵列的膝骨性关节炎筛查技术研究

      Research on Screening Technology for Knee Osteoarthritis Based on Three-channel Acoustic Array

      • 摘要: 该研究招募了17名确诊为膝骨关节炎(KOA)的患者(其中7名为双侧、10名为单侧膝关节炎)及12名健康志愿者。采用自主研发的三通道可穿戴式麦克风阵列系统,同步采集受试者在“坐-站-坐”运动任务中的膝关节声学信号,共获得438个膝关节声学样本。提取时域、频域及梅尔频率倒谱系数(MFCC)等多维特征,构建特征数据集。该研究采用逻辑回归(Logistic Regression)机器学习算法构建分类模型,并通过组留一交叉验证(Leave-One-Group-Out CV)评估模型性能。重点对比多通道数据融合与各单通道数据(髌骨、内外侧胫骨平台)的分类表现。实验结果显示,多通道数据融合能提高分类准确度。其中“髌骨+外侧胫骨平台”综合所有指标的平均表现较好,且指标波动性低,准确度达94.23±8.41%,AUC-ROC达到99.94±0.27%。单通道中髌骨位点平均准确度与平均AUC最高,达到92.73±9.35%与98.79±3.56%。该研究为KOA的社区筛查与康复评估提供了低成本、高可靠性的新模式。

         

        Abstract: The study recruited 17 patients diagnosed with knee osteoarthritis (KOA) (including 7 with bilateral and 10 with unilateral knee arthritis) and 12 healthy volunteers. Using a self-developed three-channel wearable microphone array system, acoustic signals from the knee joints of the subjects were synchronously collected during a "sit-stand-sit" movement task, resulting in a total of 438 knee joint acoustic samples. Multidimensional features such as time domain, frequency domain, and Mel Frequency Cepstral Coefficients (MFCC) were extracted to construct a feature dataset. The study employed the logistic regression machine learning algorithm to build a classification model and evaluated its performance through Leave-One-Group-Out Cross Validation (LOGO CV). The focus was on comparing the classification performance of multi-channel data fusion with that of individual single-channel data (patella, medial and lateral tibial platforms). The experimental results showed that multi-channel data fusion improved classification accuracy. Among them, the combination of "patella + lateral tibial platform" performed better in terms of all indicators with low fluctuation, achieving an accuracy of 94.23±8.41% and an AUC-ROC of 99.94±0.27%. Among the single channels, the patella site achieved the highest average accuracy and average AUC, reaching 92.73±9.35% and 98.79±3.56%, respectively. This study provides a new, low-cost, and highly reliable model for community screening and rehabilitation assessment of KOA.

         

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