Two-stage hemoglobin prediction based on prior causality

Abstract

Introduction: Perioperative hemoglobin (Hb) levels can influence tissue metabolism. For clinical physicians, precise Hb concentration greatly contributes to intraoperative blood transfusion. The reduction in Hb during an operation weakens blood's oxygen-carrying capacity and poses threats to multiple systems and organs of the whole body. Patients can die from perioperative anemia. Thus, a timely and accurate non-invasive prediction for patients' Hb content is of enormous significance. Method: In this study, targeted toward the palpebral conjunctiva images in perioperative patients, a non-invasive model for predicting Hb levels is constructed by means of deep neural semantic segmentation and a convolutional network based on a priori causal knowledge, then an automatic framework was proposed to predict the precise concentration value of Hb. Specifically, according to a priori causal knowledge, the palpebral region was positioned first, and patients' Hb concentration was subjected to regression prediction using a neural network. The model proposed in this study was experimented on using actual medical datasets. Results: The R2 of the model proposed can reach 0.512, the explained variance score can reach 0.535, and the mean absolute error is 1.521. Discussion: In this study, we proposed to predict the accurate hemoglobin concentration and finally constructed a model using the deep learning method to predict eyelid Hb of perioperative patients based on the a priori casual knowledge.