Methods for the metrological characterization of wearable devices for the measurement of physiological signals: state of the art and future challenges.

Wearable devices are rapidly spreading in many different application fields and with diverse measurement accuracy targets. However, data on their metrological characterization are very often missing or obtained with non-standardized methods, hence resulting in barely comparable results. The aim of this review paper is to discuss the existing methods for the metrological characterization of wearable sensors exploited for the measurement of physiological signals, highlighting the room for research still available in this field. Furthermore, as a case study, the authors report a customized method they have tuned for the validation of wireless electrocardiographic monitors. The literature provides a plethora of test/validation procedures, but there is no shared consensus on test parameters (e.g. test population size, test protocol, output parameters of validation procedure, etc.); on the other hand, manufacturers rarely provide measurement accuracy values and, even when they do, the test protocol and data processing pipelines are generally not disclosed. Given the increasing interest and demand of wearable sensors also for medical and diagnostic purposes, the metrological performance of such devices should be always considered, to be able to adequately interpret the results and always deliver them associated with the related measurement accuracy.•The sensor metrological performance should be always properly considered.•There are no standard methods for wearable sensors metrological characterization.•It is important to define rigorous test protocols, easily tunable for specific target applications.

Bioimpedance measurements in dentistry to detect inflammation: numerical modelling and experimental results.

Bioimpedance measurements represent an advantageous method to evaluate the physio-pathological conditions of biological tissues and their use is spreading in different application fields, from the evaluation of body composition to the vital signs monitoring, passing through the individuation of cancer tissues and the detection of different substances (e.g. glucose measurements in people affected by diabetes). In fact, tissues electric properties vary with their conditions; for example, electrical conductivity increases when there is an inflammatory process, because of the presence of oedema, hyperaemia and infiltration. Inflammatory phenomena are frequent in dentistry, in diseases like periodontitis and peri-implantitis; however, at present the diagnosis is mainly done with the naked eye, by observing the gingiva redness and swelling. OBJECTIVE: The aim of this work is to prove the feasibility of the inflammation detection by means of bioimpedance measurements. APPROACH: Both numerical simulations and preliminary experimental measurements provide significant outcomes in differentiating between healthy and inflamed tissues. MAIN RESULTS: Percentage differences in the impedance modulus equal to 4-20% (numerical simulations) and 35-56% (experimental measurements), respectively, depending on the considered conditions (e.g. electrodes characteristics and inflammation severity), were found. SIGNIFICANCE: Such a measure could be integrated in electromedical devices designed, for example, for the therapy of peri-implantitis, in order to personalise the therapeutic dose in terms of intensity and duration and focusing it on the impaired area, minimising the effects on the surrounding tissues.

Indirect measurement of the carotid arterial pressure from vibrocardiographic signal: Calibration of the waveform and comparison with photoplethysmographic signal.

The detection of arterial Blood Pressure waveform provides important information about the subject health status. Laser Doppler Vibrometry (LDV) is a non-contact technique with high sensitivity able to detect mechanical movements of the arterial wall; several previous studies have shown that LDV is able to characterize cardiac activity. Photoplethysmogram (PPG) quantifies the digital volume artery pulse, which has been demonstrated to be closely related to the pressure signal measured by an arterial tonometer. In this paper, an indirect measurement of carotid arterial pressure by means of LDV is presented. Moreover, a comparison between LDV and PPG is conducted in order to estimate the time interval between opening and closing of the aortic valve, that is the Left Ventricular Ejection Time (LVET). Results show an average reduction of around 20% of the systolic pressure derived from LDV signal measured over the carotid artery with respect to the systolic pressure measured at brachial level (i.e. peripheral pressure value). Finally, the comparison between LDV and PPG in the estimation of LVET shows a mean percentage deviation <;10%. So, in conclusion, it can be stated that LDV technique has the potential of providing a displacement waveform that, adequately calibrated, can furnish significant information about pressure waveform.

An innovative therapy for peri-implantitis based on radio frequency electric current: numerical simulation results and clinical evidence.

Peri-implantitis is a severe inflammatory pathology that affects soit and hard tissues surrounding dental implants. Nowadays, only prevention is effective to contrast peri-implantitis, but, in recent years, there is the clinical evidence of the efficiency of a therapy based on the application of radio frequency electric current, reporting that 81% of the cases (66 implants, 46 patients) were successfully treated. The aim of this paper is to present the therapy mechanism, exploring the distribution of the electric currents in normal and pathologic tissues. A 3D numerical FEM model of tooth root with a dental implant screwed in the alveolar bone has been realized and the therapy has been simulated in COMSOL Multiphysics® environment. Results show that the electric current is focused in the inflamed zone around the implant, due to the fact that its conductivity is higher than the healthy tissue one. Moreover, by means of a movable return electrode, the electric current and field lines can be guided in the most inflamed area, limiting the interference on healthy tissues and improving the therapy in the area of interest. In conclusion, it can be stated that this innovative therapy would make a personalized therapy for peri-implantitis possible, also through impedance measurements, allowing the clinician to evaluate the tissue inflammation state.