ABSTRACT
In this study, we design an embedded surface EMG acquisition device to conveniently collect human surface EMG signals, pursue more intelligent human-computer interactions in exoskeleton robots, and enable exoskeleton robots to synchronize with or even respond to user actions in advance. The device has the characteristics of low cost, miniaturization, and strong compatibility, and it can acquire eight-channel surface EMG signals in real time while retaining the possibility of expanding the channel. This paper introduces the design and function of the embedded EMG acquisition device in detail, which includes the use of wired transmission to adapt to complex electromagnetic environments, light signals to indicate signal strength, and an embedded processing chip to reduce signal noise and perform filtering. The test results show that the device can effectively collect the original EMG signal, which provides a scheme for improving the level of human-computer interactions and enhancing the robustness and intelligence of exoskeleton equipment. The development of this device provides a new possibility for the intellectualization of exoskeleton systems and reductions in their cost.
Subject(s)
Electromyography , Signal Processing, Computer-Assisted , Electromyography/instrumentation , Electromyography/methods , Humans , Signal Processing, Computer-Assisted/instrumentation , Equipment Design , Exoskeleton Device , Robotics/instrumentationABSTRACT
Wearable electronics are increasingly common and useful as health monitoring devices, many of which feature the ability to record a single-lead electrocardiogram (ECG). However, recording the ECG commonly requires the user to touch the device to complete the lead circuit, which prevents continuous data acquisition. An alternative approach to enable continuous monitoring without user initiation is to embed the leads in a garment. This study assessed ECG data obtained from the YouCare device (a novel sensorized garment) via comparison with a conventional Holter monitor. A cohort of thirty patients (age range: 20-82 years; 16 females and 14 males) were enrolled and monitored for twenty-four hours with both the YouCare device and a Holter monitor. ECG data from both devices were qualitatively assessed by a panel of three expert cardiologists and quantitatively analyzed using specialized software. Patients also responded to a survey about the comfort of the YouCare device as compared to the Holter monitor. The YouCare device was assessed to have 70% of its ECG signals as "Good", 12% as "Acceptable", and 18% as "Not Readable". The R-wave, independently recorded by the YouCare device and Holter monitor, were synchronized within measurement error during 99.4% of cardiac cycles. In addition, patients found the YouCare device more comfortable than the Holter monitor (comfortable 22 vs. 5 and uncomfortable 1 vs. 18, respectively). Therefore, the quality of ECG data collected from the garment-based device was comparable to a Holter monitor when the signal was sufficiently acquired, and the garment was also comfortable.
Subject(s)
Electrocardiography, Ambulatory , Electrocardiography , Humans , Female , Male , Middle Aged , Aged , Adult , Electrocardiography, Ambulatory/instrumentation , Electrocardiography, Ambulatory/methods , Aged, 80 and over , Electrocardiography/instrumentation , Electrocardiography/methods , Wearable Electronic Devices , Young Adult , Clothing , Signal Processing, Computer-Assisted/instrumentationABSTRACT
This paper presents an arterial distension monitoring scheme using a field-programmable gate array (FPGA)-based inference machine in an ultrasound scanner circuit system. An arterial distension monitoring requires a precise positioning of an ultrasound probe on an artery as a prerequisite. The proposed arterial distension monitoring scheme is based on a finite state machine that incorporates sequential support vector machines (SVMs) to assist in both coarse and fine adjustments of probe position. The SVMs sequentially perform recognitions of ultrasonic A-mode echo pattern for a human carotid artery. By employing sequential SVMs in combination with convolution and average pooling, the number of features for the inference machine is significantly reduced, resulting in less utilization of hardware resources in FPGA. The proposed arterial distension monitoring scheme was implemented in an FPGA (Artix7) with a resource utilization percentage less than 9.3%. To demonstrate the proposed scheme, we implemented a customized ultrasound scanner consisting of a single-element transducer, an FPGA, and analog interface circuits with discrete chips. In measurements, we set virtual coordinates on a human neck for 9 human subjects. The achieved accuracy of probe positioning inference is 88%, and the Pearson coefficient (r) of arterial distension estimation is 0.838.
Subject(s)
Carotid Arteries , Support Vector Machine , Ultrasonography , Humans , Ultrasonography/instrumentation , Ultrasonography/methods , Carotid Arteries/diagnostic imaging , Carotid Arteries/physiology , Signal Processing, Computer-Assisted/instrumentation , Image Processing, Computer-Assisted/methodsABSTRACT
OBJECTIVE: This work explores Hall effect sensing paired with a permanent magnet, in the context of pulmonary rehabilitation exercise training. METHODS: Experimental evaluation was performed considering as reference the gold-standard of respiratory monitoring, an airflow transducer, and performance was compared to another wearable device with analogous usability - a piezoelectric sensor. A total of 16 healthy participants performed 15 activities, representative of pulmonary rehabilitation exercises, simultaneously using all devices. Evaluation was performed based on detection of flow reversal events and key respiratory parameters. RESULTS: Overall, the proposed sensor outperformed the piezoelectric sensor with a mean ratio, precision, and recall of 0.97, 0.97, and 0.95, respectively, against 0.98, 0.90, and 0.88. Evaluation regarding the respiratory parameters indicates an adequate accuracy when it comes to breath cycle, inspiration, and expiration times, with mean relative errors around 4% for breath cycle and 8% for inspiration/expiration times, despite some variability. Bland-Altman analysis indicates no systematic biases. CONCLUSION: Characterization of the proposed sensor shows adequate monitoring capabilities for exercises that do not rely heavily on torso mobility, but may present a limitation when it comes to activities such as side stretches. SIGNIFICANCE: This work provides a comprehensive characterization of a magnetic field-based respiration sensor, including a discussion on its robustness to different algorithm thresholds. It proves the viability of the sensor in a range of exercises, expanding the applicability of Hall effect sensors as a feasible wearable approach to real-time respiratory monitoring.
Subject(s)
Wearable Electronic Devices , Humans , Male , Adult , Female , Magnetic Fields , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Young Adult , Equipment Design , Signal Processing, Computer-Assisted/instrumentationABSTRACT
A CMOS analog front-end (AFE) local-field potential (LFP) chopper amplifier with stimulation artifact tolerance, improved right-leg driven (RLD) circuit, and improved auxiliary path is proposed. In the proposed CMOS AFE LFP chopper amplifier, common-mode artifact voltage (CMAV) and differential-mode artifact voltage (DMAV) removal using the analog template removal method are proposed to achieve good signal linearity during stimulation. An improved auxiliary path is employed to boost the input impedance and allow the negative stimulation artifact voltage passing through. The common-mode noise is suppressed by the improved RLD circuit. The chip is implemented in 0.18- µm CMOS technology and the total chip area is 5.46-mm2. With the improved auxiliary path, the measured input impedance is larger than 133 M[Formula: see text] in the signal bandwidth and reaches 8.2 G[Formula: see text] at DC. With the improved RLD circuit, the measured CMRR is 131 - 144 dB in the signal bandwidth. Under 60-µs pulse width and 130-Hz constant current stimulation (CCS) with ±1-V CMAV and ±50-mV DMAV, the measured THD at the SC Amp output of fabricated AFE LFP chopper amplifier is 1.28%. The measurement results of In vitro agar tests have shown that with ±1.6-mA CCS pulses injecting to agar, the measured THD is 1.69%. Experimental results of both electrical and agar tests have verified that the proposed AFE LFP chopper amplifier has good stimulation artifact tolerance. The proposed CMOS AFE LFP chopper amplifier with analog template removal method is suitable for real-time closed-loop deep drain stimulation (DBS) SoC applications.
Subject(s)
Amplifiers, Electronic , Artifacts , Deep Brain Stimulation , Equipment Design , Deep Brain Stimulation/instrumentation , Humans , Signal Processing, Computer-Assisted/instrumentationABSTRACT
A fast hardware accelerator is created by this work via field programmable gate array (FPGA) to estimate heart rate (HR) through the video recorded by a RGB camera based on the technology of remote photoplethysmography (rPPG). The method of rPPG acquires physiological signals of a human body by analyzing the subtle color changes on the surface of the human skin. The hardware implementation of rPPG to estimate HR is proposed herein to aim for a much faster calculation speed than software for a number of applications, like heart failure pre-warning of an in-action athlete and drowsiness detection of a driver. In this accelerator, ICA (Independent Component Analysis) is used to recover the blood volume pulse from the raw signals of remote PPG, and then obtain the heart rate value. The architecture of the hardware circuit is described in Verilog HDL and verified by Quartus II, and also implemented in an Altera DE10-Standard FPGA board, which consists of image capture, heart rate algorithm and image display. A TRDB-D5M camera is utilized for image capture. Two experiments were conducted with image collecting duration of 16 seconds and 8 seconds respectively, and the commercial device Omron HEM-6111 was used as the golden value. The proposed system achieves an accuracy in (ME ± 1.96SD) of -0.76 ± 5.09 and -0.70 ± 8.71 bpm in the short periods of 16-second and 8-second versions, respectively, which outperforms all the reported prior works in combined computation time and accuracy.
Subject(s)
Algorithms , Heart Rate , Photoplethysmography , Signal Processing, Computer-Assisted , Humans , Heart Rate/physiology , Photoplethysmography/instrumentation , Photoplethysmography/methods , Signal Processing, Computer-Assisted/instrumentation , Equipment Design , Image Processing, Computer-AssistedABSTRACT
Wireless, miniaturised and distributed neural interfaces are emerging neurotechnologies. Although extensive research efforts contribute to their technological advancement, the need for real-time systems enabling simultaneous wireless information and power transfer toward distributed neural implants remains crucial. Here we present a complete wearable system including a software for real-time image capturing, processing and digital data transfer; an hardware for high radiofrequency generation and modulation via amplitude shift keying; and a 3-coil inductive link adapt to operate with multiple miniaturised receivers. The system operates in real-time with a maximum frame rate of 20 Hz, reconstructing each frame with a matrix of 32 × 32 pixels. The device generates a carrier frequency of 433.92 MHz. It transmits the highest power of 32 dBm with a data rate of 6 Mbps and a variable modulation index as low as 8 %, thus potentially enabling wireless communication with 1024 miniaturised and distributed intracortical microstimulators. The system is primarily conceived as an external wearable device for distributed cortical visual prosthesis covering a visual field of 20 °. At the same time, it is modular and versatile, being suitable for multiple applications requiring simultaneous wireless information and power transfer to large-scale neural interfaces.
Subject(s)
Visual Prosthesis , Wearable Electronic Devices , Wireless Technology , Wireless Technology/instrumentation , Humans , Signal Processing, Computer-Assisted/instrumentation , Equipment Design , Electric Power SuppliesABSTRACT
The long-term, continuous analysis of electroencephalography (EEG) signals on wearable devices to automatically detect seizures in epileptic patients is a high-potential application field for deep neural networks, and specifically for transformers, which are highly suited for end-to-end time series processing without handcrafted feature extraction. In this work, we propose a small-scale transformer detector, the EEGformer, compatible with unobtrusive acquisition setups that use only the temporal channels. EEGformer is the result of a hardware-oriented design exploration, aiming for efficient execution on tiny low-power micro-controller units (MCUs) and low latency and false alarm rate to increase patient and caregiver acceptance.Tests conducted on the CHB-MIT dataset show a 20% reduction of the onset detection latency with respect to the state-of-the-art model for temporal acquisition, with a competitive 73% seizure detection probability and 0.15 false-positive-per-hour (FP/h). Further investigations on a novel and challenging scalp EEG dataset result in the successful detection of 88% of the annotated seizure events, with 0.45 FP/h.We evaluate the deployment of the EEGformer on three commercial low-power computing platforms: the single-core Apollo4 MCU and the GAP8 and GAP9 parallel MCUs. The most efficient implementation (on GAP9) results in as low as 13.7 ms and 0.31 mJ per inference, demonstrating the feasibility of deploying the EEGformer on wearable seizure detection systems with reduced channel count and multi-day battery duration.
Subject(s)
Electroencephalography , Seizures , Signal Processing, Computer-Assisted , Wearable Electronic Devices , Humans , Electroencephalography/instrumentation , Electroencephalography/methods , Seizures/diagnosis , Seizures/physiopathology , Signal Processing, Computer-Assisted/instrumentation , Algorithms , Neural Networks, ComputerABSTRACT
A wirelessly powered and data communication system is presented which is implemented as a full system, designed for multisite implanted biomedical applications. The system is capable of receiving wireless power and data communication for each implant separately, using inductive links with different resonance frequencies. To achieve this, dual-band coils are presented in the system. In addition, the system supports bi-directional half-duplex data communication, utilizing amplitude and load shift keying (ASK and LSK) modulation schemes over a single inductive link. The system employs a digitally assisted active rectifier and an automatic resonance tuning system, to improve the power transfer efficiency (PTE) through various coupling coefficients, while minimizing the reverse current and power dissipation. The power control unit enables closed-loop monitoring to prevent high or low power delivery, and it can detect inefficient or excessive wireless power transmission or prevent temperature elevation by limiting the voltage to a safe level. A new structure of self-sampling separated- Vb ASK demodulator is proposed in the paper which is utilized within the data conversion chain, serving both the external and implanted units. The whole system is fabricated using a standard 180-nm 1.8/3.3 V CMOS process with a core area of 0.82 mm[Formula: see text]. The system is tested with coupled multisite inductive links and offers the maximum overall PTE of 31.2%, from the Tx coil to the implant load.
Subject(s)
Prostheses and Implants , Wireless Technology , Wireless Technology/instrumentation , Electric Power Supplies , Humans , Equipment Design , Signal Processing, Computer-Assisted/instrumentationABSTRACT
This paper presents a tri-modal self-adaptive photoplethysmography (PPG) sensor interface IC for concurrently monitoring heart rate, SpO2, and pulse transit time, which is a critical intermediate parameter to derive blood pressure. By implementing a highly-reconfigurable analog front-end (AFE) architecture, flexible signal chain timing control, and flexible dual-LED drivers, this sensor interface provides wide operating space to support various PPG-sensing use cases. A heart-beat-locked-loop (HBLL) scheme is further extended to achieve time-multiplexed dual-input pulse transit time extraction based on two PPG sensors placed at fingertip and chest. A self-adaptive calibration scheme is proposed to automatically match the chip's operating point with the current use case, guaranteeing a sufficient signal-to-noise ratio for the user while consuming minimum system power. This paper proposes a DC offset cancellation (DCOC) approach comprised by a logarithmic transimpedance amplifier and an 8-bit SAR ADC, achieving a measured 38 nA residue error and 8.84 µA maximum input current. Fabricated in a 65nm CMOS process, the proposed tri-modal PPG sensor interface consumes 2.3-5.7 µW AFE power and 1.52 mm2 die area with 102dB (SpO2 mode), 110-116 dB (HR & PTT mode) dynamic range. A SpO2 test case and a HR & PTT test case are both demonstrated in the paper, achieving 18.9 µW and 43.7 µW system power, respectively.
Subject(s)
Heart Rate , Photoplethysmography , Pulse Wave Analysis , Signal Processing, Computer-Assisted , Photoplethysmography/instrumentation , Photoplethysmography/methods , Humans , Heart Rate/physiology , Signal Processing, Computer-Assisted/instrumentation , Pulse Wave Analysis/instrumentation , Pulse Wave Analysis/methods , Equipment Design , Monitoring, Physiologic/instrumentation , Monitoring, Physiologic/methods , Signal-To-Noise Ratio , AlgorithmsABSTRACT
An always-on electrocardiogram (ECG) anomaly detector (EAD) with ultra-low power (ULP) consumption is proposed for continuous cardiac monitoring applications. The detector is featured with a 1.5-bit non-feedback delta quantizer (DQ) based feature extractor, followed by a multiplier-less convolutional neural network (CNN) engine, which eliminates the traditional high-resolution analog-to-digital converter (ADC) in conventional signal processing systems. The DQ uses a computing-in-capacitor (CIC) subtractor to quantize the sample-to-sample difference of ECG signal into 1.5-bit ternary codes, which is insensitive to low-frequency baseline wandering. The subsequent event-driven classifier is composed of a low-complexity coarse detector and a systolic-array-based CNN engine for ECG anomaly detection. The DQ and the digital CNN are fabricated in 65-nm and 180-nm CMOS technology, respectively, and the two chips are integrated on board through wire bonding. The measured detection accuracy is 90.6% â¼ 91.3% when tested on the MIT-BIH arrhythmia database, identifying three different ECG anomalies. Operating at 1 V and 1.4 V power supplies for the DQ and the digital CNN, respectively, the measured long-term average power consumption of the core circuits is 36 nW, which makes the detector among those state-of-the-art always-on cardiac anomaly detection devices with the lowest power consumption.
Subject(s)
Electrocardiography , Neural Networks, Computer , Signal Processing, Computer-Assisted , Electrocardiography/instrumentation , Humans , Signal Processing, Computer-Assisted/instrumentationABSTRACT
This paper presents a method to monitor the thermal peaks that are major concerns when designing Integrated Circuits (ICs) in various advanced technologies. The method aims at detecting the thermal peak in Systems on Chip (SoC) using arrays of oscillators distributed over the area of the chip. Measured frequencies are mapped to local temperatures that are used to produce a chip thermal mapping. Then, an indication of the local temperature of a single heat source is obtained in real-time using the Gradient Direction Sensor (GDS) technique. The proposed technique does not require external sensors, and it provides a real-time monitoring of thermal peaks. This work is performed with Field-Programmable Gate Array (FPGA), which acts as a System-on-Chip, and the detected heat source is validated with a thermal camera. A maximum error of 0.3 °C is reported between thermal camera and FPGA measurements.
Subject(s)
Equipment Design , Monitoring, Physiologic , Signal Processing, Computer-Assisted , Humans , Monitoring, Physiologic/instrumentation , Signal Processing, Computer-Assisted/instrumentationABSTRACT
One of the major reasons that limit the practical applications of a brain-computer interface (BCI) is its long calibration time. In this paper, we propose a novel approach to reducing the calibration time of motor imagery (MI)-based BCIs without sacrificing classification accuracy. The approach aims to augment the training set size of a new subject by generating artificial electroencephalogram (EEG) data from a few training trials initially available. The artificial EEG data are obtained by first performing empirical mode decomposition (EMD) and then mixing resulting intrinsic mode functions (IMFs). The original training trials are aligned to common reference point with Euclidean alignment (EA) method prior to EMD and pooled together with artificial trials as the expended training set, which is input into a linear discriminant analysis (LDA) classifier or a logistic regression (LR) classifier. The performance of the proposed algorithm is evaluated on two motor imagery (MI) data sets and compared with that of the algorithm trained with only real EEG data (Baseline) and the algorithm trained with expanded EEG data by EMD without data alignment. The experimental results showed that the proposed algorithm can significantly reduce the amount of training data needed to achieve a given performance level and thus is expected to facilitate the real-world applications of MI-based BCIs.
Subject(s)
Brain-Computer Interfaces/trends , Image Processing, Computer-Assisted/methods , Algorithms , Brain-Computer Interfaces/psychology , Calibration , Discriminant Analysis , Electroencephalography/methods , Humans , Logistic Models , Models, Theoretical , Signal Processing, Computer-Assisted/instrumentation , Visual Perception/physiologyABSTRACT
This paper proposes a method that automatically measures non-invasive blood pressure (BP) based on an auscultatory approach using Korotkoff sounds (K-sounds). There have been methods utilizing K-sounds that were more accurate in general than those using cuff pressure signals only under well-controlled environments, but most were vulnerable to the measurement conditions and to external noise because blood pressure is simply determined based on threshold values in the sound signal. The proposed method enables robust and precise BP measurements by evaluating the probability that each sound pulse is an audible K-sound based on a deep learning using a convolutional neural network (CNN). Instead of classifying sound pulses into two categories, audible K-sounds and others, the proposed CNN model outputs probability values. These values in a Korotkoff cycle are arranged in time order, and the blood pressure is determined. The proposed method was tested with a dataset acquired in practice that occasionally contains considerable noise, which can degrade the performance of the threshold-based methods. The results demonstrate that the proposed method outperforms a previously reported CNN-based classification method using K-sounds. With larger amounts of various types of data, the proposed method can potentially achieve more precise and robust results.
Subject(s)
Blood Pressure Determination/methods , Signal Processing, Computer-Assisted/instrumentation , Adult , Auscultation , Deep Learning , Healthy Volunteers , Humans , Middle Aged , Neural Networks, Computer , Young AdultABSTRACT
Feature extraction is an important part of data processing that provides a basis for more complicated tasks such as classification or clustering. Recently many approaches for signal feature extraction were created. However, plenty of proposed methods are based on convolutional neural networks. This class of models requires a high amount of computational power to train and deploy and large dataset. Our work introduces a novel feature extraction method that uses wavelet transform to provide additional information in the Independent Component Analysis mixing matrix. The goal of our work is to combine good performance with a low inference cost. We used the task of Electrocardiography (ECG) heartbeat classification to evaluate the usefulness of the proposed approach. Experiments were carried out with an MIT-BIH database with four target classes (Normal, Vestibular ectopic beats, Ventricular ectopic beats, and Fusion strikes). Several base wavelet functions with different classifiers were used in experiments. Best was selected with 5-fold cross-validation and Wilcoxon test with significance level 0.05. With the proposed method for feature extraction and multi-layer perceptron classifier, we obtained 95.81% BAC-score. Compared to other literature methods, our approach was better than most feature extraction methods except for convolutional neural networks. Further analysis indicates that our method performance is close to convolutional neural networks for classes with a limited number of learning examples. We also analyze the number of required operations at test time and argue that our method enables easy deployment in environments with limited computing power.
Subject(s)
Algorithms , Databases, Factual , Electrocardiography/methods , Heart Rate , Neural Networks, Computer , Signal Processing, Computer-Assisted/instrumentation , Wavelet Analysis , Electrocardiography/classification , HumansABSTRACT
Signal processing is critical to a myriad of biological phenomena (natural and engineered) that involve gene regulation. Biological signal processing can be achieved by way of allosteric transcription factors. In canonical regulatory systems (e.g., the lactose repressor), an INPUT signal results in the induction of a given transcription factor and objectively switches gene expression from an OFF state to an ON state. In such biological systems, to revert the gene expression back to the OFF state requires the aggressive dilution of the input signal, which can take 1 or more d to achieve in a typical biotic system. In this study, we present a class of engineered allosteric transcription factors capable of processing two-signal INPUTS, such that a sequence of INPUTS can rapidly transition gene expression between alternating OFF and ON states. Here, we present two fundamental biological signal processing filters, BANDPASS and BANDSTOP, that are regulated by D-fucose and isopropyl-ß-D-1-thiogalactopyranoside. BANDPASS signal processing filters facilitate OFF-ON-OFF gene regulation. Whereas, BANDSTOP filters facilitate the antithetical gene regulation, ON-OFF-ON. Engineered signal processing filters can be directed to seven orthogonal promoters via adaptive modular DNA binding design. This collection of signal processing filters can be used in collaboration with our established transcriptional programming structure. Kinetic studies show that our collection of signal processing filters can switch between states of gene expression within a few minutes with minimal metabolic burden-representing a paradigm shift in general gene regulation.
Subject(s)
Allosteric Regulation/genetics , Signal Processing, Computer-Assisted/instrumentation , Transcription Factors/genetics , Escherichia coli/genetics , Gene Expression/genetics , Gene Expression Regulation/genetics , Gene Regulatory Networks/genetics , Kinetics , Promoter Regions, Genetic/genetics , Protein Binding/genetics , Protein Engineering/instrumentation , Protein Engineering/methods , Synthetic Biology/methodsABSTRACT
To the best of our knowledge, there is no annotated database of PPG signals recorded by smartphone publicly available. This article introduces Brno University of Technology Smartphone PPG Database (BUT PPG) which is an original database created by the cardiology team at the Department of Biomedical Engineering, Brno University of Technology, for the purpose of evaluating photoplethysmographic (PPG) signal quality and estimation of heart rate (HR). The data comprises 48 10-second recordings of PPGs and associated electrocardiographic (ECG) signals used for determination of reference HR. The data were collected from 12 subjects (6 female, 6 male) aged between 21 and 61. PPG data were collected by smartphone Xiaomi Mi9 with sampling frequency of 30 Hz. Reference ECG signals were recorded using a mobile ECG recorder (Bittium Faros 360) with a sampling frequency of 1,000 Hz. Each PPG signal includes annotation of quality created manually by biomedical experts and reference HR. PPG signal quality is indicated binary: 1 indicates good quality for HR estimation, 0 indicates signals where HR cannot be detected reliably, and thus, these signals are unsuitable for further analysis. As the only available database containing PPG signals recorded by smartphone, BUT PPG is a unique tool for the development of smart, user-friendly, cheap, on-the-spot, self-home-monitoring of heart rate with the potential of widespread using.
Subject(s)
Databases, Factual , Heart Rate/physiology , Photoplethysmography/statistics & numerical data , Adult , Algorithms , Artifacts , Czech Republic , Electrocardiography , Female , Humans , Male , Middle Aged , Reference Standards , Reference Values , Signal Processing, Computer-Assisted/instrumentation , SmartphoneABSTRACT
Several novel cuffless wearable devices and smartphone applications claiming that they can measure blood pressure (BP) are appearing on the market. These technologies are very attractive and promising, with increasing interest among health care professionals for their potential use. Moreover, they are becoming popular among patients with hypertension and healthy people. However, at the present time, there are serious issues about BP measurement accuracy of cuffless devices and the 2021 European Society of Hypertension Guidelines on BP measurement do not recommend them for clinical use. Cuffless devices have special validation issues, which have been recently recognized. It is important to note that the 2018 Universal Standard for the validation of automated BP measurement devices developed by the American Association for the Advancement of Medical Instrumentation, the European Society of Hypertension, and the International Organization for Standardization is inappropriate for the validation of cuffless devices. Unfortunately, there is an increasing number of publications presenting data on the accuracy of novel cuffless BP measurement devices, with inadequate methodology and potentially misleading conclusions. The objective of this review is to facilitate understanding of the capabilities and limitations of emerging cuffless BP measurement devices. First, the potential and the types of these devices are described. Then, the unique challenges in evaluating the BP measurement accuracy of cuffless devices are explained. Studies from the literature and computer simulations are employed to illustrate these challenges. Finally, proposals are given on how to evaluate cuffless devices including presenting and interpreting relevant study results.
Subject(s)
Blood Pressure Determination/instrumentation , Blood Pressure/physiology , Hypertension/diagnosis , Hypertension/physiopathology , Blood Pressure Determination/methods , Humans , Pulse Wave Analysis/instrumentation , Pulse Wave Analysis/methods , Reproducibility of Results , Self Care/instrumentation , Self Care/methods , Sensitivity and Specificity , Signal Processing, Computer-Assisted/instrumentation , Wearable Electronic Devices/standardsABSTRACT
Non-invasive fetal electrocardiography appears to be one of the most promising fetal monitoring techniques during pregnancy and delivery nowadays. This method is based on recording electrical potentials produced by the fetal heart from the surface of the maternal abdomen. Unfortunately, in addition to the useful fetal electrocardiographic signal, there are other interference signals in the abdominal recording that need to be filtered. The biggest challenge in designing filtration methods is the suppression of the maternal electrocardiographic signal. This study focuses on the extraction of fetal electrocardiographic signal from abdominal recordings using a combination of independent component analysis, recursive least squares, and ensemble empirical mode decomposition. The method was tested on two databases, the Fetal Electrocardiograms, Direct and Abdominal with Reference Heartbeats Annotations and the PhysioNet Challenge 2013 database. The evaluation was performed by the assessment of the accuracy of fetal QRS complexes detection and the quality of fetal heart rate determination. The effectiveness of the method was measured by means of the statistical parameters as accuracy, sensitivity, positive predictive value, and F1-score. Using the proposed method, when testing on the Fetal Electrocardiograms, Direct and Abdominal with Reference Heartbeats Annotations database, accuracy higher than 80% was achieved for 11 out of 12 recordings with an average value of accuracy 92.75% [95% confidence interval: 91.19-93.88%], sensitivity 95.09% [95% confidence interval: 93.68-96.03%], positive predictive value 96.36% [95% confidence interval: 95.05-97.17%] and F1-score 95.69% [95% confidence interval: 94.83-96.35%]. When testing on the Physionet Challenge 2013 database, accuracy higher than 80% was achieved for 17 out of 25 recordings with an average value of accuracy 78.24% [95% confidence interval: 73.44-81.85%], sensitivity 81.79% [95% confidence interval: 76.59-85.43%], positive predictive value 87.16% [95% confidence interval: 81.95-90.35%] and F1-score 84.08% [95% confidence interval: 80.75-86.64%]. Moreover, the non-invasive ST segment analysis was carried out on the records from the Fetal Electrocardiograms, Direct and Abdominal with Reference Heartbeats Annotations database and achieved high accuracy in 7 from in total of 12 records (mean values µ < 0.1 and values of ±1.96σ < 0.1).
Subject(s)
Abdomen/physiology , Algorithms , Electrocardiography/methods , Fetal Monitoring/methods , Fetus/physiology , Heart Rate, Fetal/physiology , Mothers/statistics & numerical data , Databases, Factual , Female , Humans , Pregnancy , Signal Processing, Computer-Assisted/instrumentationABSTRACT
Deep learning is able to functionally mimic the human brain and thus, it has attracted considerable recent interest. Optics-assisted deep learning is a promising approach to improve forward-propagation speed and reduce the power consumption of electronic-assisted techniques. However, present methods are based on a parallel processing approach that is inherently ineffective in dealing with the serial data signals at the core of information and communication technologies. Here, we propose and demonstrate a sequential optical deep learning concept that is specifically designed to directly process high-speed serial data. By utilizing ultra-short optical pulses as the information carriers, the neurons are distributed at different time slots in a serial pattern, and interconnected to each other through group delay dispersion. A 4-layer serial optical neural network (SONN) was constructed and trained for classification of both analog and digital signals with simulated accuracy rates of over 79.2% with proper individuality variance rates. Furthermore, we performed a proof-of-concept experiment of a pseudo-3-layer SONN to successfully recognize the ASCII codes of English letters at a data rate of 12 gigabits per second. This concept represents a novel one-dimensional realization of artificial neural networks, enabling a direct application of optical deep learning methods to the analysis and processing of serial data signals, while offering a new overall perspective for temporal signal processing.