Early Recognition of Pompe Disease by Respiratory Muscle Signs and Symptoms

Synergetic use of thermal and visible imaging techniques for contactless and unobtrusive breathing measurement

We present a dual-mode imaging system operating on visible and long-wave infrared wavelengths for achieving the noncontact and nonobtrusive measurements of breathing rate and pattern, no matter whether the subjects use the nose and mouth simultaneously, alternately, or individually when they breathe. The improved classifiers in tandem with the biological characteristics outperformed the custom cascade classifiers using the Viola–Jones algorithm for the cross-spectrum detection of face and nose as well as mouth. In terms of breathing rate estimation, the results obtained by this system were verified to be consistent with those measured by reference method via the Bland–Altman plot with 95% limits of agreement from ? 2.998 to 2.391 and linear correlation analysis with a correlation coefficient of 0.971, indicating that this method was acceptable for the quantitative analysis of breathing. In addition, the breathing waveforms extracted by the dual-mode imaging system were basically the same as the corresponding standard breathing sequences. Since the validation experiments were conducted under challenging conditions, such as the significant positional and abrupt physiological variations, we stated that this dual-mode imaging system utilizing the respective advantages of RGB and thermal cameras was a promising breathing measurement tool for residential care and clinical applications.