A Continuous Blood Pressure Estimation Method Using Photoplethysmography by GRNN-Based Model

Wrist-to-Tibia/Shoe Inertial Measurement Results Translation Using Neural Networks

Most of the established gait evaluation methods use inertial sensors mounted in the lower limb area (tibias, ankles, shoes). Such sensor placement gives good results in laboratory conditions but is hard to apply in everyday scenarios due to the sensors' fragility and the user's comfort. The paper presents an algorithm that enables translation of the inertial signal measurements (acceleration and angular velocity) registered with a wrist-worn sensor to signals, which would be obtained if the sensor was worn on a tibia or a shoe. Four different neural network architectures are considered for that purpose: Dense and CNN autoencoders, a CNN-LSTM hybrid, and a U-Net-based model. The performed experiments have shown that the CNN autoencoder and U-Net can be successfully applied for inertial signal translation purposes. Estimating gait parameters based on the translated signals yielded similar results to those obtained based on shoe-sensor signals.

Optimized deep neural network models for blood pressure classification using Fourier analysis-based time-frequency spectrogram of photoplethysmography signal

Appropriate blood pressure (BP) management through continuous monitoring and rapid diagnosis helps to take preventive care against cardiovascular diseases (CVD). As hypertension is one of the leading causes of CVDs, keeping hypertension under control by a timely screening of subjects becomes lifesaving. This work proposes estimating BP from motion artifact-affected photoplethysmography signals (PPG) by applying signal processing techniques in realtime. This paper proposes a deep neural network-based methodology to accurately classify PPG signals using a Fourier theory-based time-frequency (TF) spectrogram. This work uses the Fourier decomposition method (FDM) to transform a PPG signal into a TF spectrogram. In the proposed work, the last three layers of the pre-trained deep neural network, namely, GoogleNet, DenseNet, and AlexNet, are modified and then used to classify the PPG signal into normotension, pre-hypertension, and hypertension. The proposed framework is trained and tested using the MIMIC-III and PPG-BP databases using five-fold training and testing. Out of the three deep neural networks, the proposed framework with the DenseNet-201 network performs best, with a test accuracy of 96.5%. The proposed work uses FDM to compute the TF spectrogram to accurately separate the motion artifacts and noise components from a noise-corrupted PPG signal. Capturing more frequency components that contain more information from PPG signals makes the deep neural networks extract better and more meaningful features. Thus, training a deep neural network model with clean PPG signal features improves the generalized capability of a BP classification model when tested in realtime.

Non-Invasive Blood Pressure Sensing via Machine Learning

In this paper, a machine learning (ML) approach to estimate blood pressure (BP) using photoplethysmography (PPG) is presented. The final aim of this paper was to develop ML methods for estimating blood pressure (BP) in a non-invasive way that is suitable in a telemedicine health-care monitoring context. The training of regression models useful for estimating systolic blood pressure (SBP) and diastolic blood pressure (DBP) was conducted using new extracted features from PPG signals processed using the Maximal Overlap Discrete Wavelet Transform (MODWT). As a matter of fact, the interest was on the use of the most significant features obtained by the Minimum Redundancy Maximum Relevance (MRMR) selection algorithm to train eXtreme Gradient Boost (XGBoost) and Neural Network (NN) models. This aim was satisfactorily achieved by also comparing it with works in the literature; in fact, it was found that XGBoost models are more accurate than NN models in both systolic and diastolic blood pressure measurements, obtaining a Root Mean Square Error (RMSE) for SBP and DBP, respectively, of 5.67 mmHg and 3.95 mmHg. For SBP measurement, this result is an improvement compared to that reported in the literature. Furthermore, the trained XGBoost regression model fulfills the requirements of the Association for the Advancement of Medical Instrumentation (AAMI) as well as grade A of the British Hypertension Society (BHS) standard.

Non-invasive continuous blood pressure prediction based on ECG and PPG fusion map

To achieve real-time blood pressure monitoring, a novel non-invasive method is proposed in this article. Electrocardiographic (ECG) and pulse wave signals (PPG) are fused from a multi-omics signal-level perspective. A physiological signal fusion matrix and fusion map, which can estimate the blood pressure of blood loss(BPBL), are constructed. The results demonstrate the efficacy of the fusion map model, with correlation values of 0.988 and 0.991 between the estimated BPBL and the true systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively. The root mean square errors for SBP and DBP were 3.21 mmHg and 3.00 mmHg, respectively. The model validation showed that the fusion map method is capable of simultaneous highlighting of the respective characteristics of ECG and PPG and their correlation, improving the utilization of the information and the accuracy of BPBL. This article validates that physiological signal fusion map can effectively improve the accuracy of BPBL estimation and provides a new perspective for the field of physiological information fusion.

Investigation of Optimal Light Source Wavelength for Cuffless Blood Pressure Estimation Using a Single Photoplethysmography Sensor

Routine blood pressure measurement is important for the early detection of various diseases. Recently, cuffless blood pressure estimation methods that do not require cuff pressurization have attracted attention. In this study, we investigated the effect of the light source wavelength on the accuracy of blood pressure estimation using only two physiological indices that can be calculated with photoplethysmography alone, namely, heart rate and modified normalized pulse volume. Using a newly developed photoplethysmography sensor that can simultaneously measure photoplethysmograms at four wavelengths, we evaluated its estimation accuracy for systolic blood pressure, diastolic blood pressure, and mean arterial pressure against a standard cuff sphygmomanometer. Mental stress tasks were used to alter the blood pressure of 14 participants, and multiple linear regression analysis showed the best light sources to be near-infrared for systolic blood pressure and blue for both diastolic blood pressure and mean arterial pressure. The importance of the light source wavelength for the photoplethysmogram in cuffless blood pressure estimation was clarified.

Cuff-Less Blood Pressure Prediction Based on Photoplethysmography and Modified ResNet

Cardiovascular disease (CVD) has become a common health problem of mankind, and the prevalence and mortality of CVD are rising on a year-to-year basis. Blood pressure (BP) is an important physiological parameter of the human body and also an important physiological indicator for the prevention and treatment of CVD. Existing intermittent measurement methods do not fully indicate the real BP status of the human body and cannot get rid of the restraining feeling of a cuff. Accordingly, this study proposed a deep learning network based on the ResNet34 framework for continuous prediction of BP using only the promising PPG signal. The high-quality PPG signals were first passed through a multi-scale feature extraction module after a series of pre-processing to expand the perceptive field and enhance the perception ability on features. Subsequently, useful feature information was then extracted by stacking multiple residual modules with channel attention to increase the accuracy of the model. Lastly, in the training stage, the Huber loss function was adopted to stabilize the iterative process and obtain the optimal solution of the model. On a subset of the MIMIC dataset, the errors of both SBP and DBP predicted by the model met the AAMI standards, while the accuracy of DBP reached Grade A of the BHS standard, and the accuracy of SBP almost reached Grade A of the BHS standard. The proposed method verifies the potential and feasibility of PPG signals combined with deep neural networks in the field of continuous BP monitoring. Furthermore, the method is easy to deploy in portable devices, and it is more consistent with the future trend of wearable blood-pressure-monitoring devices (e.g., smartphones and smartwatches).

Advances in Cuffless Continuous Blood Pressure Monitoring Technology Based on PPG Signals

Objective. To review the progress of research on photoplethysmography- (PPG-) based cuffless continuous blood pressure monitoring technologies and prospect the challenges that need to be addressed in the future. Methods. Using Web of Science and PubMed as search engines, the literature on cuffless continuous blood pressure studies using PPG signals in the recent five years were searched. Results. Based on the retrieved literature, this paper describes the available open datasets, commonly used signal preprocessing methods, and model evaluation criteria. Early researches employed multisite PPG signals to calculate pulse wave velocity or time and predicted blood pressure by a simple linear equation. Later, extensive researches were dedicated to mine the features of PPG signals related to blood pressure and regressed blood pressure by machine learning models. Most recently, many researches have emerged to experiment with complex deep learning models for blood pressure prediction with the raw PPG signal as input. Conclusion. This paper summarized the methods in the retrieved literature, provided insight into the artificial intelligence algorithms employed in the literature, and concluded with a discussion of the challenges and opportunities for the development of cuffless continuous blood pressure monitoring technologies.