A Supervised Approach to Robust Photoplethysmography Quality Assessment

Autor: Kais Gadhoumi, Tania Pereira, Karl Meisel, Rene A. Colorado, Xiuyun Liu, Xiao Hu, Kevin J Keenan, Mitchell Ma, Ran Xiao
Rok vydání: 2020
Předmět:
Support Vector Machine
Computer science
Signal Quality
Wearable computer
Rhythm
02 engineering and technology
030204 cardiovascular system & hematology
Cardiovascular
Medical and Health Sciences
Pulse Oximetry
Electrocardiography
Computer-Assisted
Engineering
0302 clinical medicine
Health Information Management
Atrial Fibrillation
80 and over
Oximetry
Wearable technology
Aged
80 and over

Signal processing
medicine.diagnostic_test
Signal Processing
Computer-Assisted

Middle Aged
Computer Science Applications
Stroke
Heart Disease
Annotated Data
Supervised Machine Learning
Algorithms
Biotechnology
Adult
Monitoring
0206 medical engineering
Bioengineering
Article
Wearable Electronic Devices
Young Adult
03 medical and health sciences
Clinical Research
Information and Computing Sciences
Photoplethysmogram
Intensive care
medicine
Humans
Electrical and Electronic Engineering
Photoplethysmography
Aged
business.industry
Pattern recognition
020601 biomedical engineering
Brain Disorders
Support vector machine
Pulse oximetry
Test set
Signal Processing
Artificial intelligence
business
Biomedical monitoring
Medical Informatics
Quality assessment
Zdroj: IEEE J Biomed Health Inform
IEEE journal of biomedical and health informatics, vol 24, iss 3
ISSN: 2168-2208
2168-2194
DOI: 10.1109/jbhi.2019.2909065
Popis: Early detection of Atrial Fibrillation (AFib) is crucial to prevent stroke recurrence. New tools for monitoring cardiac rhythm are important for risk stratification and stroke prevention. As many of new approaches to long-term AFib detection are now based on photoplethysmogram (PPG) recordings from wearable devices, ensuring high PPG signal-to-noise ratios is a fundamental requirement for a robust detection of AFib episodes. Traditionally, signal quality assessment is often based on the evaluation of similarity between pulses to derive signal quality indices. There are limitations to using this approach for accurate assessment of PPG quality in the presence of arrhythmia, as in the case of AFib, mainly due to substantial changes in pulse morphology. In this paper, we first tested the performance of algorithms selected from a body of studies on PPG quality assessment using a dataset of PPG recordings from patients with AFib. We then propose machine learning approaches for PPG quality assessment in 30-s segments of PPG recording from 13 stroke patients admitted to the University of California San Francisco (UCSF) neuro intensive care unit and another dataset of 3764 patients from one of the five UCSF general intensive care units. We used data acquired from two systems, fingertip PPG (fPPG) from a bedside monitor system, and radial PPG (rPPG) measured using a wearable commercial wristband. We compared various supervised machine learning techniques including k-nearest neighbors, decisions trees, and a two-class support vector machine (SVM). SVM provided the best performance. fPPG signals were used to build the model and achieved 0.9477 accuracy when tested on the data from the fPPG exclusive to the test set, and 0.9589 accuracy when tested on the rPPG data.
Databáze: OpenAIRE