IoMT and AI Enabled Time Critical System for Tele-Cardiac Rehabilitation

Autor: Shereena Shaji, Rahul Krishnan Pathinarupothi, Ramesh Guntha, Ravi Sankaran, Prakash Ishwar, K. A. Unnikrishna Menon, Maneesha Vinodini Ramesh
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: IEEE Access, Vol 12, Pp 81122-81136 (2024)
Druh dokumentu: article
ISSN: 2169-3536
DOI: 10.1109/ACCESS.2024.3409759
Popis: Tele-rehabilitation has garnered significant interest among clinicians and researchers with its potential to transform cardiac rehabilitation, affecting millions of patients annually. A critical requirement of tele-cardiac rehabilitation is a fail-safe, highly interactive system with timely feedback to both the patient and the therapists or physicians. Current systems often assume ideal network conditions, neglecting the nuances of real-world deployment. We have designed, developed, and tested an end-to-end tele-cardiac rehabilitation system that seamlessly combines Internet of Medical Things (IoMT) devices and AI-powered abnormality and activity detection, providing a fail-safe and real-time actionable closed-feedback loop system for the patient and the doctor. A pilot study evaluates system performance across diverse mobile networks in varying conditions (stable or unstable). The RESNET-18 model for cardiac abnormality detection (0.71 F1-score) and the VGG-16 model for human activity classification (0.89 F1-score) demonstrate significant performance. Furthermore, we optimize these models for edge devices, demonstrating significant speed improvements compared to cloud servers (up to 33 times faster).
Databáze: Directory of Open Access Journals