Smart helmet: wearable multichannel ECG & EEG

Modern wearable technologies have enabled continuous recording of vital signs, however, for activities such as cycling, motor-racing, or military engagement, a helmet with embedded sensors would provide maximum convenience and the opportunity to monitor simultaneously both the vital signs and the electroencephalogram (EEG). To this end, we investigate the feasibility of recording the electrocardiogram (ECG), respiration, and EEG from face-lead locations, by embedding multiple electrodes within a standard helmet. The electrode positions are at the lower jaw, mastoids, and forehead, while for validation purposes a respiration belt around the thorax and a reference ECG from the chest serve as ground truth to assess the performance. The within-helmet EEG is verified by exposing the subjects to periodic visual and auditory stimuli and screening the recordings for the steady-state evoked potentials in response to these stimuli. Cycling and walking are chosen as real-world activities to illustrate how to deal with the so-induced irregular motion artifacts, which contaminate the recordings. We also propose a multivariate R-peak detection algorithm suitable for such noisy environments. Recordings in real-world scenarios support a proof of concept of the feasibility of recording vital signs and EEG from the proposed smart helmet

Electrocardiogram Monitoring Wearable Devices and Artificial-Intelligence-Enabled Diagnostic Capabilities: A Review

Worldwide, population aging and unhealthy lifestyles have increased the incidence of high-risk health conditions such as cardiovascular diseases, sleep apnea, and other conditions. Recently, to facilitate early identification and diagnosis, efforts have been made in the research and development of new wearable devices to make them smaller, more comfortable, more accurate, and increasingly compatible with artificial intelligence technologies. These efforts can pave the way to the longer and continuous health monitoring of different biosignals, including the real-time detection of diseases, thus providing more timely and accurate predictions of health events that can drastically improve the healthcare management of patients. Most recent reviews focus on a specific category of disease, the use of artificial intelligence in 12-lead electrocardiograms, or on wearable technology. However, we present recent advances in the use of electrocardiogram signals acquired with wearable devices or from publicly available databases and the analysis of such signals with artificial intelligence methods to detect and predict diseases. As expected, most of the available research focuses on heart diseases, sleep apnea, and other emerging areas, such as mental stress. From a methodological point of view, although traditional statistical methods and machine learning are still widely used, we observe an increasing use of more advanced deep learning methods, specifically architectures that can handle the complexity of biosignal data. These deep learning methods typically include convolutional and recurrent neural networks. Moreover, when proposing new artificial intelligence methods, we observe that the prevalent choice is to use publicly available databases rather than collecting new data

Monitoring fatigue and drowsiness in motor vehicle occupants using electrocardiogram and heart rate - A systematic review

Introdução: A fadiga é um estado complexo que pode resultar em diminuição da vigilância, frequentemente acompanhada de sonolência. A fadiga durante a condução contribui significativamente para acidentes de trânsito em todo o mundo, destacando-se a necessidade de técnicas de monitorização eficazes. Existem várias tecnologias para aumentar a segurança do condutor e reduzir os riscos de acidentes, como sistemas de deteção de fadiga que podem alertar os condutores à medida que a sonolência se instala. Em particular, a análise dos padrões de frequência cardíaca pode oferecer informações valiosas sobre a condição fisiológica e o nível de vigilância do condutor, permitindo-lhe compreender os seus níveis de fadiga. Esta revisão tem como objetivo estabelecer o estado atual das estratégias de monitorização para ocupantes de veículos, com foco específico na avaliação da fadiga pela frequência cardíaca e variabilidade da frequência cardíaca. Métodos: Realizamos uma pesquisa sistemática da literatura nas bases de dados Web of Science, SCOPUS e Pubmed, utilizando os termos veículo, condutor, monitoração fisiológica, fadiga, sono, eletrocardiograma, frequência cardíaca e variabilidade da frequência cardíaca. Examinamos artigos publicados entre 1 de janeiro de 2018 e 31 de janeiro de 2023. Resultados: Um total de 371 artigos foram identificados, dos quais 71 foram incluídos neste estudo. Entre os artigos incluídos, 57 utilizam o eletrocardiograma (ECG) como sinal adquirido para medir a frequência cardíaca, sendo que a maioria das leituras de ECG foi obtida através de sensores de contacto (n=41), seguidos por sensores vestíveis não invasivos (n=11). Relativamente à validação, 23 artigos não mencionam qualquer tipo de validação, enquanto a maioria se baseia em avaliações subjetivas de fadiga relatadas pelos próprios participantes (n=27) e avaliações feitas por observadores com base em vídeos (n=11). Dos artigos incluídos, apenas 14 englobam um sistema de estimativa de fadiga e sonolência. Alguns relatam um desempenho satisfatórios, no entanto, o tamanho reduzido da amostra limita a abrangência de quaisquer conclusões. Conclusão: Esta revisão destaca o potencial da análise da frequência cardíaca e da instrumentação não invasiva para a monitorização contínua do estado do condutor e deteção de sonolência. Uma das principais questões é a falta de métodos suficientes de validação e estimativa para a fadiga, o que contribui para a insuficiência dos métodos na criação de sistemas de alarme proativos. Esta área apresenta grandes perspetivas, mas ainda está longe de ser implementada de forma fiável.Background: Fatigue is a complex state that can result in decreased alertness, often accompanied by drowsiness. Driving fatigue has become a significant contributor to traffic accidents globally, highlighting the need for effective monitoring techniques. Various technologies exist to enhance driver safety and minimize accident risks, such as fatigue detection systems that can alert drivers as drowsiness sets in. In particular, measuring heart rate patterns may offer valuable insights into the occupant's physiological condition and level of alertness, and may allow them to understand their fatigue levels. This review aims to establish the current state of the art of monitoring strategies for vehicle occupants, specifically focusing on fatigue assessed by heart rate and heart rate variability. Methods: We performed a systematic literature search in the databases of Web Of Science, SCOPUS and Pubmed, using the terms vehicle, driver, physiologic monitoring, fatigue, sleep, electrocardiogram, heart rate and heart rate variability. We examine articles published between 1st of january 2018 and 31st of January 2023. Results: A total of 371 papers were identified from which 71 articles were included in this study. Among the included papers, 57 utilized electrocardiogram (ECG) as the acquired signal for heart rate (HR) measures, with most ECG readings obtained through contact sensors (n=41), followed by non-intrusive wearable sensors (n=11). Regarding validation, 23 papers do not report validation, while the majority rely on subjective self-reported fatigue ratings (n=27) and video-based observer ratings(n=11). From the included papers, only 14 comprise a fatigue and drowsiness estimation system. Some report acceptable performances, but reduced sample size limits the reach of any conclusions. Conclusions: This review highlights the potential of HR analysis and non-intrusive instrumentation for continuous monitoring of driver's status and detecting sleepiness. One major issue is the lack of sufficient validation and estimation methods for fatigue, contributing to the insufficiency of methods in providing proactive alarm systems. This area shows great promise but is still far from being reliably implemented

Enabling Remote Responder Bio-Signal Monitoring in a Cooperative Human–Robot Architecture for Search and Rescue

The roles of emergency responders are challenging and often physically demanding, so it is essential that their duties are performed safely and effectively. In this article, we address real-time bio-signal sensor monitoring for responders in disaster scenarios. In particular, we propose the integration of a set of health monitoring sensors suitable for detecting stress, anxiety and physical fatigue in an Internet of Cooperative Agents architecture for search and rescue (SAR) missions (SAR-IoCA), which allows remote control and communication between human and robotic agents and the mission control center. With this purpose, we performed proof-of-concept experiments with a bio-signal sensor suite worn by firefighters in two high-fidelity SAR exercises. Moreover, we conducted a survey, distributed to end-users through the Fire Brigade consortium of the Provincial Council of Málaga, in order to analyze the firefighters’ opinion about biological signals monitoring while on duty. As a result of this methodology, we propose a wearable sensor suite design with the aim of providing some easy-to-wear integrated-sensor garments, which are suitable for emergency worker activity. The article offers discussion of user acceptance, performance results and learned lessons.This work has been partially funded by the Ministerio de Ciencia, Innovación y Universidades, Gobierno de España, projects RTI2018-093421-B-I00 and PID2021-122944OB-I00. Partial funding for open access charge: Universidad de Málag

Intelligent Biosignal Analysis Methods

This book describes recent efforts in improving intelligent systems for automatic biosignal analysis. It focuses on machine learning and deep learning methods used for classification of different organism states and disorders based on biomedical signals such as EEG, ECG, HRV, and others

Detecting Driver Sleepiness Using Consumer Wearable Devices in Manual and Partial Automated Real-Road Driving

Driver sleepiness constitutes a well-known traffic safety risk. With the introduction of automated driving systems, the chance of getting sleepy and even falling asleep at wheel could increase further. Conventional sleepiness detection methods based on driving performance and behavior may not be available under automated driving. Methods based on physiological measurements such as heart rate variability (HRV) becomes a potential solution under automated driving. However, with reduced task load, HRV could potentially be affected by automated driving. Therefore, it is essential to investigate the influence of automated driving on the relation between HRV and sleepiness. Data from real-road driving experiments with 43 participants were used in this study. Each driver finished four trials with manual and partial automated driving under normal and sleep-deprived condition. Heart rate was monitored by consumer wearable chest bands. Subjective sleepiness based on Karolinska sleepiness scale was reported at five min interval as ground truth. Reduced heart rate and increased overall variability were found in association with severe sleepy episodes. A binary classifier based on the AdaBoost method was developed to classify alert and sleepy episodes. The results indicate that partial automated driving has small impact on the relationship between HRV and sleepiness. The classifier using HRV features reached area under curve (AUC) = 0.76 and it was improved to AUC = 0.88 when adding driving time and day/night information. The results show that commercial wearable heart rate monitor has the potential to become a useful tool to assess driver sleepiness under manual and partial automated driving

Physiological-based Driver Monitoring Systems: A Scoping Review

A physiological-based driver monitoring system (DMS) has attracted research interest and has great potential for providing more accurate and reliable monitoring of the driver’s state during a driving experience. Many driving monitoring systems are driver behavior-based or vehicle-based. When these non-physiological based DMS are coupled with physiological-based data analysis from electroencephalography (EEG), electrooculography (EOG), electrocardiography (ECG), and electromyography (EMG), the physical and emotional state of the driver may also be assessed. Drivers’ wellness can also be monitored, and hence, traffic collisions can be avoided. This paper highlights work that has been published in the past five years related to physiological-based DMS. Specifically, we focused on the physiological indicators applied in DMS design and development. Work utilizing key physiological indicators related to driver identification, driver alertness, driver drowsiness, driver fatigue, and drunk driver is identified and described based on the PRISMA Extension for Scoping Reviews (PRISMA-Sc) Framework. The relationship between selected papers is visualized using keyword co-occurrence. Findings were presented using a narrative review approach based on classifications of DMS. Finally, the challenges of physiological-based DMS are highlighted in the conclusion. Doi: 10.28991/CEJ-2022-08-12-020 Full Text: PD