ECG compression for Holter monitoring

Cardiologists can gain useful insight into a patient's condition when they are able to correlate the patent's symptoms and activities. For this purpose, a Holter Monitor is often used - a portable electrocardiogram (ECG) recorder worn by the patient for a period of 24-72 hours. Preferably, the monitor is not cumbersome to the patient and thus it should be designed to be as small and light as possible; however, the storage requirements for such a long signal are very large and can significantly increase the recorder's size and cost, and so signal compression is often employed. At the same time, the decompressed signal must contain enough detail for the cardiologist to be able to identify irregularities. "Lossy" compressors may obscure such details, where a "lossless" compressor preserves the signal exactly as captured.The purpose of this thesis is to develop a platform upon which a Holter Monitor can be built, including a hardware-assisted lossless compression method in order to avoid the signal quality penalties of a lossy algorithm. The objective of this thesis is to develop and implement a low-complexity lossless ECG encoding algorithm capable of at least a 2:1 compression ratio in an embedded system for use in a Holter Monitor. Different lossless compression techniques were evaluated in terms of coding efficiency as well as suitability for ECG waveform application, random access within the signal and complexity of the decoding operation. For the reduction of the physical circuit size, a System On a Programmable Chip (SOPC) design was utilized. A coder based on a library of linear predictors and Rice coding was chosen and found to give a compression ratio of at least 2:1 and as high as 3:1 on real-world signals tested while having a low decoder complexity and fast random access to arbitrary parts of the signal. In the hardware-assisted implementation, the speed of encoding was a factor of between four and five faster than a software encoder running on the same CPU while allowing the CPU to perform other tasks during the encoding process

Optimizing Bayesian Recurrent Neural Networks on an FPGA-based Accelerator

Neural networks have demonstrated their outstanding performance in a wide range of tasks. Specifically recurrent architectures based on long-short term memory (LSTM) cells have manifested excellent capability to model time dependencies in real-world data. However, standard recurrent architectures cannot estimate their uncertainty which is essential for safety-critical applications such as in medicine. In contrast, Bayesian recurrent neural networks (RNNs) are able to provide uncertainty estimation with improved accuracy. Nonetheless, Bayesian RNNs are computationally and memory demanding, which limits their practicality despite their advantages. To address this issue, we propose an FPGA-based hardware design to accelerate Bayesian LSTM-based RNNs. To further improve the overall algorithmic-hardware performance, a co-design framework is proposed to explore the most fitting algorithmic-hardware configurations for Bayesian RNNs. We conduct extensive experiments on healthcare applications to demonstrate the improvement of our design and the effectiveness of our framework. Compared with GPU implementation, our FPGA-based design can achieve up to 10 times speedup with nearly 106 times higher energy efficiency. To the best of our knowledge, this is the first work targeting acceleration of Bayesian RNNs on FPGAs

Strategies for neural networks in ballistocardiography with a view towards hardware implementation

A thesis submitted for the degree of Doctor of Philosophy at the University of LutonThe work described in this thesis is based on the results of a clinical trial conducted by the research team at the Medical Informatics Unit of the University of Cambridge, which show that the Ballistocardiogram (BCG) has prognostic value in detecting impaired left ventricular function before it becomes clinically overt as myocardial infarction leading to sudden death. The objective of this study is to develop and demonstrate a framework for realising an on-line BCG signal classification model in a portable device that would have the potential to find pathological signs as early as possible for home health care. Two new on-line automatic BeG classification models for time domain BeG classification are proposed. Both systems are based on a two stage process: input feature extraction followed by a neural classifier. One system uses a principal component analysis neural network, and the other a discrete wavelet transform, to reduce the input dimensionality. Results of the classification, dimensionality reduction, and comparison are presented. It is indicated that the combined wavelet transform and MLP system has a more reliable performance than the combined neural networks system, in situations where the data available to determine the network parameters is limited. Moreover, the wavelet transfonn requires no prior knowledge of the statistical distribution of data samples and the computation complexity and training time are reduced. Overall, a methodology for realising an automatic BeG classification system for a portable instrument is presented. A fully paralJel neural network design for a low cost platform using field programmable gate arrays (Xilinx's XC4000 series) is explored. This addresses the potential speed requirements in the biomedical signal processing field. It also demonstrates a flexible hardware design approach so that an instrument's parameters can be updated as data expands with time. To reduce the hardware design complexity and to increase the system performance, a hybrid learning algorithm using random optimisation and the backpropagation rule is developed to achieve an efficient weight update mechanism in low weight precision learning. The simulation results show that the hybrid learning algorithm is effective in solving the network paralysis problem and the convergence is much faster than by the standard backpropagation rule. The hidden and output layer nodes have been mapped on Xilinx FPGAs with automatic placement and routing tools. The static time analysis results suggests that the proposed network implementation could generate 2.7 billion connections per second performance

A Hybrid Data Compression Scheme for Power Reduction in Wireless Sensors for IoT

IEEE Transactions on Biomedical Circuits and SystemsPP991-1

A flexible hardware architecture for 2-D discrete wavelet transform: design and FPGA implementation

The Discrete Wavelet Transform (DWT) is a powerful signal processing tool that has recently gained widespread acceptance in the field of digital image processing. The multiresolution analysis provided by the DWT addresses the shortcomings of the Fourier Transform and its derivatives. The DWT has proven useful in the area of image compression where it replaces the Discrete Cosine Transform (DCT) in new JPEG2000 and MPEG4 image and video compression standards. The Cohen-Daubechies-Feauveau (CDF) 5/3 and CDF 9/7 DWTs are used for reversible lossless and irreversible lossy compression encoders in the JPEG2000 standard respectively. The design and implementation of a flexible hardware architecture for the 2-D DWT is presented in this thesis. This architecture can be configured to perform both the forward and inverse DWT for any DWTfamily, using fixed-point arithmetic and no auxiliary memory. The Lifting Scheme method is used to perform the DWT instead of the less efficient convolution-based methods. The DWT core is modeled using MATLAB and highly parameterized VHDL. The VHDL model is synthesized to a Xilinx FPGA to prove hardware functionality. The CDF 5/3 and CDF 9/7 versions of the DWT are both modeled and used as comparisons throughout this thesis. The DWT core is used in conjunction with a very simple image denoising module to demonstrate the potential of the DWT core to perform image processing techniques. The CDF 5/3 hardware produces identical results to its theoretical MATLAB model. The fixed point CDF 9/7 deviates very slightly from its floating-point MATLAB model with a ~59dB PSNR deviation for nine levels of DWT decomposition. The execution time for performing both DWTs is nearly identical at -14 clock cycles per image pixel for one level of DWT decomposition. The hardware area generated for the CDF 5/3 is -16,000 gates using only 5% of the Xilinx FPGA hardware area, 2.185 MHz maximum clock speed and 24 mW power consumption. The simple wavelet image denoising techniques resulted in cleaned images up to -27 PSNR

System-on-Chip Solution for Patients Biometric: A Compressive Sensing-Based Approach

IEEE The ever-increasing demand for biometric solutions for the internet of thing (IoT)-based connected health applications is mainly driven by the need to tackle fraud issues, along with the imperative to improve patient privacy, safety and personalized medical assistance. However, the advantages offered by the IoT platforms come with the burden of big data and its associated challenges in terms of computing complexity, bandwidth availability and power consumption. This paper proposes a solution to tackle both privacy issues and big data transmission by incorporating the theory of compressive sensing (CS) and a simple, yet, efficient identification mechanism using the electrocardiogram (ECG) signal as a biometric trait. Moreover, the paper presents the hardware implementation of the proposed solution on a system on chip (SoC) platform with an optimized architecture to further reduce hardware resource usage. First, we investigate the feasibility of compressing the ECG data while maintaining a high identification quality. The obtained results show a 98.88% identification rate using only a compression ratio of 30%. Furthermore, the proposed system has been implemented on a Zynq SoC using heterogeneous software/hardware solution, which is able to accelerate the software implementation by a factor of 7.73 with a power consumption of 2.318 W

Runtime adaptive iomt node on multi-core processor platform

The Internet of Medical Things (IoMT) paradigm is becoming mainstream in multiple clinical trials and healthcare procedures. Thanks to innovative technologies, latest-generation communication networks, and state-of-the-art portable devices, IoTM opens up new scenarios for data collection and continuous patient monitoring. Two very important aspects should be considered to make the most of this paradigm. For the first aspect, moving the processing task from the cloud to the edge leads to several advantages, such as responsiveness, portability, scalability, and reliability of the sensor node. For the second aspect, in order to increase the accuracy of the system, state-of-the-art cognitive algorithms based on artificial intelligence and deep learning must be integrated. Sensory nodes often need to be battery powered and need to remain active for a long time without a different power source. Therefore, one of the challenges to be addressed during the design and development of IoMT devices concerns energy optimization. Our work proposes an implementation of cognitive data analysis based on deep learning techniques on resource-constrained computing platform. To handle power efficiency, we introduced a component called Adaptive runtime Manager (ADAM). This component takes care of reconfiguring the hardware and software of the device dynamically during the execution, in order to better adapt it to the workload and the required operating mode. To test the high computational load on a multi-core system, the Orlando prototype board by STMicroelectronics, cognitive analysis of Electrocardiogram (ECG) traces have been adopted, considering single-channel and six-channel simultaneous cases. Experimental results show that by managing the sensory node configuration at runtime, energy savings of at least 15% can be achieved

Survey of FPGA applications in the period 2000 – 2015 (Technical Report)

Romoth J, Porrmann M, Rückert U. Survey of FPGA applications in the period 2000 – 2015 (Technical Report).; 2017.Since their introduction, FPGAs can be seen in more and more different fields of applications. The key advantage is the combination of software-like flexibility with the performance otherwise common to hardware. Nevertheless, every application field introduces special requirements to the used computational architecture. This paper provides an overview of the different topics FPGAs have been used for in the last 15 years of research and why they have been chosen over other processing units like e.g. CPUs

Design and Implementation of Complexity Reduced Digital Signal Processors for Low Power Biomedical Applications

Wearable health monitoring systems can provide remote care with supervised, inde-pendent living which are capable of signal sensing, acquisition, local processing and transmission. A generic biopotential signal (such as Electrocardiogram (ECG), and Electroencephalogram (EEG)) processing platform consists of four main functional components. The signals acquired by the electrodes are amplified and preconditioned by the (1) Analog-Front-End (AFE) which are then digitized via the (2) Analog-to-Digital Converter (ADC) for further processing. The local digital signal processing is usually handled by a custom designed (3) Digital Signal Processor (DSP) which is responsible for either anyone or combination of signal processing algorithms such as noise detection, noise/artefact removal, feature extraction, classification and compres-sion. The digitally processed data is then transmitted via the (4) transmitter which is renown as the most power hungry block in the complete platform. All the afore-mentioned components of the wearable systems are required to be designed and fitted into an integrated system where the area and the power requirements are stringent. Therefore, hardware complexity and power dissipation of each functional component are crucial aspects while designing and implementing a wearable monitoring platform. The work undertaken focuses on reducing the hardware complexity of a biosignal DSP and presents low hardware complexity solutions that can be employed in the aforemen-tioned wearable platforms. A typical state-of-the-art system utilizes Sigma Delta (Σ∆) ADCs incorporating a Σ∆ modulator and a decimation filter whereas the state-of-the-art decimation filters employ linear phase Finite-Impulse-Response (FIR) filters with high orders that in-crease the hardware complexity [1–5]. In this thesis, the novel use of minimum phase Infinite-Impulse-Response (IIR) decimators is proposed where the hardware complexity is massively reduced compared to the conventional FIR decimators. In addition, the non-linear phase effects of these filters are also investigated since phase non-linearity may distort the time domain representation of the signal being filtered which is un-desirable effect for biopotential signals especially when the fiducial characteristics carry diagnostic importance. In the case of ECG monitoring systems the effect of the IIR filter phase non-linearity is minimal which does not affect the diagnostic accuracy of the signals. The work undertaken also proposes two methods for reducing the hardware complexity of the popular biosignal processing tool, Discrete Wavelet Transform (DWT). General purpose multipliers are known to be hardware and power hungry in terms of the number of addition operations or their underlying building blocks like full adders or half adders required. Higher number of adders leads to an increase in the power consumption which is directly proportional to the clock frequency, supply voltage, switching activity and the resources utilized. A typical Field-Programmable-Gate-Array’s (FPGA) resources are Look-up Tables (LUTs) whereas a custom Digital Signal Processor’s (DSP) are gate-level cells of standard cell libraries that are used to build adders [6]. One of the proposed methods is the replacement of the hardware and power hungry general pur-pose multipliers and the coefficient memories with reconfigurable multiplier blocks that are composed of simple shift-add networks and multiplexers. This method substantially reduces the resource utilization as well as the power consumption of the system. The second proposed method is the design and implementation of the DWT filter banks using IIR filters which employ less number of arithmetic operations compared to the state-of-the-art FIR wavelets. This reduces the hardware complexity of the analysis filter bank of the DWT and can be employed in applications where the reconstruction is not required. However, the synthesis filter bank for the IIR wavelet transform has a higher computational complexity compared to the conventional FIR wavelet synthesis filter banks since re-indexing of the filtered data sequence is required that can only be achieved via the use of extra registers. Therefore, this led to the proposal of a novel design which replaces the complex IIR based synthesis filter banks with FIR fil-ters which are the approximations of the associated IIR filters. Finally, a comparative study is presented where the hybrid IIR/FIR and FIR/FIR wavelet filter banks are de-ployed in a typical noise reduction scenario using the wavelet thresholding techniques. It is concluded that the proposed hybrid IIR/FIR wavelet filter banks provide better denoising performance, reduced computational complexity and power consumption in comparison to their IIR/IIR and FIR/FIR counterparts