A Novel Deep Learning based Automatic Auscultatory Method to Measure Blood Pressure

Background: It is clinically important to develop innovative techniques that can accurately measure blood pressures (BP) automatically. Objectives: This study aimed to present and evaluate a novel automatic BP measurement method based on deep learning method, and to confirm the effects on measured BPs of the position and contact pressure of stethoscope. Methods: 30 healthy subjects were recruited. 9 BP measurements (from three different stethoscope contact pressures and three repeats) were performed on each subject. The convolutional neural network (CNN) was designed and trained to identify the Korotkoff sounds at a beat-by-beat level. Next, a mapping algorithm was developed to relate the identified Korotkoff beats to the corresponding cuff pressures for systolic and diastolic BP (SBP and DBP) determinations. Its performance was evaluated by investigating the effects of the position and contact pressure of stethoscope on measured BPs in comparison with reference manual auscultatory method. Results: The overall measurement errors of the proposed method were 1.4 ± 2.4 mmHg for SBP and 3.3 ± 2.9 mmHg for DBP from all the measurements. In addition, the method demonstrated that there were small SBP differences between the 2 stethoscope positions, respectively at the 3 stethoscope contact pressures, and that DBP from the stethoscope under the cuff was significantly lower than that from outside the cuff by 2.0 mmHg (P < 0.01). Conclusion: Our findings suggested that the deep learning based method was an effective technique to measure BP, and could be developed further to replace the current oscillometric based automatic blood pressure measurement method

REDUCTION OF SKIN STRETCH INDUCED MOTION ARTIFACTS IN ELECTROCARDIOGRAM MONITORING USING ADAPTIVE FILTERING

Cardiovascular disease (CVD) is the leading cause of death in many regions worldwide, accounting for nearly one third of global deaths in 2001. Wearable electrocardiographic cardiovascular monitoring devices have contributed to reduce CVD mortality and cost by enabling the diagnosis of conditions with infrequent symptoms, the timely detection of critical signs that can be precursor to sudden cardiac death, and the long-term assessment/monitoring of symptoms, risk factors, and the effects of therapy. However, the effectiveness of ambulatory electrocardiography to improve the treatment of CVD can be significantly impaired by motion artifacts which can cause misdiagnoses, inappropriate treatment decisions, and trigger false alarms. Skin stretch associated with patient motion is a main source of motion artifact in current ECG monitors. A promising approach to reduce motion artifact is the use of adaptive filtering that utilizes a measured reference input correlated with the motion artifact to extract noise from the ECG signal. Previous attempts to apply adaptive filtering to electrocardiography have employed either electrode deformation or acceleration, body acceleration, or skin/electrode impedance as a reference input, and were not successful at reducing motion artifacts in a consistent and reproducible manner. This has been essentially attributed to the lack of correlation between the reference input selected and the induced noise. In this study, motion artifacts are adaptively filtered by using skin strain as the reference signal. Skin strain is measured non-invasively using a light emitting diode (LED) and an optical sensor incorporated in an ECG electrode. The optical strain sensor is calibrated on animal skin samples and finally in-vivo, in terms of sensitivity and measurement range. Skin stretch induced artifacts are extracted in-vivo using adaptive filters. The system and method are tested for different individuals and under various types of ambulatory conditions with the noise reduction performance quantified

IoMT-based biomedical measurement systems for healthcare monitoring: a review

Biomedical measurement systems (BMS) have provided new solutions for healthcare monitoring and the diagnosis of various chronic diseases. With a growing demand for BMS in the field of medical applications, researchers are focusing on advancing these systems, including Internet of Medical Things (IoMT)-based BMS, with the aim of improving bioprocesses, healthcare systems and technologies for biomedical equipment. This paper presents an overview of recent activities towards the development of IoMT-based BMS for various healthcare applications. Different methods and approaches used in the development of these systems are presented and discussed, taking into account some metrological aspects related to the requirement for accuracy, reliability and calibration. The presented IoMT-based BMS are applied to healthcare applications concerning, in particular, heart, brain and blood sugar diseases as well as internal body sound and blood pressure measurements. Finally, the paper provides a discussion about the shortcomings and challenges that need to be addressed along with some possible directions for future research activities.</p

Early Disease Detection by Extracting Features of Biomedical Signals

Elderly people face a lot of health problems in day to day life due to old age and so many reasons. Therefore a regular health check-up is needed for them which is much more expensive and cannot be afforded by many people. Again the diagnosis is much more complicated to understand and in many cases there is a chance of mistreatment. There is another chance of delay in the detection of disease and late treatment causing risk in their lives. So, the disease should be detected in the early stage for lower cost and lower risk in life. The present work is related to the different physiological parameters of a human being that are to be measured to accurately diagnose the related disease. Though there are numerous physiological parameters, this work emphasizes on some of the most common physiological parameters such as blood pressure, heart rate and ECG which are of primary importance to elderly people. Accurate measurement and analysis of these parameters can lead to diagnose of several lethal disease. In this work, the method of measurement and analysis of these physiological parameters are described. The simulation, processing and analyses of these signals are also done in the work. The prime objective of the research work is to analyze and extract the features of ECG signal and blood pressure signal for early diagnosis of life threatening diseases

A novel 16-channel wireless system for electroencephalography measurements with dry spring-loaded sensors

Understanding brain function using electroencephalography (EEG) is an important issue for cerebral nervous system diseases, especially for epilepsy and Alzheimer's disease. Many EEG measurement systems are used reliably to study these diseases, but their bulky size and the use of wet sensors make them uncomfortable and inconvenient for users. To overcome the limitations of conventional EEG measurement systems, a wireless and wearable multichannel EEG measurement system is proposed in this paper. This system includes a wireless data acquisition device, dry spring-loaded sensors, and a sizeadjustable soft cap. We compared the performance of the proposed system using dry versus conventional wet sensors. A significant positive correlation between readings from wet and dry sensors was achieved, thus demonstrating the performance of the system. Moreover, four different features of EEG signals (i.e., normal, eye-blinking, closed-eyes, and teeth-clenching signals) were measured by 16 dry sensors to ensure that they could be detected in real-life cognitive neuroscience applications. Thus, we have shown that it is possible to reliably measure EEG signals using the proposed system. This paper presents novel insights into the field of cognitive neuroscience, showing the possibility of studying brain function under real-life conditions. © 2014 IEEE

Deep Learning Algorithms for Time Series Analysis of Cardiovascular Monitoring Systems

This thesis investigates and develops methods to enable ubiquitous monitoring of the most examined cardiovascular signs, blood pressure, and heart rate. Their continuous measurement can help improve health outcomes, such as the detection of hypertension, heart attack, or stroke, which are the leading causes of death and disability. Recent research into wearable blood pressure monitors sought predominately to utilise a hypothesised relationship with pulse transit time, relying on quasiperiodic pulse event extractions from photoplethysmography local signal characteristics and often used only a fraction of typically bivariate time series. This limitation has been addressed in this thesis by developing methods to acquire and utilise fused multivariate time series without the need for manual feature engineering by leveraging recent advances in data science and deep learning methods that showed great data analysis potential in other domains

Advanced sensors technology survey

This project assesses the state-of-the-art in advanced or 'smart' sensors technology for NASA Life Sciences research applications with an emphasis on those sensors with potential applications on the space station freedom (SSF). The objectives are: (1) to conduct literature reviews on relevant advanced sensor technology; (2) to interview various scientists and engineers in industry, academia, and government who are knowledgeable on this topic; (3) to provide viewpoints and opinions regarding the potential applications of this technology on the SSF; and (4) to provide summary charts of relevant technologies and centers where these technologies are being developed

Physical Diagnosis and Rehabilitation Technologies

The book focuses on the diagnosis, evaluation, and assistance of gait disorders; all the papers have been contributed by research groups related to assistive robotics, instrumentations, and augmentative devices