Noise Compression of ECG Signal for Epic Cardio Signal

The electrical activity of the heart called Electrocardiagram (ECG) is a very important diagnostic parameter for the measurement of the heart activity and the health condition of the patient for the treatment purpose, The advance Non- Contact technique for the measure of the cardio ECG signal is EPIC (Electric Potential Integrated Circuit), so for the long term monitoring and analysis of the ECG data, compression techniques are very much important and necessary for the record of large data signals in a space, as small as possible for the storage with the high accuracy while retaining the important diagnostic clinical parameters in case of reconstruction of the original compressed signal. In this paper the results are complied with the compression techniques using Frequency Transformation DCT 2, are proposed for achieving these required conditions based on MATLAB Programming for Standard MIT-BIH Database Record Signal No 100 in association with reference of the work proposed of proposed data in the paper for better results for EPIC ECG signal[1]

Wearable Wireless Devices

No abstract available

Wearable Wireless Devices

No abstract available

A review of electrostatic monitoring technology: The state of the art and future research directions

Electrostatic monitoring technology is a useful tool for monitoring and detecting component faults and degradation, which is necessary for system health management. It encompasses three key research areas: sensor technology; signal detection, processing and feature extraction; and verification experimentation. It has received considerable recent attention for condition monitoring due to its ability to provide warning information and non-obstructive measurements on-line. A number of papers in recent years have covered specific aspects of the technology, including sensor design optimization, sensor characteristic analysis, signal de-noising and practical applications of the technology. This paper provides a review of the recent research and of the development of electrostatic monitoring technology, with a primary emphasis on its application for the aero-engine gas path. The paper also presents a summary of some of the current applications of electrostatic monitoring technology in other industries, before concluding with a brief discussion of the current research situation and possible future challenges and research gaps in this field. The aim of this paper is to promote further research into this promising technology by increasing awareness of both the potential benefits of the technology and the current research gaps

Design of a secure architecture for the exchange of biomedical information in m-Health scenarios

El paradigma de m-Salud (salud móvil) aboga por la integración masiva de las más avanzadas tecnologías de comunicación, red móvil y sensores en aplicaciones y sistemas de salud, para fomentar el despliegue de un nuevo modelo de atención clínica centrada en el usuario/paciente. Este modelo tiene por objetivos el empoderamiento de los usuarios en la gestión de su propia salud (p.ej. aumentando sus conocimientos, promocionando estilos de vida saludable y previniendo enfermedades), la prestación de una mejor tele-asistencia sanitaria en el hogar para ancianos y pacientes crónicos y una notable disminución del gasto de los Sistemas de Salud gracias a la reducción del número y la duración de las hospitalizaciones. No obstante, estas ventajas, atribuidas a las aplicaciones de m-Salud, suelen venir acompañadas del requisito de un alto grado de disponibilidad de la información biomédica de sus usuarios para garantizar una alta calidad de servicio, p.ej. fusionar varias señales de un usuario para obtener un diagnóstico más preciso. La consecuencia negativa de cumplir esta demanda es el aumento directo de las superficies potencialmente vulnerables a ataques, lo que sitúa a la seguridad (y a la privacidad) del modelo de m-Salud como factor crítico para su éxito. Como requisito no funcional de las aplicaciones de m-Salud, la seguridad ha recibido menos atención que otros requisitos técnicos que eran más urgentes en etapas de desarrollo previas, tales como la robustez, la eficiencia, la interoperabilidad o la usabilidad. Otro factor importante que ha contribuido a retrasar la implementación de políticas de seguridad sólidas es que garantizar un determinado nivel de seguridad implica unos costes que pueden ser muy relevantes en varias dimensiones, en especial en la económica (p.ej. sobrecostes por la inclusión de hardware extra para la autenticación de usuarios), en el rendimiento (p.ej. reducción de la eficiencia y de la interoperabilidad debido a la integración de elementos de seguridad) y en la usabilidad (p.ej. configuración más complicada de dispositivos y aplicaciones de salud debido a las nuevas opciones de seguridad). Por tanto, las soluciones de seguridad que persigan satisfacer a todos los actores del contexto de m-Salud (usuarios, pacientes, personal médico, personal técnico, legisladores, fabricantes de dispositivos y equipos, etc.) deben ser robustas y al mismo tiempo minimizar sus costes asociados. Esta Tesis detalla una propuesta de seguridad, compuesta por cuatro grandes bloques interconectados, para dotar de seguridad a las arquitecturas de m-Salud con unos costes reducidos. El primer bloque define un esquema global que proporciona unos niveles de seguridad e interoperabilidad acordes con las características de las distintas aplicaciones de m-Salud. Este esquema está compuesto por tres capas diferenciadas, diseñadas a la medidas de los dominios de m-Salud y de sus restricciones, incluyendo medidas de seguridad adecuadas para la defensa contra las amenazas asociadas a sus aplicaciones de m-Salud. El segundo bloque establece la extensión de seguridad de aquellos protocolos estándar que permiten la adquisición, el intercambio y/o la administración de información biomédica -- por tanto, usados por muchas aplicaciones de m-Salud -- pero no reúnen los niveles de seguridad detallados en el esquema previo. Estas extensiones se concretan para los estándares biomédicos ISO/IEEE 11073 PHD y SCP-ECG. El tercer bloque propone nuevas formas de fortalecer la seguridad de los tests biomédicos, que constituyen el elemento esencial de muchas aplicaciones de m-Salud de carácter clínico, mediante codificaciones novedosas. Finalmente el cuarto bloque, que se sitúa en paralelo a los anteriores, selecciona herramientas genéricas de seguridad (elementos de autenticación y criptográficos) cuya integración en los otros bloques resulta idónea, y desarrolla nuevas herramientas de seguridad, basadas en señal -- embedding y keytagging --, para reforzar la protección de los test biomédicos.The paradigm of m-Health (mobile health) advocates for the massive integration of advanced mobile communications, network and sensor technologies in healthcare applications and systems to foster the deployment of a new, user/patient-centered healthcare model enabling the empowerment of users in the management of their health (e.g. by increasing their health literacy, promoting healthy lifestyles and the prevention of diseases), a better home-based healthcare delivery for elderly and chronic patients and important savings for healthcare systems due to the reduction of hospitalizations in number and duration. It is a fact that many m-Health applications demand high availability of biomedical information from their users (for further accurate analysis, e.g. by fusion of various signals) to guarantee high quality of service, which on the other hand entails increasing the potential surfaces for attacks. Therefore, it is not surprising that security (and privacy) is commonly included among the most important barriers for the success of m-Health. As a non-functional requirement for m-Health applications, security has received less attention than other technical issues that were more pressing at earlier development stages, such as reliability, eficiency, interoperability or usability. Another fact that has contributed to delaying the enforcement of robust security policies is that guaranteeing a certain security level implies costs that can be very relevant and that span along diferent dimensions. These include budgeting (e.g. the demand of extra hardware for user authentication), performance (e.g. lower eficiency and interoperability due to the addition of security elements) and usability (e.g. cumbersome configuration of devices and applications due to security options). Therefore, security solutions that aim to satisfy all the stakeholders in the m-Health context (users/patients, medical staff, technical staff, systems and devices manufacturers, regulators, etc.) shall be robust and, at the same time, minimize their associated costs. This Thesis details a proposal, composed of four interrelated blocks, to integrate appropriate levels of security in m-Health architectures in a cost-efcient manner. The first block designes a global scheme that provides different security and interoperability levels accordingto how critical are the m-Health applications to be implemented. This consists ofthree layers tailored to the m-Health domains and their constraints, whose security countermeasures defend against the threats of their associated m-Health applications. Next, the second block addresses the security extension of those standard protocols that enable the acquisition, exchange and/or management of biomedical information | thus, used by many m-Health applications | but do not meet the security levels described in the former scheme. These extensions are materialized for the biomedical standards ISO/IEEE 11073 PHD and SCP-ECG. Then, the third block proposes new ways of enhancing the security of biomedical standards, which are the centerpiece of many clinical m-Health applications, by means of novel codings. Finally the fourth block, with is parallel to the others, selects generic security methods (for user authentication and cryptographic protection) whose integration in the other blocks results optimal, and also develops novel signal-based methods (embedding and keytagging) for strengthening the security of biomedical tests. The layer-based extensions of the standards ISO/IEEE 11073 PHD and SCP-ECG can be considered as robust, cost-eficient and respectful with their original features and contents. The former adds no attributes to its data information model, four new frames to the service model |and extends four with new sub-frames|, and only one new sub-state to the communication model. Furthermore, a lightweight architecture consisting of a personal health device mounting a 9 MHz processor and an aggregator mounting a 1 GHz processor is enough to transmit a 3-lead electrocardiogram in real-time implementing the top security layer. The extra requirements associated to this extension are an initial configuration of the health device and the aggregator, tokens for identification/authentication of users if these devices are to be shared and the implementation of certain IHE profiles in the aggregator to enable the integration of measurements in healthcare systems. As regards to the extension of SCP-ECG, it only adds a new section with selected security elements and syntax in order to protect the rest of file contents and provide proper role-based access control. The overhead introduced in the protected SCP-ECG is typically 2{13 % of the regular file size, and the extra delays to protect a newly generated SCP-ECG file and to access it for interpretation are respectively a 2{10 % and a 5 % of the regular delays. As regards to the signal-based security techniques developed, the embedding method is the basis for the proposal of a generic coding for tests composed of biomedical signals, periodic measurements and contextual information. This has been adjusted and evaluated with electrocardiogram and electroencephalogram-based tests, proving the objective clinical quality of the coded tests, the capacity of the coding-access system to operate in real-time (overall delays of 2 s for electrocardiograms and 3.3 s for electroencephalograms) and its high usability. Despite of the embedding of security and metadata to enable m-Health services, the compression ratios obtained by this coding range from ' 3 in real-time transmission to ' 5 in offline operation. Complementarily, keytagging permits associating information to images (and other signals) by means of keys in a secure and non-distorting fashion, which has been availed to implement security measures such as image authentication, integrity control and location of tampered areas, private captioning with role-based access control, traceability and copyright protection. The tests conducted indicate a remarkable robustness-capacity tradeoff that permits implementing all this measures simultaneously, and the compatibility of keytagging with JPEG2000 compression, maintaining this tradeoff while setting the overall keytagging delay in only ' 120 ms for any image size | evidencing the scalability of this technique. As a general conclusion, it has been demonstrated and illustrated with examples that there are various, complementary and structured manners to contribute in the implementation of suitable security levels for m-Health architectures with a moderate cost in budget, performance, interoperability and usability. The m-Health landscape is evolving permanently along all their dimensions, and this Thesis aims to do so with its security. Furthermore, the lessons learned herein may offer further guidance for the elaboration of more comprehensive and updated security schemes, for the extension of other biomedical standards featuring low emphasis on security or privacy, and for the improvement of the state of the art regarding signal-based protection methods and applications

M2M 원격심전도를 위한 스케일러블 코딩 및 링크 적응기법

학위논문 (박사)-- 서울대학교 대학원 : 전기·컴퓨터공학부, 2017. 2. 신현식.Medical telemetry is one of the most demanding applications in recent wearable computing era. Telecardiology, which uses the power of telecommunications for the remote diagnosis and treatment of heart diseases, is one of the key telemetry applications that leverages IoT-based technologies to improve patient care. Based on recent advances in wearable sensors and telecommunication technologies, this thesis proposes a universal platform for wearable daily cardiac monitoring service. First, we propose an adaptive framework for layered representation and transmission of ECG (electrocardiography) data that can accommodate a time-varying wireless channel on cellular networks. The representation, combined with the layer-based earliest deadline first (LB-EDF) scheduler, ensures that the perceptual quality of the reconstructed ECG signal does not degrade abruptly under severe channel conditions and that the available bandwidth is utilized efficiently. Simulation shows that the proposed approach significantly improves the perceptual quality of the ECG signal reconstructed at the remote monitoring station. Then we extend the proposed adaptive framework to support time-critical medical applications. In fact, the use of wireless technologies has been avoided for medical situations that demand instantaneous cardiac monitoring because of their considerable and nondeterministic end-to-end latency. This thesis introduces a universal platform for machine-to-machine (M2M) telecardiology over cellular networks, along with a novel conservative modulation and coding scheme to minimize and stabilize the delay down to 10 ms of ultra-low latency level, incurred during the process of ECG transmission over a wireless medium while maintaining the desired level of ECG pattern quality required for improving the chance of its interpretation. Machine-type communication (MTC) system is adopted for the delivery of patient ECG data to benefit from its inherent reliability, pervasiveness, security, and performance of 4G long term evolution (LTE) technologies with reduced cost and enhanced coverage. Extensive evaluations indicate that the proposed system provides a sufficient level of service for medical-grade instantaneous ECG monitoring in significantly deteriorated channel conditions.1.Introduction 1 1.1 Motivation and Objectives 1 1.2 Research Contributions 6 1.3 Orgranization of Thesis 8 2 Background and Related Works 10 2.1 ECG Generals 10 2.2 Wireless ECG 15 2.3 Wireless Medium for Telecardiology 20 2.3.1 Wireless Personal Area Networks 21 2.3.2 Wireless Local Area Networks 22 2.3.3 Cellular Networks 23 3 Scalable ECG Transmission over Cellular Networks 24 3.1 System Architecture 26 3.2 Scalable Representation of ECG Data 27 3.3 ARQ-Based Error Control Using LB-EDF 30 3.4 Performance of Wireless ECG Transmission 33 4 Conservative Modulation and Coding for Instantaneous ECG Monitoring over LTE MTC 37 4.1 Architecture of Universal M2M ECG Platform 39 4.2 Demand for Instantaneous Monitoring 43 4.3 System Requirements for Instantaneous Monitoring Services 45 4.3.1 Latency Requirements and Analysis 45 4.3.2 Presentation Requirements for Sufficient Clinical Accuracy 53 4.4 System Architecture for Instantaneous Wireless ECG Monitoring using LTE MTC 58 4.4.1 Spatio-Temporal Scalable Media Coding for ECG signal 60 4.4.2 Conservative Modulation and Coding to Provide Extra Protection for Higher Prioritized Scalable Layers 64 4.4.3 System Parameter Analysis 68 4.5 Performance Evaluation 72 4.5.1 Simulation Environment 72 4.5.2 Simulation Results 72 4.5.3 Service Level Adjustment 78 5 Conclusion 79 5.1 Summary 79 5.2 Future Research Directions 83 Bibliography 84 Abstract in Korean 103Docto

Acoustic sensing as a novel approach for cardiovascular monitoring at the wrist

Cardiovascular diseases are the number one cause of deaths globally. An increased cardiovascular risk can be detected by a regular monitoring of the vital signs including the heart rate, the heart rate variability (HRV) and the blood pressure. For a user to undergo continuous vital sign monitoring, wearable systems prove to be very useful as the device can be integrated into the user's lifestyle without affecting the daily activities. However, the main challenge associated with the monitoring of these cardiovascular parameters is the requirement of different sensing mechanisms at different measurement sites. There is not a single wearable device that can provide sufficient physiological information to track the vital signs from a single site on the body. This thesis proposes a novel concept of using acoustic sensing over the radial artery to extract cardiac parameters for vital sign monitoring. A wearable system consisting of a microphone is designed to allow the detection of the heart sounds together with the pulse wave, an attribute not possible with existing wrist-based sensing methods. Methods: The acoustic signals recorded from the radial artery are a continuous reflection of the instantaneous cardiac activity. These signals are studied and characterised using different algorithms to extract cardiovascular parameters. The validity of the proposed principle is firstly demonstrated using a novel algorithm to extract the heart rate from these signals. The algorithm utilises the power spectral analysis of the acoustic pulse signal to detect the S1 sounds and additionally, the K-means method to remove motion artifacts for an accurate heartbeat detection. The HRV in the short-term acoustic recordings is found by extracting the S1 events using the relative information between the short- and long-term energies of the signal. The S1 events are localised using three different characteristic points and the best representation is found by comparing the instantaneous heart rate profiles. The possibility of measuring the blood pressure using the wearable device is shown by recording the acoustic signal under the influence of external pressure applied on the arterial branch. The temporal and spectral characteristics of the acoustic signal are utilised to extract the feature signals and obtain a relationship with the systolic blood pressure (SBP) and diastolic blood pressure (DBP) respectively. Results: This thesis proposes three different algorithms to find the heart rate, the HRV and the SBP/ DBP readings from the acoustic signals recorded at the wrist. The results obtained by each algorithm are as follows: 1. The heart rate algorithm is validated on a dataset consisting of 12 subjects with a data length of 6 hours. The results demonstrate an accuracy of 98.78%, mean absolute error of 0.28 bpm, limits of agreement between -1.68 and 1.69 bpm, and a correlation coefficient of 0.998 with reference to a state-of-the-art PPG-based commercial device. A high statistical agreement between the heart rate obtained from the acoustic signal and the photoplethysmography (PPG) signal is observed. 2. The HRV algorithm is validated on the short-term acoustic signals of 5-minutes duration recorded from each of the 12 subjects. A comparison is established with the simultaneously recorded electrocardiography (ECG) and PPG signals respectively. The instantaneous heart rate for all the subjects combined together achieves an accuracy of 98.50% and 98.96% with respect to the ECG and PPG signals respectively. The results for the time-domain and frequency-domain HRV parameters also demonstrate high statistical agreement with the ECG and PPG signals respectively. 3. The algorithm proposed for the SBP/ DBP determination is validated on 104 acoustic signals recorded from 40 adult subjects. The experimental outputs when compared with the reference arm- and wrist-based monitors produce a mean error of less than 2 mmHg and a standard deviation of error around 6 mmHg. Based on these results, this thesis shows the potential of this new sensing modality to be used as an alternative, or to complement existing methods, for the continuous monitoring of heart rate and HRV, and spot measurement of the blood pressure at the wrist.Open Acces

Compression of ECG signals recorded using mobile ECG device

Komprese signálů je nezbytnou součástí pro snímání EKG, z důvodu poměrně velkého objemu dat, která je nutno především bezdrátově posílat na analýzu. Právě kvůli bezdrátovému odesílání je nutné objem dat co nejvíce minimalizovat. K minimalizaci objemu slouží bezeztrátové nebo ztrátové kompresní algoritmy. Tato práce popisuje algoritmus SPIHT a nově vytvořenou experimentální metodu, založenou na kompresi pomocí PNG, a jejich testování. V této diplomové práci je také uvedena banka signálů EKG s paralelně snímanými daty z akcelerometru. V poslední části práce je rozebrána a realizována úprava algoritmu SPIHT, využívající data akcelerometru.Signal compression is necessary part for ECG scanning, because of relatively big amount of data, which must be transmitted primarily wirelessly for analysis. Because of the wireless sending it is necessary to minimize the amount of data as much as possible. To minimize the amount of data, lossless or lossy compression algorithms are used. This work describes an algorithm SPITH and newly created experimental method, based on PNG, and their testing. This master’s thesis there is also a bank of ECG signals with parallel sensed accelerometer data. In the last part, modification of SPIHT algorithm, which uses accelerometer data, is described and realized.