Remote Monitoring of Vital Signs in Diverse Non-Clinical and Clinical Scenarios Using Computer Vision Systems: A Review

Techniques for noncontact measurement of vital signs using camera imaging technologies have been attracting increasing attention. For noncontact physiological assessments, computer vision-based methods appear to be an advantageous approach that could be robust, hygienic, reliable, safe, cost effective and suitable for long distance and long-term monitoring. In addition, video techniques allow measurements from multiple individuals opportunistically and simultaneously in groups. This paper aims to explore the progress of the technology from controlled clinical scenarios with fixed monitoring installations and controlled lighting, towards uncontrolled environments, crowds and moving sensor platforms. We focus on the diversity of applications and scenarios being studied in this topic. From this review it emerges that automatic multiple regions of interest (ROIs) selection, removal of noise artefacts caused by both illumination variations and motion artefacts, simultaneous multiple person monitoring, long distance detection, multi-camera fusion and accepted publicly available datasets are topics that still require research to enable the technology to mature into many real-world applications

Enhanced Joint and Separable Reversible Data Hiding in Encrypted Images with High Payload

Recently, much attention has been paid to reversible data hiding (RDH) in encrypted images, since it preserves the data that the original image can be perfectly recovered after data extraction while protecting the confidentiality of image content. In this paper, we propose joint and separable RDH techniques using an improved embedding pattern and a new measurement function in encrypted images with a high payload. The first problem in recent joint data hiding is that the encrypted image is divided into blocks, and the spatial correlation in the block cannot fully reflect the smoothness of a natural image. The second problem is that half embedding is used to embed data and the prediction error is exploited to calculate the smoothness, which also fails to give good performance. To solve these problems, we divide the encrypted image into four sets, instead of blocks; the actual value of pixels is considered, rather than an estimated value, and the absolute difference between neighboring pixels is used in preference to prediction error to calculate the smoothness. Therefore, it is possible to use spatial correlation of the natural image perfectly. The experimental results show that the proposed joint and separable methods offer better performance over other works

Detection and Localisation of Life Signs from the Air Using Image Registration and Spatio-Temporal Filtering

In search and rescue operations, it is crucial to rapidly identify those people who are alive from those who are not. If this information is known, emergency teams can prioritize their operations to save more lives. However, in some natural disasters the people may be lying on the ground covered with dust, debris, or ashes making them difficult to detect by video analysis that is tuned to human shapes. We present a novel method to estimate the locations of people from aerial video using image and signal processing designed to detect breathing movements. We have shown that this method can successfully detect clearly visible people and people who are fully occluded by debris. First, the aerial videos were stabilized using the key points of adjacent image frames. Next, the stabilized video was decomposed into tile videos and the temporal frequency bands of interest were motion magnified while the other frequencies were suppressed. Image differencing and temporal filtering were performed on each tile video to detect potential breathing signals. Finally, the detected frequencies were remapped to the image frame creating a life signs map that indicates possible human locations. The proposed method was validated with both aerial and ground recorded videos in a controlled environment. Based on the dataset, the results showed good reliability for aerial videos and no errors for ground recorded videos where the average precision measures for aerial videos and ground recorded videos were 0.913 and 1 respectively

Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks

Infants with fragile skin are patients who would benefit from non-contact vital sign monitoring due to the avoidance of potentially harmful adhesive electrodes and cables. Non-contact vital signs monitoring has been studied in clinical settings in recent decades. However, studies on infants in the Neonatal Intensive Care Unit (NICU) are still limited. Therefore, we conducted a single-center study to remotely monitor the heart rate (HR) and respiratory rate (RR) of seven infants in NICU using a digital camera. The region of interest (ROI) was automatically selected using a convolutional neural network and signal decomposition was used to minimize the noise artefacts. The experimental results have been validated with the reference data obtained from an ECG monitor. They showed a strong correlation using the Pearson correlation coefficients (PCC) of 0.9864 and 0.9453 for HR and RR, respectively, and a lower error rate with RMSE 2.23 beats/min and 2.69 breaths/min between measured data and reference data. A Bland–Altman analysis of the data also presented a close correlation between measured data and reference data for both HR and RR. Therefore, this technique may be applicable in clinical environments as an economical, non-contact, and easily deployable monitoring system, and it also represents a potential application in home health monitoring

Noncontact Sensing of Contagion

The World Health Organization (WHO) has declared COVID-19 a pandemic. We review and reduce the clinical literature on diagnosis of COVID-19 through symptoms that might be remotely detected as of early May 2020. Vital signs associated with respiratory distress and fever, coughing, and visible infections have been reported. Fever screening by temperature monitoring is currently popular. However, improved noncontact detection is sought. Vital signs including heart rate and respiratory rate are affected by the condition. Cough, fatigue, and visible infections are also reported as common symptoms. There are non-contact methods for measuring vital signs remotely that have been shown to have acceptable accuracy, reliability, and practicality in some settings. Each has its pros and cons and may perform well in some challenges but be inadequate in others. Our review shows that visible spectrum and thermal spectrum cameras offer the best options for truly noncontact sensing of those studied to date, thermal cameras due to their potential to measure all likely symptoms on a single camera, especially temperature, and video cameras due to their availability, cost, adaptability, and compatibility. Substantial supply chain disruptions during the pandemic and the widespread nature of the problem means that cost-effectiveness and availability are important considerations