Preclinical Evaluation of a Noncontact Simultaneous Monitoring Method for Respiration and Carotid Pulsation Using Impulse-Radio Ultra-Wideband Radar

Algorithmic detection of sleep-disordered breathing using respiratory signals: a systematic review

Background and Objective. Sleep-disordered breathing (SDB) poses health risks linked to hypertension, cardiovascular disease, and diabetes. However, the time-consuming and costly standard diagnostic method, polysomnography (PSG), limits its wide adoption and leads to underdiagnosis. To tackle this, cost-effective algorithms using single-lead signals (like respiratory, blood oxygen, and electrocardiogram) have emerged. Despite respiratory signals being preferred for SDB assessment, a lack of comprehensive reviews addressing their algorithmic scope and performance persists. This paper systematically reviews 2012-2022 literature, covering signal sources, processing, feature extraction, classification, and application, aiming to bridge this gap and provide future research references.Methods. This systematic review followed the registered PROSPERO protocol (CRD42022385130), initially screening 342 papers, with 32 studies meeting data extraction criteria.Results. Respiratory signal sources include nasal airflow (NAF), oronasal airflow (OAF), and respiratory movement-related signals such as thoracic respiratory effort (TRE) and abdominal respiratory effort (ARE). Classification techniques include threshold rule-based methods (8), machine learning models (13), and deep learning models (11). The NAF-based algorithm achieved the highest average accuracy at 94.11%, surpassing 78.19% for other signals. Hypopnea detection sensitivity with single-source respiratory signals remained modest, peaking at 73.34%. The TRE and ARE signals proved to be reliable in identifying different types of SDB because distinct respiratory disorders exhibited different patterns of chest and abdominal motion.Conclusions. Multiple detection algorithms have been widely applied for SDB detection, and their accuracy is closely related to factors such as signal source, signal processing, feature selection, and model selection.

Systematic Literature Review Regarding Heart Rate and Respiratory Rate Measurement by Means of Radar Technology

The use of radar technology for non-contact measurement of vital parameters is increasingly being examined in scientific studies. Based on a systematic literature search in the PubMed, German National Library, Austrian Library Network (Union Catalog), Swiss National Library and Common Library Network databases, the accuracy of heart rate and/or respiratory rate measurements by means of radar technology was analyzed. In 37% of the included studies on the measurement of the respiratory rate and in 48% of those on the measurement of the heart rate, the maximum deviation was 5%. For a tolerated deviation of 10%, the corresponding percentages were 85% and 87%, respectively. However, the quantitative comparability of the results available in the current literature is very limited due to a variety of variables. The elimination of the problem of confounding variables and the continuation of the tendency to focus on the algorithm applied will continue to constitute a central topic of radar-based vital parameter measurement. Promising fields of application of research can be found in particular in areas that require non-contact measurements. This includes infection events, emergency medicine, disaster situations and major catastrophic incidents.

Non-contact diagnosis of sleep breathing disorders using infrared optical gas imaging: a prospective observational study

Full-night polysomnography (PSG) is the gold standard for diagnosing obstructive sleep apnea (OSA). However, PSG requires several sensors to be attached to the patient's body, which can interfere with sleep. Moreover, non-contact devices that utilize impulse radio ultra-wideband radar have limitations as they cannot directly measure respiratory airflow. This study aimed to detect respiratory events through infrared optical gas imaging and verify its feasibility for the diagnosis of OSA. Data collection through PSG and infrared optical gas imaging was simultaneously conducted on 50 volunteers. Respiratory airflow signal was extracted from the infrared optical gas images using an automated algorithm. We compared the respiratory parameters obtained from infrared optical gas imaging with those from PSG. All respiratory events scored from the infrared optical gas imaging were strongly correlated with those identified with standard PSG sensors. Based on a receiver operating characteristic curve, infrared optical gas imaging was deemed appropriate for the diagnosis of OSA. Infrared optical gas imaging accurately detected respiratory events during sleep; therefore, it may be employed as a screening tool for OSA.

Noncontact assessment for fatigue based on heart rate variability using IR-UWB radar

Physical fatigue can be assessed using heart rate variability (HRV). We measured HRV at rest and in a fatigued state using impulse-radio ultra wideband (IR-UWB) radar in a noncontact fashion and compared the measurements with those obtained using electrocardiography (ECG) to assess the reliability and validity of the radar measurements. HRV was measured in 15 subjects using radar and ECG simultaneously before (rest for 10 min before exercise) and after a 20-min exercise session (fatigue level 1 for 0–9 min; fatigue level 2 for 10–19 min; recovery for ≥ 20 min after exercise). HRV was analysed in the frequency domain, including the low-frequency component (LF), high-frequency component (HF) and LF/HF ratio. The LF/HF ratio measured using radar highly agreed with that measured using ECG during rest (ICC = 0.807), fatigue-1 (ICC = 0.712), fatigue-2 (ICC = 0.741) and recovery (ICC = 0.764) in analyses using intraclass correlation coefficients (ICCs). The change pattern in the LH/HF ratios during the experiment was similar between radar and ECG. The subject’s body fat percentage was linearly associated with the time to recovery from physical fatigue (R² = 0.96, p < 0.001). Our results demonstrated that fatigue and rest states can be distinguished accurately based on HRV measurements using IR-UWB radar in a noncontact fashion.

Preclinical evaluation of noncontact vital signs monitoring using real-time IR-UWB radar and factors affecting its accuracy

Recently, noncontact vital sign monitors have attracted attention because of issues related to the transmission of contagious diseases. We developed a real-time vital sign monitor using impulse-radio ultrawideband (IR-UWB) radar with embedded processors and software; we then evaluated its accuracy in measuring heart rate (HR) and respiratory rate (RR) and investigated the factors affecting the accuracy of the radar-based measurements. In 50 patients visiting a cardiology clinic, HR and RR were measured using IR-UWB radar simultaneously with electrocardiography and capnometry. All patients underwent HR and RR measurements in 2 postures—supine and sitting—for 2 min each. There was a high agreement between the RR measured using radar and capnometry (concordance correlation coefficient [CCC] 0.925 [0.919–0.926]; upper and lower limits of agreement [LOA], − 2.21 and 3.90 breaths/min). The HR measured using radar was also in close agreement with the value measured using electrocardiography (CCC 0.749 [0.738–0.760]; upper and lower LOA, − 12.78 and 15.04 beats/min). Linear mixed effect models showed that the sitting position and an HR < 70 bpm were associated with an increase in the absolute biases of the HR, whereas the sitting position and an RR < 18 breaths/min were associated with an increase in the absolute biases of the RR. The IR-UWB radar sensor with embedded processors and software can measure the RR and HR in real time with high precision. The sitting position and a low RR or HR were associated with the accuracy of RR and HR measurement, respectively, using IR-UWB radar.

Validation of a New Contactless and Continuous Respiratory Rate Monitoring Device Based on Ultra-Wideband Radar Technology

Respiratory rate (RR) is typically the first vital sign to change when a patient decompensates. Despite this, RR is often monitored infrequently and inaccurately. The Circadia Contactless Breathing Monitor™ (model C100) is a novel device that uses ultra-wideband radar to monitor RR continuously and un-obtrusively. Performance of the Circadia Monitor was assessed by direct comparison to manually scored reference data. Data were collected across a range of clinical and non-clinical settings, considering a broad range of user characteristics and use cases, in a total of 50 subjects. Bland-Altman analysis showed high agreement with the gold standard reference for all study data, and agreement fell within the predefined acceptance criteria of ±5 breaths per minute (BrPM). The 95% limits of agreement were -3.0 to 1.3 BrPM for a nonprobability sample of subjects while awake, -2.3 to 1.7 BrPM for a clinical sample of subjects while asleep, and -1.2 to 0.7 BrPM for a sample of healthy subjects while asleep. Accuracy rate, using an error margin of ±2 BrPM, was found to be 90% or higher. Results demonstrate that the Circadia Monitor can effectively and efficiently be used for accurate spot measurements and continuous bedside monitoring of RR in low acuity settings, such as the nursing home or hospital ward, or for remote patient monitoring.

UWB-gestures, a public dataset of dynamic hand gestures acquired using impulse radar sensors

In the past few decades, deep learning algorithms have become more prevalent for signal detection and classification. To design machine learning algorithms, however, an adequate dataset is required. Motivated by the existence of several open-source camera-based hand gesture datasets, this descriptor presents UWB-Gestures, the first public dataset of twelve dynamic hand gestures acquired with ultra-wideband (UWB) impulse radars. The dataset contains a total of 9,600 samples gathered from eight different human volunteers. UWB-Gestures eliminates the need to employ UWB radar hardware to train and test the algorithm. Additionally, the dataset can provide a competitive environment for the research community to compare the accuracy of different hand gesture recognition (HGR) algorithms, enabling the provision of reproducible research results in the field of HGR through UWB radars. Three radars were placed at three different locations to acquire the data, and the respective data were saved independently for flexibility.

Radar Recorded Child Vital Sign Public Dataset and Deep Learning-Based Age Group Classification Framework for Vehicular Application

The ongoing intense development of short-range radar systems and their improved capability of measuring small movements make these systems reliable solutions for the extraction of human vital signs in a contactless fashion. The continuous contactless monitoring of vital signs can be considered in a wide range of applications, such as remote healthcare solutions and context-aware smart sensor development. Currently, the provision of radar-recorded datasets of human vital signs is still an open issue. In this paper, we present a new frequency-modulated continuous wave (FMCW) radar-recorded vital sign dataset for 50 children aged less than 13 years. A clinically approved vital sign monitoring sensor was also deployed as a reference, and data from both sensors were time-synchronized. With the presented dataset, a new child age-group classification system based on GoogLeNet is proposed to develop a child safety sensor for smart vehicles. The radar-recorded vital signs of children are divided into several age groups, and the GoogLeNet framework is trained to predict the age of unknown human test subjects.

Contactless analysis of heart rate variability during cold pressor test using radar interferometry and bidirectional LSTM networks

Contactless measurement of heart rate variability (HRV), which reflects changes of the autonomic nervous system (ANS) and provides crucial information on the health status of a person, would provide great benefits for both patients and doctors during prevention and aftercare. However, gold standard devices to record the HRV, such as the electrocardiograph, have the common disadvantage that they need permanent skin contact with the patient. Being connected to a monitoring device by cable reduces the mobility, comfort, and compliance by patients. Here, we present a contactless approach using a 24 GHz Six-Port-based radar system and an LSTM network for radar heart sound segmentation. The best scores are obtained using a two-layer bidirectional LSTM architecture. To verify the performance of the proposed system not only in a static measurement scenario but also during a dynamic change of HRV parameters, a stimulation of the ANS through a cold pressor test is integrated in the study design. A total of 638 minutes of data is gathered from 25 test subjects and is analysed extensively. High F-scores of over 95% are achieved for heartbeat detection. HRV indices such as HF norm are extracted with relative errors around 5%. Our proposed approach is capable to perform contactless and convenient HRV monitoring and is therefore suitable for long-term recordings in clinical environments and home-care scenarios.

Feasibility of non-contact cardiorespiratory monitoring using impulse-radio ultra-wideband radar in the neonatal intensive care unit

Background

Current cardiorespiratory monitoring equipment can cause injuries and infections in neonates with fragile skin. Impulse-radio ultra-wideband (IR-UWB) radar was recently demonstrated to be an effective contactless vital sign monitor in adults. The purpose of this study was to assess heart rates (HRs) and respiratory rates (RRs) in the neonatal intensive care unit (NICU) using IR-UWB radar and to evaluate its accuracy and reliability compared to conventional electrocardiography (ECG)/impedance pneumography (IPG).

Methods

The HR and RR were recorded in 34 neonates between 3 and 72 days of age during minimal movement (51 measurements in total) using IR-UWB radar (HR_Rd, RR_Rd) and ECG/IPG (HR_ECG, RR_IPG) simultaneously. The radar signals were processed in real time using algorithms for neonates. Radar and ECG/IPG measurements were compared using concordance correlation coefficients (CCCs) and Bland-Altman plots.

Results

From the 34 neonates, 12,530 HR samples and 3,504 RR samples were measured. Both the HR and RR measured using the two methods were highly concordant when the neonates had minimal movements (CCC = 0.95 between the RR_Rd and RR_IPG, CCC = 0.97 between the HR_Rd and HR_ECG). In the Bland-Altman plot, the mean biases were 0.17 breaths/min (95% limit of agreement [LOA] -7.0–7.3) between the RR_Rd and RR_IPG and -0.23 bpm (95% LOA -5.3–4.8) between the HR_Rd and HR_ECG. Moreover, the agreement for the HR and RR measurements between the two modalities was consistently high regardless of neonate weight.

Conclusions

A cardiorespiratory monitor using IR-UWB radar may provide accurate non-contact HR and RR estimates without wires and electrodes for neonates in the NICU.

Experimental Comparison of IR-UWB Radar and FMCW Radar for Vital Signs

In this paper, we compare the performances of impulse radio ultra-wideband (IR-UWB) and frequency modulation continuous wave (FMCW) radars in measuring noncontact vital signs such as respiration rate and heart rate. These two type radars have been widely used in various fields and have shown their applicability to extract vital signs in noncontact ways. IR-UWB radar can extract vital signs using distance information. On the other hand, FMCW radar requires phase information to estimate vital signs, and the result can be enhanced with Multi-input Multi-output (MIMO) antenna topologies. By using commercial radar chipsets, the operation of radars under different conditions and frequency bands will also affect the performance of vital sign detection capabilities. We compared the accuracy and signal-to-noise (SNR) ratios of IR-UWB and FMCW radars in various scenarios, such as distance, orientation, carotid pulse, harmonics, and obstacle penetration. In general, the IR-UWB radars offer a slightly better accuracy and higher SNR in comparison to FMCW radar. However, each radar system has its own unique advantages, with IR-UWB exhibiting fewer harmonics and a higher SNR, while FMCW can combine the results from each channel.

Continuous In-Bed Monitoring of Vital Signs Using a Multi Radar Setup for Freely Moving Patients

In hospitals, continuous monitoring of vital parameters can provide valuable information about the course of a patient’s illness and allows early warning of emergencies. To enable such monitoring without restricting the patient’s freedom of movement and comfort, a radar system is attached under the mattress which consists of four individual radar modules to cover the entire width of the bed. Using radar, heartbeat and respiration can be measured without contact and through clothing. By processing the raw radar data, the presence of a patient can be determined and movements are categorized into the classes “bed exit”, “bed entry”, and “on bed movement”. Using this information, the vital parameters can be assessed in sections where the patient lies calmly in bed. In the first step, the presence and movement classification is demonstrated using recorded training and test data. Next, the radar was modified to perform vital sign measurements synchronized to a gold standard device. The evaluation of the individual radar modules shows that, regardless of the lying position of the test person, at least one of the radar modules delivers accurate results for continuous monitoring.

A New Thresholding Method for IR-UWB Radar-Based Detection Applications

In this paper, we proposed a new thresholding method for impulse radio ultra-wideband (IR-UWB) radar-based detection applications by taking both the false alarm and miss-detection rates into consideration. The thresholding algorithm is the key point of the detection application, and there have been numerous studies on these developments. Most of these studies were related to the occurrence of false alarms, such as the constant false alarm rate algorithm (CFAR). However, very few studies have considered miss-detection, which is another crucial issue in detection applications. To mitigate this issue, our proposed algorithm considered miss-detection as well as the false alarms occurring during thresholding. In the proposed algorithm, a threshold is determined by combining a noise signal-based threshold, in which the focus point is the false alarm, with a target signal-based threshold, in which the focus point is a miss-detection, at a designed ratio. Therefore, a threshold can be determined based on the focus point by adjusting the designed ratio. In addition, the proposed algorithm can estimate the false alarm and miss-detection rates for the determined threshold, and thus, the threshold can be objectively set. Moreover, the proposed algorithm is better in terms of understanding the target signal for a given environment. A target signal can be affected by the clutter, installation height, and the angle of the radar, which are factors that noise-oriented algorithms do not consider. As the proposed algorithm analyzed the target signal, these factors were all considered. We analyzed the false alarm and miss-detection rates for the thresholds, which were determined by different combination ratios at various distances, and we experimentally verified the validity of the proposed algorithm.

A dataset of radar-recorded heart sounds and vital signs including synchronised reference sensor signals

Radar systems allow for contactless measurements of vital signs such as heart sounds, the pulse signal, and respiration. This approach is able to tackle crucial disadvantages of state-of-the-art monitoring devices such as the need for permanent wiring and skin contact. Potential applications include the employment in a hospital environment but also in home care or passenger vehicles. This dataset consists of synchronised data which are acquired using a Six-Port-based radar system operating at 24 GHz, a digital stethoscope, an ECG, and a respiration sensor. 11 test subjects were measured in different defined scenarios and at several measurement positions such as at the carotid, the back, and several frontal positions on the thorax. Overall, around 223 minutes of data were acquired at scenarios such as breath-holding, post-exercise measurements, and while speaking. The presented dataset contains reference-labeled ECG signals and can therefore easily be used to either test algorithms for monitoring the heart rate, but also to gain insights about characteristic effects of radar-based vital sign monitoring.

Measurement(s)	heart function measurement • heart rate • Respiration • heart sounds
Technology Type(s)	radar system
Factor Type(s)	sex • age • weight • height • BMI
Sample Characteristic - Organism	Homo sapiens

Machine-accessible metadata file describing the reported data: 10.6084/m9.figshare.11778900