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Wang P, Yang M, Zhang X, Wang J, Wang C, Jia H. Non-Contact Blood Pressure Monitoring Using Radar Signals: A Dual-Stage Deep Learning Network. Bioengineering (Basel) 2025; 12:252. [PMID: 40150716 PMCID: PMC11939564 DOI: 10.3390/bioengineering12030252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2025] [Revised: 02/21/2025] [Accepted: 02/25/2025] [Indexed: 03/29/2025] Open
Abstract
Emerging radar sensing technology is revolutionizing cardiovascular monitoring by eliminating direct skin contact. This approach captures vital signs through electromagnetic wave reflections, enabling contactless blood pressure (BP) tracking while maintaining user comfort and privacy. We present a hierarchical neural framework that synergizes spatial and temporal feature learning for radar-driven, contactless BP monitoring. By employing advanced preprocessing techniques, the system captures subtle chest wall vibrations and their second-order derivatives, feeding dual-channel inputs into a hierarchical neural network. Specifically, Stage 1 deploys convolutional depth-adjustable lightweight residual blocks to extract spatial features from micro-motion characteristics, while Stage 2 employs a transformer architecture to establish correlations between these spatial features and BP periodic dynamic variations. Drawing on the intrinsic link between systolic (SBP) and diastolic (DBP) blood pressures, early estimates from Stage 2 are used to expand the feature set for the second-stage network, boosting its predictive power. Validation achieved clinically acceptable errors (SBP: -1.09 ± 5.15 mmHg, DBP: -0.26 ± 4.35 mmHg). Notably, this high degree of accuracy, combined with the ability to estimate BP at 2 s intervals, closely approximates real-time, beat-to-beat monitoring, representing a pivotal breakthrough in non-contact BP monitoring.
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Affiliation(s)
- Pengfei Wang
- Air Force Medical Center, Air Force Medical University, Beijing 100036, China; (P.W.); (M.Y.); (X.Z.)
- Dujiangyan Special Service Nursing Center of Air Force, Chengdu 611800, China
| | - Minghao Yang
- Air Force Medical Center, Air Force Medical University, Beijing 100036, China; (P.W.); (M.Y.); (X.Z.)
| | - Xiaoxue Zhang
- Air Force Medical Center, Air Force Medical University, Beijing 100036, China; (P.W.); (M.Y.); (X.Z.)
| | - Jianqi Wang
- Department of Military Biomedical Engineering, Air Force Medical University, Xi’an 710032, China;
| | - Cong Wang
- Air Force Medical Center, Air Force Medical University, Beijing 100036, China; (P.W.); (M.Y.); (X.Z.)
| | - Hongbo Jia
- Air Force Medical Center, Air Force Medical University, Beijing 100036, China; (P.W.); (M.Y.); (X.Z.)
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Wang S, Bouazizi M, Yang S, Ohtsuki T. Accurate Cardiac Duration Detection for Remote Blood Pressure Estimation Using mm-Wave Doppler Radar. SENSORS (BASEL, SWITZERLAND) 2025; 25:619. [PMID: 39943258 PMCID: PMC11820713 DOI: 10.3390/s25030619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2024] [Revised: 01/17/2025] [Accepted: 01/18/2025] [Indexed: 02/16/2025]
Abstract
This study introduces a radar-based model for estimating blood pressure (BP) in a touch-free manner. The model accurately detects cardiac activity, allowing for contactless and continuous BP monitoring. Cardiac motions are considered crucial components for estimating blood pressure. Unfortunately, because these movements are extremely subtle and can be readily obscured by breathing and background noise, accurately detecting these motions with a radar system remains challenging. Our approach to radar-based blood pressure monitoring in this research primarily focuses on cardiac feature extraction. Initially, an integrated-spectrum waveform is implemented. The method is derived from the short-time Fourier transform (STFT) and has the ability to capture and maintain minute cardiac activities. The integrated spectrum concentrates on energy changes brought about by short and high-frequency vibrations, in contrast to the pulse-wave signals used in previous works. Hence, the interference caused by respiration, random noise, and heart contractile activity can be effectively eliminated. Additionally, we present two approaches for estimating cardiac characteristics. These methods involve the application of a hidden semi-Markov model (HSMM) and a U-net model to extract features from the integrated spectrum. In our approach, the accuracy of extracted cardiac features is highlighted by the notable decreases in the root mean square error (RMSE) for the estimated interbeat intervals (IBIs), systolic time, and diastolic time, which were reduced by 87.5%, 88.7%, and 73.1%. We reached a comparable prediction accuracy even while our subject was breathing normally, despite previous studies requiring the subject to hold their breath. The diastolic BP (DBP) error of our model is 3.98±5.81 mmHg (mean absolute difference ± standard deviation), and the systolic BP (SBP) error is 6.52±7.51 mmHg.
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Affiliation(s)
- Shengze Wang
- Graduate School of Science and Technology, Keio University, Yokohama 223-8522, Japan;
| | - Mondher Bouazizi
- Department of Information and Computer Science, Keio University, Yokohama 223-8522, Japan; (M.B.); (S.Y.)
| | - Siyuan Yang
- Department of Information and Computer Science, Keio University, Yokohama 223-8522, Japan; (M.B.); (S.Y.)
| | - Tomoaki Ohtsuki
- Department of Information and Computer Science, Keio University, Yokohama 223-8522, Japan; (M.B.); (S.Y.)
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Dong S, Wen L, Ye Y, Zhang Z, Wang Y, Liu Z, Cao Q, Xu Y, Li C, Gu C. A Review on Recent Advancements of Biomedical Radar for Clinical Applications. IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY 2024; 5:707-724. [PMID: 39184961 PMCID: PMC11342929 DOI: 10.1109/ojemb.2024.3401105] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 03/10/2024] [Accepted: 05/07/2024] [Indexed: 08/27/2024] Open
Abstract
The field of biomedical radar has witnessed significant advancements in recent years, paving the way for innovative and transformative applications in clinical settings. Most medical instruments invented to measure human activities rely on contact electrodes, causing discomfort. Thanks to its non-invasive nature, biomedical radar is particularly valuable for clinical applications. A significant portion of the review discusses improvements in radar hardware, with a focus on miniaturization, increased resolution, and enhanced sensitivity. Then, this paper also delves into the signal processing and machine learning techniques tailored for radar data. This review will explore the recent breakthroughs and applications of biomedical radar technology, shedding light on its transformative potential in shaping the future of clinical diagnostics, patient and elderly care, and healthcare innovation.
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Affiliation(s)
- Shuqin Dong
- State Key Laboratory of Radio Frequency Heterogeneous Integration and MoE Key Laboratory of Artificial IntelligenceShanghai Jiao Tong UniversityShanghai200240China
- Hecaray Technology Company Ltd.Shanghai200240China
| | - Li Wen
- State Key Laboratory of Radio Frequency Heterogeneous Integration and MoE Key Laboratory of Artificial IntelligenceShanghai Jiao Tong UniversityShanghai200240China
- Hecaray Technology Company Ltd.Shanghai200240China
| | - Yangtao Ye
- State Key Laboratory of Radio Frequency Heterogeneous Integration and MoE Key Laboratory of Artificial IntelligenceShanghai Jiao Tong UniversityShanghai200240China
- Hecaray Technology Company Ltd.Shanghai200240China
| | - Zhi Zhang
- Shanghai General HospitalShanghai Jiao Tong University School of MedicineShanghai200080China
| | - Yi Wang
- International Peace Maternity and Child Health HospitalShanghai Jiao Tong University School of MedicineShanghai200030China
| | - Zhiwei Liu
- International Peace Maternity and Child Health HospitalShanghai Jiao Tong University School of MedicineShanghai200030China
| | - Qing Cao
- Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China
| | - Yuchen Xu
- Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China
| | - Changzhi Li
- Department of Electrical and Computer EngineeringTexas Tech UniversityLubbockTX79409USA
| | - Changzhan Gu
- State Key Laboratory of Radio Frequency Heterogeneous Integration and MoE Key Laboratory of Artificial IntelligenceShanghai Jiao Tong UniversityShanghai200240China
- Hecaray Technology Company Ltd.Shanghai200240China
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Jiang X, Zhang J, Mu W, Wang K, Li L, Zhang L. TRCCBP: Transformer Network for Radar-Based Contactless Continuous Blood Pressure Monitoring. SENSORS (BASEL, SWITZERLAND) 2023; 23:9680. [PMID: 38139525 PMCID: PMC10747831 DOI: 10.3390/s23249680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 11/10/2023] [Accepted: 11/28/2023] [Indexed: 12/24/2023]
Abstract
Contactless continuous blood pressure (BP) monitoring is of great significance for daily healthcare. Radar-based continuous monitoring methods typically extract time-domain features manually such as pulse transit time (PTT) to calculate the BP. However, breathing and slight body movements usually distort the features extracted from pulse-wave signals, especially in long-term continuous monitoring, and manually extracted features may have limited performance for BP estimation. This article proposes a Transformer network for Radar-based Contactless Continuous Blood Pressure monitoring (TRCCBP). A heartbeat signal-guided single-beat pulse wave extraction method is designed to obtain pure pulse-wave signals. A transformer network-based blood pressure estimation network is proposed to estimate BP, which utilizes convolutional layers with different scales, a gated recurrent unit (GRU) to capture time-dependence in continuous radar signal and multi-head attention modules to capture deep temporal domain characteristics. A radar signal dataset captured in an indoor environment containing 31 persons and a real medical situation containing five persons is set up to evaluate the performance of TRCCBP. Compared with the state-of-the-art method, the average accuracy of diastolic blood pressure (DBP) and systolic blood pressure (SBP) is 4.49 mmHg and 4.73 mmHg, improved by 12.36 mmHg and 8.80 mmHg, respectively. The proposed TRCCBP source codes and radar signal dataset have been made open-source online for further research.
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Affiliation(s)
- Xikang Jiang
- School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing 100876, China; (X.J.)
| | - Jinhui Zhang
- Logistic Support Center, Chinese PLA General Hospital, Beijing 100853, China
| | - Wenyao Mu
- School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing 100876, China; (X.J.)
| | - Kun Wang
- Logistic Support Center, Chinese PLA General Hospital, Beijing 100853, China
| | - Lei Li
- School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing 100876, China; (X.J.)
| | - Lin Zhang
- School of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing 100876, China; (X.J.)
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Ishizaka S, Yamamoto K, Ohtsuki T. Non-contact Blood Pressure Estimation Method Based on Blood Pressure Category Classification. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2022; 2022:2676-2679. [PMID: 36085659 DOI: 10.1109/embc48229.2022.9871918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
In recent years, non-contact Blood Pressure (BP) measurement has been attracting attention for measuring our health status in daily life. A Doppler radar can observe pulse waves caused by chest wall displacement due to heartbeat. BP can be estimated by constructing a BP estimation model using BP-related features obtained from the pulse wave. However, compared to when modeling for each subject, the BP esti-mation accuracy deteriorates significantly when modeling with multiple subjects including the testing subject. To deal with this limitation, BP category classification has been introduced into PhotoPlethysmoGraphy (PPG)-based BP estimation. In this paper, we develop a Doppler radar-based BP estimation method based on BP category classification. In the proposed method, the pulse waves extracted from a Doppler radar are classified into three categories, "Low BP", "Normal BP", and "High BP" by k-Nearest Neighbor (kNN) based on the features that correlate with BP. The SBP estimation model is trained for each BP category. After the BP category classification, SBP is then estimated by using the model corresponding to the classified BP category. The experimental results showed that the proposed method with BP category classification estimated SBP accurately, compared to without BP category classification.
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Guo Y, Liu X, Peng S, Jiang X, Xu K, Chen C, Wang Z, Dai C, Chen W. A review of wearable and unobtrusive sensing technologies for chronic disease management. Comput Biol Med 2021; 129:104163. [PMID: 33348217 PMCID: PMC7733550 DOI: 10.1016/j.compbiomed.2020.104163] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 11/30/2020] [Accepted: 11/30/2020] [Indexed: 11/25/2022]
Abstract
With the rapidly increasing number of patients with chronic disease, numerous recent studies have put great efforts into achieving long-term health monitoring and patient management. Specifically, chronic diseases including cardiovascular disease, chronic respiratory disease and brain disease can threaten patients' health conditions over a long period of time, thus effecting their daily lives. Vital health parameters, such as heart rate, respiratory rate, SpO2 and blood pressure, are closely associated with patients’ conditions. Wearable devices and unobtrusive sensing technologies can detect such parameters in a convenient way and provide timely predictions on health condition deterioration by tracking these biomedical signals and health parameters. In this paper, we review current advancements in wearable devices and unobtrusive sensing technologies that can provides possible tools and technological supports for chronic disease management. Current challenges and future directions of related techniques are addressed accordingly.
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Affiliation(s)
- Yao Guo
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Xiangyu Liu
- School of Art Design and Media, East China University of Science and Technology, Shanghai, 200237, China
| | - Shun Peng
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Xinyu Jiang
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Ke Xu
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Chen Chen
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Zeyu Wang
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China
| | - Chenyun Dai
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China.
| | - Wei Chen
- Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, 200433, China.
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Iwata Y, Ishibashi K, Sun G, Luu MH, Han TT, Nguyen LT, Do TT. Contactless Heartbeat Detection from CW-Doppler Radar using Windowed-Singular Spectrum Analysis .. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2020:477-480. [PMID: 33018031 DOI: 10.1109/embc44109.2020.9175441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The continuous-wave Doppler radar measures the movement of a chest surface including of cardiac and breathing signals and the body movement. The challenges associated with extracting cardiac information in the presence of respiration and body movement have not been addressed thus far. This paper presents a novel method based on the windowed-singular spectrum analysis (WSSA) for solving this issue. The algorithm consists of two processes: signal decomposition via WSSA followed by the reconstruction of decomposed heartbeat signals through convolution. An experiment was conducted to collect chest signals in 212 people by Doppler radar. In order to confirm the effect of reducing the large noise by the proposed method, we evaluated 136 signals that were considered to contain respiration body movements from the collected signals. When comparing to the performance of a band-pass filter, the proposed analysis achieves improved beat count accuracy. The results indicate its applicability to contactless heartbeat estimation under involving respiration and body movements.
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