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Shao H, Luo L, Qian J, Yan M, Gao S, Yang J. Video-Based Multiphysiological Disentanglement and Remote Robust Estimation for Respiration. IEEE TRANSACTIONS ON NEURAL NETWORKS AND LEARNING SYSTEMS 2025; 36:8360-8371. [PMID: 39012736 DOI: 10.1109/tnnls.2024.3424772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Remote noncontact respiratory rate estimation by facial visual information has great research significance, providing valuable priors for health monitoring, clinical diagnosis, and anti-fraud. However, existing studies suffer from disturbances in epidermal specular reflections induced by head movements and facial expressions. Furthermore, diffuse reflections of light in the skin-colored subcutaneous tissue caused by multiple time-varying physiological signals independent of breathing are entangled with the intention of the respiratory process, leading to confusion in current research. To address these issues, this article proposes a novel network for natural light video-based remote respiration estimation. Specifically, our model consists of a two-stage architecture that progressively implements vital measurements. The first stage adopts an encoder-decoder structure to recharacterize the facial motion frame differences of the input video based on the gradient binary state of the respiratory signal during inspiration and expiration. Then, the obtained generative mapping, which is disentangled from various time-varying interferences and is only linearly related to the respiratory state, is combined with the facial appearance in the second stage. To further improve the robustness of our algorithm, we design a targeted long-term temporal attention module and embed it between the two stages to enhance the network's ability to model the breathing cycle that occupies ultra many frames and to mine hidden timing change clues. We train and validate the proposed network on a series of publicly available respiration estimation datasets, and the experimental results demonstrate its competitiveness against the state-of-the-art breathing and physiological prediction frameworks.
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2
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Gioia F, Greco A, Callara AL, Vanello N, Scilingo EP, Citi L. ThermICA: Novel Approach for a Multivariate Analysis of Facial Thermal Responses. IEEE Trans Biomed Eng 2025; 72:1237-1247. [PMID: 39453803 DOI: 10.1109/tbme.2024.3486628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2024]
Abstract
OBJECTIVE Infrared Thermography (IRT) has been used to monitor skin temperature variation in a contactless manner, in both clinical medicine and psychophysiology. Here, we introduce a new methodology to obtain information about autonomic correlates related to perspiration, peripheral vasomotility, and respiration from infrared recordings. METHODS Our approach involves a model-based decomposition of facial thermograms using Independent Component Analysis (ICA) and an ad-hoc preprocessing procedure. We tested our approach on 30 healthy volunteers whose psychophysiological state was stimulated as part of an experimental protocol. RESULTS Within-subject ICA analysis identified three independent components demonstrating correlations with the reference physiological signals. Moreover, a linear combination of independent components effectively predicted each physiological signal, achieving median correlations of 0.9 for electrodermal activity, 0.8 for respiration, and 0.73 for photoplethysmography peaks envelope. In addition, we performed a cross-validated inter-subject analysis, which allows to predict physiological signals from facial thermograms of unseen subjects. CONCLUSIONS/SIGNIFICANCE Our findings validate the efficacy of features extracted from both original and thermal-derived signals for differentiating experimental conditions. This outcome emphasizes the sensitivity and promise of our approach, advocating for expanded investigations into thermal imaging within biomedical signal analysis. It underscores its potential for enhancing objective assessments of emotional states.
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Tamura T, Huang M. Unobtrusive Bed Monitor State of the Art. SENSORS (BASEL, SWITZERLAND) 2025; 25:1879. [PMID: 40293004 PMCID: PMC11945381 DOI: 10.3390/s25061879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2025] [Revised: 02/17/2025] [Accepted: 03/14/2025] [Indexed: 04/30/2025]
Abstract
On average, people spend more than a quarter of their day in bed. If physiological information could be collected automatically while we sleep, it would be effective not only for health management but also for disease prevention. Unobtrusive bed monitoring devices have been developed over the past 30 years or so to detect physiological information without awareness, and this method attracted attention again in the 2020s, with the proliferation of deep learning, AI, and IoT. This section describes the current state of the art.
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Affiliation(s)
- Toshiyo Tamura
- Future Robotics Organization, Waseda University, Tokyo 162-0044, Japan
| | - Ming Huang
- Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China
- Graduate School of Information Science, Nara Institute of Science and Technology, Ikoma 630-0192, Japan;
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Alic B, Wiede C, Viga R, Seidl K. Feature-Based Detection and Classification of Sleep Apnea and Hypopnea Using Multispectral Imaging. IEEE J Biomed Health Inform 2025; 29:2074-2087. [PMID: 40030221 DOI: 10.1109/jbhi.2024.3498956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2025]
Abstract
Sleep apnea syndrome (SAS) is a sleep-related breathing disorder characterized by repetitive breathing interruptions during sleep, resulting in daytime drowsiness, concentration difficulties, and increased risk of cardiovascular diseases. SAS is diagnosed in specialized sleep laboratories via polysomnography (PSG). PSG involves a high number of contact-based sensors, and it may cause patient discomfort and bias in measurement results. Therefore, contactless alternatives to PSG are a promising way to overcome these issues. This work introduces a novel feature-based method for detecting and classifying apneic events in terms of event amplitude (apneas and hypopneas) and event source (obstructive and central) by using multispectral imaging in the near-infrared (NIR) and far-infrared (FIR) spectra. In the NIR spectrum, remote photoplethysmography signals at 780 and 940 nm are extracted, while in the FIR spectrum, a respiratory airflow signal is extracted. The method is based on the extraction of explainable and medically significant features and the fusion of multiple data modalities (multispectral images, demographic patient data, interspectral correlation analysis, and time-series analysis). The classification accuracy between normal breathing, hypopneas, and apneas is 99.5%, while the differentiation between obstructive and central apneas achieves an accuracy of 98.8%. The estimations of the apnea-hypopnea index (AHI), obstructive apnea index (oAI), and central apnea index (cAI) result in a Pearson correlation of 0.9981, 0.9989, and 0.9950 respectively. A correct SAS stage prediction for 19 symptomatic patients in our dataset is accomplished. The results show that this method may be used as a PSG substitute for apnea and hypopnea detection and classification.
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Alves R, van Meulen F, Overeem S, Zinger S, Stuijk S. Thermal Cameras for Continuous and Contactless Respiration Monitoring. SENSORS (BASEL, SWITZERLAND) 2024; 24:8118. [PMID: 39771853 PMCID: PMC11679429 DOI: 10.3390/s24248118] [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: 10/04/2024] [Revised: 12/04/2024] [Accepted: 12/16/2024] [Indexed: 01/11/2025]
Abstract
Continuous respiration monitoring is an important tool in assessing the patient's health and diagnosing pulmonary, cardiovascular, and sleep-related breathing disorders. Various techniques and devices, both contact and contactless, can be used to monitor respiration. Each of these techniques can provide different types of information with varying accuracy. Thermal cameras have become a focal point in research due to their contactless nature, affordability, and the type of data they provide, i.e., information on respiration motion and respiration flow. Several studies have demonstrated the feasibility of this technology and developed robust algorithms to extract important information from thermal camera videos. This paper describes the current state-of-the-art in respiration monitoring using thermal cameras, dividing the system into acquiring data, defining and tracking the region of interest, and extracting the breathing signal and respiration rate. The approaches taken to address the various challenges, the limitations of these methods, and possible applications are discussed.
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Affiliation(s)
- Raquel Alves
- Department of Electrical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands
- Centre for Sleep Medicine Kempenhaeghe, 5590 AB Heeze, The Netherlands
| | - Fokke van Meulen
- Department of Electrical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands
- Centre for Sleep Medicine Kempenhaeghe, 5590 AB Heeze, The Netherlands
| | - Sebastiaan Overeem
- Department of Electrical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands
- Centre for Sleep Medicine Kempenhaeghe, 5590 AB Heeze, The Netherlands
| | - Svitlana Zinger
- Centre for Sleep Medicine Kempenhaeghe, 5590 AB Heeze, The Netherlands
| | - Sander Stuijk
- Centre for Sleep Medicine Kempenhaeghe, 5590 AB Heeze, The Netherlands
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6
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Khanam FTZ, Perera AG, Al-Naji A, Mcintyre TD, Chahl J. Integrating RGB-thermal image sensors for non-contact automatic respiration rate monitoring. JOURNAL OF THE OPTICAL SOCIETY OF AMERICA. A, OPTICS, IMAGE SCIENCE, AND VISION 2024; 41:1140-1151. [PMID: 38856428 DOI: 10.1364/josaa.520757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 04/23/2024] [Indexed: 06/11/2024]
Abstract
Respiration rate (RR) holds significance as a human health indicator. Presently, the conventional RR monitoring system requires direct physical contact, which may cause discomfort and pain. Therefore, this paper proposes a non-contact RR monitoring system integrating RGB and thermal imaging through RGB-thermal image alignment. The proposed method employs an advanced image processing algorithm for automatic region of interest (ROI) selection. The experimental results demonstrated a close correlation and a lower error rate between measured thermal, measured RGB, and reference data. In summary, the proposed non-contact system emerges as a promising alternative to conventional contact-based approaches without the associated discomfort and pain.
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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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8
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Wen L, Dong S, Wang Y, Gu C, Tang Z, Liu Z, Wang Y, Mao J. Noncontact Infant Apnea Detection for Hypoxia Prevention With a K-Band Biomedical Radar. IEEE Trans Biomed Eng 2024; 71:1022-1032. [PMID: 37851550 DOI: 10.1109/tbme.2023.3325468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
Annually, a significant number of premature infants suffer from apnea, which can easily cause a drop in oxygen saturation levels, leading to hypoxia. However, infant cardiopulmonary monitoring using conventional methods often necessitates skin contact, and they are not suitable for long-term monitoring. This article introduces a non-contact technique for infant cardiopulmonary monitoring and an adjustable apnea detection algorithm. These are developed using a custom-designed K-band continuous-wave biomedical radar sensor system, which features a DC-coupled adaptive digital tuning function. By using radar technology to detect chest motions without physical contact, it is feasible to extract significant biological information regarding an infant's respiration and heartbeat. The proposed algorithm utilizes an adaptively adjusted threshold and personalized apnea warning time to automatically measure the total number of apneic events and their respective durations. Experiments have been conducted in clinical environment, demonstrating that both the accurate cardiopulmonary signals and the apneas of varying durations can be effectively monitored using this method, which suggest that the proposed technique has potential applications both inside and outside of clinical settings.
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Huang B, Hu S, Liu Z, Lin CL, Su J, Zhao C, Wang L, Wang W. Challenges and prospects of visual contactless physiological monitoring in clinical study. NPJ Digit Med 2023; 6:231. [PMID: 38097771 PMCID: PMC10721846 DOI: 10.1038/s41746-023-00973-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 11/21/2023] [Indexed: 12/17/2023] Open
Abstract
The monitoring of physiological parameters is a crucial topic in promoting human health and an indispensable approach for assessing physiological status and diagnosing diseases. Particularly, it holds significant value for patients who require long-term monitoring or with underlying cardiovascular disease. To this end, Visual Contactless Physiological Monitoring (VCPM) is capable of using videos recorded by a consumer camera to monitor blood volume pulse (BVP) signal, heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2) and blood pressure (BP). Recently, deep learning-based pipelines have attracted numerous scholars and achieved unprecedented development. Although VCPM is still an emerging digital medical technology and presents many challenges and opportunities, it has the potential to revolutionize clinical medicine, digital health, telemedicine as well as other areas. The VCPM technology presents a viable solution that can be integrated into these systems for measuring vital parameters during video consultation, owing to its merits of contactless measurement, cost-effectiveness, user-friendly passive monitoring and the sole requirement of an off-the-shelf camera. In fact, the studies of VCPM technologies have been rocketing recently, particularly AI-based approaches, but few are employed in clinical settings. Here we provide a comprehensive overview of the applications, challenges, and prospects of VCPM from the perspective of clinical settings and AI technologies for the first time. The thorough exploration and analysis of clinical scenarios will provide profound guidance for the research and development of VCPM technologies in clinical settings.
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Affiliation(s)
- Bin Huang
- AI Research Center, Hangzhou Innovation Institute, Beihang University, 99 Juhang Rd., Binjiang Dist., Hangzhou, Zhejiang, China.
- School of Automation Science and Electrical Engineering, Beihang University, Beijing, China.
| | - Shen Hu
- Department of Obstetrics, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
- Department of Epidemiology, The Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Zimeng Liu
- School of Automation Science and Electrical Engineering, Beihang University, Beijing, China
| | - Chun-Liang Lin
- College of Electrical Engineering and Computer Science, National Chung Hsing University, 145 Xingda Rd., South Dist., Taichung, Taiwan.
| | - Junfeng Su
- Department of General Intensive Care Unit, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
- Key Laboratory of Early Warning and Intervention of Multiple Organ Failure, China National Ministry of Education, Hangzhou, Zhejiang, China
| | - Changchen Zhao
- AI Research Center, Hangzhou Innovation Institute, Beihang University, 99 Juhang Rd., Binjiang Dist., Hangzhou, Zhejiang, China
| | - Li Wang
- Department of Rehabilitation Medicine, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
| | - Wenjin Wang
- Department of Biomedical Engineering, Southern University of Science and Technology, 1088 Xueyuan Ave, Nanshan Dist., Shenzhen, Guangdong, China.
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Gwak M, Vatanparvar K, Zhu L, Kuang J, Gao A. Contactless Monitoring of Respiratory Rate and Breathing Absence from Head Movements Using an RGB Camera. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38082888 DOI: 10.1109/embc40787.2023.10340590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Contactless vital sign monitoring is more demanding for long-term, continuous, and unobtrusive measurements. Camera-based respiratory monitoring is receiving growing interest with advanced video technologies and computational power. The volume variations of the lungs for airflow changes create a periodic movement of the torso, but identifying the torso is more challenging than face detection in a video. In this paper, we present a unique approach to monitoring respiratory rate (RR) and breathing absence by leveraging head movements alone from an RGB video because respiratory motion also influences the head. Besides our novel RR estimation, an independent algorithm for breathing absence detection using signal feature extraction and machine learning techniques identifies an apnea event and improves overall RR estimation accuracy. The proposed approach was evaluated using videos from 30 healthy subjects who performed various breathing tasks. The breathing absence detector had 0.87 F1 score, 0.9 sensitivity, and 0.85 specificity. The accuracy of spontaneous breathing rate estimation increased from 2.46 to 1.91 bpm MAE and 3.54 to 2.7 bpm RMSE when combining the breathing absence result with the estimated RR.Clinical relevance- Our contactless respiratory monitoring can utilize a consumer RGB camera to offer a significant benefit in continuous monitoring of neonatal monitoring, sleep monitoring, telemedicine or telehealth, home fitness with mild physical movement, and emotion detection in the clinic and remote locations.
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Paulauskaite-Taraseviciene A, Siaulys J, Sutiene K, Petravicius T, Navickas S, Oliandra M, Rapalis A, Balciunas J. Geriatric Care Management System Powered by the IoT and Computer Vision Techniques. Healthcare (Basel) 2023; 11:1152. [PMID: 37107987 PMCID: PMC10138364 DOI: 10.3390/healthcare11081152] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 04/03/2023] [Accepted: 04/13/2023] [Indexed: 04/29/2023] Open
Abstract
The digitalisation of geriatric care refers to the use of emerging technologies to manage and provide person-centered care to the elderly by collecting patients' data electronically and using them to streamline the care process, which improves the overall quality, accuracy, and efficiency of healthcare. In many countries, healthcare providers still rely on the manual measurement of bioparameters, inconsistent monitoring, and paper-based care plans to manage and deliver care to elderly patients. This can lead to a number of problems, including incomplete and inaccurate record-keeping, errors, and delays in identifying and resolving health problems. The purpose of this study is to develop a geriatric care management system that combines signals from various wearable sensors, noncontact measurement devices, and image recognition techniques to monitor and detect changes in the health status of a person. The system relies on deep learning algorithms and the Internet of Things (IoT) to identify the patient and their six most pertinent poses. In addition, the algorithm has been developed to monitor changes in the patient's position over a longer period of time, which could be important for detecting health problems in a timely manner and taking appropriate measures. Finally, based on expert knowledge and a priori rules integrated in a decision tree-based model, the automated final decision on the status of nursing care plan is generated to support nursing staff.
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Affiliation(s)
| | - Julius Siaulys
- Faculty of Informatics, Kaunas University of Technology, Studentu 50, 51368 Kaunas, Lithuania
| | - Kristina Sutiene
- Department of Mathematical Modeling, Kaunas University of Technology, Studentu 50, 51368 Kaunas, Lithuania
| | - Titas Petravicius
- Faculty of Informatics, Kaunas University of Technology, Studentu 50, 51368 Kaunas, Lithuania
| | - Skirmantas Navickas
- Faculty of Informatics, Kaunas University of Technology, Studentu 50, 51368 Kaunas, Lithuania
| | - Marius Oliandra
- Faculty of Informatics, Kaunas University of Technology, Studentu 50, 51368 Kaunas, Lithuania
| | - Andrius Rapalis
- Biomedical Engineering Institute, Kaunas University of Technology, K. Barsausko 59, 51423 Kaunas, Lithuania
- Faculty of Electrical and Electronics Engineering, Kaunas University of Technology, Studentu 48, 51367 Kaunas, Lithuania
| | - Justinas Balciunas
- Faculty of Medicine, Vilnius University, Universiteto 3, 01513 Vilnius, Lithuania
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Guan L, Zhang Z, Yang X, Zhao N, Fan D, Imran MA, Abbasi QH. Multi-Person Breathing Detection With Switching Antenna Array Based on WiFi Signal. IEEE JOURNAL OF TRANSLATIONAL ENGINEERING IN HEALTH AND MEDICINE 2022; 11:23-31. [PMID: 36478771 PMCID: PMC9721356 DOI: 10.1109/jtehm.2022.3218638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/13/2022] [Accepted: 10/21/2022] [Indexed: 10/12/2023]
Abstract
WiFi sensing, an emerging sensing technology, has been widely used in vital sign monitoring. However, most respiration monitoring studies have focused on single-person tasks. In this paper, we propose a multi-person breathing sensing system based on WiFi signals. Specifically, we use radio frequency (RF) switch to extend the antennas to form switching antenna array. A reference channel is introduced in the receiver, which is connected to the transmitter by cable and attenuator. The phase offset introduced by asynchronous transceiver devices can be eliminated by using the ratio of the channel frequency response (CFR) between the antenna array and the reference channel. In order to realize multi-person breathing perception, we use beamforming technology to conduct two-dimensional scanning of the whole scene. After eliminating static clutter, we combine frequency domain and angle of arrival (AOA) domain analysis to construct the AOA and frequency (AOA-FREQ) spectrogram. Finally, the respiratory frequency and position of each target are obtained by clustering. Experimental results show that the proposed system can not only estimate the direction and respiration rate of multi-person, but also monitor abnormal respiration in multi-person scenarios. The proposed low-cost, non-contact, rapid multi-person respiratory detection technology can meet the requirements of long-term home health monitoring.
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Affiliation(s)
- Lei Guan
- Key Laboratory of High Speed Circuit Design and EMC, Ministry of Education, School of Electronic EngineeringXidian UniversityXi’anShaanxi710071China
| | - Zhiya Zhang
- National Key Laboratory of Antennas and Microwave Technology, School of Electronic EngineeringXidian UniversityXi’anShaanxi710071China
| | - Xiaodong Yang
- Key Laboratory of High Speed Circuit Design and EMC, Ministry of Education, School of Electronic EngineeringXidian UniversityXi’anShaanxi710071China
| | - Nan Zhao
- Key Laboratory of High Speed Circuit Design and EMC, Ministry of Education, School of Electronic EngineeringXidian UniversityXi’anShaanxi710071China
| | - Dou Fan
- School of Life Science and TechnologyXidian UniversityXi’anShaanxi710126China
| | | | - Qammer H. Abbasi
- James Watt School of EngineeringUniversity of GlasgowG12 8QQGlasgowU.K.
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Selvaraju V, Spicher N, Wang J, Ganapathy N, Warnecke JM, Leonhardt S, Swaminathan R, Deserno TM. Continuous Monitoring of Vital Signs Using Cameras: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2022; 22:4097. [PMID: 35684717 PMCID: PMC9185528 DOI: 10.3390/s22114097] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/18/2022] [Accepted: 05/18/2022] [Indexed: 02/04/2023]
Abstract
In recent years, noncontact measurements of vital signs using cameras received a great amount of interest. However, some questions are unanswered: (i) Which vital sign is monitored using what type of camera? (ii) What is the performance and which factors affect it? (iii) Which health issues are addressed by camera-based techniques? Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement, we conduct a systematic review of continuous camera-based vital sign monitoring using Scopus, PubMed, and the Association for Computing Machinery (ACM) databases. We consider articles that were published between January 2018 and April 2021 in the English language. We include five vital signs: heart rate (HR), respiratory rate (RR), blood pressure (BP), body skin temperature (BST), and oxygen saturation (SpO2). In total, we retrieve 905 articles and screened them regarding title, abstract, and full text. One hundred and four articles remained: 60, 20, 6, 2, and 1 of the articles focus on HR, RR, BP, BST, and SpO2, respectively, and 15 on multiple vital signs. HR and RR can be measured using red, green, and blue (RGB) and near-infrared (NIR) as well as far-infrared (FIR) cameras. So far, BP and SpO2 are monitored with RGB cameras only, whereas BST is derived from FIR cameras only. Under ideal conditions, the root mean squared error is around 2.60 bpm, 2.22 cpm, 6.91 mm Hg, 4.88 mm Hg, and 0.86 °C for HR, RR, systolic BP, diastolic BP, and BST, respectively. The estimated error for SpO2 is less than 1%, but it increases with movements of the subject and the camera-subject distance. Camera-based remote monitoring mainly explores intensive care, post-anaesthesia care, and sleep monitoring, but also explores special diseases such as heart failure. The monitored targets are newborn and pediatric patients, geriatric patients, athletes (e.g., exercising, cycling), and vehicle drivers. Camera-based techniques monitor HR, RR, and BST in static conditions within acceptable ranges for certain applications. The research gaps are large and heterogeneous populations, real-time scenarios, moving subjects, and accuracy of BP and SpO2 monitoring.
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Affiliation(s)
- Vinothini Selvaraju
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
- Non-Invasive Imaging and Diagnostic Laboratory, Biomedical Engineering, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai 600036, India;
| | - Nicolai Spicher
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
| | - Ju Wang
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
| | - Nagarajan Ganapathy
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
| | - Joana M. Warnecke
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
| | - Steffen Leonhardt
- Chair for Medical Information Technology, Helmholtz-Institute for Biomedical Engineering, RWTH Aachen University, D-52074 Aachen, Germany;
| | - Ramakrishnan Swaminathan
- Non-Invasive Imaging and Diagnostic Laboratory, Biomedical Engineering, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai 600036, India;
| | - Thomas M. Deserno
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, D-38106 Braunschweig, Germany; (V.S.); (N.S.); (J.W.); (N.G.); (J.M.W.)
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14
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Molinaro N, Schena E, Silvestri S, Massaroni C. Multi-ROI Spectral Approach for the Continuous Remote Cardio-Respiratory Monitoring from Mobile Device Built-In Cameras. SENSORS (BASEL, SWITZERLAND) 2022; 22:s22072539. [PMID: 35408151 PMCID: PMC9002464 DOI: 10.3390/s22072539] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/16/2022] [Accepted: 03/23/2022] [Indexed: 05/05/2023]
Abstract
Heart rate (HR) and respiratory rate (fR) can be estimated by processing videos framing the upper body and face regions without any physical contact with the subject. This paper proposed a technique for continuously monitoring HR and fR via a multi-ROI approach based on the spectral analysis of RGB video frames recorded with a mobile device (i.e., a smartphone's camera). The respiratory signal was estimated by the motion of the chest, whereas the cardiac signal was retrieved from the pulsatile activity at the level of right and left cheeks and forehead. Videos were recorded from 18 healthy volunteers in four sessions with different user-camera distances (i.e., 0.5 m and 1.0 m) and illumination conditions (i.e., natural and artificial light). For HR estimation, three approaches were investigated based on single or multi-ROI approaches. A commercially available multiparametric device was used to record reference respiratory signals and electrocardiogram (ECG). The results demonstrated that the multi-ROI approach outperforms the single-ROI approach providing temporal trends of both the vital parameters comparable to those provided by the reference, with a mean absolute error (MAE) consistently below 1 breaths·min-1 for fR in all the scenarios, and a MAE between 0.7 bpm and 6 bpm for HR estimation, whose values increase at higher distances.
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Affiliation(s)
- Nunzia Molinaro
- Unit of Measurements and Biomedical Instrumentation, Departmental Faculty of Engineering, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Emiliano Schena
- Unit of Measurements and Biomedical Instrumentation, Departmental Faculty of Engineering, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Sergio Silvestri
- Unit of Measurements and Biomedical Instrumentation, Departmental Faculty of Engineering, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Carlo Massaroni
- Unit of Measurements and Biomedical Instrumentation, Departmental Faculty of Engineering, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
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15
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Chian DM, Wen CK, Wang CJ, Hsu MH, Wang FK. Vital Signs Identification System With Doppler Radars and Thermal Camera. IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS 2022; 16:153-167. [PMID: 35104225 DOI: 10.1109/tbcas.2022.3147827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
During the global epidemic, non-contact methods for monitoring the vital signs of several people have become particularly important. Advanced signal processing techniques have recently been demonstrated to separate and track the vital signs of multiple people. In this paper, we further develop the multi-person vital signs identification (VSign-ID) system to make non-contact detection available in public places. VSign-ID not only extracts multi-person vital signs but also states from whom these vital signs are collected. We utilize multiple doppler radars to expand the effective range of the measurement area and propose a space and time matching mechanism for vital signs identification. We use a thermal camera to detect the number of people and their movements. VSign-ID efficiently coordinates these two types of sensors (i.e., the doppler radars and the thermal camera) to track and identify the respiration rates and heartbeat rates of multiple people. A series of experiments and simulations are conducted to measure the efficiency of VSign-ID. In the case of five people sitting closely, the estimation errors for respiration and heartbeat rates are -4.85 dB and -2.36 dB lower than the standard resolution of the system, respectively, despite using only two independent radars.
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16
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Yang F, He S, Sadanand S, Yusuf A, Bolic M. Contactless Measurement of Vital Signs Using Thermal and RGB Cameras: A Study of COVID 19-Related Health Monitoring. SENSORS (BASEL, SWITZERLAND) 2022; 22:627. [PMID: 35062589 PMCID: PMC8777727 DOI: 10.3390/s22020627] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 01/07/2022] [Accepted: 01/10/2022] [Indexed: 11/16/2022]
Abstract
In this study, a contactless vital signs monitoring system was proposed, which can measure body temperature (BT), heart rate (HR) and respiration rate (RR) for people with and without face masks using a thermal and an RGB camera. The convolution neural network (CNN) based face detector was applied and three regions of interest (ROIs) were located based on facial landmarks for vital sign estimation. Ten healthy subjects from a variety of ethnic backgrounds with skin colors from pale white to darker brown participated in several different experiments. The absolute error (AE) between the estimated HR using the proposed method and the reference HR from all experiments is 2.70±2.28 beats/min (mean ± std), and the AE between the estimated RR and the reference RR from all experiments is 1.47±1.33 breaths/min (mean ± std) at a distance of 0.6-1.2 m.
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Affiliation(s)
- Fan Yang
- Health Devices Research Group (HDRG), School of Electrical Engineering and Computer Science, University of Ottawa, Ottawa, ON K1N 6N5, Canada; (S.H.); (M.B.)
| | - Shan He
- Health Devices Research Group (HDRG), School of Electrical Engineering and Computer Science, University of Ottawa, Ottawa, ON K1N 6N5, Canada; (S.H.); (M.B.)
| | - Siddharth Sadanand
- Institute for Biomedical Engineering, Science and Technology (iBEST), St. Michael’s Hospital, Ryerson University, Toronto, ON M5B 1T8, Canada;
| | - Aroon Yusuf
- WelChek Inc., Mississauga, ON L4W 4Y8, Canada;
| | - Miodrag Bolic
- Health Devices Research Group (HDRG), School of Electrical Engineering and Computer Science, University of Ottawa, Ottawa, ON K1N 6N5, Canada; (S.H.); (M.B.)
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17
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Manullang MCT, Lin YH, Lai SJ, Chou NK. Implementation of Thermal Camera for Non-Contact Physiological Measurement: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2021; 21:7777. [PMID: 34883780 PMCID: PMC8659982 DOI: 10.3390/s21237777] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 11/06/2021] [Accepted: 11/19/2021] [Indexed: 01/03/2023]
Abstract
Non-contact physiological measurements based on image sensors have developed rapidly in recent years. Among them, thermal cameras have the advantage of measuring temperature in the environment without light and have potential to develop physiological measurement applications. Various studies have used thermal camera to measure the physiological signals such as respiratory rate, heart rate, and body temperature. In this paper, we provided a general overview of the existing studies by examining the physiological signals of measurement, the used platforms, the thermal camera models and specifications, the use of camera fusion, the image and signal processing step (including the algorithms and tools used), and the performance evaluation. The advantages and challenges of thermal camera-based physiological measurement were also discussed. Several suggestions and prospects such as healthcare applications, machine learning, multi-parameter, and image fusion, have been proposed to improve the physiological measurement of thermal camera in the future.
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Affiliation(s)
- Martin Clinton Tosima Manullang
- Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (M.C.T.M.); (S.-J.L.)
- Department of Informatics, Institut Teknologi Sumatera, South Lampung Regency 35365, Indonesia
| | - Yuan-Hsiang Lin
- Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (M.C.T.M.); (S.-J.L.)
| | - Sheng-Jie Lai
- Department of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (M.C.T.M.); (S.-J.L.)
| | - Nai-Kuan Chou
- Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei 10002, Taiwan
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18
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Towards Accurate, Cost-Effective, Ultra-Low-Power and Non-Invasive Respiration Monitoring: A Reusable Wireless Wearable Sensor for an Off-the-Shelf KN95 Mask. SENSORS 2021; 21:s21206698. [PMID: 34695911 PMCID: PMC8540598 DOI: 10.3390/s21206698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 09/29/2021] [Accepted: 10/01/2021] [Indexed: 11/17/2022]
Abstract
Respiratory rate is a critical vital sign that indicates health condition, sleep quality, and exercise intensity. This paper presents a non-invasive, ultra-low-power, and cost-effective wireless wearable sensor, which is installed on an off-the-shelf KN95 mask to facilitate respiration monitoring. The sensing principle is based on the periodic airflow temperature variations caused by exhaled hot air and inhaled cool air in respiratory cycles. By measuring the periodic temperature variations at the exhalation valve of mask, the respiratory parameters can be accurately and reliably detected, regardless of body movements and breathing pathways through nose or mouth. Specifically, we propose a voltage divider with controllable resistors and corresponding selection criteria to improve the sensitivity of temperature measurement, a peak detection algorithm with spline interpolation to increase sampling period without reducing the detection accuracy, and effective low-power optimization measures to prolong the battery life. The experimental results have demonstrated the effectiveness of the proposed sensor, showing a small mean absolute error (MAE) of 0.449 bpm and a very low power consumption of 131.4 μW. As a high accuracy, low cost, low power, and reusable miniature wearing device for convenient respiration monitoring in daily life, the proposed sensor holds promise in real-world feasibility.
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19
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Lorato I, Stuijk S, Meftah M, Kommers D, Andriessen P, van Pul C, de Haan G. Automatic Separation of Respiratory Flow from Motion in Thermal Videos for Infant Apnea Detection. SENSORS (BASEL, SWITZERLAND) 2021; 21:6306. [PMID: 34577513 PMCID: PMC8472592 DOI: 10.3390/s21186306] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/16/2021] [Accepted: 09/18/2021] [Indexed: 02/07/2023]
Abstract
Both Respiratory Flow (RF) and Respiratory Motion (RM) are visible in thermal recordings of infants. Monitoring these two signals usually requires landmark detection for the selection of a region of interest. Other approaches combine respiratory signals coming from both RF and RM, obtaining a Mixed Respiratory (MR) signal. The detection and classification of apneas, particularly common in preterm infants with low birth weight, would benefit from monitoring both RF and RM, or MR, signals. Therefore, we propose in this work an automatic RF pixel detector not based on facial/body landmarks. The method is based on the property of RF pixels in thermal videos, which are in areas with a smooth circular gradient. We defined 5 features combined with the use of a bank of Gabor filters that together allow selection of the RF pixels. The algorithm was tested on thermal recordings of 9 infants amounting to a total of 132 min acquired in a neonatal ward. On average the percentage of correctly identified RF pixels was 84%. Obstructive Apneas (OAs) were simulated as a proof of concept to prove the advantage in monitoring the RF signal compared to the MR signal. The sensitivity in the simulated OA detection improved for the RF signal reaching 73% against the 23% of the MR signal. Overall, the method yielded promising results, although the positioning and number of cameras used could be further optimized for optimal RF visibility.
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Affiliation(s)
- Ilde Lorato
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
| | - Sander Stuijk
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
| | - Mohammed Meftah
- Department of Family Care Solutions, Philips Research, 5656 AE Eindhoven, The Netherlands;
| | - Deedee Kommers
- Department of Neonatology, Máxima Medical Centre, 5504 DB Veldhoven, The Netherlands; (D.K.); (P.A.)
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
| | - Peter Andriessen
- Department of Neonatology, Máxima Medical Centre, 5504 DB Veldhoven, The Netherlands; (D.K.); (P.A.)
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
| | - Carola van Pul
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
- Department of Clinical Physics, Máxima Medical Centre, 5504 DB Veldhoven, The Netherlands
| | - Gerard de Haan
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
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20
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Zhan Q, Wang W, Ding X. Examination of Potential of Thermopile-Based Contactless Respiratory Gating. SENSORS (BASEL, SWITZERLAND) 2021; 21:5525. [PMID: 34450966 PMCID: PMC8400084 DOI: 10.3390/s21165525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 07/29/2021] [Accepted: 07/29/2021] [Indexed: 12/25/2022]
Abstract
To control the spread of coronavirus disease 2019 (COVID-19), it is effective to perform a fast screening of the respiratory rate of the subject at the gate before entering a space to assess the potential risks. In this paper, we examine the potential of a novel yet cost-effective solution, called thermopile-based respiratory gating, to contactlessly screen a subject by measuring their respiratory rate in the scenario with an entrance gate. Based on a customized thermopile array system, we investigate different image and signal processing methods that measure respiratory rate from low-resolution thermal videos, where an automatic region-of-interest selection-based approach obtains a mean absolute error (MAE) of 0.8 breaths per minute. We show the feasibility of thermopile-based respiratory gating and quantify its limitations and boundary conditions in a benchmark (e.g., appearance of face mask, measurement distance and screening time). The technical validation provided by this study is helpful for designing and implementing a respiratory gating solution toward the prevention of the spread of COVID-19 during the pandemic.
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Affiliation(s)
- Qi Zhan
- College of Electrical and Information Engineering, Hunan University, Changsha 410082, China;
| | - Wenjin Wang
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands
| | - Xiaorong Ding
- School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 611731, China
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21
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Maurya L, Mahapatra P, Chawla D. Non-contact breathing monitoring by integrating RGB and thermal imaging via RGB-thermal image registration. Biocybern Biomed Eng 2021. [DOI: 10.1016/j.bbe.2021.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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22
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Estimation of Motion and Respiratory Characteristics during the Meditation Practice Based on Video Analysis. SENSORS 2021; 21:s21113771. [PMID: 34072291 PMCID: PMC8199391 DOI: 10.3390/s21113771] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 05/20/2021] [Accepted: 05/25/2021] [Indexed: 12/27/2022]
Abstract
Meditation practice is mental health training. It helps people to reduce stress and suppress negative thoughts. In this paper, we propose a camera-based meditation evaluation system, that helps meditators to improve their performance. We rely on two main criteria to measure the focus: the breathing characteristics (respiratory rate, breathing rhythmicity and stability), and the body movement. We introduce a contactless sensor to measure the respiratory rate based on a smartphone camera by detecting the chest keypoint at each frame, using an optical flow based algorithm to calculate the displacement between frames, filtering and de-noising the chest movement signal, and calculating the number of real peaks in this signal. We also present an approach to detecting the movement of different body parts (head, thorax, shoulders, elbows, wrists, stomach and knees). We have collected a non-annotated dataset for meditation practice videos consists of ninety videos and the annotated dataset consists of eight videos. The non-annotated dataset was categorized into beginner and professional meditators and was used for the development of the algorithm and for tuning the parameters. The annotated dataset was used for evaluation and showed that human activity during meditation practice could be correctly estimated by the presented approach and that the mean absolute error for the respiratory rate is around 1.75 BPM, which can be considered tolerable for the meditation application.
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23
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Lorato I, Stuijk S, Meftah M, Kommers D, Andriessen P, van Pul C, de Haan G. Towards Continuous Camera-Based Respiration Monitoring in Infants. SENSORS (BASEL, SWITZERLAND) 2021; 21:2268. [PMID: 33804913 PMCID: PMC8036870 DOI: 10.3390/s21072268] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 03/19/2021] [Accepted: 03/21/2021] [Indexed: 02/06/2023]
Abstract
Aiming at continuous unobtrusive respiration monitoring, motion robustness is paramount. However, some types of motion can completely hide the respiration information and the detection of these events is required to avoid incorrect rate estimations. Therefore, this work proposes a motion detector optimized to specifically detect severe motion of infants combined with a respiration rate detection strategy based on automatic pixels selection, which proved to be robust to motion of the infants involving head and limbs. A dataset including both thermal and RGB (Red Green Blue) videos was used amounting to a total of 43 h acquired on 17 infants. The method was successfully applied to both RGB and thermal videos and compared to the chest impedance signal. The Mean Absolute Error (MAE) in segments where some motion is present was 1.16 and 1.97 breaths/min higher than the MAE in the ideal moments where the infants were still for testing and validation set, respectively. Overall, the average MAE on the testing and validation set are 3.31 breaths/min and 5.36 breaths/min, using 64.00% and 69.65% of the included video segments (segments containing events such as interventions were excluded based on a manual annotation), respectively. Moreover, we highlight challenges that need to be overcome for continuous camera-based respiration monitoring. The method can be applied to different camera modalities, does not require skin visibility, and is robust to some motion of the infants.
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Affiliation(s)
- Ilde Lorato
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
| | - Sander Stuijk
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
| | - Mohammed Meftah
- Department of Family Care Solutions, Philips Research, 5656 AE Eindhoven, The Netherlands;
| | - Deedee Kommers
- Department of Neonatology, Maxima Medical Centre, 5504 DB Veldhoven, The Netherlands; (D.K.); (P.A.)
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
| | - Peter Andriessen
- Department of Neonatology, Maxima Medical Centre, 5504 DB Veldhoven, The Netherlands; (D.K.); (P.A.)
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
| | - Carola van Pul
- Department of Applied Physics, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands;
- Department of Clinical Physics, Maxima Medical Centre, 5504 DB Veldhoven, The Netherlands
| | - Gerard de Haan
- Department of Electrical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands; (S.S.); (G.d.H.)
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24
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Zhong Q, Lei H, Chen Q, Zhou G. A Sleep Stage Classification Algorithm of Wearable System Based on Multiscale Residual Convolutional Neural Network. JOURNAL OF SENSORS 2021; 2021. [DOI: 10.1155/2021/8222721] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 11/30/2021] [Indexed: 01/04/2025]
Abstract
Sleep disorder is a serious public health problem. Unobtrusive home sleep quality monitoring system can better open the way of sleep disorder‐related diseases screening and health monitoring. In this work, a sleep stage classification algorithm based on multiscale residual convolutional neural network (MRCNN) was proposed to detect the characteristics of electroencephalogram (EEG) signals detected by wearable systems and classify sleep stages. EEG signals were analyzed in each epoch of every 30 seconds, and then 5‐class sleep stage classification, wake (W), rapid eye movement sleep (REM), and nonrapid eye movement sleep (NREM) including N1, N2, and N3 stages was outputted. Good results (accuracy rate of 92.06% and 91.13%, Cohen’s kappa of 0.7360 and 0.7001) were achieved with 5‐fold cross‐validation and independent subject cross‐validation, respectively, which performed on European Data Format (EDF) dataset containing 197 whole‐night polysomnographic sleep recordings. Compared with several representative deep learning methods, this method can easily obtain sleep stage information from single‐channel EEG signals without specialized feature extraction, which is closer to clinical application. Experiments based on CinC2018 dataset also proved that the method has a good performance on large dataset and can provide support for sleep disorder‐related diseases screening and health surveillance based on automatic sleep staging.
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