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Lingawi S, Hutton J, Khalili M, Shadgan B, Christenson J, Grunau B, Kuo C. Cardiorespiratory Sensors and Their Implications for Out-of-Hospital Cardiac Arrest Detection: A Systematic Review. Ann Biomed Eng 2024; 52:1136-1158. [PMID: 38358559 DOI: 10.1007/s10439-024-03442-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 01/03/2024] [Indexed: 02/16/2024]
Abstract
Out-of-hospital cardiac arrest (OHCA) is a major health problem, with a poor survival rate of 2-11%. For the roughly 75% of OHCAs that are unwitnessed, survival is approximately 2-4.4%, as there are no bystanders present to provide life-saving interventions and alert Emergency Medical Services. Sensor technologies may reduce the number of unwitnessed OHCAs through automated detection of OHCA-associated physiological changes. However, no technologies are widely available for OHCA detection. This review identifies research and commercial technologies developed for cardiopulmonary monitoring that may be best suited for use in the context of OHCA, and provides recommendations for technology development, testing, and implementation. We conducted a systematic review of published studies along with a search of grey literature to identify technologies that were able to provide cardiopulmonary monitoring, and could be used to detect OHCA. We searched MEDLINE, EMBASE, Web of Science, and Engineering Village using MeSH keywords. Following inclusion, we summarized trends and findings from included studies. Our searches retrieved 6945 unique publications between January, 1950 and May, 2023. 90 studies met the inclusion criteria. In addition, our grey literature search identified 26 commercial technologies. Among included technologies, 52% utilized electrocardiography (ECG) and 40% utilized photoplethysmography (PPG) sensors. Most wearable devices were multi-modal (59%), utilizing more than one sensor simultaneously. Most included devices were wearable technologies (84%), with chest patches (22%), wrist-worn devices (18%), and garments (14%) being the most prevalent. ECG and PPG sensors are heavily utilized in devices for cardiopulmonary monitoring that could be adapted to OHCA detection. Developers seeking to rapidly develop methods for OHCA detection should focus on using ECG- and/or PPG-based multimodal systems as these are most prevalent in existing devices. However, novel sensor technology development could overcome limitations in existing sensors and could serve as potential additions to or replacements for ECG- and PPG-based devices.
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Affiliation(s)
- Saud Lingawi
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada.
- School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
- Centre for Aging SMART, University of British Columbia, 2635 Laurel St., Vancouver, BC, V5Z 1M9, Canada.
| | - Jacob Hutton
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- British Columbia Emergency Health Services, Vancouver, Canada
- Department of Emergency Medicine, University of British Columbia and St. Paul's Hospital, Vancouver, BC, Canada
- Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, BC, Canada
| | - Mahsa Khalili
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- Centre for Aging SMART, University of British Columbia, 2635 Laurel St., Vancouver, BC, V5Z 1M9, Canada
- Department of Emergency Medicine, University of British Columbia and St. Paul's Hospital, Vancouver, BC, Canada
- Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, BC, Canada
| | - Babak Shadgan
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada
- Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries, Vancouver, BC, Canada
| | - Jim Christenson
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- British Columbia Emergency Health Services, Vancouver, Canada
- Department of Emergency Medicine, University of British Columbia and St. Paul's Hospital, Vancouver, BC, Canada
- Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, BC, Canada
| | - Brian Grunau
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- British Columbia Emergency Health Services, Vancouver, Canada
- Department of Emergency Medicine, University of British Columbia and St. Paul's Hospital, Vancouver, BC, Canada
- Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, BC, Canada
| | - Calvin Kuo
- British Columbia Resuscitation Research Collaborative, Vancouver, BC, Canada
- School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada
- Centre for Aging SMART, University of British Columbia, 2635 Laurel St., Vancouver, BC, V5Z 1M9, Canada
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2
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Vitazkova D, Foltan E, Kosnacova H, Micjan M, Donoval M, Kuzma A, Kopani M, Vavrinsky E. Advances in Respiratory Monitoring: A Comprehensive Review of Wearable and Remote Technologies. BIOSENSORS 2024; 14:90. [PMID: 38392009 PMCID: PMC10886711 DOI: 10.3390/bios14020090] [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: 01/02/2024] [Revised: 01/28/2024] [Accepted: 02/03/2024] [Indexed: 02/24/2024]
Abstract
This article explores the importance of wearable and remote technologies in healthcare. The focus highlights its potential in continuous monitoring, examines the specificity of the issue, and offers a view of proactive healthcare. Our research describes a wide range of device types and scientific methodologies, starting from traditional chest belts to their modern alternatives and cutting-edge bioamplifiers that distinguish breathing from chest impedance variations. We also investigated innovative technologies such as the monitoring of thorax micromovements based on the principles of seismocardiography, ballistocardiography, remote camera recordings, deployment of integrated optical fibers, or extraction of respiration from cardiovascular variables. Our review is extended to include acoustic methods and breath and blood gas analysis, providing a comprehensive overview of different approaches to respiratory monitoring. The topic of monitoring respiration with wearable and remote electronics is currently the center of attention of researchers, which is also reflected by the growing number of publications. In our manuscript, we offer an overview of the most interesting ones.
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Affiliation(s)
- Diana Vitazkova
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
| | - Erik Foltan
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
| | - Helena Kosnacova
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
- Department of Simulation and Virtual Medical Education, Faculty of Medicine, Comenius University, Sasinkova 4, 81272 Bratislava, Slovakia
| | - Michal Micjan
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
| | - Martin Donoval
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
| | - Anton Kuzma
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
| | - Martin Kopani
- Institute of Medical Physics, Biophysics, Informatics and Telemedicine, Faculty of Medicine, Comenius University, Sasinkova 2, 81272 Bratislava, Slovakia;
| | - Erik Vavrinsky
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (E.F.); (H.K.); (M.M.); (M.D.); (A.K.)
- Institute of Medical Physics, Biophysics, Informatics and Telemedicine, Faculty of Medicine, Comenius University, Sasinkova 2, 81272 Bratislava, Slovakia;
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3
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Hussain T, Ullah S, Fernández-García R, Gil I. Wearable Sensors for Respiration Monitoring: A Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:7518. [PMID: 37687977 PMCID: PMC10490703 DOI: 10.3390/s23177518] [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: 08/08/2023] [Revised: 08/25/2023] [Accepted: 08/26/2023] [Indexed: 09/10/2023]
Abstract
This paper provides an overview of flexible and wearable respiration sensors with emphasis on their significance in healthcare applications. The paper classifies these sensors based on their operating frequency distinguishing between high-frequency sensors, which operate above 10 MHz, and low-frequency sensors, which operate below this level. The operating principles of breathing sensors as well as the materials and fabrication techniques employed in their design are addressed. The existing research highlights the need for robust and flexible materials to enable the development of reliable and comfortable sensors. Finally, the paper presents potential research directions and proposes research challenges in the field of flexible and wearable respiration sensors. By identifying emerging trends and gaps in knowledge, this review can encourage further advancements and innovation in the rapidly evolving domain of flexible and wearable sensors.
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Affiliation(s)
- Tauseef Hussain
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
| | - Sana Ullah
- Department of Electrical and Information Engineering, Politecnico di Bari, 70126 Bari, Italy;
| | - Raúl Fernández-García
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
| | - Ignacio Gil
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
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4
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Zhang X, Wang C, Zheng T, Wu H, Wu Q, Wang Y. Wearable Optical Fiber Sensors in Medical Monitoring Applications: A Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:6671. [PMID: 37571457 PMCID: PMC10422468 DOI: 10.3390/s23156671] [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: 06/19/2023] [Revised: 07/17/2023] [Accepted: 07/21/2023] [Indexed: 08/13/2023]
Abstract
Wearable optical fiber sensors have great potential for development in medical monitoring. With the increasing demand for compactness, comfort, accuracy, and other features in new medical monitoring devices, the development of wearable optical fiber sensors is increasingly meeting these requirements. This paper reviews the latest evolution of wearable optical fiber sensors in the medical field. Three types of wearable optical fiber sensors are analyzed: wearable optical fiber sensors based on Fiber Bragg grating, wearable optical fiber sensors based on light intensity changes, and wearable optical fiber sensors based on Fabry-Perot interferometry. The innovation of wearable optical fiber sensors in respiration and joint monitoring is introduced in detail, and the main principles of three kinds of wearable optical fiber sensors are summarized. In addition, we discuss their advantages, limitations, directions to improve accuracy and the challenges they face. We also look forward to future development prospects, such as the combination of wireless networks which will change how medical services are provided. Wearable optical fiber sensors offer a viable technology for prospective continuous medical surveillance and will change future medical benefits.
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Affiliation(s)
- Xuhui Zhang
- Heilongjiang Province Key Laboratory of Laser Spectroscopy Technology and Application, Harbin University of Science and Technology, Harbin 150080, China; (X.Z.); (C.W.); (H.W.)
| | - Chunyang Wang
- Heilongjiang Province Key Laboratory of Laser Spectroscopy Technology and Application, Harbin University of Science and Technology, Harbin 150080, China; (X.Z.); (C.W.); (H.W.)
| | - Tong Zheng
- School of Artificial Intelligence, Beijing Technology and Business University, Beijing 100048, China;
| | - Haibin Wu
- Heilongjiang Province Key Laboratory of Laser Spectroscopy Technology and Application, Harbin University of Science and Technology, Harbin 150080, China; (X.Z.); (C.W.); (H.W.)
| | - Qing Wu
- Heilongjiang Province Key Laboratory of Laser Spectroscopy Technology and Application, Harbin University of Science and Technology, Harbin 150080, China; (X.Z.); (C.W.); (H.W.)
| | - Yunzheng Wang
- Center for Optics Research and Engineering, Shandong University, Qingdao 266237, China
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5
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Zha B, Wang Z, Li L, Hu X, Ortega B, Li X, Min R. Wearable cardiorespiratory monitoring with stretchable elastomer optical fiber. BIOMEDICAL OPTICS EXPRESS 2023; 14:2260-2275. [PMID: 37206121 PMCID: PMC10191672 DOI: 10.1364/boe.490034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 04/19/2023] [Accepted: 04/19/2023] [Indexed: 05/21/2023]
Abstract
This work presents a stretchable elastomer optical fiber sensor incorporated into a belt for respiratory rate (RR) and heart rate (HR) monitoring. Different materials and shapes of prototypes designed were tested in terms of performance and the best choice was identified. The optimal sensor was tested by 10 volunteers to evaluate the performance. The proposed elastomer optical fiber sensor can achieve simultaneous measurement of RR and HR in different body positions, and also ballistocardiography (BCG) signal measurement in the lying position. The sensor has good accuracy and stability, with maximum errors of 1 bpm and 3 bpm for RR and HR, respectively, and average weighted mean absolute percentage error (MAPE) of 5.25% and root mean square error (RMSE) of 1.28 bpm. Moreover, the results of the Bland-Altman method showed good agreement of the sensor with manual counting of RR and with electrocardiogram (ECG) measurements of HR.
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Affiliation(s)
- Bingjie Zha
- Center for Cognition and Neuroergonomics,
State Key Laboratory of Cognitive Neuroscience and Learning,
Beijing Normal University, Zhuhai 519087, China
| | - Zhuo Wang
- Center for Cognition and Neuroergonomics,
State Key Laboratory of Cognitive Neuroscience and Learning,
Beijing Normal University, Zhuhai 519087, China
| | - Linqing Li
- Center for Cognition and Neuroergonomics,
State Key Laboratory of Cognitive Neuroscience and Learning,
Beijing Normal University, Zhuhai 519087, China
| | - Xuehao Hu
- Department of Electromagnetism and
Telecommunication, University of Mons,
Boulevard Dolez 31, 7000 Mons, Belgium
| | - Beatriz Ortega
- ITEAM Research
Institute, Universitat Politécnica de
Valéncia, 46022 Valencia, Spain
| | - Xiaoli Li
- Center for Cognition and Neuroergonomics,
State Key Laboratory of Cognitive Neuroscience and Learning,
Beijing Normal University, Zhuhai 519087, China
| | - Rui Min
- Center for Cognition and Neuroergonomics,
State Key Laboratory of Cognitive Neuroscience and Learning,
Beijing Normal University, Zhuhai 519087, China
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6
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Yuan Y, Liu B, Li H, Li M, Song Y, Wang R, Wang T, Zhang H. Flexible Wearable Sensors in Medical Monitoring. BIOSENSORS 2022; 12:bios12121069. [PMID: 36551036 PMCID: PMC9775172 DOI: 10.3390/bios12121069] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 11/20/2022] [Accepted: 11/21/2022] [Indexed: 05/31/2023]
Abstract
The popularity of health concepts and the wave of digitalization have driven the innovation of sensors in the medical field. Such continual development has made sensors progress in the direction of safety, flexibility, and intelligence for continuous monitoring of vital signs, which holds considerable promise for changing the way humans live and even treat diseases. To this end, flexible wearable devices with high performance, such as high sensitivity, high stability, and excellent biodegradability, have attracted strong interest from scientists. Herein, a review of flexible wearable sensors for temperature, heart rate, human motion, respiratory rate, glucose, and pH is highlighted. In addition, engineering issues are also presented, focusing on material selection, sensor fabrication, and power supply. Finally, potential challenges facing current technology and future directions of wearable sensors are also discussed.
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Affiliation(s)
- Yingying Yuan
- Liaoning Key Lab of Integrated Circuit and Biomedical Electronic System, School of Biomedical Engineering, Dalian University of Technology, Dalian 116024, China
| | - Bo Liu
- Liaoning Key Lab of Integrated Circuit and Biomedical Electronic System, School of Biomedical Engineering, Dalian University of Technology, Dalian 116024, China
- Faculty of Medicine, Dalian University of Technology, Dalian 116024, China
| | - Hui Li
- Department of Nursing, Cancer Hospital of Dalian University of Technology (Liaoning Cancer Hospital & Institute), Shenyang 110042, China
| | - Mo Li
- Department of Nursing, Cancer Hospital of Dalian University of Technology (Liaoning Cancer Hospital & Institute), Shenyang 110042, China
| | - Yingqiu Song
- Department of Radiotherapy, Cancer Hospital of Dalian University of Technology (Liaoning Cancer Hospital & Institute), Shenyang 110042, China
| | - Runze Wang
- School of Clinical Medicine, Chengdu Medical College, Chengdu 610500, China
| | - Tianlu Wang
- Faculty of Medicine, Dalian University of Technology, Dalian 116024, China
- Department of Radiotherapy, Cancer Hospital of Dalian University of Technology (Liaoning Cancer Hospital & Institute), Shenyang 110042, China
| | - Hangyu Zhang
- Liaoning Key Lab of Integrated Circuit and Biomedical Electronic System, School of Biomedical Engineering, Dalian University of Technology, Dalian 116024, China
- Faculty of Medicine, Dalian University of Technology, Dalian 116024, China
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7
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Leitão C, Pereira SO, Marques C, Cennamo N, Zeni L, Shaimerdenova M, Ayupova T, Tosi D. Cost-Effective Fiber Optic Solutions for Biosensing. BIOSENSORS 2022; 12:575. [PMID: 36004971 PMCID: PMC9405647 DOI: 10.3390/bios12080575] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/22/2022] [Accepted: 07/22/2022] [Indexed: 05/13/2023]
Abstract
In the last years, optical fiber sensors have proven to be a reliable and versatile biosensing tool. Optical fiber biosensors (OFBs) are analytical devices that use optical fibers as transducers, with the advantages of being easily coated and biofunctionalized, allowing the monitorization of all functionalization and detection in real-time, as well as being small in size and geometrically flexible, thus allowing device miniaturization and portability for point-of-care (POC) testing. Knowing the potential of such biosensing tools, this paper reviews the reported OFBs which are, at the moment, the most cost-effective. Different fiber configurations are highlighted, namely, end-face reflected, unclad, D- and U-shaped, tips, ball resonators, tapered, light-diffusing, and specialty fibers. Packaging techniques to enhance OFBs' application in the medical field, namely for implementing in subcutaneous, percutaneous, and endoscopic operations as well as in wearable structures, are presented and discussed. Interrogation approaches of OFBs using smartphones' hardware are a great way to obtain cost-effective sensing approaches. In this review paper, different architectures of such interrogation methods and their respective applications are presented. Finally, the application of OFBs in monitoring three crucial fields of human life and wellbeing are reported: detection of cancer biomarkers, detection of cardiovascular biomarkers, and environmental monitoring.
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Affiliation(s)
- Cátia Leitão
- i3N, Department of Physics, University of Aveiro, 3810-193 Aveiro, Portugal; (S.O.P.); (C.M.)
| | - Sónia O. Pereira
- i3N, Department of Physics, University of Aveiro, 3810-193 Aveiro, Portugal; (S.O.P.); (C.M.)
| | - Carlos Marques
- i3N, Department of Physics, University of Aveiro, 3810-193 Aveiro, Portugal; (S.O.P.); (C.M.)
| | - Nunzio Cennamo
- Department of Engineering, University of Campania Luigi Vanvitelli, Via Roma 29, 81031 Aversa, Italy; (N.C.); (L.Z.)
| | - Luigi Zeni
- Department of Engineering, University of Campania Luigi Vanvitelli, Via Roma 29, 81031 Aversa, Italy; (N.C.); (L.Z.)
| | - Madina Shaimerdenova
- School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan 010000, Kazakhstan; (M.S.); (T.A.)
| | - Takhmina Ayupova
- School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan 010000, Kazakhstan; (M.S.); (T.A.)
| | - Daniele Tosi
- School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan 010000, Kazakhstan; (M.S.); (T.A.)
- Laboratory of Biosensors and Bioinstruments, National Laboratory Astana, Nur-Sultan 010000, Kazakhstan
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8
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Vavrinsky E, Esfahani NE, Hausner M, Kuzma A, Rezo V, Donoval M, Kosnacova H. The Current State of Optical Sensors in Medical Wearables. BIOSENSORS 2022; 12:217. [PMID: 35448277 PMCID: PMC9029995 DOI: 10.3390/bios12040217] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 03/31/2022] [Accepted: 04/04/2022] [Indexed: 05/04/2023]
Abstract
Optical sensors play an increasingly important role in the development of medical diagnostic devices. They can be very widely used to measure the physiology of the human body. Optical methods include PPG, radiation, biochemical, and optical fiber sensors. Optical sensors offer excellent metrological properties, immunity to electromagnetic interference, electrical safety, simple miniaturization, the ability to capture volumes of nanometers, and non-invasive examination. In addition, they are cheap and resistant to water and corrosion. The use of optical sensors can bring better methods of continuous diagnostics in the comfort of the home and the development of telemedicine in the 21st century. This article offers a large overview of optical wearable methods and their modern use with an insight into the future years of technology in this field.
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Affiliation(s)
- Erik Vavrinsky
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
- Institute of Medical Physics, Biophysics, Informatics and Telemedicine, Faculty of Medicine, Comenius University, Sasinkova 2, 81272 Bratislava, Slovakia
| | - Niloofar Ebrahimzadeh Esfahani
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
| | - Michal Hausner
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
| | - Anton Kuzma
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
| | - Vratislav Rezo
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
| | - Martin Donoval
- Institute of Electronics and Photonics, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovicova 3, 81219 Bratislava, Slovakia; (N.E.E.); (M.H.); (A.K.); (V.R.); (M.D.)
| | - Helena Kosnacova
- Department of Simulation and Virtual Medical Education, Faculty of Medicine, Comenius University, Sasinkova 4, 81272 Bratislava, Slovakia
- Department of Genetics, Cancer Research Institute, Biomedical Research Center, Slovak Academy Sciences, Dubravska Cesta 9, 84505 Bratislava, Slovakia
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9
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Tavares C, Leitão C, Lo Presti D, Domingues MF, Alberto N, Silva H, Antunes P. Respiratory and heart rate monitoring using an FBG 3D-printed wearable system. BIOMEDICAL OPTICS EXPRESS 2022; 13:2299-2311. [PMID: 35519242 PMCID: PMC9045939 DOI: 10.1364/boe.452115] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/27/2022] [Accepted: 02/01/2022] [Indexed: 05/30/2023]
Abstract
This work proposes a 3D-printed sensor based on fiber Bragg grating (FBG) technology for respiratory rate (RR) and heart rate (HR) monitoring. Each sensor is composed of a single FBG fully encapsulated into a 3D-printable Flexible, during the printing process. Sensors with different material thicknesses and infill densities were tested. The sensor with the best metrological properties was selected and preliminary assessed in terms of capability of monitoring RR and HR on three users. Preliminary results proved that the developed sensor can be a valuable easy-to-fabricate solution, with high reproducibility and high strain sensitivity to chest wall deformations due to breathing and heart beating.
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Affiliation(s)
- Cátia Tavares
- Department of Physics & I3N, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
- Instituto de Telecomunicações and University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Cátia Leitão
- Department of Physics & I3N, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
- Instituto de Telecomunicações and University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Daniela Lo Presti
- Unit of Measurements and Biomedical Instrumentation, Departmental Faculty of Engineering, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - M. F. Domingues
- Instituto de Telecomunicações and University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Nélia Alberto
- Instituto de Telecomunicações and University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Hugo Silva
- Instituto de Telecomunicações, Instituto Superior Técnico, University of Lisbon, 1049-001 Lisbon, Portugal
- PLUX - Wireless Biosignals, S.A, Lisboa, Portugal
| | - Paulo Antunes
- Department of Physics & I3N, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
- Instituto de Telecomunicações and University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
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10
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Loyez M, DeRosa MC, Caucheteur C, Wattiez R. Overview and emerging trends in optical fiber aptasensing. Biosens Bioelectron 2022; 196:113694. [PMID: 34637994 DOI: 10.1016/j.bios.2021.113694] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/30/2021] [Accepted: 10/01/2021] [Indexed: 12/16/2022]
Abstract
Optical fiber biosensors have attracted growing interest over the last decade and quickly became a key enabling technology, especially for the detection of biomarkers at extremely low concentrations and in small volumes. Among the many and recent fiber-optic sensing amenities, aptamers-based sensors have shown unequalled performances in terms of ease of production, specificity, and sensitivity. The immobilization of small and highly stable bioreceptors such as DNA has bolstered their use for the most varied applications e.g., medical diagnosis, food safety and environmental monitoring. This review highlights the recent advances in aptamer-based optical fiber biosensors. An in-depth analysis of the literature summarizes different fiber-optic structures and biochemical strategies for molecular detection and immobilization of receptors over diverse surfaces. In this review, we analyze the features offered by those sensors and discuss about the next challenges to be addressed. This overview investigates both biochemical and optical parameters, drawing the guiding lines for forthcoming innovations and prospects in this ever-growing field of research.
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Affiliation(s)
- Médéric Loyez
- Proteomics and Microbiology Department, University of Mons, Avenue du Champ de Mars 6, 7000, Mons, Belgium; Electromagnetism and Telecommunication Department, University of Mons, Bld. Dolez 31, 7000, Mons, Belgium.
| | - Maria C DeRosa
- Department of Chemistry, 203 Steacie Building, Carleton University, 1125, Colonel By Drive, Ottawa, ON K1S 5B6, Canada
| | - Christophe Caucheteur
- Electromagnetism and Telecommunication Department, University of Mons, Bld. Dolez 31, 7000, Mons, Belgium
| | - Ruddy Wattiez
- Proteomics and Microbiology Department, University of Mons, Avenue du Champ de Mars 6, 7000, Mons, Belgium
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11
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Guerrier S, Dorize C, Awwad E, Renaudier J. A fully digital MIMO-OFDM scheme for fading mitigation in coherent Δϕ-OTDR. OPTICS EXPRESS 2021; 29:35149-35160. [PMID: 34808954 DOI: 10.1364/oe.436146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 10/04/2021] [Indexed: 06/13/2023]
Abstract
We introduce a coherent-MIMO Δϕ-OTDR based sensing technique that uses digital frequency division multiplexing of probing codes in order to mitigate the coherent fading issue in Δϕ-OTDR. Orthogonal frequency division multiplexing (OFDM) is used to probe the optical channel on several electrical subcarriers, and their responses are then combined according to specific reliability criterion to enhance the overall sensing sensitivity. This allows for a decrease of the noise floor in sensing measurements on standard single mode fiber (SSMF) and the mitigation of false alarms. Coherent MIMO-OFDM enables sensing over telecom fibers with a measured sensitivity level below 21p ε/H z along 1.3km fiber over a mechanical bandwidth of 760Hz. Enhancements in the dynamic range for detection of mechanical excitation are presented with a gain over 18dB as compared to single-carrier probing.
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12
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Non-Contact Video-Based Assessment of the Respiratory Function Using a RGB-D Camera. SENSORS 2021; 21:s21165605. [PMID: 34451047 PMCID: PMC8402324 DOI: 10.3390/s21165605] [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: 07/22/2021] [Revised: 08/14/2021] [Accepted: 08/17/2021] [Indexed: 01/01/2023]
Abstract
A fully automatic, non-contact method for the assessment of the respiratory function is proposed using an RGB-D camera-based technology. The proposed algorithm relies on the depth channel of the camera to estimate the movements of the body’s trunk during breathing. It solves in fixed-time complexity, O(1), as the acquisition relies on the mean depth value of the target regions only using the color channels to automatically locate them. This simplicity allows the extraction of real-time values of the respiration, as well as the synchronous assessment on multiple body parts. Two different experiments have been performed: a first one conducted on 10 users in a single region and with a fixed breathing frequency, and a second one conducted on 20 users considering a simultaneous acquisition in two regions. The breath rate has then been computed and compared with a reference measurement. The results show a non-statistically significant bias of 0.11 breaths/min and 96% limits of agreement of −2.21/2.34 breaths/min regarding the breath-by-breath assessment. The overall real-time assessment shows a RMSE of 0.21 breaths/min. We have shown that this method is suitable for applications where respiration needs to be monitored in non-ambulatory and static environments.
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13
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Respiration Monitoring via Forcecardiography Sensors. SENSORS 2021; 21:s21123996. [PMID: 34207899 PMCID: PMC8228286 DOI: 10.3390/s21123996] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 06/04/2021] [Accepted: 06/07/2021] [Indexed: 12/26/2022]
Abstract
In the last few decades, a number of wearable systems for respiration monitoring that help to significantly reduce patients’ discomfort and improve the reliability of measurements have been presented. A recent research trend in biosignal acquisition is focusing on the development of monolithic sensors for monitoring multiple vital signs, which could improve the simultaneous recording of different physiological data. This study presents a performance analysis of respiration monitoring performed via forcecardiography (FCG) sensors, as compared to ECG-derived respiration (EDR) and electroresistive respiration band (ERB), which was assumed as the reference. FCG is a novel technique that records the cardiac-induced vibrations of the chest wall via specific force sensors, which provide seismocardiogram-like information, along with a novel component that seems to be related to the ventricular volume variations. Simultaneous acquisitions were obtained from seven healthy subjects at rest, during both quiet breathing and forced respiration at higher and lower rates. The raw FCG sensor signals featured a large, low-frequency, respiratory component (R-FCG), in addition to the common FCG signal. Statistical analyses of R-FCG, EDR and ERB signals showed that FCG sensors ensure a more sensitive and precise detection of respiratory acts than EDR (sensitivity: 100% vs. 95.8%, positive predictive value: 98.9% vs. 92.5%), as well as a superior accuracy and precision in interbreath interval measurement (linear regression slopes and intercepts: 0.99, 0.026 s (R2 = 0.98) vs. 0.98, 0.11 s (R2 = 0.88), Bland–Altman limits of agreement: ±0.61 s vs. ±1.5 s). This study represents a first proof of concept for the simultaneous recording of respiration signals and forcecardiograms with a single, local, small, unobtrusive, cheap sensor. This would extend the scope of FCG to monitoring multiple vital signs, as well as to the analysis of cardiorespiratory interactions, also paving the way for the continuous, long-term monitoring of patients with heart and pulmonary diseases.
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14
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Ladrova M, Martinek R, Nedoma J, Hanzlikova P, Nelson MD, Kahankova R, Brablik J, Kolarik J. Monitoring and Synchronization of Cardiac and Respiratory Traces in Magnetic Resonance Imaging: A Review. IEEE Rev Biomed Eng 2021; 15:200-221. [PMID: 33513108 DOI: 10.1109/rbme.2021.3055550] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Synchronization of human vital signs, namely the cardiac cycle and respiratory excursions, is necessary during magnetic resonance imaging of the cardiovascular system and the abdominal cavity to achieve optimal image quality with minimized artifacts. This review summarizes techniques currently available in clinical practice, as well as methods under development, outlines the benefits and disadvantages of each approach, and offers some unique solutions for consideration.
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15
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Angelucci A, Cavicchioli M, Cintorrino IA, Lauricella G, Rossi C, Strati S, Aliverti A. Smart Textiles and Sensorized Garments for Physiological Monitoring: A Review of Available Solutions and Techniques. SENSORS (BASEL, SWITZERLAND) 2021; 21:814. [PMID: 33530403 PMCID: PMC7865961 DOI: 10.3390/s21030814] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/20/2021] [Accepted: 01/22/2021] [Indexed: 12/11/2022]
Abstract
Several wearable devices for physiological and activity monitoring are found on the market, but most of them only allow spot measurements. However, the continuous detection of physiological parameters without any constriction in time or space would be useful in several fields such as healthcare, fitness, and work. This can be achieved with the application of textile technologies for sensorized garments, where the sensors are completely embedded in the fabric. The complete integration of sensors in the fabric leads to several manufacturing techniques that allow dealing with both the technological challenges entailed by the physiological parameters under investigation, and the basic requirements of a garment such as perspiration, washability, and comfort. This review is intended to provide a detailed description of the textile technologies in terms of materials and manufacturing processes employed in the production of sensorized fabrics. The focus is pointed at the technical challenges and the advanced solutions introduced with respect to conventional sensors for recording different physiological parameters, and some interesting textile implementations for the acquisition of biopotentials, respiratory parameters, temperature and sweat are proposed. In the last section, an overview of the main garments on the market is depicted, also exploring some relevant projects under development.
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Affiliation(s)
- Alessandra Angelucci
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, 20133 Milan, Italy; (M.C.); (I.A.C.); (G.L.); (C.R.); (S.S.); (A.A.)
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Wang YL, Liu B, Pang YN, Liu J, Shi JL, Wan SP, He XD, Yuan J, Wu Q. Low-Cost Wearable Sensor Based on a D-Shaped Plastic Optical Fiber for Respiration Monitoring. IEEE TRANSACTIONS ON INSTRUMENTATION AND MEASUREMENT 2021; 70:1-8. [PMID: 0 DOI: 10.1109/tim.2021.3075033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Piuzzi E, Pisa S, Pittella E, Podestà L, Sangiovanni S. Wearable Belt With Built-In Textile Electrodes for Cardio-Respiratory Monitoring. SENSORS 2020; 20:s20164500. [PMID: 32806534 PMCID: PMC7472108 DOI: 10.3390/s20164500] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 08/02/2020] [Accepted: 08/10/2020] [Indexed: 12/27/2022]
Abstract
Unobtrusive and continuous monitoring of vital signs is becoming more and more important both for patient monitoring in the home environment and for sports activity tracking. Even though many gadgets and clinical systems exist, the need for simple, low-cost and easily applicable solutions still remains, especially in view of a more widespread use within everyone’s reach. The paper presents a fully wearable and wireless sensorized belt, suitable to simultaneously acquire respiratory and cardiac signals employing a single acquisition channel. The adopted method relies on a 50-kHz current injected in the subject thorax through a couple of textile electrodes and on envelope detection of the trans-thoracic voltage acquired from a couple of different embedded electrodes. The resulting signal contains both the baseband electrocardiogram (ECG) signal and the trans-thoracic impedance signal, which encodes respiratory acts. The two signals can be easily separated through suitable filtering and the cardio–respiratory rates extracted. The proposed solution yields performances comparable to those of a spirometer and a two-lead ECG. The whole system, with a realization cost below 100 €, a wireless interface, and several hours (or even days) of autonomy, is a suitable candidate for everyday use, especially if complemented by motion artifact removal techniques, currently under implementation.
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Affiliation(s)
- Emanuele Piuzzi
- Department of Information Engineering, Electronics and Telecommunications (DIET), Sapienza University of Rome, via Eudossiana 18, 00184 Rome, Italy;
- Correspondence:
| | - Stefano Pisa
- Department of Information Engineering, Electronics and Telecommunications (DIET), Sapienza University of Rome, via Eudossiana 18, 00184 Rome, Italy;
| | - Erika Pittella
- Department of Legal and Economic Sciences, Pegaso University, via di S. Pantaleo 66, 00186 Rome, Italy;
| | - Luca Podestà
- Department of Astronautics, Electrical and Energetics Engineering (DIAEE), Sapienza University of Rome, via Eudossiana 18, 00184 Rome, Italy; (L.P.); (S.S.)
| | - Silvia Sangiovanni
- Department of Astronautics, Electrical and Energetics Engineering (DIAEE), Sapienza University of Rome, via Eudossiana 18, 00184 Rome, Italy; (L.P.); (S.S.)
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18
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Taylor L, Ding X, Clifton D, Lu H. Wearable Vital Signs Monitoring for Patients With Asthma: A Review. IEEE SENSORS JOURNAL 2020; 23:1734-1751. [PMID: 37655115 PMCID: PMC7615004 DOI: 10.1109/jsen.2022.3224411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
Worldwide,an estimated 461 000 people die from asthma attacks each year. While there remain treatments to alleviate asthma symptoms and reduce deaths, patient deterioration needs to be identified in sufficient time. To prevent asthma deterioration, patients need to be aware of personal and environmental triggers and monitor their asthma symptoms. The aim of this article is to provide a comprehensive review of the current state-of-the-art wearable sensors and devices that use vital signs for asthma patient monitoring and management. Among all vital signs, breathing rate and airflow sound are key indicators of asthmatic patients' health that can be measured directly using wearable sensors to provide continuous and constant patient monitoring or indirectly by estimations based on proven algorithms using electrocardiogram (ECG), photoplethysmogram (PPG), and chest movements. ECG and PPG signals are widely used in smart watches and chest bands, enabling easy integration of a more extensive body sensor framework for asthmatic exacerbation prediction. Other vital signs used in asthma patient monitoring include blood oxygen saturation, temperature, blood pressure, verbal sound, and pain responses. The use of wearable vital signs enabled a broad range of wearable sensor application scenarios for asthma monitoring and management.
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Affiliation(s)
- Lucy Taylor
- Somerville College and the Department of Engineering Science, University of Oxford, OX2 6HD Oxford, U.K
| | - Xiaorong Ding
- School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610056, China
| | - David Clifton
- Department of Engineering Science, University of Oxford, OX3 7DQ Oxford, U.K., and also with the Oxford Suzhou Centre for Advanced Research, Suzhou 215000, China
| | - Huiqi Lu
- Somerville College and the Department of Engineering Science, University of Oxford, OX2 6HD Oxford, U.K
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