Photoplethysmography Revisited: From Contact to Noncontact, From Point to Imaging
TL;DR: This study presents an overview of the wide range of IPPG systems currently being introduced along with examples of their application in various physiological assessments and believes that the widespread acceptance ofIPPG is happening, and it will dramatically accelerate the promotion of this healthcare model in the near future.
Abstract: Photoplethysmography (PPG) is a noninvasive optical technique for detecting microvascular blood volume changes in tissues. Its ease of use, low cost and convenience make it an attractive area of research in the biomedical and clinical communities. Nevertheless, its single spot monitoring and the need to apply a PPG sensor directly to the skin limit its practicality in situations such as perfusion mapping and healing assessments or when free movement is required. The introduction of fast digital cameras into clinical imaging monitoring and diagnosis systems, the desire to reduce the physical restrictions, and the possible new insights that might come from perfusion imaging and mapping inspired the evolution of the conventional PPG technology to imaging PPG (IPPG). IPPG is a noncontact method that can detect heart-generated pulse waves by means of peripheral blood perfusion measurements. Since its inception, IPPG has attracted significant public interest and provided opportunities to improve personal healthcare. This study presents an overview of the wide range of IPPG systems currently being introduced along with examples of their application in various physiological assessments. We believe that the widespread acceptance of IPPG is happening, and it will dramatically accelerate the promotion of this healthcare model in the near future.
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Journal Article•
TL;DR: This study is the first to establish reference and normal values for PWV, combining a sizeable European population after standardizing results for different methods of PWV measurement.
Abstract: Aims Carotid–femoral pulse wave velocity (PWV), a direct measure of aortic stiffness, has become increasingly important for total cardiovascular (CV) risk estimation. Its application as a routine tool for clinical patient evaluation has been hampered by the absence of reference values. The aim of the present study is to establish reference and normal values for PWV based on a large European population. Methods and results We gathered data from 16 867 subjects and patients from 13 different centres across eight European countries, in which PWV and basic clinical parameters were measured. Of these, 11 092 individuals were free from overt CV disease, non-diabetic and untreated by either anti-hypertensive or lipid-lowering drugs and constituted the reference value population, of which the subset with optimal/normal blood pressures (BPs) (n = 1455) is the normal value population. Prior to data pooling, PWV values were converted to a common standard using established conversion formulae. Subjects were categorized by age decade and further subdivided according to BP categories. Pulse wave velocity increased with age and BP category; the increase with age being more pronounced for higher BP categories and the increase with BP being more important for older subjects. The distribution of PWV with age and BP category is described and reference values for PWV are established. Normal values are proposed based on the PWV values observed in the non-hypertensive subpopulation who had no additional CV risk factors. Conclusion The present study is the first to establish reference and normal values for PWV, combining a sizeable European population after standardizing results for different methods of PWV measurement.
1,371 citations
21 Feb 2007
704 citations
TL;DR: The experimental results show that given a well-defined skin mask, 2SR outperforms the popular ICA-based approach and two state-of-the-art algorithms (CHROM and PBV) and confirms the significant improvement of 2SR in peak-to-peak accuracy.
Abstract: In this paper, we propose a conceptually novel algorithm, namely “Spatial Subspace Rotation” (2SR), that improves the robustness of remote photoplethysmography. Based on the assumption of 1) spatially redundant pixel-sensors of a camera, and 2) a well-defined skin mask, our core idea is to estimate a spatial subspace of skin-pixels and measure its temporal rotation for pulse extraction, which does not require skin-tone or pulse-related priors in contrast to existing algorithms. The proposed algorithm is thoroughly assessed on a benchmark dataset containing 54 videos, which includes challenges of various skin-tones, body-motions in complex illuminance conditions, and pulse-rate recovery after exercise. The experimental results show that given a well-defined skin mask, 2SR outperforms the popular ICA-based approach and two state-of-the-art algorithms (CHROM and PBV). When comparing the pulse frequency spectrum, 2SR improves on average the SNR of ICA by 2.22 dB, CHROM by 1.56 dB, and PBV by 1.95 dB. When comparing the instant pulse-rate, 2SR improves on average the Pearson correlation and precision of ICA by 47% and 65%, CHROM by 22% and 23%, and PBV by 21% and 39%. ANOVA confirms the significant improvement of 2SR in peak-to-peak accuracy. The proposed 2SR algorithm is very simple to use and extend, i.e., the implementation only requires a few lines MATLAB code.
258 citations
Cites background from "Photoplethysmography Revisited: Fro..."
...A thorough review on the history of rPPG can be found in [7] and [8]....
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TL;DR: This paper proposes a simple approach to implicitly select skin tissues based on their distinct pulsatility feature and shows that this method outperforms state of the art algorithms, without any critical face or skin detection.
253 citations
Posted Content•
TL;DR: DistancePPG as discussed by the authors proposes a new method of combining skin-color change signals from different tracked regions of the face using a weighted average, where the weights depend on the blood perfusion and incident light intensity in the region, to improve the signal-to-noise ratio (SNR) of camera-based estimate.
Abstract: Vital signs such as pulse rate and breathing rate are currently measured using contact probes. But, non-contact methods for measuring vital signs are desirable both in hospital settings (e.g. in NICU) and for ubiquitous in-situ health tracking (e.g. on mobile phone and computers with webcams). Recently, camera-based non-contact vital sign monitoring have been shown to be feasible. However, camera-based vital sign monitoring is challenging for people with darker skin tone, under low lighting conditions, and/or during movement of an individual in front of the camera. In this paper, we propose distancePPG, a new camera-based vital sign estimation algorithm which addresses these challenges. DistancePPG proposes a new method of combining skin-color change signals from different tracked regions of the face using a weighted average, where the weights depend on the blood perfusion and incident light intensity in the region, to improve the signal-to-noise ratio (SNR) of camera-based estimate. One of our key contributions is a new automatic method for determining the weights based only on the video recording of the subject. The gains in SNR of camera-based PPG estimated using distancePPG translate into reduction of the error in vital sign estimation, and thus expand the scope of camera-based vital sign monitoring to potentially challenging scenarios. Further, a dataset will be released, comprising of synchronized video recordings of face and pulse oximeter based ground truth recordings from the earlobe for people with different skin tones, under different lighting conditions and for various motion scenarios.
225 citations
References
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01 Dec 2001
TL;DR: A machine learning approach for visual object detection which is capable of processing images extremely rapidly and achieving high detection rates and the introduction of a new image representation called the "integral image" which allows the features used by the detector to be computed very quickly.
Abstract: This paper describes a machine learning approach for visual object detection which is capable of processing images extremely rapidly and achieving high detection rates. This work is distinguished by three key contributions. The first is the introduction of a new image representation called the "integral image" which allows the features used by our detector to be computed very quickly. The second is a learning algorithm, based on AdaBoost, which selects a small number of critical visual features from a larger set and yields extremely efficient classifiers. The third contribution is a method for combining increasingly more complex classifiers in a "cascade" which allows background regions of the image to be quickly discarded while spending more computation on promising object-like regions. The cascade can be viewed as an object specific focus-of-attention mechanism which unlike previous approaches provides statistical guarantees that discarded regions are unlikely to contain the object of interest. In the domain of face detection the system yields detection rates comparable to the best previous systems. Used in real-time applications, the detector runs at 15 frames per second without resorting to image differencing or skin color detection.
18,620 citations
"Photoplethysmography Revisited: Fro..." refers background in this paper
...tor [129]) to detect faces within the video frames and localize the ROI for each video frame [75], [80]....
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16,221 citations
TL;DR: This paper summarizes the proceedings of several meetings of the European Network for Non-invasive Investigation of Large Arteries and is aimed at providing an updated and practical overview of the most relevant methodological aspects and clinical applications in this area.
Abstract: In recent years, great emphasis has been placed on the role of arterial stiffness in the development of cardiovascular diseases. Indeed, the assessment of arterial stiffness is increasingly used in the clinical assessment of patients. Although several papers have previously addressed the methodological issues concerning the various indices of arterial stiffness currently available, and their clinical applications, clinicians and researchers still report difficulties in selecting the most appropriate methodology for their specific use. This paper summarizes the proceedings of several meetings of the European Network for Non-invasive Investigation of Large Arteries and is aimed at providing an updated and practical overview of the most relevant methodological aspects and clinical applications in this area.
4,901 citations
"Photoplethysmography Revisited: Fro..." refers background in this paper
...Recently, Anchan reported some preliminary results of PWV information extracted from a cellphone-based IPPG system [91]....
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...Pulse transit time (PTT), the time it takes a pulse wave to travel between arterial sites, is inversely related to the PWV [146] and is more convenient to obtain....
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...sites, is inversely related to the PWV [146] and is more convenient to obtain....
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...From the available methods to assess arterial stiffness, pulse wave velocity (PWV) has emerged as the gold standard because of its relative ease in determination and perceived reliability....
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...2)] decreases in older individuals and in those with various cardiovascular diseases as a consequence of increased large artery stiffness and increased PWV of pressure waves in the aorta and large arteries [160]– [162]....
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Journal Article•
TL;DR: In this paper, the authors summarized the proceedings of several meetings of the European Network for Non-invasive Investigation of Large Arteries and aimed at providing an updated and practical overview of the most relevant methodological aspects and clinical applications in this area.
Abstract: In recent years, great emphasis has been placed on the role of arterial stiffness in the development of cardiovascular diseases. Indeed, the assessment of arterial stiffness is increasingly used in the clinical assessment of patients. Although several papers have previously addressed the methodological issues concerning the various indices of arterial stiffness currently available, and their clinical applications, clinicians and researchers still report difficulties in selecting the most appropriate methodology for their specific use. This paper summarizes the proceedings of several meetings of the European Network for Non-invasive Investigation of Large Arteries and is aimed at providing an updated and practical overview of the most relevant methodological aspects and clinical applications in this area.
4,410 citations