scholarly journals A Continuous Blood Pressure Estimation Method Using Photoplethysmography by GRNN-Based Model

Sensors ◽  
2021 ◽  
Vol 21 (21) ◽  
pp. 7207
Author(s):  
Zheming Li ◽  
Wei He
Keyword(s):  
Blood Pressure ◽  
Estimation Method ◽  
Absolute Error ◽  
Disease Diagnosis ◽  
Generalized Regression Neural Network ◽  
British Hypertension Society ◽  
Proposed Model ◽  
The Mean ◽  
Blood Pressure Estimation ◽  
The Time Domain

Compared with diastolic blood pressure (DBP) and systolic blood pressure (SBP), the blood pressure (BP) waveform contains richer physiological information that can be used for disease diagnosis. However, most models based on photoplethysmogram (PPG) signals can only estimate SBP and DBP and are susceptible to noise signals. We focus on estimating the BP waveform rather than discrete BP values. We propose a model based on a generalized regression neural network to estimate the BP waveform, SBP and DBP. This model takes the raw PPG signal as input and BP waveform as output. The SBP and DBP are extracted from the estimated BP waveform. In addition, the model contains encoders and decoders, and their role is to be responsible for the conversion between the time domain and frequency domain of the waveform. The prediction results of our model show that the mean absolute error is 3.96 ± 5.36 mmHg for SBP and 2.39 ± 3.28 mmHg for DBP, the root mean square error is 5.54 for SBP and 3.45 for DBP. These results fulfill the Association for the Advancement of Medical Instrumentation (AAMI) standard and obtain grade A according to the British Hypertension Society (BHS) standard. The results show that the proposed model can effectively estimate the BP waveform only using the raw PPG signal.

scholarly journals Continuous Blood Pressure Estimation Using Exclusively Photopletysmography by LSTM-Based Signal-to-Signal Translation

Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 2952
Author(s):  
Latifa Nabila Harfiya ◽  
Ching-Chun Chang ◽  
Yung-Hui Li
Keyword(s):  
Blood Pressure ◽  
Absolute Error ◽  
Estimation Methods ◽  
British Hypertension Society ◽  
Arterial Blood ◽  
Proposed Model ◽  
Pressure Estimation ◽  
Effective Signal ◽  
Blood Pressure Estimation ◽  
Continuous Blood Pressure

Monitoring continuous BP signal is an important issue, because blood pressure (BP) varies over days, minutes, or even seconds for short-term cases. Most of photoplethysmography (PPG)-based BP estimation methods are susceptible to noise and only provides systolic blood pressure (SBP) and diastolic blood pressure (DBP) prediction. Here, instead of estimating a discrete value, we focus on different perspectives to estimate the whole waveform of BP. We propose a novel deep learning model to learn how to perform signal-to-signal translation from PPG to arterial blood pressure (ABP). Furthermore, using a raw PPG signal only as the input, the output of the proposed model is a continuous ABP signal. Based on the translated ABP signal, we extract the SBP and DBP values accordingly to ease the comparative evaluation. Our prediction results achieve average absolute error under 5 mmHg, with 70% confidence for SBP and 95% confidence for DBP without complex feature engineering. These results fulfill the standard from Association for the Advancement of Medical Instrumentation (AAMI) and the British Hypertension Society (BHS) with grade A. From the results, we believe that our model is applicable and potentially boosts the accuracy of an effective signal-to-signal continuous blood pressure estimation.

scholarly journals An Estimation Method of Continuous Non-Invasive Arterial Blood Pressure Waveform Using Photoplethysmography: A U-Net Architecture-Based Approach

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1867
Author(s):  
Tasbiraha Athaya ◽  
Sunwoong Choi
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Health ◽  
Estimation Method ◽  
Absolute Error ◽  
British Hypertension Society ◽  
Non Invasive ◽  
Arterial Blood ◽  
Blood Pressure Waveform ◽  
The Mean ◽  
Mimic Iii

Blood pressure (BP) monitoring has significant importance in the treatment of hypertension and different cardiovascular health diseases. As photoplethysmogram (PPG) signals can be recorded non-invasively, research has been highly conducted to measure BP using PPG recently. In this paper, we propose a U-net deep learning architecture that uses fingertip PPG signal as input to estimate arterial BP (ABP) waveform non-invasively. From this waveform, we have also measured systolic BP (SBP), diastolic BP (DBP), and mean arterial pressure (MAP). The proposed method was evaluated on a subset of 100 subjects from two publicly available databases: MIMIC and MIMIC-III. The predicted ABP waveforms correlated highly with the reference waveforms and we have obtained an average Pearson’s correlation coefficient of 0.993. The mean absolute error is 3.68 ± 4.42 mmHg for SBP, 1.97 ± 2.92 mmHg for DBP, and 2.17 ± 3.06 mmHg for MAP which satisfy the requirements of the Association for the Advancement of Medical Instrumentation (AAMI) standard and obtain grade A according to the British Hypertension Society (BHS) standard. The results show that the proposed method is an efficient process to estimate ABP waveform directly using fingertip PPG.

scholarly journals Non-invasive cuff-less blood pressure estimation using a hybrid deep learning model

2021 ◽  
Vol 53 (2) ◽  
Author(s):  
Sen Yang ◽  
Yaping Zhang ◽  
Siu-Yeung Cho ◽  
Ricardo Correia ◽  
Stephen P. Morgan
Keyword(s):  
Machine Learning ◽  
Blood Pressure ◽  
Deep Learning ◽  
Absolute Error ◽  
Learning Model ◽  
Physiological Measurement ◽  
British Hypertension Society ◽  
Non Invasive ◽  
Blood Pressure Estimation ◽  
Deep Learning Model

AbstractConventional blood pressure (BP) measurement methods have different drawbacks such as being invasive, cuff-based or requiring manual operations. There is significant interest in the development of non-invasive, cuff-less and continual BP measurement based on physiological measurement. However, in these methods, extracting features from signals is challenging in the presence of noise or signal distortion. When using machine learning, errors in feature extraction result in errors in BP estimation, therefore, this study explores the use of raw signals as a direct input to a deep learning model. To enable comparison with the traditional machine learning models which use features from the photoplethysmogram and electrocardiogram, a hybrid deep learning model that utilises both raw signals and physical characteristics (age, height, weight and gender) is developed. This hybrid model performs best in terms of both diastolic BP (DBP) and systolic BP (SBP) with the mean absolute error being 3.23 ± 4.75 mmHg and 4.43 ± 6.09 mmHg respectively. DBP and SBP meet the Grade A and Grade B performance requirements of the British Hypertension Society respectively.

scholarly journals A Novel Neural Network Model for Blood Pressure Estimation Using Photoplethesmography without Electrocardiogram

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Ludi Wang ◽  
Wei Zhou ◽  
Ying Xing ◽  
Xiaoguang Zhou
Keyword(s):  
Neural Network ◽  
Blood Pressure ◽  
Mean Absolute Error ◽  
Wearable Sensors ◽  
Absolute Error ◽  
Noninvasive Estimation ◽  
Treatment Of Hypertension ◽  
The Mean ◽  
Artificial Neural Network Ann ◽  
Blood Pressure Estimation

The prevention, evaluation, and treatment of hypertension have attracted increasing attention in recent years. As photoplethysmography (PPG) technology has been widely applied to wearable sensors, the noninvasive estimation of blood pressure (BP) using the PPG method has received considerable interest. In this paper, a method for estimating systolic and diastolic BP based only on a PPG signal is developed. The multitaper method (MTM) is used for feature extraction, and an artificial neural network (ANN) is used for estimation. Compared with previous approaches, the proposed method obtains better accuracy; the mean absolute error is 4.02 ± 2.79 mmHg for systolic BP and 2.27 ± 1.82 mmHg for diastolic BP.

scholarly journals Statistical approach Based on Deep Neural Networks for Oscillometric Blood Pressure Estimation

2018 ◽  
Author(s):  
Soojeong Lee ◽  
Joon-Hyuk Chang
Keyword(s):  
Blood Pressure ◽  
Regression Model ◽  
Statistical Tests ◽  
Single Point ◽  
Absolute Error ◽  
Rank Test ◽  
Physiological Properties ◽  
Kolmogorov Smirnov ◽  
The Mean ◽  
Blood Pressure Estimation

Oscillometric blood pressure (BP) devices currently estimate a single point but do not identify fluctuations in BP or distinguish them from variations in response to physiological properties. In this paper, to analyze BP normality based on oscillometric measurements, we use statistical approaches including kurtosis, skewness, Kolmogorov-Smirnov, and correlation tests. Then, to mitigate uncertainties, we use a deep neural network (DNN) to determine the confidence limits (CLs) of BP measurements based on their normality. The proposed DNN regression model decreases the standard deviation of error (SDE) of the mean error (ME) and the mean absolute error (MAE) and reduces the uncertainty of the CLs and SDEs of the proposed technique. We validate the normality of the distribution of the BP estimation distribution which fits the Gaussian distribution very well. We use a rank test in the DNN regression model to demonstrate the independence of the artificial SBP and DBP estimations. First, we perform statistical tests to verify the normality of the BP measurements for individual subjects. The proposed methodology provides accurate BP estimations and reduces the uncertainties associated with the CLs and SDEs based on the DNN regression estimator.

scholarly journals Generalized Deep Neural Network Model for Cuffless Blood Pressure Estimation with Photoplethysmogram Signal Only

Sensors ◽  
2020 ◽  
Vol 20 (19) ◽  
pp. 5668
Author(s):  
Yan-Cheng Hsu ◽  
Yung-Hui Li ◽  
Ching-Chun Chang ◽  
Latifa Nabila Harfiya
Keyword(s):  
Neural Network ◽  
Blood Pressure ◽  
Network Model ◽  
Neural Network Model ◽  
Deep Neural Network ◽  
Public Awareness ◽  
Absolute Error ◽  
Estimation Model ◽  
British Hypertension Society ◽  
Proposed Model

Due to the growing public awareness of cardiovascular disease (CVD), blood pressure (BP) estimation models have been developed based on physiological parameters extracted from both electrocardiograms (ECGs) and photoplethysmograms (PPGs). Still, in order to enhance the usability as well as reduce the sensor cost, researchers endeavor to establish a generalized BP estimation model using only PPG signals. In this paper, we propose a deep neural network model capable of extracting 32 features exclusively from PPG signals for BP estimation. The effectiveness and accuracy of our proposed model was evaluated by the root mean square error (RMSE), mean absolute error (MAE), the Association for the Advancement of Medical Instrumentation (AAMI) standard and the British Hypertension Society (BHS) standard. Experimental results showed that the RMSEs in systolic blood pressure (SBP) and diastolic blood pressure (DBP) are 4.643 mmHg and 3.307 mmHg, respectively, across 9000 subjects, with 80.63% of absolute errors among estimated SBP records lower than 5 mmHg and 90.19% of absolute errors among estimated DBP records lower than 5 mmHg. We demonstrated that our proposed model has remarkably high accuracy on the largest BP database found in the literature, which shows its effectiveness compared to some prior works.

scholarly journals Enhancement of blood pressure estimation method via machine learning

2021 ◽  
Vol 60 (6) ◽  
pp. 5779-5796
Author(s):  
Nashat Maher ◽  
G.A. Elsheikh ◽  
W.R. Anis ◽  
Tamer Emara
Keyword(s):  
Machine Learning ◽  
Blood Pressure ◽  
Estimation Method ◽  
Pressure Estimation ◽  
Blood Pressure Estimation

scholarly journals Concatenated Convolutional Neural Network Model for Cuffless Blood Pressure Estimation Using Fuzzy Recurrence Properties of PPG Signals

2022 ◽  
Author(s):  
Ali Bahari Malayeri ◽  
Mohammad Bagher Khodabakhshi
Keyword(s):  
Neural Network ◽  
Blood Pressure ◽  
Neural Networks ◽  
Network Architecture ◽  
Spatial Information ◽  
Recurrence Plot ◽  
Estimation Model ◽  
British Hypertension Society ◽  
Blood Pressure Estimation ◽  
Cuffless Blood Pressure

Abstract Due to the importance of continuous monitoring of blood pressure (BP) in controlling hypertension, the topic of cuffless blood pressure (BP) estimation has been widely studied in recent years. A most important approach is to explore the nonlinear mapping between the recorded peripheral signals and the BP values which is usually conducted by deep neural networks. Because of the sequence-based pseudo periodic nature of peripheral signals such as photoplethysmogram (PPG), a proper estimation model needed to be equipped with the 1-dimensional (1-D) and recurrent layers. This, in turn, limits the usage of 2-dimensional (2-D) layers adopted in convolutional neural networks (CNN) for embedding spatial information in the model. In this study, considering the advantage of chaotic approaches, the recurrence characterization of peripheral signals was taken into account by a visual 2-D representation of PPG in phase space through fuzzy recurrence plot (FRP). FRP not only provides a beneficial framework for capturing the spatial properties of input signals but also creates a reliable approach for embedding the pseudo periodic properties to the neural models without using recurrent layers. Moreover, this study proposes a novel deep neural network architecture that combines the morphological features extracted simultaneously from two upgraded 1-D and 2-D CNNs capturing the temporal and spatial dependencies of PPGs in systolic and diastolic BP estimation. The model has been fed with the 1-D PPG sequences and the corresponding 2-D FRPs from two separate routes. The performance of the proposed framework was examined on the well-known public dataset, namely, Multi-Parameter Intelligent in Intensive Care II. Our scheme is analyzed and compared with the literature in terms of the requirements of the standards set by the British Hypertension Society (BHS) and the Association for the Advancement of Medical Instrumentation (AAMI). The proposed model met the AAMI requirements, and it achieved a grade of A as stated by the BHS standard. In addition, its mean absolute errors (MAE) and standard deviation for both systolic and diastolic blood pressure estimations were considerably low, 3.05±5.26 mmHg and 1.58±2.6 mmHg, in turn.

scholarly journals Estimation of resting blood pressure using facial thermal images by separating acute stress variations

2021 ◽  
Author(s):  
Yuki Iwashita ◽  
Kent Nagumo ◽  
Kosuke Oiwa ◽  
Akio Nozawa
Keyword(s):  
Blood Pressure ◽  
Acute Stress ◽  
Medical Condition ◽  
Blood Pressure Monitoring ◽  
Estimation Method ◽  
Short Term ◽  
Thermal Images ◽  
Resting Blood Pressure ◽  
Blood Pressure Estimation ◽  
Stress Variations

AbstractThe increasing number of people with hypertension worldwide has become a matter of grave concern. Blood pressure monitoring using a non-contact measurement technique is expected to detect and control this medical condition. Previous studies have estimated blood pressure variations following an acute stress response based on facial thermal images obtained from infrared thermography devices. However, a non-contact resting blood pressure estimation method is required because blood pressure is generally measured in the resting state without inducing acute stress. Day-long blood pressure variations include short-term variations due to acute stress and long-term variations in circadian rhythms. The aim of this study is to estimate resting blood pressure from facial thermal images by separating and excluding short-term variations related to acute stress. To achieve this, short-term blood pressure variations components related to acute stress on facial thermal images were separated using independent component analysis. Resting blood pressure was estimated with the extracted independent components excluding the short-term components using multiple regression analysis. The results show that the proposed approach can accurately estimate resting blood pressure from facial thermal images, with a 9.90 mmHg root mean square error. In addition, features related to resting blood pressure were represented in the nose, lip, and cheek regions.

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