IEEE transactions on bio-medical engineering
-
IEEE Trans Biomed Eng · Sep 2010
Comparative StudyAn autoregressive model-based particle filtering algorithms for extraction of respiratory rates as high as 90 breaths per minute from pulse oximeter.
We present particle filtering (PF) algorithms for an accurate respiratory rate extraction from pulse oximeter recordings over a broad range: 12-90 breaths/min. These methods are based on an autoregressive (AR) model, where the aim is to find the pole angle with the highest magnitude as it corresponds to the respiratory rate. However, when SNR is low, the pole angle with the highest magnitude may not always lead to accurate estimation of the respiratory rate. ⋯ The pulse oximeter data were collected from 33 healthy subjects with breathing rates ranging from 12 to 90 breaths/ min. It was found that significant improvement in accuracy can be achieved by employing particle filters, and that the combined OPS-PF employing either the NN or WNN likelihood function achieved the best results for all respiratory rates considered in this paper. The main advantage of the combined OPS-PF with either the NN or WNN likelihood function is that for the first time, respiratory rates as high as 90 breaths/min can be accurately extracted from pulse oximeter recordings.
-
IEEE Trans Biomed Eng · Sep 2010
Automatic detection of lumbar anatomy in ultrasound images of human subjects.
Ultrasound has been proposed for aiding epidural needle insertion, but challenges remain in differentiating spinal structures due to noise, artifacts, and inexperience by anesthesiologists in ultrasound interpretation. Moreover, the anesthesiologist needs to measure relevant distances while preserving sterile conditions; therefore, interaction with the ultrasound controls must be minimal. Automated measurement is needed. ⋯ In successful detections, the automatic detections versus manual segmentation has an rms error of 0.64 mm and average error 0.04 mm, versus independent sonographer-measured depth has a root-mean-squared error of 3.7 mm and average error 2.5 mm, and versus the actual needle insertion depth has a root-mean-squared of 5.1 mm and average error -2.8 mm. The computational time is 4.3 s on a typical personal computer. The accuracy, reliability, and speed suggest this method may be valuable for helping guide epidurals in conjunction with the traditional loss-of-resistance method.
-
There is a lack of noninvasive pulmonary function measurement techniques suitable for continuous long-term measurement of tidal breathing in mobile subjects, although tidal breathing analysis has been shown to contain information that relates to the level airway obstruction. This paper is the first to assess the suitability of impedance pneumography (IP) for measurement of continuous pulmonary flow and volume signals instead of only the respiration rate (RR) or tidal volume ( V(T)). We measured pneumotachograph (PNT) and IP signals simultaneously from 20 healthy male subjects in erect, dorsal supine, and lateral supine positions while voluntarily varying V(T). ⋯ The main source of error in visual inspection of the IP signal was the cardiogenic distortion. From the five novel electrode configurations tested, the lateral ones were found clearly better than the anteroposterior ones. IP potentially enables the development of a noninvasive ambulatory measurement device for long-term studies of certain tidal breathing parameters in mobile subjects.
-
IEEE Trans Biomed Eng · Aug 2010
Two-stage approach for detection and reduction of motion artifacts in photoplethysmographic data.
Corruption of photopleythysmograms (PPGs) by motion artifacts has been a serious obstacle to the reliable use of pulse oximeters for real-time, continuous state-of-health monitoring. In this paper, we propose an automated, two-stage PPG data processing method to minimize the effects of motion artifacts. The technique is based on our prior work related to motion artifact detection (stage 1) [R. ⋯ Preprocessed data are then fed to a magnitude-based FD independent component analysis unit. This helps reduce motion artifacts present at the frequencies of the reconstruction components. Experimental results are presented to demonstrate the efficacy of the overall motion artifact reduction method.
-
IEEE Trans Biomed Eng · Jul 2010
Prediction of intradialytic hypotension using photoplethysmography.
Intradialytic hypotension is the most common acute complication during conventional hemodialysis treatment. Prediction of such events is highly desirable in clinical routine for prevention. This paper presents a novel prediction method of acute symptomatic hypotension in which the photoplethysmographic signal is analyzed with respect to changes in amplitude, reflecting vasoconstriction, and cardiac output. ⋯ The photoplethysmographic signal was continuously acquired during treatment as was information on blood pressure and oxygen saturation. Using leave-one-out cross validation, the proposed method predicted six out of seven hypotensive events, while producing 1 false prediction out of 17 possible. The performance was achieved when the prediction threshold was chosen to be in the range 57%-65% of the photoplethysmographic envelope at treatment onset.