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Keywords = non-contact SpO2 monitoring

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26 pages, 3835 KiB  
Article
Event-Level Identification of Sleep Apnea Using FMCW Radar
by Hao Zhang, Shining Bo, Xuan Zhang, Peng Wang, Lidong Du, Zhenfeng Li, Pang Wu, Xianxiang Chen, Libin Jiang and Zhen Fang
Bioengineering 2025, 12(4), 399; https://doi.org/10.3390/bioengineering12040399 - 8 Apr 2025
Viewed by 793
Abstract
Sleep apnea, characterized by its high prevalence and serious health consequences, faces a critical bottleneck in diagnosis. Polysomnography (PSG), the gold standard, is costly and cumbersome, while wearable devices struggle with quality control and patient compliance, rendering them as unsuitable for both large-scale [...] Read more.
Sleep apnea, characterized by its high prevalence and serious health consequences, faces a critical bottleneck in diagnosis. Polysomnography (PSG), the gold standard, is costly and cumbersome, while wearable devices struggle with quality control and patient compliance, rendering them as unsuitable for both large-scale screening and continuous monitoring. To address these challenges, this research introduces a contactless, low-cost, and accurate event-level sleep apnea detection method leveraging frequency-modulated continuous-wave (FMCW) radar technology. The core of our approach is a novel deep-learning model, built upon the U-Net architecture and augmented with self-attention mechanisms and squeeze-and-excitation (SE) modules, meticulously designed for the precise event-level segmentation of sleep apnea from FMCW radar signals. Crucially, we integrate blood oxygen saturation (SpO2) prediction as an auxiliary task within a multitask-learning framework to enhance the model’s feature extraction capabilities and clinical utility by capturing physiological correlations between apnea events and oxygen levels. Rigorous evaluation in a clinical dataset, comprising data from 35 participants, with synchronized PSG and radar data demonstrated a performance exceeding that of the baseline methods (Base U-Net and CNN–MHA), achieving a high level of accuracy in event-level segmentation (with an F1-score of 0.8019) and OSA severity grading (91.43%). These findings underscore the significant potential of our radar-based event-level detection system as a non-contact, low-cost, and accurate solution for OSA assessment. This technology offers a promising avenue for transforming sleep apnea diagnosis, making large-scale screening and continuous home monitoring a practical reality and ultimately leading to improved patient outcomes and public health impacts. Full article
(This article belongs to the Special Issue Microfluidics and Sensor Technologies in Biomedical Engineering)
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15 pages, 4460 KiB  
Article
Using Contactless Facial Image Recognition Technology to Detect Blood Oxygen Saturation
by Jui-Chuan Cheng, Tzung-Shiarn Pan, Wei-Cheng Hsiao, Wei-Hong Lin, Yan-Liang Liu, Te-Jen Su and Shih-Ming Wang
Bioengineering 2023, 10(5), 524; https://doi.org/10.3390/bioengineering10050524 - 26 Apr 2023
Cited by 7 | Viewed by 4041
Abstract
Since the outbreak of COVID-19, as of January 2023, there have been over 670 million cases and more than 6.8 million deaths worldwide. Infections can cause inflammation in the lungs and decrease blood oxygen levels, which can lead to breathing difficulties and endanger [...] Read more.
Since the outbreak of COVID-19, as of January 2023, there have been over 670 million cases and more than 6.8 million deaths worldwide. Infections can cause inflammation in the lungs and decrease blood oxygen levels, which can lead to breathing difficulties and endanger life. As the situation continues to escalate, non-contact machines are used to assist patients at home to monitor their blood oxygen levels without encountering others. This paper uses a general network camera to capture the forehead area of a person’s face, using the RPPG (remote photoplethysmography) principle. Then, image signal processing of red and blue light waves is carried out. By utilizing the principle of light reflection, the standard deviation and mean are calculated, and the blood oxygen saturation is computed. Finally, the effect of illuminance on the experimental values is discussed. The experimental results of this paper were compared with a blood oxygen meter certified by the Ministry of Health and Welfare in Taiwan, and the experimental results had only a maximum error of 2%, which is better than the 3% to 5% error rates in other studies The measurement time was only 30 s, which is better than the one minute reported using similar equipment in other studies. Therefore, this paper not only saves equipment expenses but also provides convenience and safety for those who need to monitor their blood oxygen levels at home. Future applications can combine the SpO2 detection software with camera-equipped devices such as smartphones and laptops. The public can detect SpO2 on their own mobile devices, providing a convenient and effective tool for personal health management. Full article
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10 pages, 2795 KiB  
Article
Comparing Remote Speckle Plethysmography and Finger-Clip Photoplethysmography with Non-Invasive Finger Arterial Pressure Pulse Waves, Regarding Morphology and Arrival Time
by Jorge Herranz Olazabal, Fokko Wieringa, Evelien Hermeling and Chris Van Hoof
Bioengineering 2023, 10(1), 101; https://doi.org/10.3390/bioengineering10010101 - 11 Jan 2023
Cited by 8 | Viewed by 3686
Abstract
Objective: The goal was to compare Speckle plethysmography (SPG) and Photoplethysmography (PPG) with non-invasive finger Arterial Pressure (fiAP) regarding Pulse Wave Morphology (PWM) and Pulse Arrival Time (PAT). Methods: Healthy volunteers (n = 8) were connected to a Non-Invasive Blood Pressure (NIBP) monitor [...] Read more.
Objective: The goal was to compare Speckle plethysmography (SPG) and Photoplethysmography (PPG) with non-invasive finger Arterial Pressure (fiAP) regarding Pulse Wave Morphology (PWM) and Pulse Arrival Time (PAT). Methods: Healthy volunteers (n = 8) were connected to a Non-Invasive Blood Pressure (NIBP) monitor providing fiAP pulse wave and PPG from a clinical transmission-mode SpO2 finger clip. Biopac recorded 3-lead ECG. A camera placed at a 25 cm distance recorded a video stream (100 fps) of a finger illuminated by a laser diode at 639 nm. A chest belt (Polar) monitored respiration. All signals were recorded simultaneously during episodes of spontaneous breathing and paced breathing. Analysis: Post-processing was performed in Matlab to obtain SPG and analyze the SPG, PPG and fiAP mean absolute deviations (MADs) on PWM, plus PAT modulation. Results: Across 2599 beats, the average fiAP MAD with PPG was 0.17 (0–1) and with SPG 0.09 (0–1). PAT derived from ECG–fiAP correlated as follows: 0.65 for ECG–SPG and 0.67 for ECG–PPG. Conclusion: Compared to the clinical NIBP monitor fiAP reference, PWM from an experimental camera-derived non-contact reflective-mode SPG setup resembled fiAP significantly better than PPG from a simultaneously recorded clinical transmission-mode finger clip. For PAT values, no significant difference was found between ECG–SPG and ECG–PPG compared to ECG–fiAP. Full article
(This article belongs to the Special Issue Contactless Technologies for Human Vital Signs Monitoring)
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16 pages, 2263 KiB  
Article
Noninvasive Non-Contact SpO2 Monitoring Using an Integrated Polarization-Sensing CMOS Imaging Sensor
by Mukul Sarkar and Maher Assaad
Sensors 2022, 22(20), 7796; https://doi.org/10.3390/s22207796 - 14 Oct 2022
Cited by 2 | Viewed by 4342
Abstract
Background:In the diagnosis and primary health care of an individual, estimation of the pulse rate and blood oxygen saturation (SpO2) is critical. The pulse rate and SpO2 are determined by methods including photoplethysmography (iPPG), light spectroscopy, and pulse oximetry. These [...] Read more.
Background:In the diagnosis and primary health care of an individual, estimation of the pulse rate and blood oxygen saturation (SpO2) is critical. The pulse rate and SpO2 are determined by methods including photoplethysmography (iPPG), light spectroscopy, and pulse oximetry. These devices need to be compact, non-contact, and noninvasive for real-time health monitoring. Reflection-based iPPG is becoming popular as it allows non-contact estimation of the heart rate and SpO2. Most iPPG methods capture temporal data and form complex computations, and thus real-time measurements and spatial visualization are difficult. Method:In this research work, reflective mode polarized imaging-based iPPG is proposed. For polarization imaging, a custom image sensor with wire grid polarizers on each pixel is designed. Each pixel has a wire grid of varying transmission axes, allowing phase detection of the incoming light. The phase information of the backscattered light from the fingertips of 12 healthy volunteers was recorded in both the resting as well as the excited states. These data were then processed using MATLAB 2021b software. Results: The phase information provides quantitative information on the reflection from the superficial and deep layers of skin. The ratio of deep to superficial layer backscattered phase information is shown to be directly correlated and linearly increasing with an increase in the SpO2 and heart rate. Conclusions: The phase-based measurements help to monitor the changes in the resting and excited state heart rate and SpO2 in real time. Furthermore, the use of the ratio of phase information helps to make the measurements independent of the individual skin traits and thus increases the accuracy of the measurements. The proposed iPPG works in ambient light, relaxing the instrumentation requirement and helping the system to be compact and portable. Full article
(This article belongs to the Special Issue Advanced CMOS Integrated Circuit Design and Application II)
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37 pages, 5036 KiB  
Systematic Review
Continuous Monitoring of Vital Signs Using Cameras: A Systematic Review
by Vinothini Selvaraju, Nicolai Spicher, Ju Wang, Nagarajan Ganapathy, Joana M. Warnecke, Steffen Leonhardt, Ramakrishnan Swaminathan and Thomas M. Deserno
Sensors 2022, 22(11), 4097; https://doi.org/10.3390/s22114097 - 28 May 2022
Cited by 64 | Viewed by 19738
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) [...] Read more.
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. Full article
(This article belongs to the Special Issue Sensors toward Unobtrusive Health Monitoring II)
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13 pages, 4276 KiB  
Article
Non-Contact SpO2 Prediction System Based on a Digital Camera
by Ali Al-Naji, Ghaidaa A. Khalid, Jinan F. Mahdi and Javaan Chahl
Appl. Sci. 2021, 11(9), 4255; https://doi.org/10.3390/app11094255 - 7 May 2021
Cited by 46 | Viewed by 12174
Abstract
Patients with the COVID-19 condition require frequent and accurate blood oxygen saturation (SpO2) monitoring. The existing pulse oximeters, however, require contact-based measurement using clips or otherwise fixed sensor units or need dedicated hardware which may cause inconvenience and involve additional appointments with the [...] Read more.
Patients with the COVID-19 condition require frequent and accurate blood oxygen saturation (SpO2) monitoring. The existing pulse oximeters, however, require contact-based measurement using clips or otherwise fixed sensor units or need dedicated hardware which may cause inconvenience and involve additional appointments with the patient. This study proposes a computer vision-based system using a digital camera to measure SpO2 on the basis of the imaging photoplethysmography (iPPG) signal extracted from the human’s forehead without the need for restricting the subject or physical contact. The proposed camera-based system decomposes the iPPG obtained from the red and green channels into different signals with different frequencies using a signal decomposition technique based on a complete Ensemble Empirical Mode Decomposition (EEMD) technique and Independent Component Analysis (ICA) technique to obtain the optical properties from these wavelengths and frequency channels. The proposed system is convenient, contactless, safe and cost-effective. The preliminary results for 70 videos obtained from 14 subjects of different ages and with different skin tones showed that the red and green wavelengths could be used to estimate SpO2 with good agreement and low error ratio compared to the gold standard of pulse oximetry (SA210) with a fixed measurement position. Full article
(This article belongs to the Special Issue Novel Advances of Image and Signal Processing)
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