Understanding the physiological transmission mechanisms of photoplethysmography signals: a comprehensive review.

Objective. The widespread adoption of Photoplethysmography (PPG) as a non-invasive method for detecting blood volume variations and deriving vital physiological parameters reflecting health status has surged, primarily due to its accessibility, cost-effectiveness, and non-intrusive nature. This has led to extensive research around this technique in both daily life and clinical applications. Interestingly, despite the existence of contradictory explanations of the underlying mechanism of PPG signals across various applications, a systematic investigation into this crucial matter has not been conducted thus far. This gap in understanding hinders the full exploitation of PPG technology and undermines its accuracy and reliability in numerous applications.Approach. Building upon a comprehensive review of the fundamental principles and technological advancements in PPG, this paper initially attributes the origin of PPG signals to a combination of physical and physiological transmission processes. Furthermore, three distinct models outlining the concerned physiological transmission processes are synthesized, with each model undergoing critical examination based on theoretical underpinnings, empirical evidence, and constraints.Significance. The ultimate objective is to form a fundamental framework for a better understanding of physiological transmission processes in PPG signal generation and to facilitate the development of more reliable technologies for detecting physiological signals.

Buzzfindr: Automating the detection of feeding buzzes in bat echolocation recordings.

Quantification of bat communities and habitat heavily rely on non-invasive acoustic bat surveys the scope of which has greatly amplified with advances in remote monitoring technologies. Despite the unprecedented amount of acoustic data being collected, analysis of these data is often limited to simple species classification which provides little information on habitat function. Feeding buzzes, the rapid sequences of echolocation pulses emitted by bats during the terminal phase of prey capture, have historically been used to evaluate foraging habitat quality. Automated identification of feeding buzzes in recordings could benefit conservation by helping identify critical foraging habitat. I tested if detection of feeding buzzes in recordings could be automated with bat recordings from Ontario, Canada. Data were obtained using three different recording devices. The signal detection method involved sequentially scanning narrow frequency bands with the "Bioacoustics" R package signal detection algorithm, and extracting temporal and signal strength parameters from detections. Buzzes were best characterized by the standard deviation of the time between consecutive pulses, the average pulse duration, and the average pulse signal-to-noise ratio. Classification accuracy was highest with artificial neural networks and random forest algorithms. I compared each model's receiver operating characteristic curves and random forest provided better control over the false-positive rate so it was retained as the final model. When tested on a new dataset, buzzfindr's overall accuracy was 93.4% (95% CI: 91.5%- 94.9%). Overall accuracy was not affected by recording device type or species frequency group. Automated detection of feeding buzzes will facilitate their integration in the analytical workflow of acoustic bat studies to improve inferences on habitat use and quality.

A model for electroencephalogram emotion recognition: Residual block-gated recurrent unit with attention mechanism.

Electroencephalogram (EEG) signals, serving as a tool to objectively reflect real emotional states, hold a crucial position in emotion recognition research. In recent years, deep learning approaches have been widely applied in emotion recognition research, and the results have demonstrated their effectiveness in this field. Nevertheless, the challenge remains in selecting effective features, ensuring their retention as the network depth increases, and preventing the loss of crucial information. In order to address the issues, a novel emotion recognition method is proposed, which is named Res-CRANN. In the proposed method, the raw EEG signals are transformed into four dimensional spatial-frequency-temporal information, which can provide a more enriched and complex feature representation. First, the residual block is incorporated into the convolutional layers to extract spatial and frequency domain information. Subsequently, gated recurrent unit (GRU) is employed to capture temporal information from the convolutional neural network outputs. Following GRU, attention mechanisms are applied to enhance awareness of key information and diminish interference from irrelevant details. By reducing attention to irrelevant or noisy temporal steps, it ultimately improves the accuracy and robustness of the classification process. The Res-CRANN method exhibits excellent performance on the DEAP dataset, with an accuracy of 96.63% for valence and 96.87% for arousal, confirming its effectiveness.

BIDSAlign: a library for automatic merging and preprocessing of multiple EEG repositories.

Objective.This study aims to address the challenges associated with data-driven electroencephalography (EEG) data analysis by introducing a standardised library calledBIDSAlign. This library efficiently processes and merges heterogeneous EEG datasets from different sources into a common standard template. The goal of this work is to create an environment that allows to preprocess public datasets in order to provide data for the effective training of deep learning (DL) architectures.Approach.The library can handle both Brain Imaging Data Structure (BIDS) and non-BIDS datasets, allowing the user to easily preprocess multiple public datasets. It unifies the EEG recordings acquired with different settings by defining a common pipeline and a specified channel template. An array of visualisation functions is provided inside the library, together with a user-friendly graphical user interface to assist non-expert users throughout the workflow.Main results.BIDSAlign enables the effective use of public EEG datasets, providing valuable medical insights, even for non-experts in the field. Results from applying the library to datasets from OpenNeuro demonstrate its ability to extract significant medical knowledge through an end-to-end workflow, facilitating group analysis, visual comparison and statistical testing.Significance.BIDSAlign solves the lack of large EEG datasets by aligning multiple datasets to a standard template. This unlocks the potential of public EEG data for training DL models. It paves the way to promising contributions based on DL to clinical and non-clinical EEG research, offering insights that can inform neurological disease diagnosis and treatment strategies.

Non-Contact Measurement of Cardiopulmonary Activity Using Software Defined Radios.

Vital signs are important indicators to evaluate the health status of patients. Channel state information (CSI) can sense the displacement of the chest wall caused by cardiorespiratory activity in a non-contact manner. Due to the influence of clutter, DC components, and respiratory harmonics, it is difficult to detect reliable heartbeat signals. To address this problem, this paper proposes a robust and novel method for simultaneously extracting breath and heartbeat signals using software defined radios (SDR). Specifically, we model and analyze the signal and propose singular value decomposition (SVD)-based clutter suppression method to enhance the vital sign signals. The DC is estimated and compensated by the circle fitting method. Then, the heartbeat signal and respiratory signal are obtained by the modified variational modal decomposition (VMD). The experimental results demonstrate that the proposed method can accurately separate the respiratory signal and the heartbeat signal from the filtered signal. The Bland-Altman analysis shows that the proposed system is in good agreement with the medical sensors. In addition, the proposed system can accurately measure the heart rate variability (HRV) within 0.5m. In summary, our system can be used as a preferred contactless alternative to traditional contact medical sensors, which can provide advanced patient-centered healthcare solutions.

A Development of a Sound Recognition-Based Cardiopulmonary Resuscitation Training System.

The objective of this study was to develop a sound recognition-based cardiopulmonary resuscitation (CPR) training system that is accessible, cost-effective, easy-to-maintain and provides accurate CPR feedback. Beep-CPR, a novel device with accordion squeakers that emit high-pitched sounds during compression, was developed. The sounds emitted by Beep-CPR were recorded using a smartphone, segmented into 2-second audio fragments, and then transformed into spectrograms. A total of 6,065 spectrograms were generated from approximately 40 minutes of audio data, which were then randomly split into training, validation, and test datasets. Each spectrogram was matched with the depth, rate, and release velocity of the compression measured at the same time interval by the ZOLL X Series monitor/defibrillator. Deep learning models utilizing spectrograms as input were trained using transfer learning based on EfficientNet to predict the depth (Depth model), rate (Rate model), and release velocity (Recoil model) of compressions. Results: The mean absolute error (MAE) for the Depth model was 0.30 cm (95% confidence interval [CI]: 0.27-0.33). The MAE of the Rate model was 3.6/min (95% CI: 3.2-3.9). For the Recoil model, the MAE was 2.3 cm/s (95% CI: 2.1-2.5). External validation of the models demonstrated acceptable performance across multiple conditions, including the utilization of a newly-manufactured device, a fatigued device, and evaluation in an environment with altered spatial dimensions. We have developed a novel sound recognition-based CPR training system, that accurately measures compression quality during training. Significance: Beep-CPR is a cost-effective and easy-to-maintain solution that can improve the efficacy of CPR training by facilitating decentralized at-home training with performance feedback.

[Development of ECG Common Mode Rejection Ratio Automatic Test System].

To comprehensively meet the test requirements for the common mode rejection ratio (CMRR) across different ECG-particular standards, this paper presents the design of an ECG CMRR automatic test system. The hardware component primarily consists of a test signal generation module, an automatic control network (which includes a resistance-capacitance network control module and a polarization voltage control module), and a noise level switching module. The software portion enables automatic control and user interaction. Experimental results indicate that the system is stable, reliable, and highly automated, capable of satisfying the test requirements of various ECG-particular standards, thus demonstrating a promising application prospect.

Use of whistles for acoustic classification of delphinids (odontoceti: Delphinidae) in the Western South Atlantic Ocean.

This study focuses on the acoustic classification of delphinid species at the southern continental slope of Brazil. Recordings were collected between 2013 and 2015 using towed arrays and were processed using a classifier to identify the species in the recordings. Using Raven Pro 1.6 software (Cornell Laboratory of Ornithology, Ithaca, NY), we analyzed whistles for species identification. The random forest algorithm in R facilitates classification analysis based on acoustic parameters, including low, high, delta, center, beginning, and ending frequencies, and duration. Evaluation metrics, such as correct and incorrect classification percentages, global accuracy, balanced accuracy, and p-values, were employed. Receiver operating characteristic curves and area-under-the-curve (AUC) values demonstrated well-fitting models (AUC ≥ 0.7) for species definition. Duration and delta frequency emerged as crucial parameters for classification, as indicated by the decrease in mean accuracy. Multivariate dispersion plots visualized the proximity between acoustic and visual match data and exclusively acoustic encounter (EAE) data. The EAE results classified as Delphinus delphis (n = 6), Stenella frontalis (n = 3), and Stenella longirostris (n = 2) provide valuable insights into the presence of these species between approximately 23° and 34° S in Brazil. This study demonstrates the effectiveness of acousting classification in discriminating delphinids through whistle parameters.

Machine learning of brain-specific biomarkers from EEG.

BACKGROUND: Electroencephalography (EEG) has a long history as a clinical tool to study brain function, and its potential to derive biomarkers for various applications is far from exhausted. Machine learning (ML) can guide future innovation by harnessing the wealth of complex EEG signals to isolate relevant brain activity. Yet, ML studies in EEG tend to ignore physiological artefacts, which may cause problems for deriving biomarkers specific to the central nervous system (CNS). METHODS: We present a framework for conceptualising machine learning from CNS versus peripheral signals measured with EEG. A signal representation based on Morlet wavelets allowed us to define traditional brain activity features (e.g. log power) and alternative inputs used by state-of-the-art ML approaches based on covariance matrices. Using more than 2600 EEG recordings from large public databases (TUAB, TDBRAIN), we studied the impact of peripheral signals and artefact removal techniques on ML models in age and sex prediction analyses. FINDINGS: Across benchmarks, basic artefact rejection improved model performance, whereas further removal of peripheral signals using ICA decreased performance. Our analyses revealed that peripheral signals enable age and sex prediction. However, they explained only a fraction of the performance provided by brain signals. INTERPRETATION: We show that brain signals and body signals, both present in the EEG, allow for prediction of personal characteristics. While these results may depend on specific applications, our work suggests that great care is needed to separate these signals when the goal is to develop CNS-specific biomarkers using ML. FUNDING: All authors have been working for F. Hoffmann-La Roche Ltd.

ECG-Image-Kit: a synthetic image generation toolbox to facilitate deep learning-based electrocardiogram digitization.

Objective.Cardiovascular diseases are a major cause of mortality globally, and electrocardiograms (ECGs) are crucial for diagnosing them. Traditionally, ECGs are stored in printed formats. However, these printouts, even when scanned, are incompatible with advanced ECG diagnosis software that require time-series data. Digitizing ECG images is vital for training machine learning models in ECG diagnosis, leveraging the extensive global archives collected over decades. Deep learning models for image processing are promising in this regard, although the lack of clinical ECG archives with reference time-series data is challenging. Data augmentation techniques using realistic generative data models provide a solution.Approach.We introduceECG-Image-Kit, an open-source toolbox for generating synthetic multi-lead ECG images with realistic artifacts from time-series data, aimed at automating the conversion of scanned ECG images to ECG data points. The tool synthesizes ECG images from real time-series data, applying distortions like text artifacts, wrinkles, and creases on a standard ECG paper background.Main results.As a case study, we used ECG-Image-Kit to create a dataset of 21 801 ECG images from the PhysioNet QT database. We developed and trained a combination of a traditional computer vision and deep neural network model on this dataset to convert synthetic images into time-series data for evaluation. We assessed digitization quality by calculating the signal-to-noise ratio and compared clinical parameters like QRS width, RR, and QT intervals recovered from this pipeline, with the ground truth extracted from ECG time-series. The results show that this deep learning pipeline accurately digitizes paper ECGs, maintaining clinical parameters, and highlights a generative approach to digitization.Significance.The toolbox has broad applications, including model development for ECG image digitization and classification. The toolbox currently supports data augmentation for the 2024 PhysioNet Challenge, focusing on digitizing and classifying paper ECG images.

Tremor Estimation and Removal in Robot-Assisted Surgery Using Improved Enhanced Band-Limited Multiple Fourier Linear Combiner.

BACKGROUND: During a robot-assisted minimally invasive surgery, hand tremors in a surgeon's manipulation of the master manipulator can cause vibrations of the slave surgical instruments. METHODS: This letter addresses this problem by proposing an improved Enhanced Band-Limited Multiple Linear Fourier Combiner (E-BMFLC) algorithm for filtering the physiological tremor signals of a surgeon's hand. The proposed method uses the amplitude of the input signal to adapt the learning rate and a dense division of the combiner bands for the higher amplitude bands of the tremor signals. RESULTS: By using the proposed improved E-BMFLC algorithm, the compensation accuracy can be improved by 4.5%-8.9%, as well as a spatial position error of less than 1 mm. CONCLUSION: The results show that among all filtering methods, the improved E-BMFLC filtering method has the highest number of successful experiments and the lowest experimental time.

Design Decisions for Wearable EEG to Detect Motor Imagery Movements.

The objective of this study was to make informed decisions regarding the design of wearable electroencephalography (wearable EEG) for the detection of motor imagery movements based on testing the critical features for the development of wearable EEG. Three datasets were utilized to determine the optimal acquisition frequency. The brain zones implicated in motor imagery movement were analyzed, with the aim of improving wearable-EEG comfort and portability. Two detection algorithms with different configurations were implemented. The detection output was classified using a tool with various classifiers. The results were categorized into three groups to discern differences between general hand movements and no movement; specific movements and no movement; and specific movements and other specific movements (between five different finger movements and no movement). Testing was conducted on the sampling frequencies, trials, number of electrodes, algorithms, and their parameters. The preferred algorithm was determined to be the FastICACorr algorithm with 20 components. The optimal sampling frequency is 1 kHz to avoid adding excessive noise and to ensure efficient handling. Twenty trials are deemed sufficient for training, and the number of electrodes will range from one to three, depending on the wearable EEG's ability to handle the algorithm parameters with good performance.

A Review of Patient Bed Sensors for Monitoring of Vital Signs.

The analysis of biomedical signals is a very challenging task. This review paper is focused on the presentation of various methods where biomedical data, in particular vital signs, could be monitored using sensors mounted to beds. The presented methods to monitor vital signs include those combined with optical fibers, camera systems, pressure sensors, or other sensors, which may provide more efficient patient bed monitoring results. This work also covers the aspects of interference occurrence in the above-mentioned signals and sleep quality monitoring, which play a very important role in the analysis of biomedical signals and the choice of appropriate signal-processing methods. The provided information will help various researchers to understand the importance of vital sign monitoring and will be a thorough and up-to-date summary of these methods. It will also be a foundation for further enhancement of these methods.

Compressed Deep Learning Models for Wearable Atrial Fibrillation Detection through Attention.

Deep learning (DL) models have shown promise for the accurate detection of atrial fibrillation (AF) from electrocardiogram/photoplethysmography (ECG/PPG) data, yet deploying these on resource-constrained wearable devices remains challenging. This study proposes integrating a customized channel attention mechanism to compress DL neural networks for AF detection, allowing the model to focus only on the most salient time-series features. The results demonstrate that applying compression through channel attention significantly reduces the total number of model parameters and file size while minimizing loss in detection accuracy. Notably, after compression, performance increases for certain model variants in key AF databases (ADB and C2017DB). Moreover, analyzing the learned channel attention distributions after training enhances the explainability of the AF detection models by highlighting the salient temporal ECG/PPG features most important for its diagnosis. Overall, this research establishes that integrating attention mechanisms is an effective strategy for compressing large DL models, making them deployable on low-power wearable devices. We show that this approach yields compressed, accurate, and explainable AF detectors ideal for wearables. Incorporating channel attention enables simpler yet more accurate algorithms that have the potential to provide clinicians with valuable insights into the salient temporal biomarkers of AF. Our findings highlight that the use of attention is an important direction for the future development of efficient, high-performing, and interpretable AF screening tools for wearable technology.

Acquisition and Analysis of Facial Electromyographic Signals for Emotion Recognition.

The objective of the article is to recognize users' emotions by classifying facial electromyographic (EMG) signals. A biomedical signal amplifier, equipped with eight active electrodes positioned in accordance with the Facial Action Coding System, was used to record the EMG signals. These signals were registered during a procedure where users acted out various emotions: joy, sadness, surprise, disgust, anger, fear, and neutral. Recordings were made for 16 users. The mean power of the EMG signals formed the feature set. We utilized these features to train and evaluate various classifiers. In the subject-dependent model, the average classification accuracies were 96.3% for KNN, 94.9% for SVM with a linear kernel, 94.6% for SVM with a cubic kernel, and 93.8% for LDA. In the subject-independent model, the classification results varied depending on the tested user, ranging from 91.4% to 48.6% for the KNN classifier, with an average accuracy of 67.5%. The SVM with a cubic kernel performed slightly worse, achieving an average accuracy of 59.1%, followed by the SVM with a linear kernel at 53.9%, and the LDA classifier at 41.2%. Additionally, the study identified the most effective electrodes for distinguishing between pairs of emotions.

Detection of Unfocused EEG Epochs by the Application of Machine Learning Algorithm.

Electroencephalography (EEG) is a non-invasive method used to track human brain activity over time. The time-locked EEG to an external event is known as event-related potential (ERP). ERP can be a biomarker of human perception and other cognitive processes. The success of ERP research depends on the laboratory conditions and attentiveness of the test subjects. Specifically, the inability to control experimental variables has reduced ERP research in the real world. This study collected EEG data under various experimental circumstances within an auditory oddball paradigm experiment to enable the use of ERP as an active biomarker in normal laboratory conditions. Then, ERP epochs were analyzed to identify unfocused epochs, affected by typical artifacts and external distortion. For the initial comparison, the ability of four unsupervised machine learning algorithms (MLAs) was evaluated to identify unfocused epochs. Then, their accuracy was compared with the human inspection and a current EEG analysis tool (EEGLab). All four MLAs were typically 95-100% accurate. In summary, our analysis finds that humans might miss subtle differences in the regular ERP patterns, but MLAs could efficiently identify those. Thus, our analysis suggests that unsupervised MLAs perform better for detecting unfocused ERP epochs compared with the other two standard methods.

CATM: A Multi-Feature-Based Cross-Scale Attentional Convolutional EEG Emotion Recognition Model.

Aiming at the problem that existing emotion recognition methods fail to make full use of the information in the time, frequency, and spatial domains in the EEG signals, which leads to the low accuracy of EEG emotion classification, this paper proposes a multi-feature, multi-frequency band-based cross-scale attention convolutional model (CATM). The model is mainly composed of a cross-scale attention module, a frequency-space attention module, a feature transition module, a temporal feature extraction module, and a depth classification module. First, the cross-scale attentional convolution module extracts spatial features at different scales for the preprocessed EEG signals; then, the frequency-space attention module assigns higher weights to important channels and spatial locations; next, the temporal feature extraction module extracts temporal features of the EEG signals; and, finally, the depth classification module categorizes the EEG signals into emotions. We evaluated the proposed method on the DEAP dataset with accuracies of 99.70% and 99.74% in the valence and arousal binary classification experiments, respectively; the accuracy in the valence-arousal four-classification experiment was 97.27%. In addition, considering the application of fewer channels, we also conducted 5-channel experiments, and the binary classification accuracies of valence and arousal were 97.96% and 98.11%, respectively. The valence-arousal four-classification accuracy was 92.86%. The experimental results show that the method proposed in this paper exhibits better results compared to other recent methods, and also achieves better results in few-channel experiments.

Hybrid Integrated Wearable Patch for Brain EEG-fNIRS Monitoring.

Synchronous monitoring electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) have received significant attention in brain science research for their provision of more information on neuro-loop interactions. There is a need for an integrated hybrid EEG-fNIRS patch to synchronously monitor surface EEG and deep brain fNIRS signals. Here, we developed a hybrid EEG-fNIRS patch capable of acquiring high-quality, co-located EEG and fNIRS signals. This patch is wearable and provides easy cognition and emotion detection, while reducing the spatial interference and signal crosstalk by integration, which leads to high spatial-temporal correspondence and signal quality. The modular design of the EEG-fNIRS acquisition unit and optimized mechanical design enables the patch to obtain EEG and fNIRS signals at the same location and eliminates spatial interference. The EEG pre-amplifier on the electrode side effectively improves the acquisition of weak EEG signals and significantly reduces input noise to 0.9 µVrms, amplitude distortion to less than 2%, and frequency distortion to less than 1%. Detrending, motion correction algorithms, and band-pass filtering were used to remove physiological noise, baseline drift, and motion artifacts from the fNIRS signal. A high fNIRS source switching frequency configuration above 100 Hz improves crosstalk suppression between fNIRS and EEG signals. The Stroop task was carried out to verify its performance; the patch can acquire event-related potentials and hemodynamic information associated with cognition in the prefrontal area.

Latent Prototype-Based Clustering: A Novel Exploratory Electroencephalography Analysis Approach.

Electroencephalography (EEG)-based applications in brain-computer interfaces (BCIs), neurological disease diagnosis, rehabilitation, etc., rely on supervised approaches such as classification that requires given labels. However, with the ever-increasing amount of EEG data, incomplete or incorrectly labeled or unlabeled EEG data are increasing. It likely degrades the performance of supervised approaches. In this work, we put forward a novel unsupervised exploratory EEG analysis solution by clustering based on low-dimensional prototypes in latent space that are associated with the respective clusters. Having the prototype as a baseline of each cluster, a compositive similarity is defined to act as the critic function in clustering, which incorporates similarities on three levels. The approach is implemented with a Generative Adversarial Network (GAN), termed W-SLOGAN, by extending the Stein Latent Optimization for GANs (SLOGAN). The Gaussian Mixture Model (GMM) is utilized as the latent distribution to adapt to the diversity of EEG signal patterns. The W-SLOGAN ensures that images generated from each Gaussian component belong to the associated cluster. The adaptively learned Gaussian mixing coefficients make the model remain effective in dealing with an imbalanced dataset. By applying the proposed approach to two public EEG or intracranial EEG (iEEG) epilepsy datasets, our experiments demonstrate that the clustering results are close to the classification of the data. Moreover, we present several findings that were discovered by intra-class clustering and cross-analysis of clustering and classification. They show that the approach is attractive in practice in the diagnosis of the epileptic subtype, multiple labelling of EEG data, etc.

Atrial Fibrillation Prediction Based on Recurrence Plot and ResNet.

Atrial fibrillation (AF) is the most prevalent form of arrhythmia, with a rising incidence and prevalence worldwide, posing significant implications for public health. In this paper, we introduce an approach that combines the Recurrence Plot (RP) technique and the ResNet architecture to predict AF. Our method involves three main steps: using wavelet filtering to remove noise interference; generating RPs through phase space reconstruction; and employing a multi-level chained residual network for AF prediction. To validate our approach, we established a comprehensive database consisting of electrocardiogram (ECG) recordings from 1008 AF patients and 48,292 Non-AF patients, with a total of 2067 and 93,129 ECGs, respectively. The experimental results demonstrated high levels of prediction precision (90.5%), recall (89.1%), F1 score (89.8%), accuracy (93.4%), and AUC (96%) on our dataset. Moreover, when tested on a publicly available AF dataset (AFPDB), our method achieved even higher prediction precision (94.8%), recall (99.4%), F1 score (97.0%), accuracy (97.0%), and AUC (99.7%). These findings suggest that our proposed method can effectively extract subtle information from ECG signals, leading to highly accurate AF predictions.