Evaluation of the signal quality of wrist-based photoplethysmography
Physiological Measurement , Volume 40 - Issue 6 p. 065008
OBJECTIVE: Wearable devices with embedded photoplethysmography (PPG) sensors enable continuous monitoring of cardiovascular activity, allowing for the detection cardiovascular problems, such as arrhythmias. However, the quality of wrist-based PPG is highly variable, and is subject to artifacts from motion and other interferences. The goal of this paper is to evaluate the signal quality obtained from wrist-based PPG when used in an ambulatory setting. APPROACH: Ambulatory data were collected over a 24 h period for 10 elderly, and 16 non-elderly participants. Visual assessment is used as the gold standard for PPG signal quality, with inter-rater agreement evaluated using Fleiss' Kappa. With this gold standard, 5 classifiers were evaluated using a modified 13-fold cross-validation approach. MAIN RESULTS: A Random Forest quality classification algorithm showed the best performance, with an accuracy of 74.5%, and was then used to evaluate 24 h long ambulatory wrist-based PPG measurements. SIGNIFICANCE: In general, data quality was high at night, and low during the day. Our results suggest wrist-based PPG may be best for continuous cardiovascular monitoring applications during the night, but less useful during the day unless methods can be identified to improve low quality signal segments.
|Organisation||Department of Systems and Computer Engineering|
Pradhan, N. (Nikhilesh), Rajan, S, & Adler, A. (2019). Evaluation of the signal quality of wrist-based photoplethysmography. Physiological Measurement, 40(6). doi:10.1088/1361-6579/ab225a