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      A machine learning-based approach for constructing remote photoplethysmogram signals from video cameras

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          Abstract

          Background

          Advancements in health monitoring technologies are increasingly relying on capturing heart signals from video, a method known as remote photoplethysmography (rPPG). This study aims to enhance the accuracy of rPPG signals using a novel computer technique.

          Methods

          We developed a machine-learning model to improve the clarity and accuracy of rPPG signals by comparing them with traditional photoplethysmogram (PPG) signals from sensors. The model was evaluated across various datasets and under different conditions, such as rest and movement. Evaluation metrics, including dynamic time warping (to assess timing alignment between rPPG and PPG) and correlation coefficients (to measure the linear association between rPPG and PPG), provided a robust framework for validating the effectiveness of our model in capturing and replicating physiological signals from videos accurately.

          Results

          Our method showed significant improvements in the accuracy of heart signals captured from video, as evidenced by dynamic time warping and correlation coefficients. The model performed exceptionally well, demonstrating its effectiveness in achieving accuracy comparable to direct-contact heart signal measurements.

          Conclusions

          This study introduces a novel and effective machine-learning approach for improving the detection of heart signals from video. The results demonstrate the flexibility of our method across various scenarios and its potential to enhance the accuracy of health monitoring applications, making it a promising tool for remote healthcare.

          Plain language summary

          This research explores a new way to monitor health using video, which is less invasive than traditional methods that require direct skin contact. We developed a computer program that improves the accuracy of heart signals captured from video. This is done by comparing these video-based signals with standard clinical signals from physical sensors on the skin. Our findings show that this new method can match the accuracy of conventional clinical methods, enhancing the reliability of non-contact health monitoring. This advancement could make health monitoring more accessible and comfortable, offering a potential for doctors to track patient health remotely, making everyday medical assessments easier and less intrusive.

          Abstract

          Ontiveros, Elgendi et al. devise and validate a machine learning approach that improves the quality of photoplethysmogram signals that can be obtained from video data. This ultimately contributes to advances in non-invasive health monitoring technologies.

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          Most cited references20

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          The Use of Ranks to Avoid the Assumption of Normality Implicit in the Analysis of Variance

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            On the Analysis of Fingertip Photoplethysmogram Signals

            Photoplethysmography (PPG) is used to estimate the skin blood flow using infrared light. Researchers from different domains of science have become increasingly interested in PPG because of its advantages as non-invasive, inexpensive, and convenient diagnostic tool. Traditionally, it measures the oxygen saturation, blood pressure, cardiac output, and for assessing autonomic functions. Moreover, PPG is a promising technique for early screening of various atherosclerotic pathologies and could be helpful for regular GP-assessment but a full understanding of the diagnostic value of the different features is still lacking. Recent studies emphasise the potential information embedded in the PPG waveform signal and it deserves further attention for its possible applications beyond pulse oximetry and heart-rate calculation. Therefore, this overview discusses different types of artifact added to PPG signal, characteristic features of PPG waveform, and existing indexes to evaluate for diagnoses.
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              Robust pulse rate from chrominance-based rPPG.

              Remote photoplethysmography (rPPG) enables contactless monitoring of the blood volume pulse using a regular camera. Recent research focused on improved motion robustness, but the proposed blind source separation techniques (BSS) in RGB color space show limited success. We present an analysis of the motion problem, from which far superior chrominance-based methods emerge. For a population of 117 stationary subjects, we show our methods to perform in 92% good agreement ( ±1.96σ) with contact PPG, with RMSE and standard deviation both a factor of 2 better than BSS-based methods. In a fitness setting using a simple spectral peak detector, the obtained pulse-rate for modest motion (bike) improves from 79% to 98% correct, and for vigorous motion (stepping) from less than 11% to more than 48% correct. We expect the greatly improved robustness to considerably widen the application scope of the technology.
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                Author and article information

                Contributors
                moe.elgendi@hest.ethz.ch
                carlo.menon@hest.ethz.ch
                Journal
                Commun Med (Lond)
                Commun Med (Lond)
                Communications Medicine
                Nature Publishing Group UK (London )
                2730-664X
                7 June 2024
                7 June 2024
                2024
                : 4
                : 109
                Affiliations
                [1 ]Biomedical and Mobile Health Technology Lab, Department of Health Sciences and Technology, ETH Zurich, ( https://ror.org/05a28rw58) Zurich, Switzerland
                [2 ]School of Electrical Engineering and Computer Science, KTH Royal Institute of Technology, ( https://ror.org/026vcq606) Stockholm, Sweden
                Author information
                http://orcid.org/0000-0003-2324-633X
                http://orcid.org/0000-0003-1831-0202
                http://orcid.org/0000-0002-2309-9977
                Article
                519
                10.1038/s43856-024-00519-6
                11161609
                38849495
                710f2364-5868-4738-87fd-f7ca0e55b93e
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 1 June 2023
                : 3 May 2024
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                © Springer Nature Limited 2024

                biomarkers,public health
                biomarkers, public health

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