N Geetha, Bhat C Rohith, Tr Mahesh, Yimer Temesgen Engida
Department of Information Technology, Coimbatore Institute of Technology, Coimbatore, India.
Department of Computer Science and Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
BMC Med Inform Decis Mak. 2024 Oct 1;24(1):282. doi: 10.1186/s12911-024-02690-1.
Wearable sensors have revolutionized cardiac health monitoring, with Seismocardiography (SCG) at the forefront due to its non-invasive nature. However, the substantial motion artefacts have hindered the translation of SCG-based medical applications, primarily induced by walking. In contrast, our innovative technique, Adaptive Bidirectional Filtering (ABF), surpasses these challenges by refining SCG signals more effectively than any motion-induced noise. ABF leverages a noise-cancellation algorithm, operating on the benefits of the Redundant Multi-Scale Wavelet Decomposition (RMWD) and the bidirectional filtering framework, to achieve optimal signal quality.
The ABF technique is a two-stage process that diminishes the artefacts emanating from motion. The first step by RMWD is the identification of the heart-associated signals and the isolating samples with those related frequencies. Subsequently, the adaptive bidirectional filter operates in two dimensions: it uses Time-Frequency masking that eliminates temporal noise while engaging in non-negative matrix Decomposition to ensure spatial correlation and dorsoventral vibration reduction jointly. The main component that is altered from the other filters is the recursive structure that changes to the motion-adapted filter, which uses vertical axis accelerometer data to differentiate better between accurate SCG signals and motion artefacts.
Our empirical tests demonstrate exceptional signal improvement with the application of our ABF approach. The accuracy in heart rate estimation reached an impressive r-squared value of 0.95 at - 20 dB SNR, significantly outperforming the baseline value, which ranged from 0.1 to 0.85. The effectiveness of the motion-artifact-reduction methodology is also notable at an SNR of - 22 dB. Consequently, ECG inputs are not required. This method can be seamlessly integrated into noisy environments, enhancing ECG filtering, automatic beat detection, and rhythm interpretation processes, even in highly variable conditions. The ABF method effectively filters out up to 97% of motion-related noise components within the SCG signal from implantable devices. This advancement is poised to become an integral part of routine patient monitoring.
可穿戴传感器彻底改变了心脏健康监测方式,其中地震心音图(SCG)因其非侵入性处于前沿地位。然而,大量的运动伪影阻碍了基于SCG的医疗应用的转化,这些伪影主要由行走引起。相比之下,我们的创新技术——自适应双向滤波(ABF),通过比任何运动诱导噪声更有效地优化SCG信号,克服了这些挑战。ABF利用一种噪声消除算法,基于冗余多尺度小波分解(RMWD)的优势和双向滤波框架运行,以实现最佳信号质量。
ABF技术是一个分两阶段减少运动产生伪影的过程。第一步由RMWD完成,即识别与心脏相关的信号并分离出具有相关频率的样本。随后,自适应双向滤波器在两个维度上运行:它使用时频掩蔽来消除时间噪声,同时进行非负矩阵分解以确保空间相关性并共同减少背腹振动。与其他滤波器不同的主要组件是递归结构,它转变为运动自适应滤波器,利用垂直轴加速度计数据更好地区分准确的SCG信号和运动伪影。
我们的实证测试表明,应用ABF方法后信号有显著改善。在-20 dB信噪比下,心率估计的准确率达到了令人印象深刻的r平方值0.95,明显优于基线值,基线值范围为0.1至0.85。在-22 dB信噪比下,减少运动伪影方法的有效性也很显著。因此,不需要心电图输入。该方法可以无缝集成到嘈杂环境中,即使在高度可变的条件下,也能增强心电图滤波、自动心搏检测和节律解释过程。ABF方法有效地滤除了植入式设备SCG信号中高达97%的与运动相关的噪声成分。这一进展有望成为常规患者监测的一个组成部分。