Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks

Infants with fragile skin are patients who would benefit from non-contact vital sign monitoring due to the avoidance of potentially harmful adhesive electrodes and cables. Non-contact vital signs monitoring has been studied in clinical settings in recent decades. However, studies on infants in the N...

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Main Authors: Fatema-Tuz-Zohra Khanam, Asanka G. Perera, Ali Al-Naji, Kim Gibson, Javaan Chahl
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/7/8/122
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author Fatema-Tuz-Zohra Khanam
Asanka G. Perera
Ali Al-Naji
Kim Gibson
Javaan Chahl
author_facet Fatema-Tuz-Zohra Khanam
Asanka G. Perera
Ali Al-Naji
Kim Gibson
Javaan Chahl
author_sort Fatema-Tuz-Zohra Khanam
collection DOAJ
description Infants with fragile skin are patients who would benefit from non-contact vital sign monitoring due to the avoidance of potentially harmful adhesive electrodes and cables. Non-contact vital signs monitoring has been studied in clinical settings in recent decades. However, studies on infants in the Neonatal Intensive Care Unit (NICU) are still limited. Therefore, we conducted a single-center study to remotely monitor the heart rate (HR) and respiratory rate (RR) of seven infants in NICU using a digital camera. The region of interest (ROI) was automatically selected using a convolutional neural network and signal decomposition was used to minimize the noise artefacts. The experimental results have been validated with the reference data obtained from an ECG monitor. They showed a strong correlation using the Pearson correlation coefficients (PCC) of 0.9864 and 0.9453 for HR and RR, respectively, and a lower error rate with RMSE 2.23 beats/min and 2.69 breaths/min between measured data and reference data. A Bland–Altman analysis of the data also presented a close correlation between measured data and reference data for both HR and RR. Therefore, this technique may be applicable in clinical environments as an economical, non-contact, and easily deployable monitoring system, and it also represents a potential application in home health monitoring.
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spelling doaj.art-23b0458bf4c742e8b33637aad2d8ae212023-11-22T08:13:42ZengMDPI AGJournal of Imaging2313-433X2021-07-017812210.3390/jimaging7080122Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural NetworksFatema-Tuz-Zohra Khanam0Asanka G. Perera1Ali Al-Naji2Kim Gibson3Javaan Chahl4UniSA STEM, Mawson Lakes Campus, University of South Australia, Mawson Lakes, SA 5095, AustraliaUniSA STEM, Mawson Lakes Campus, University of South Australia, Mawson Lakes, SA 5095, AustraliaUniSA STEM, Mawson Lakes Campus, University of South Australia, Mawson Lakes, SA 5095, AustraliaClinical and Health Sciences, City East Campus, University of South Australia, North Terrace, Adelaide, SA 5000, AustraliaUniSA STEM, Mawson Lakes Campus, University of South Australia, Mawson Lakes, SA 5095, AustraliaInfants with fragile skin are patients who would benefit from non-contact vital sign monitoring due to the avoidance of potentially harmful adhesive electrodes and cables. Non-contact vital signs monitoring has been studied in clinical settings in recent decades. However, studies on infants in the Neonatal Intensive Care Unit (NICU) are still limited. Therefore, we conducted a single-center study to remotely monitor the heart rate (HR) and respiratory rate (RR) of seven infants in NICU using a digital camera. The region of interest (ROI) was automatically selected using a convolutional neural network and signal decomposition was used to minimize the noise artefacts. The experimental results have been validated with the reference data obtained from an ECG monitor. They showed a strong correlation using the Pearson correlation coefficients (PCC) of 0.9864 and 0.9453 for HR and RR, respectively, and a lower error rate with RMSE 2.23 beats/min and 2.69 breaths/min between measured data and reference data. A Bland–Altman analysis of the data also presented a close correlation between measured data and reference data for both HR and RR. Therefore, this technique may be applicable in clinical environments as an economical, non-contact, and easily deployable monitoring system, and it also represents a potential application in home health monitoring.https://www.mdpi.com/2313-433X/7/8/122heart raterespiratory rateNICUconvolutional neural networksignal decomposition
spellingShingle Fatema-Tuz-Zohra Khanam
Asanka G. Perera
Ali Al-Naji
Kim Gibson
Javaan Chahl
Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
Journal of Imaging
heart rate
respiratory rate
NICU
convolutional neural network
signal decomposition
title Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
title_full Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
title_fullStr Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
title_full_unstemmed Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
title_short Non-Contact Automatic Vital Signs Monitoring of Infants in a Neonatal Intensive Care Unit Based on Neural Networks
title_sort non contact automatic vital signs monitoring of infants in a neonatal intensive care unit based on neural networks
topic heart rate
respiratory rate
NICU
convolutional neural network
signal decomposition
url https://www.mdpi.com/2313-433X/7/8/122
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