Normalization of photoplethysmography using deep neural networks for individual and group comparison

Abstract Photoplethysmography (PPG) is easy to measure and provides important parameters related to heart rate and arrhythmia. However, automated PPG methods have not been developed because of their susceptibility to motion artifacts and differences in waveform characteristics among individuals. Wit...

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Main Authors: Ji Woon Kim, Seong-Wook Choi
Format: Article
Language:English
Published: Nature Portfolio 2022-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-07107-5
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author Ji Woon Kim
Seong-Wook Choi
author_facet Ji Woon Kim
Seong-Wook Choi
author_sort Ji Woon Kim
collection DOAJ
description Abstract Photoplethysmography (PPG) is easy to measure and provides important parameters related to heart rate and arrhythmia. However, automated PPG methods have not been developed because of their susceptibility to motion artifacts and differences in waveform characteristics among individuals. With increasing use of telemedicine, there is growing interest in application of deep neural network (DNN) technology for efficient analysis of vast amounts of PPG data. This study is about an algorithm for measuring a patient's PPG and comparing it with their own data stored previously and with the average data of several groups. Six deep neural networks were used to normalize the PPG waveform according to the heart rate by removing uninformative regions from the PPG, distinguishing between heartbeat and reflection pulses, dividing the heartbeat waveform into 10 segments and averaging the values according to each segments. PPG data were measured using telemedicine in both groups. Group 1 consisted of healthy people aged 25 to 35 years, and Group 2 consisted of patients between 60 and 75 years of age taking antihypertensive medications. The proposed algorithm could accurately determine which group the subject belonged with the newly measured PPG data (AUC = 0.998). On the other hand, errors were frequently observed in identification of individuals (AUC = 0.819).
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spelling doaj.art-c298e558cb2b4bb2b46b45334133a4222022-12-22T01:34:01ZengNature PortfolioScientific Reports2045-23222022-02-0112111010.1038/s41598-022-07107-5Normalization of photoplethysmography using deep neural networks for individual and group comparisonJi Woon Kim0Seong-Wook Choi1Interdisciplinary Program in Biohealth-Machinery Convergence Engineering, Kangwon National UniversityInterdisciplinary Program in Biohealth-Machinery Convergence Engineering, Kangwon National UniversityAbstract Photoplethysmography (PPG) is easy to measure and provides important parameters related to heart rate and arrhythmia. However, automated PPG methods have not been developed because of their susceptibility to motion artifacts and differences in waveform characteristics among individuals. With increasing use of telemedicine, there is growing interest in application of deep neural network (DNN) technology for efficient analysis of vast amounts of PPG data. This study is about an algorithm for measuring a patient's PPG and comparing it with their own data stored previously and with the average data of several groups. Six deep neural networks were used to normalize the PPG waveform according to the heart rate by removing uninformative regions from the PPG, distinguishing between heartbeat and reflection pulses, dividing the heartbeat waveform into 10 segments and averaging the values according to each segments. PPG data were measured using telemedicine in both groups. Group 1 consisted of healthy people aged 25 to 35 years, and Group 2 consisted of patients between 60 and 75 years of age taking antihypertensive medications. The proposed algorithm could accurately determine which group the subject belonged with the newly measured PPG data (AUC = 0.998). On the other hand, errors were frequently observed in identification of individuals (AUC = 0.819).https://doi.org/10.1038/s41598-022-07107-5
spellingShingle Ji Woon Kim
Seong-Wook Choi
Normalization of photoplethysmography using deep neural networks for individual and group comparison
Scientific Reports
title Normalization of photoplethysmography using deep neural networks for individual and group comparison
title_full Normalization of photoplethysmography using deep neural networks for individual and group comparison
title_fullStr Normalization of photoplethysmography using deep neural networks for individual and group comparison
title_full_unstemmed Normalization of photoplethysmography using deep neural networks for individual and group comparison
title_short Normalization of photoplethysmography using deep neural networks for individual and group comparison
title_sort normalization of photoplethysmography using deep neural networks for individual and group comparison
url https://doi.org/10.1038/s41598-022-07107-5
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AT seongwookchoi normalizationofphotoplethysmographyusingdeepneuralnetworksforindividualandgroupcomparison