Video-based heart rate monitoring across a range of skin pigmentations during an acute hypoxic challenge.

The robust monitoring of heart rate from the video-photoplethysmogram (video-PPG) during challenging conditions requires new analysis techniques. The work reported here extends current research in this area by applying a motion tolerant algorithm to extract high quality video-PPGs from a cohort of s...

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Publicado en:Journal of Clinical Monitoring & Computing Vol. 32; no. 5; pp. 871 - 881
Autores principales: Addison, Paul S., Jacquel, Dominique, Foo, David M. H., Borg, Ulf R.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
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      pub: Springer Nature
      place: New York, New York
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        atl: Video-based heart rate monitoring across a range of skin pigmentations during an acute hypoxic challenge.
      aug:
        au:
          Addison, Paul S.
          Jacquel, Dominique
          Foo, David M. H.
          Borg, Ulf R.
        affil: Medtronic, Video Biosignals Group, Patient Monitoring, Technopole Centre, EH26 0PJ, Edinburgh, UK
      sug:
        subj:
          Skin Pigmentation Physiology
          Heart Rate Physiology
          Plethysmography Methods
          Oximetry Statistics and Numerical Data
          Plethysmography Statistics and Numerical Data
          Adult
          Research Subjects
          Videorecording
          Regression
          Young Adult
          Male
          Signal Processing, Computer Assisted
          Algorithms
          Female
          Human
          Adult: 19-44 years
          Male
          Female
      ab: The robust monitoring of heart rate from the video-photoplethysmogram (video-PPG) during challenging conditions requires new analysis techniques. The work reported here extends current research in this area by applying a motion tolerant algorithm to extract high quality video-PPGs from a cohort of subjects undergoing marked heart rate changes during a hypoxic challenge, and exhibiting a full range of skin pigmentation types. High uptimes in reported video-based heart rate (HRvid) were targeted, while retaining high accuracy in the results. Ten healthy volunteers were studied during a double desaturation hypoxic challenge. Video-PPGs were generated from the acquired video image stream and processed to generate heart rate. HRvid was compared to the pulse rate posted by a reference pulse oximeter device (HRp). Agreement between video-based heart rate and that provided by the pulse oximeter was as follows: Bias = - 0.21 bpm, RMSD = 2.15 bpm, least squares fit gradient = 1.00 (Pearson R = 0.99, p < 0.0001), with a 98.78% reporting uptime. The difference between the HRvid and HRp exceeded 5 and 10 bpm, for 3.59 and 0.35% of the reporting time respectively, and at no point did these differences exceed 25 bpm. Excellent agreement was found between the HRvid and HRp in a study covering the whole range of skin pigmentation types (Fitzpatrick scales I-VI), using standard room lighting and with moderate subject motion. Although promising, further work should include a larger cohort with multiple subjects per Fitzpatrick class combined with a more rigorous motion and lighting protocol.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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