Abstract:
:Non-contact vital sign monitoring enables the estimation of vital signs, such as heart rate, respiratory rate and oxygen saturation (SpO2), by measuring subtle color changes on the skin surface using a video camera. For patients in a hospital ward, the main challenges in the development of continuous and robust non-contact monitoring techniques are the identification of time periods and the segmentation of skin regions of interest (ROIs) from which vital signs can be estimated. We propose a deep learning framework to tackle these challenges. APPROACH:This paper presents two convolutional neural network (CNN) models. The first network was designed for detecting the presence of a patient and segmenting the patient's skin area. The second network combined the output from the first network with optical flow for identifying time periods of clinical intervention so that these periods can be excluded from the estimation of vital signs. Both networks were trained using video recordings from a clinical study involving 15 pre-term infants conducted in the high dependency area of the neonatal intensive care unit (NICU) of the John Radcliffe Hospital in Oxford, UK. MAIN RESULTS:Our proposed methods achieved an accuracy of 98.8% for patient detection, a mean intersection-over-union (IOU) score of 88.6% for skin segmentation and an accuracy of 94.5% for clinical intervention detection using two-fold cross validation. Our deep learning models produced accurate results and were robust to different skin tones, changes in light conditions, pose variations and different clinical interventions by medical staff and family visitors. SIGNIFICANCE:Our approach allows cardio-respiratory signals to be continuously derived from the patient's skin during which the patient is present and no clinical intervention is undertaken.
journal_name
Physiol Measjournal_title
Physiological measurementauthors
Chaichulee S,Villarroel M,Jorge J,Arteta C,McCormick K,Zisserman A,Tarassenko Ldoi
10.1088/1361-6579/ab525csubject
Has Abstractpub_date
2019-12-02 00:00:00pages
115001issue
11eissn
0967-3334issn
1361-6579journal_volume
40pub_type
杂志文章abstract:OBJECTIVE:Using raw, sub-second-level accelerometry data, we propose and validate a method for identifying and characterizing walking in the free-living environment. We focus on sustained harmonic walking (SHW), which we define as walking for at least 10 s with low variability of step frequency. APPROACH:We utilize th...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aaa74d
更新日期:2018-02-28 00:00:00
abstract::In the clinical environment the reliable interpretation of EIT images depends on the quality of the data. In the electrically noisy hospital environment the system performance needs to be assessed for each clinical investigation. From the model of noise presented, a figure of merit for comparisons of system performanc...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/17/4a/006
更新日期:1996-11-01 00:00:00
abstract::The outflow conductance (C(out)) of the cerebrospinal fluid (CSF) system is a parameter considered to be predictive in selection for hydrocephalus surgery. C(out) can be determined through an infusion test. A new apparatus for performing infusion tests in a standardized and automated way was developed. The objective w...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/26/6/022
更新日期:2005-12-01 00:00:00
abstract::If electrical impedance tomography is to be used as a clinical tool, the image reconstruction algorithms must yield accurate images of impedance changes. One of the keys to producing an accurate reconstructed image is the inclusion of prior information regarding the physical geometry of the object. To achieve this, ma...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/22/1/308
更新日期:2001-02-01 00:00:00
abstract::Twenty-nine patients were monitored overnight for breathing distress patterns during postoperative analgesia. Nasal flow apnoea monitoring and pulse oximetry data were recorded at 50 Hz. Respiratory inductive plethysmography (RIP) tracked tidal volume (TV) thoracoabdominal motion, and supplemented the flow monitoring ...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/20/2/307
更新日期:1999-05-01 00:00:00
abstract::Brown adipose tissue (BAT) plays a key role in adaptive thermogenesis in mammals, and it has recently been considered as an attractive therapeutic target for tackling human obesity by increasing energy expenditure. Thermal imaging using infrared thermography (IRT) has emerged as a potential safe, rapid and inexpensive...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/37/12/N118
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To provide a non-invasive approach to monitoring lung function in spontaneously breathing lambs, from birth to five months of life, by the forced oscillation technique (FOT). This report describes the experimental set-up, data processing, and identification of normal predicted values of resistance (Rrs) and r...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/ab3493
更新日期:2019-11-04 00:00:00
abstract::Capnography is a continuous and noninvasive method for carbon dioxide (CO2) measurement, and it has become the standard of care for basic respiratory monitoring for intubated patients in the intensive care unit. In addition, it has been used to adjust ventilatory parameters during mechanical ventilation (MV). However,...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/36/2/231
更新日期:2015-02-01 00:00:00
abstract::Virtual shunt describes the overall loss of O2 content between the alveolar gas and arterial blood. Clinicians indirectly estimate the magnitude of the virtual shunt by monitoring peripheral blood oxygen saturation (SpO2) using non-invasive pulse oximetry. An inherent limitation of this method is the variable precisio...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/36/5/967
更新日期:2015-05-01 00:00:00
abstract::The heart rate variability is composed of low- and high-frequency fluctuations, which are mediated by the sympathetic and the parasympathetic nervous systems. The baseline and the amplitude of the photoplethysmographic (PPG) signal also show fluctuations in the same frequencies. In the current study, PPG examinations ...
journal_title:Physiological measurement
pub_type: 临床试验,杂志文章
doi:10.1088/0967-3334/19/1/008
更新日期:1998-02-01 00:00:00
abstract::This study compared sitting time measured by a questionnaire (International Physical Activity Questionnaire; IPAQ) with concurrently measured objective sitting time from an accelerometer-based measure of thigh inclination (activPAL).Adults (n = 69), wore an activPAL for a week, and then completed the long-form 7 d rec...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/11/2319
更新日期:2014-11-01 00:00:00
abstract::We investigated the utility of ICA for evaluation of fetal rhythm in five uncomplicated twin pregnancies and in five twin pregnancies complicated by fetal arrhythmia. Using objective and subjective criteria, we sought to determine how the signal-to-noise ratio, signal fidelity and interference rejection are affected w...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/32/1/004
更新日期:2011-01-01 00:00:00
abstract::The transthoracic electrical impedance is an important defibrillation parameter, affecting the defibrillating current amplitude and energy, and therefore the defibrillation efficiency. A close relationship between transthoracic impedance and defibrillation success rate was observed. Pre-shock measurements (using low a...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/21/1/318
更新日期:2000-02-01 00:00:00
abstract::Fetal heart rate monitoring is used for pregnancy surveillance in obstetric units all over the world but in spite of recent advances in analysis methods, there are still inherent technical limitations that bound its contribution to the improvement of perinatal indicators. In this work, a previously published wavelet t...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/8/1723
更新日期:2014-08-01 00:00:00
abstract::We tested the hypothesis that transmission of arterial pressure to brain tissue oxygenation is low under conditions of arterial pressure instability. Two experimental models of hemodynamic instability were used in healthy human volunteers; (1) oscillatory lower body negative pressure (OLBNP) (N = 8; 5 male, 3 female),...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/36/4/785
更新日期:2015-04-01 00:00:00
abstract::The goal of the present study was to develop and evaluate a new method for the prediction of unexplained syncope occurrences. Diagnosis of syncope is currently based on the reproduction of symptoms in combination with hypotension and bradycardia induced by a 45 min 60-70 degrees head-upright tilt test (HUTT). The main...
journal_title:Physiological measurement
pub_type: 临床试验,杂志文章
doi:10.1088/0967-3334/28/2/007
更新日期:2007-02-01 00:00:00
abstract::In this study, the selection of coil configuration parameters (coil radius and coil centre shift) for induced current EIT using circular coils is investigated. An alternative coil configuration is suggested, which produces approximately linear (spatially) magnetic fields in order to strengthen the currents in the cent...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/15/2a/007
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:Video and sound acquisition and processing technologies have seen great improvements in recent decades, with many applications in the biomedical area. The aim of this paper is to review the overall state of the art of advances within these topics in paediatrics and to evaluate their potential application for ...
journal_title:Physiological measurement
pub_type: 杂志文章,评审
doi:10.1088/1361-6579/ab0096
更新日期:2019-02-26 00:00:00
abstract::Health is one of the most important non-material assets and thus also has an enormous influence on material values, since treating and preventing diseases is expensive. The number one cause of death worldwide today originates in cardiovascular diseases. For these reasons the aim of understanding the functions and the ...
journal_title:Physiological measurement
pub_type: 杂志文章,评审
doi:10.1088/0967-3334/37/5/R46
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Manganese (Mn) is a neurotoxin. However, the impact of elevated, chronic Mn exposure is not well understood, partially due to the lack of a cumulative exposure biomarker. To address this gap, our group developed a compact in vivo neutron activation analysis (IVNAA) system to quantify Mn concentration in bone ...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aaa749
更新日期:2018-03-23 00:00:00
abstract::The specific heat capacity of tissue is a critical parameter for thermal therapies that act over a long period of time. It is also critical for thermoacoustic signal generation. We present ex vivo measurements of specific heat capacity performed by a dual-pin probe with tight temperature control of the specimen. One 3...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/32/11/N02
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Observational studies suggest that obesity might have a Mendelian origin, but it is not clear if gene expression patterns observed in obese subjects are secondary to genetic traits or not. APPROACH:Here we test a transcriptomic signature of obesity previously identified by our group on a large cohort of twin...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aab85a
更新日期:2018-04-26 00:00:00
abstract::Although people spend a third of their day engaged in sedentary activities, research on heart activity during sitting is almost nonexistent because of the discomfort experienced when electrocardiogram (ECG) measurement electrodes are attached to the body. Accordingly, in this study, a system was developed to monitor h...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/36/3/N61
更新日期:2015-03-01 00:00:00
abstract::One unfortunate occurrence in experimental measurements with electrical impedance tomography is electrodes which become detached or poorly connected, such that the measured data cannot be used. This paper presents an automatic approach to detect such erroneous electrodes. It is based on the assumption that all valid m...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/26/2/017
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:Metal exposures have been linked with many adverse health outcomes affecting nearly every system in the body. Exposure to metals has been tracked primarily using blood. Blood metal concentrations have drawbacks as biomarkers stemming from the metals' short biologic half-lives, shipping and storage requirement...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aad947
更新日期:2018-08-31 00:00:00
abstract::The activPAL™ activity monitor has potential for use in youth with Cerebral Palsy (CP) as it has demonstrated acceptable validity for the assessment of sedentary and physical activity in other populations. This study determined the validity of the activPAL™ activity monitor for the measurement of sitting, standing, wa...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/35/11/2307
更新日期:2014-11-01 00:00:00
abstract::Electrical impedance tomography (EIT) image reconstruction is an ill-posed problem requiring maximum measurement precision. Recent EIT systems claim 60 to 80 dB precision. Achieving higher values is hard in practice since measurements must be performed at relatively high frequency, on a living subject, while using com...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/0967-3334/27/5/S05
更新日期:2006-05-01 00:00:00
abstract::Muscle stiffness is known to vary as a result of a variety of disease states, yet current clinical methods for quantifying muscle stiffness have limitations including cost and availability. We investigated the capability of shear wave elastography (SWE) to measure variations in gastrocnemius shear wave speed induced v...
journal_title:Physiological measurement
pub_type: 临床试验,杂志文章
doi:10.1088/0967-3334/34/6/713
更新日期:2013-06-01 00:00:00
abstract::The wrist is increasingly being used as the preferred site for objectively assessing physical activity but the relative accuracy of processing methods for wrist data has not been determined. OBJECTIVE:This study evaluates the validity of four processing methods for wrist-worn ActiGraph (AG) data against energy expend...
journal_title:Physiological measurement
pub_type: 杂志文章
doi:10.1088/1361-6579/aa6d00
更新日期:2017-06-01 00:00:00
abstract::Heart rate variability (HRV) is often analysed using short-term studies. Our objective was to compare two of them in a group of diabetic patients (reduced HRV) and in a control group. From the same 10 min surface electrocardiogram (ECG) two recordings were obtained. In one of them the whole signal was acquired through...
journal_title:Physiological measurement
pub_type: 临床试验,杂志文章
doi:10.1088/0967-3334/25/6/n01
更新日期:2004-12-01 00:00:00