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PL
W artykule zaprezentowano hybrydowy model drzewa naczyń krwionośnych przedramienia, uwzględniający w swojej strukturze klasyczne analogie hydrauliczno-elektryczne w połączeniu z interakcją światło-tkanki. Prezentowany model unifikuje propozycje literaturowe i pozwala na symulację i ocenę szerszej gamy zjawisk występujących w obiekcie badanym. Potrzeba opracowania modelu podyktowana była niejednoznacznościami wskazań obecnie stosowanych przyrządów do oceny regionalnej saturacji krwi żylnej (rSvO2), połączoną ze stale rosnącym zakresem ich zastosowań. Prezentowany model, w przeciwieństwie do modeli dostępnych w literaturze, pozwala na symulację zachowania układu krwionośnego przedramienia zarówno z punktu widzenia mechaniki drzewa naczyniowego, jak również efektów wpływu jej zmian na kształt rejestrowanych sygnałów fotopletyzmograficznych.
EN
This paper presents a hybrid model of the forearm vascular tree taking into account classical hydro-electric analogy in association with light tissue interaction in its structure. The new model unifies the literature proposals and allows simulating and evaluating a wider range of phenomena occurring in the facility under consideration. The need to develop the model was dictated by the ambiguities of indications of currently used instruments for assessing the regional oxygen saturation of venous blood (rSvO2) connected with increasing range of applications of these instruments. The model presented in this work, in contrast to the models available in the literature, allows simulating the behavior of the forearm blood from the point of view of both mechanics of the vascular tree and impact of the mechanics of the recorded photo plethysmographic signals. The field of optical phenomena in the transilumination area was modeled by a modified Lambert-Beer equation, typically used in pulse oximetry. In that case the transilumination coefficient recorded by a detector reflects changes in the effective optical path in the investigating area and depends directly on oxygenation. Scattering of light on the boundaries (emitter - air - skin) was omitted in the proposed model.
PL
W pracy zaprezentowano wieloczujnikowy układ do badania sygnału fotopletyzmograficznego (PPG). Dokonano analizy zjawisk fizycznych towarzyszących pozyskiwaniu sygnałów optycznych z obiektów biologicznych. Zaprojektowano i wykonano odbiciowe czujniki optoelektroniczne oraz układ kondycjonowania i akwizycji sygnałów PPG. Zaprezentowano przebiegi czasowe otrzymanych sygnałów.
EN
The subject matter of the paper refers to a multisensor system for examination of a photoplethysmographic signal (PPG). Biophysical phenomena connected with acquiring the optical signals from a human subject are analyzed. A reflectance variant of the optoelectronic sensors as well as conditioning system have been designed. Some selected examples of the PPG waveform obtained and analysis of their parameters are shown.
EN
This study addresses itself to the problem of vibration syndrome diagnosis by means of photoplethysmography. The measurement was performed on a small area on the finger-tip plexus in which many arteriovenous anastomoses are present. In the opinion of many authors, flow disorders in this area are more typical of developing vibration syndrome than changes in the microvessels. Cooling test was then performed and it was verified both visually and using the computer method, allowing the functional measurement of the flow to be obtained. Computer method proved to be much more sensitive than traditional tests. The test proposed allows us to detect vascular disorders in the prodromal period and gives time for preventive measures to be taken.
EN
The extent to which advanced waveform analysis of non-invasive physiological signals can diagnose levels of hypovolemia remains insufficiently explored. The present study explores the discriminative ability of a deep learning (DL) framework to classify levels of ongoing hypovolemia, simulated via novel dynamic lower body negative pressure (LBNP) model among healthy volunteers. We used a dynamic LBNP protocol as opposed to the traditional model, where LBNP is applied in a predictable step-wise, progressively descending manner. This dynamic LBNP version assists in circumventing the problem posed in terms of time dependency, as in real-life pre-hospital settings intravascular blood volume may fluctuate due to volume resuscitation. A supervised DL-based framework for ternary classification was realized by segmenting the underlying noninvasive signal and labeling segments with corresponding LBNP target levels. The proposed DL model with two inputs was trained with respective time–frequency representations extracted on waveform segments to classify each of them into blood volume loss: Class 1 (mild); Class 2 (moderate); or Class 3 (severe). At the outset, the latent space derived at the end of the DL model via late fusion among both inputs assists in enhanced classification performance. When evaluated in a 3-fold cross-validation setup with stratified subjects, the experimental findings demonstrated PPG to be a potential surrogate for variations in blood volume with average classification performance, AUROC: 0.8861, AUPRC: 0.8141, F1-score:72.16%, Sensitivity:79.06%, and Specificity:89.21%. Our proposed DL algorithm on PPG signal demonstrates the possibility to capture the complex interplay in physiological responses related to both bleeding and fluid resuscitation using this challenging LBNP setup.
5
Content available remote Wyznaczanie czasu propagacji Fali tętna w oparciu o sygnały EKG i PPG
63%
PL
W artykule przedstawiono nowatorską metodę pozwalającą na wyznaczanie czasów propagacji fali tętna, która bazuje na jednoczesnym pomiarze sygnałów EKG i PPG. Kluczowa dla proponowanego algorytmu dokładność wyznaczenia początkowego i końcowego punktu pomiarowego danego sygnału, silnie zależy od procedur wstępnego przetwarzania. Proponowane rozwiązanie opiera się na rozwijanej przez autorów metodzie korelacji aktualizowanego na bieżąco wzorca sygnału z aktualnie analizowanym fragmentem sygnału.
EN
In this article was presented a novel method for determining a pulse transit time, which is based on simultaneous measurement of ECG and PPG signals. The key to the proposed algorithm, the accuracy of determining the starting and ending measuring point of a given signal, strongly depends on the pre-processing procedures. The proposed solution is based on the method of correlation of the currently updated signal pattern with the currently analyzed fragment of signal, developed by the authors.
EN
Pulse wave velocity (PWV) is commonly used for assessing arterial stiffness and it is a useful and accurate cardiovascular mortality predictor. Currently, many techniques and devices for PWV measurement are known, but they are usually expensive and require operator experience. One possible solution for PWV measurement is photoplethysmography (PPG), which is convenient, inexpensive and provides continuous PWV results. The aim of this paper is validation of a new device for PPG sensor-based measurement of multisite arterial PWV using a SphygmoCor XCEL (as the reference device) according to the recommendations of the Artery Society Guidelines (ASG). In this study, 108 subjects (56 men and 52 women, 20–91 years in 3 required age groups) were enrolled. The multi-site PWV was simultaneous measured by 7 PPG sensors commonly used in pulse oximetry in clinical settings. These sensors were placed on the forehead, and right and left earlobes, fingers and toes. Pulse transit time (PTT) was measured offline as the difference of time delay between two onsets of the pulse wave determined by the intersecting tangent method. The PWV was calculated by dividing the distance between PPG sensors by PTT. During PPG signals measurement, reference carotid to femoral PWV (cfPWV) was performed with a SphygmoCor XCEL system. The Pearson correlation coefficient (r) between the obtained PWV results was calculated. The Bland-Altman method was used to establish the level of agreement between the two devices. Mean difference (md) and standard deviation (SD) were also calculated. The multi-site PWV was highly correlated with accuracy at the ASG-defined level of ‘‘Acceptable” (md < 1.0 m/s and SD ≤ 1.5 m/s) with cfPWV: forehead - right toe (r = 0.75, md = 0.20, SD = 0.97), forehead - left toe (r = 0.79, md = 0.18, SD = 0.91), right ear - right toe (r = 0.79, md = 0.11, SD = 0.96), left ear - left toe (r = 0.75, md = 0.43, SD = 0.99), right ear - left toe (r = 0.78, md = 0.40, SD = 0.93), left ear - right toe (r = 0.78, md = 0.11, SD = 0.96), right finger - right toe (r = 0.66, md = 0.95, SD = 1.29), left finger - lefttoe (r = 0.67, md = 0.68, SD = 1.35). This study showed that PWV measured with the multisite PPG system, in relation to the obtained numerical values, correlated very well with that measured using the commonly known applanation tonometry method. However, it should be noted, that the measured PWV concerns the central and muscular part of the arterial tree while the cfPWV is only for the central one. The best results were obtained when the proximal PPG sensor was placed on the head (ear or forehead) and the distal PPG sensor on the toe. PPG sensors can be placed in many sites at the same time, which provides greater freedom of their configuration. Multi-site photoplethysmography is an alternative method for PWV measurement and creates new possibilities for the diagnostics of cardiovascular diseases.
EN
The paper evaluated the vascular tone and character of the local blood flow using photoplethysmographic device to determine the viability of the studied organ and prospects for its preservation.
PL
W pracy przedstawiono ocenę sygnału naczyniowego i charakter lokalnego przepływu krwi z użyciem urządzeń fotopletyzmograficznych do oceny żywotności badanego narządu i perspektywy jego zachowania.
8
Content available remote Heart rate extraction from PPG signals using variational mode decomposition
63%
EN
Monitoring of vital signs using the photoplethysmography (PPG) signal is desirable for the development of home-based healthcare systems in the aspect of feasibility, mobility, comfort, and cost-effectiveness of the PPG device. In this paper, a new technique based on the variational mode decomposition (VMD) for estimating heart rate (HR) from the PPG signal is proposed. The VMD decomposes an input PPG signal into a number of modes or sub-signals. Afterward, the modes which are dominantly influenced by the HR information are selected and further processed for extracting HR of the patient. The proposed scheme is validated over a large number of recordings acquired from three independent databases, namely the Capnobase, MIMIC, and University of Queens Vital Sign (UQVS). Experiments are performed over different data length segments of the PPG recordings. Using the data length of 30 s, the proposed technique outperformed the existing techniques by achieving the lower median (1st quartile, 3rd quartile) values of root mean square error (RMSE) as 0.23 (0.19, 0.31) beats per minute (bpm), 0.41 (0.31, 0.56) bpm and 1.1 (0.9, 1.22) bpm for the Capnobase, MIMIC, and UQVS datasets, respectively. Since the shorter data length is more suitable for the clinical applications, the proposed technique also provided satisfactory agreement between the derived and reference HR values for the shorter data length segments. Perfor-mance results over three independent datasets suggest that the proposed technique can provide accurate and reliable HR information using the PPG signal recorded from the patients suffering from dissimilar problems.
9
Content available Wyznaczanie czasu propagacji fali tętna obwodowego
63%
PL
W artykule zaprezentowano metodę wyznaczania czasu propagacji fali tętna obwodowego (ang. pulse transit time, PTT), zdefiniowanego jako przedział czasu mierzony od początku fazy skurczu serca do momentu pojawienia się tzw. ramienia wstępującego fali tętna. W metodzie tej wykorzystano sygnał fotopletyzmograficzny (PPG) reprezentujący falę tętna obwodowego oraz sygnał fonokardiograficzny (FKG), który umożliwia detekcję faz skurczu i rozkurczu w każdym cyklu pracy serca. W artykule podano także przykłady wykorzystania parametru PTT w diagnostyce medycznej.
EN
In the paper the method for determination of peripheral pulse wave transit time (PTT) (defined as the time delay between the onset of a pulse wave and the systolic period) is presented. This method is based on two signals: photoplethysmographic (PPG) and phonocardiographic (PCG). The PPG signal represents the peripheral pulse wave, while the PCG signal allows detection of the systolic and diastolic phase in each cardiac cycle. The examples of using PTT in medical diagnostics are also given.
EN
This paper presents firstly-engineered photoplethysmographic multispectral device for diagnosis the peripheral blood circulation. The calculation of the main errors as: primary converter error, methodical error of measurement, setting of optical-electronic sensor error was carried out. Moreover the assessment of reliability of diagnosis the engineered device was conducted.
PL
Artykuł prezentuje pierwsze rozwiązanie wielospektralnego urządzenia fotopletyzmograficzego do diagnostyki obwodowego przepływu krwi. Przeprowadzono obliczenia głównych błędów: podstawowego błędu przetwarzania, błędu metodyki pomiaru, ustalonego błędu przetwornika optoelektronicznego. Ponadto przeprowadzono ocenę niezawodności zaprojektowanego urządzenia.
PL
W artykule opisano podstawowe parametry życiowe człowieka takich jak: tętno, temperatura ciała, poziom napięcia mięśniowego, oddech i ciśnienie krwi. W artykule przedstawiono schemat blokowy oraz ideowy systemu monitorującego parametry życiowe wraz z algorytmem oprogramowania urządzenia. Przedstawiono przykładowe wyniki pomiarów.
EN
The article describes basic human life parameters such as: heart rate, body temperature, muscle tension, breathing and blood pressure. The article presents a block diagram and electrical diagram system for monitoring vital parameters along with the device software algorithm. Sample measurement results are presented.
PL
Obecnie istnieje coraz szersze zapotrzebowanie na urządzenia służące do oceny stanu psychofizycznego osób, w tym żołnierzy czy sportowców, w czasie ich aktywności fizycznej, a więc w ruchu. Muszą to być przyrządy noszone. Ruch ciała jest źródłem dużych zakłóceń, które utrudniają, a nawet uniemożliwiają wykonanie pomiarów za pomocą pulsoksymetrów stosowanych w diagnostyce klinicznej. W artykule w sposób skrótowy przedstawiono zasadę pomiarów utlenowania krwi tętniczej za pomocą fotopulsoksymetrów oraz dokonano przeglądu metod przetwarzania rejestrowanych sygnałów pulsoksymetrycznych mających na celu wyeliminowanie wpływu zakłóceń ruchowych na wyniki pomiarów utlenowania krwi tętniczej.
EN
Now-a-day, there is an increasing demand for devices needed for assessing a psychophysical state of people, including soldiers and sportsmen, during their physical activity, and so in moving. Such devices must be worn. Body movement is a source of high disturbances, which impede or even make impossible realization of measurements by pulse oximeters applied in clinical diagnosis. The paper briefly presents basic information on arterial blood oxygen saturation measurements using pulse oximeters, and gives a review of methods used for processing the monitored pulse oximeter signals in order to eliminate an influence of the movement disturbances on the results of oxygen arterial blood saturation measurements.
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