Ballistocardiographic artifacts in PPG imaging

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Abstract

Objective: Photoplethysmography (PPG) is a noninvasive technique to measure the blood-volume pulse and derive various vital signs. Camera-based PPG imaging was recently proposed for clinical microvascular assessment, but motion robustness is still an issue for this technique. Our study aims to quantify cardiac-related, i.e., ballistocardiographic (BCG), motion as a source of artifacts in PPG imaging. Methods: In this paper, using the human head as a relevant region of interest, the amplitude of BCG-artifacts was modeled for a Lambertian surface illuminated by a light source. To derive peak-to-peak head displacements for the model, we recorded, on 54 subjects, PPG and inertial sensor data at the pulse and cranial vertex. We simulated the effect of light source location at a mesh representation of a human face and conducted additional experiments on a real subject. Results: Under non-orthogonal illumination, the relative strength of BCG-artifacts is strong enough, compared to the amplitude of PPG signals, to compromise PPG imaging in realistic scenarios. Particularly affected are the signals obtained in the non-green part of the spectrum and/or when the incident angle at the skin surface exceeds 45 degrees. Conclusion: From the model and an additional experiment conducted on real skin, we were able to prove that homogenous and orthogonal illumination is a means to minimize the problem. Significance: Our illumination recommendation provides a simple and effective means to improve the validity of remote PPG-imagers. We hope that it helps to prevent mistakes currently seen in many publications on remote PPG.
Original languageEnglish
Pages (from-to)1804-1811
Number of pages8
JournalIEEE Transactions on Biomedical Engineering
Volume63
Issue number9
DOIs
Publication statusPublished - 20 Nov 2015

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