Blood Pressure Estimation From Photoplethysmography by Considering Intra- and Inter-Subject Variabilities: Guidelines for a Fair Assessment

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art_COSTA_Blood_Pressure_Estimation_From_Photoplethysmography_by_Considering_Intra_2023.PDF (4.41 MB)
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
Autores
COSTA, Thiago Bulhoes Da Silva
LIMA, Daniel Mario De
Citação
IEEE ACCESS, v.11, p.57934-57950, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Cardiovascular diseases are the leading causes of death, and blood pressure (BP) monitoring is essential for prevention, diagnosis, assessment, and treatment. Photoplethysmography (PPG) is a low-cost opto-electronic technique for BP measurement that allows the acquisition of a modulated light signal highly correlated with BP. There are several reports of methods to estimate BP from PPG with impressive results; in this study, we demonstrate that the previous results are excessively optimistic because of their train/test split configuration. To manage this limitation, we considered intra- and inter-subject data arrangements and demonstrated how they affect the results of feature-based BP estimation algorithms (i.e., XGBoost, LightGBM, and CatBoost) and signal-based algorithms (i.e., Residual U-Net, ResNet-18, and ResNet-LSTM). Inter-subject configuration performance is inferior to intra-subject configuration performance, regardless of the model. We also showed that, using only demographic attributes (i.e., age, sex, weight, and subject index number), a regression model achieved results comparable to those obtained in an intra-subject scenario.Although limited to a public clinical database, our findings suggest that algorithms that use an intra-subject setting without a calibration strategy may be learning to identify patients and not predict BP.
Palavras-chave
Blood pressure, photoplethysmography, wearables
URI
https://observatorio.fm.usp.br/handle/OPI/54634
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/13
Artigos e Materiais de Revistas Científicas - LIM/65
Artigos e Materiais de Revistas Científicas - ODS/03