A novel artifact reconstruction method for blood pressure signals achieved a reconstruction error of less than 1%.
Artifact reconstruction may enhance BP signal fidelity in monitoring; leaves open clinical adoption pending prospective validation.
Physiological records are one of the most relevant elements to obtain objective information from the patients. The presence of artifacts in biomedical signals can give misleading in the analysis of information that these signals give. The blood pressure signal is one of the records clearly affected by different artifacts, especially the ones due from the calibration episodes. We propose a method to reconstruct different episodes of artifacts in these signals. This method is sustained on the detection of the events of the signal, differentiating between to the physiological cycles and the artifacts. The performance of the method is based on the detection of the cycles and artifact's position, the identification of the number of cycles to reconstruct, and the prediction of the cycle model used to generate the missing cycles. The parameter θ E represents the difference between the area under the curve when two events are compared. The value of this parameter is low when two similar events are compared like the physiological cycles, whereas it is high comparing a cycle with an artifact. An adaptive threshold is defined to identify the artifact episodes. The number of cycles to reconstruct is generated considering the same number of their neighbours physiological cycles, to left and right, of the original signal. Finally, the performance of the method has been analyzed comparing the number of events and artifacts detected and their correct reconstruction. According to the results, the reconstruction error was less than 1% in all cases.
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Rodríguez et al. (2018) studied this question.
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