Why the study?
Despite widespread use of photoplethysmography to extract physiological information, multiple factors influence signal shape and quality, including the instrumentation used.
Does source-detector distance affect the variability of the DC component in PPG signals in healthy participants?
Does source-detector distance affect the variability of the DC component in PPG signals in healthy participants?
PPG systems are sensitive to near- and far-field effects, with greater DC variability at shorter source-detector distances (6 mm), which may impact the accuracy of physiological parameters like SpO2.
Close-range PPG may bias SpO2; leaves open whether longer distances or CV indexing improve reliability in patients.
Photoplethysmography is a widely used optical technique to extract physiological information non-invasively. Despite its large use and adoption, multiple factors influence the signal shape and quality, including the instrumentation used. This work analyzes the variability of the DC component of the PPG signal at three source–detector distances (6 mm, 9 mm, and 12 mm) using green, red, and infrared light and four photodiodes per distance. The coefficient of variation (CV) is proposed as a new signal quality index (SQI) to evaluate signal variabilities. This study first characterizes the PPG system, which is then used to acquire PPG signals in the chest of 14 healthy participants. Results show a great DC variability at 6 mm, homogenizing at 9 and 12 mm. This suggests that PPG systems are also sensitive to the near- and far-field effects commonly reported and studied in optics, which can impact the accuracy of physiological parameters dependent on the DC component, such as oxygen saturation (SpO2).
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Morillo et al. (2024) studied this question.
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