Key result
Speckle Plethysmography provided a significantly higher and more stable Signal-to-Noise Ratio and higher harmonic ratios compared to Photoplethysmography during low perfusion conditions induced by a Cold Pressor Test.
Why the study?
Does Speckle Plethysmography offer more robust pulse wave monitoring than Photoplethysmography during low perfusion conditions induced by a Cold Pressor Test?
Observational (n=10)
No
Does Speckle Plethysmography offer more robust pulse wave monitoring than Photoplethysmography during low perfusion conditions induced by a Cold Pressor Test?
Speckle plethysmography provides more robust pulse wave monitoring with higher signal-to-noise and harmonic ratios compared to photoplethysmography under low perfusion conditions.
Speckle plethysmography may enhance pulse monitoring in low perfusion; hypothesis-generating and requires prospective validation before clinical use.
Speckle Plethysmography (SPG) and Photoplethysmography (PPG) are different biophotonics technologies that allow for measurement of haemodynamics. As the difference between SPG and PPG under low perfusion conditions is not fully understood, a Cold Pressor Test (CPT-60 s full hand immersion in ice water), was used to modulate blood pressure and peripheral circulation. A custom-built setup simultaneously derived SPG and PPG from the same video streams at two wavelengths (639 nm and 850 nm). SPG and PPG were measured at the right index finger location before and during the CPT using finger Arterial Pressure (fiAP) as a reference. The effect of the CPT on the Alternating Component amplitude (AC) and Signal-to-Noise Ratio (SNR) of dual-wavelength SPG and PPG signals was analysed across participants. Furthermore, waveform differences between SPG, PPG, and fiAP based on frequency harmonic ratios were analysed for each subject (n = 10). Both PPG and SPG at 850 nm show a significant reduction during the CPT in both AC and SNR. However, SPG showed significantly higher and more stable SNR than PPG in both study phases. Harmonic ratios were found substantially higher in SPG than PPG. Therefore, in low perfusion conditions, SPG seems to offer a more robust pulse wave monitoring with higher harmonic ratios than PPG.
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Olazábal et al. (2023) conducted an observational in Healthy (n=10). Speckle Plethysmography (SPG) vs. Photoplethysmography (PPG) was evaluated on Signal-to-Noise Ratio (SNR). Speckle Plethysmography provided a significantly higher and more stable Signal-to-Noise Ratio and higher harmonic ratios compared to Photoplethysmography during low perfusion conditions induced by a Cold Pressor Test.
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