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Tanut Choksatchawathi

Publications and source records attributed to Tanut Choksatchawathi.

3 recordsLinked to original sources

ApSense: Data-driven Algorithm in PPG-based Sleep Apnea Sensing

Detecting obstructive sleep apnea (OSA) is essential for diagnosing and managing sleep health. Traditionally, this involves clinical settings with hardly accessible processes. We propose that the automated detection of OSA events is achievable using features extracted from fingertip photoplethysmography (PPG) signals combined with modern deep learning (DL) techniques. Utilizing two benchmark data sets with extensive PPG recordings, we introduce ApSense, a DL model designed for the OSA event onset recognition from PPG features. ApSense presents a custom neural architecture and domain-specific feature extraction from PPG waveforms. We benchmark it against the state-of-the-art (SOTA) algorithms, including RRWaveNet, PPGNetSA, AIOSA, DRIVEN, and LeNet-5. In our evaluations, ApSense demonstrated improved sensitivity, specificity, and area under the receiver operating characteristic (AUROC) on the test data sets. Furthermore, an ablation study highlighted strategic customizations of ApSense, enhancing its performance and adaptability to different data sets. ApSense demonstrates high reliability, as its outstanding results were confirmed even in high-variance data sets. By detecting OSA events, ApSense enables the estimation of the predicted apnea-hypopnea index (pAHI), which can be used for prescreening individuals for sleep apnea in a low-cost setup. ApSense shows the potential for the PPG-based OSA detection and clinical applications for prescreening in the future.

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RRWaveNet: A Compact End-to-End Multi-Scale Residual CNN for Robust PPG Respiratory Rate Estimation

Respiratory rate (RR) is an important biomarker as RR changes can reflect severe medical events such as heart disease, lung disease, and sleep disorders. Unfortunately, standard manual RR counting is prone to human error and cannot be performed continuously. This study proposes a method for continuously estimating RR, RRWaveNet. The method is a compact end-to-end deep learning model which does not require feature engineering and can use low-cost raw photoplethysmography (PPG) as input signal. RRWaveNet was tested subject-independently and compared to baseline in four datasets (BIDMC, CapnoBase, WESAD, and SensAI) and using three window sizes (16, 32, and 64 seconds). RRWaveNet outperformed current state-of-the-art methods with mean absolute errors at optimal window size of 1.66 \pm 1.01, 1.59 \pm 1.08, 1.92 \pm 0.96 and 1.23 \pm 0.61 breaths per minute for each dataset. In remote monitoring settings, such as in the WESAD and SensAI datasets, we apply transfer learning to improve the performance using two other ICU datasets as pretraining datasets, reducing the MAE by up to 21$\%$. This shows that this model allows accurate and practical estimation of RR on affordable and wearable devices. Our study also shows feasibility of remote RR monitoring in the context of telemedicine and at home.

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Improving Heart Rate Estimation on Consumer Grade Wrist-Worn Device Using Post-Calibration Approach

The technological advancement in wireless health monitoring through the direct contact of the skin allows the development of light-weight wrist-worn wearable devices to be equipped with different sensors such as photoplethysmography (PPG) sensors. However, the motion artifact (MA) is possible to occur during daily activities. In this study, we attempted to perform a post-calibration of the heart rate (HR) estimation during the three possible states of average daily activity (resting, \textcolor{red}{laying down}, and intense treadmill activity states) in 29 participants (130 minutes/person) on four popular wearable devices: Fitbit Charge HR, Apple Watch Series 4, TicWatch Pro, and Empatica E4. In comparison to the standard measurement (HR$_\text{ECG}$), HR provided by Fitbit Charge HR (HR$_\text{Fitbit}$) yielded the highest error of $3.26 \pm 0.34$ bpm in resting, $2.33 \pm 0.23$ bpm in \textcolor{red}{laying down}, $9.53 \pm 1.47$ bpm in intense treadmill activity states, and $5.02 \pm 0.64$ bpm in all states combined among the four chosen devices. Following our improving HR estimation model with rolling windows as feature (HR$_\text{R}$), the mean absolute error (MAE) was significantly reduced by $33.44\%$ in resting, $15.88\%$ in \textcolor{red}{laying down}, $9.55\%$ in intense treadmill activity states, and $18.73\%$ in all states combined. This demonstrates the feasibility of our proposed methods in order to correct and provide HR monitoring post-calibrated with high accuracy, raising further awareness of individual fitness in the daily application.

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