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Recovering vital
                  physiological signals from
                    ambulatory devices

                           Praveen Pankajakshan and Rangavittal
                                       Narayanan
                             Samsung Advanced Institute of Technology, India
                                          13 February 2013


                                                    1

Tuesday, February 26, 13
2

Tuesday, February 26, 13
Context    Methodology   Tools




                               2

Tuesday, February 26, 13
3

Tuesday, February 26, 13
Motivation and challenges
                • Ambulatory monitoring: Record
                       vital signal continuously

                       ‣ Mostly non-invasive or
                              minimally invasive

                       ‣ Patients asymptotic at hospital
                              and monitor disease
                              progression                                  Image Courtesy: Cambridge Consultants




                • Challenges:
                       ‣ SNR is low [1]
                       ‣ Available storage, processing
                              power and battery is low
                 [1]       G. Garner et al., EP2327360A1, Nov. 2010.   4

Tuesday, February 26, 13
Bayesian framework
                  • Data from sensor: y[n], n=0, 1, 2, … N-1 ∈ N0.

                  • From Bayesian theorem [2], estimate x[n] of the signal y[n] can be
                           realized from

                           ‣      p(y|x) is the likelihood

                           ‣      p(x) is the knowledge on x[n].

                  • Likelihood is given by the normal distribution



                           ‣      Assumption: Residual noise is asymptotically Gaussian,
                                  variance σ2.

                                                 2
                           ‣      ||•||           2   is the l2 norm.

                           [2] J. Idier, 2008.
                                                                        5

Tuesday, February 26, 13
Sparsity of gradient




                           [2] J. Idier, 2008.
                                                 6

Tuesday, February 26, 13
Sparsity of gradient




                           [2] J. Idier, 2008.
                                                 6

Tuesday, February 26, 13
Sparsity of gradient




                                                      l1norm of
                                                     the gradient

                           [2] J. Idier, 2008.
                                                 6

Tuesday, February 26, 13
Sparsity of gradient




                                                          l1norm of
                                                        the gradient
                                                     Many coefficients are
                           [2] J. Idier, 2008.
                                                 6
                                                           small!
Tuesday, February 26, 13
Sparsity of gradient
                  • The estimated signal x[n]
                           must respect:

                           ‣ Bounded signal and
                                  gradient: x[n]>- ∞ and
                                  x[n]<∞

                           ‣ Distribution: Positive
                                  skewed, long tail with
                                  small values.

                  • These are satisfied by:                      l1norm of
                           ‣ λ: trade-off parameter,          the gradient
                                  E(x) is:                 Many coefficients are
                           [2] J. Idier, 2008.
                                                       6
                                                                 small!
Tuesday, February 26, 13
Sparsity of gradient
                  • The estimated signal x[n]
                           must respect:

                           ‣ Bounded signal and
                                  gradient: x[n]>- ∞ and
                                  x[n]<∞

                           ‣ Distribution: Positive
                                  skewed, long tail with
                                  small values.

                  • These are satisfied by:                      l1norm of
                           ‣ λ: trade-off parameter,          the gradient
                                  E(x) is:                 Many coefficients are
                           [2] J. Idier, 2008.
                                                       6
                                                                 small!
Tuesday, February 26, 13
A holistic solution
                  • x[n] can be realized from y[n] by




                  • Equivalent convex primal problem:
                                                                                  (1)



                           ‣ R is a NxN Toeplitz matrix, p lies between [1, 2].
                  • x[n] can be estimated directly or piece-wise from y[n] by
                           minimizing (1) using convex optimization ([2])


                           [2] J. Idier, 2008.
                                                          7

Tuesday, February 26, 13
Solution conceptualization


                                       In-Phone             Server-level
                                      processing             processing




                           l2-l2 minimization      l2-TV minimization

                                             8

Tuesday, February 26, 13
Majorization-minimization
            • Find a surrogate function
                  J(x, xk) to E(x) such that

                   ‣ J(x, xk) must be convex
                   ‣ J(x, xk)≥E(x)
                   ‣ At xk, E(xk)=J(xk, xk)
            • We choose J(x, xk) [3] as:


            • The iterative solution is [3]:
                                                   [3] M. Figueiredo et al. 2006
                                               9

Tuesday, February 26, 13
Case: Content selection




                 ECG signal from ML-II lead [4,5]). 48 hour ambulatory ECG with fs=360Hz, 200mV 11 bit
                                           resolution over 10mV amplitude range.
               [4] G. B. Moody and R. G. Mark, 2001.        10
               [5] A. L. Goldberger, et al. 2000.

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Progress and convergence
                            11

Tuesday, February 26, 13
Baseline correction


                                  Acquired Data




                                Estimated Baseline




                                 Corrected signal


                                        12

Tuesday, February 26, 13
Baseline correction


                                  Acquired Data




                                Estimated Baseline




                                 Corrected signal


                                        12

Tuesday, February 26, 13
Baseline correction


                                       Acquired Data




                                    Estimated Baseline




                                      Corrected signal

           40 minutes of data processed in 0.7 seconds with 3.2GHz and 4GB memory!
                                             12

Tuesday, February 26, 13
Peak detection on
                                       recovered signal




                     A 3 second recording of a z-normalized ECG and peak detection [6]
                                          on the restored signals

                    [6] J. Pan and W. J. Tompkins, March 1985.
                                                                 13

Tuesday, February 26, 13
Summary Highlight




                                   14

Tuesday, February 26, 13
Summary
            • Scope: Restore vital physiological
                    signals from ambulatory conditions.
            • Processing:
                 ‣ For handheld-devices by minimizing a
                           l2-l2 cost function.

                 ‣ For accuracy at servers by minimizing
                           a l2-TV cost function.

            •Performance: Outperforms classical
                 approaches.
                                              15

Tuesday, February 26, 13
Thats all folks!




                                  16

Tuesday, February 26, 13
17

Tuesday, February 26, 13

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Recovering vital physiological signals from ambulatory devices

  • 1. Recovering vital physiological signals from ambulatory devices Praveen Pankajakshan and Rangavittal Narayanan Samsung Advanced Institute of Technology, India 13 February 2013 1 Tuesday, February 26, 13
  • 3. Context Methodology Tools 2 Tuesday, February 26, 13
  • 5. Motivation and challenges • Ambulatory monitoring: Record vital signal continuously ‣ Mostly non-invasive or minimally invasive ‣ Patients asymptotic at hospital and monitor disease progression Image Courtesy: Cambridge Consultants • Challenges: ‣ SNR is low [1] ‣ Available storage, processing power and battery is low [1] G. Garner et al., EP2327360A1, Nov. 2010. 4 Tuesday, February 26, 13
  • 6. Bayesian framework • Data from sensor: y[n], n=0, 1, 2, … N-1 ∈ N0. • From Bayesian theorem [2], estimate x[n] of the signal y[n] can be realized from ‣ p(y|x) is the likelihood ‣ p(x) is the knowledge on x[n]. • Likelihood is given by the normal distribution ‣ Assumption: Residual noise is asymptotically Gaussian, variance σ2. 2 ‣ ||•|| 2 is the l2 norm. [2] J. Idier, 2008. 5 Tuesday, February 26, 13
  • 7. Sparsity of gradient [2] J. Idier, 2008. 6 Tuesday, February 26, 13
  • 8. Sparsity of gradient [2] J. Idier, 2008. 6 Tuesday, February 26, 13
  • 9. Sparsity of gradient l1norm of the gradient [2] J. Idier, 2008. 6 Tuesday, February 26, 13
  • 10. Sparsity of gradient l1norm of the gradient Many coefficients are [2] J. Idier, 2008. 6 small! Tuesday, February 26, 13
  • 11. Sparsity of gradient • The estimated signal x[n] must respect: ‣ Bounded signal and gradient: x[n]>- ∞ and x[n]<∞ ‣ Distribution: Positive skewed, long tail with small values. • These are satisfied by: l1norm of ‣ λ: trade-off parameter, the gradient E(x) is: Many coefficients are [2] J. Idier, 2008. 6 small! Tuesday, February 26, 13
  • 12. Sparsity of gradient • The estimated signal x[n] must respect: ‣ Bounded signal and gradient: x[n]>- ∞ and x[n]<∞ ‣ Distribution: Positive skewed, long tail with small values. • These are satisfied by: l1norm of ‣ λ: trade-off parameter, the gradient E(x) is: Many coefficients are [2] J. Idier, 2008. 6 small! Tuesday, February 26, 13
  • 13. A holistic solution • x[n] can be realized from y[n] by • Equivalent convex primal problem: (1) ‣ R is a NxN Toeplitz matrix, p lies between [1, 2]. • x[n] can be estimated directly or piece-wise from y[n] by minimizing (1) using convex optimization ([2]) [2] J. Idier, 2008. 7 Tuesday, February 26, 13
  • 14. Solution conceptualization In-Phone Server-level processing processing l2-l2 minimization l2-TV minimization 8 Tuesday, February 26, 13
  • 15. Majorization-minimization • Find a surrogate function J(x, xk) to E(x) such that ‣ J(x, xk) must be convex ‣ J(x, xk)≥E(x) ‣ At xk, E(xk)=J(xk, xk) • We choose J(x, xk) [3] as: • The iterative solution is [3]: [3] M. Figueiredo et al. 2006 9 Tuesday, February 26, 13
  • 16. Case: Content selection ECG signal from ML-II lead [4,5]). 48 hour ambulatory ECG with fs=360Hz, 200mV 11 bit resolution over 10mV amplitude range. [4] G. B. Moody and R. G. Mark, 2001. 10 [5] A. L. Goldberger, et al. 2000. Tuesday, February 26, 13
  • 17. Progress and convergence 11 Tuesday, February 26, 13
  • 18. Progress and convergence 11 Tuesday, February 26, 13
  • 19. Progress and convergence 11 Tuesday, February 26, 13
  • 20. Progress and convergence 11 Tuesday, February 26, 13
  • 21. Progress and convergence 11 Tuesday, February 26, 13
  • 22. Progress and convergence 11 Tuesday, February 26, 13
  • 23. Progress and convergence 11 Tuesday, February 26, 13
  • 24. Baseline correction Acquired Data Estimated Baseline Corrected signal 12 Tuesday, February 26, 13
  • 25. Baseline correction Acquired Data Estimated Baseline Corrected signal 12 Tuesday, February 26, 13
  • 26. Baseline correction Acquired Data Estimated Baseline Corrected signal 40 minutes of data processed in 0.7 seconds with 3.2GHz and 4GB memory! 12 Tuesday, February 26, 13
  • 27. Peak detection on recovered signal A 3 second recording of a z-normalized ECG and peak detection [6] on the restored signals [6] J. Pan and W. J. Tompkins, March 1985. 13 Tuesday, February 26, 13
  • 28. Summary Highlight 14 Tuesday, February 26, 13
  • 29. Summary • Scope: Restore vital physiological signals from ambulatory conditions. • Processing: ‣ For handheld-devices by minimizing a l2-l2 cost function. ‣ For accuracy at servers by minimizing a l2-TV cost function. •Performance: Outperforms classical approaches. 15 Tuesday, February 26, 13
  • 30. Thats all folks! 16 Tuesday, February 26, 13