Innovative measurement of routine physiological variables (heart rate, respiratory rate and oxygen saturation) using a remote photoplethysmography imaging system: a prospective comparative trial protocol

Edem Allado, Mathias Poussel, Anthony Moussu, Véronique Saunier, Yohann Bernard, Eliane Albuisson, Bruno Chenuel, Edem Allado, Mathias Poussel, Anthony Moussu, Véronique Saunier, Yohann Bernard, Eliane Albuisson, Bruno Chenuel

Abstract

Introduction: Physiological signals are essential for assessing human health. The absence of a medical device to carry out these measurements remotely is one of the main limitations of telemedicine. Remote photoplethysmography imaging (rPPG) makes it possible to use a camera video to measure some of the most valuable physiological variables: heart rate (HR), respiratory rate (RR) and oxygen saturation (SpO2). Our objective was to evaluate the value of such remote measurements compared with existing contact point measurements techniques in real-life clinical settings.

Methods and analysis: Prospective hospital-based study that will recruit 1045 patients who require a pulmonary function test. For each patient, measurements of HR, RR and SpO2, using a standard acquisition system, will be carried out concomitantly with the measurements made by the rPPG system. 30, 60 and 120 s time frames will be used to take measurements. Age, gender and skin phototype will also be collected. The intraclass coefficient correlation will be performed to determine the accuracy and precision of the rPPG algorithm readings.

Ethics and dissemination: The study protocol has been approved by the French Agency for the Safety of Health Products (ANSM registration no. ID RCB 2020-A02428-31) and by a French ethics committee (CPP OUEST I-TOURS-2020T1-30 DM at 30 October 2020). Results will be published in peer-reviewed journals, at scientific conferences and through press releases.

Trial registration number: NCT04660318.

Keywords: cardiology; physiology; respiratory physiology.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
Parameter measurements procedure using a standard acquisition system and the remote photoplethysmography imaging system.

References

    1. Chi YM, Jung T-P, Cauwenberghs G. Dry-contact and noncontact biopotential electrodes: methodological review. IEEE Rev Biomed Eng 2010;3:106–19. 10.1109/RBME.2010.2084078
    1. Lim YG, Kim KK, Park KS. Ecg measurement on a chair without conductive contact. IEEE Trans Biomed Eng 2006;53:956–9. 10.1109/TBME.2006.872823
    1. Ishijima M. Monitoring of electrocardiograms in bed without utilizing body surface electrodes. IEEE Trans Biomed Eng 1993;40:593–4. 10.1109/10.237680
    1. Min SD, Kim JK, Shin HS, et al. . Noncontact respiration rate measurement system using an ultrasonic proximity sensor. IEEE Sensors J 2010;10:1732–9.
    1. Garbey M, Sun N, Merla A, et al. . Contact-free measurement of cardiac pulse based on the analysis of thermal imagery. IEEE Trans Biomed Eng 2007;54:1418–26. 10.1109/TBME.2007.891930
    1. Humphreys K, Ward T, Markham C. Noncontact simultaneous dual wavelength photoplethysmography: a further step toward noncontact pulse oximetry. Rev Sci Instrum 2007;78:044304. 10.1063/1.2724789
    1. Verkruysse W, Svaasand LO, Nelson JS. Remote plethysmographic imaging using ambient light. Opt Express 2008;16:21434. 10.1364/OE.16.021434
    1. Poh M-Z, McDuff DJ, Picard RW. Non-Contact, automated cardiac pulse measurements using video imaging and blind source separation. Opt Express 2010;18:10762. 10.1364/OE.18.010762
    1. Scully CG, Lee J, Meyer J, et al. . Physiological parameter monitoring from optical recordings with a mobile phone. IEEE Trans Biomed Eng 2012;59:303–6. 10.1109/TBME.2011.2163157
    1. Lindberg LG, Tamura T, Oberg PA, PÅ Öberg. Photoplethysmography. Part 1. Comparison with laser Doppler flowmetry. Med Biol Eng Comput 1991;29:40–7. 10.1007/BF02446294
    1. Nakajima K, Tamura T, Miike H. Monitoring of heart and respiratory rates by photoplethysmography using a digital filtering technique. Med Eng Phys 1996;18:365–72. 10.1016/1350-4533(95)00066-6
    1. Takano C, Ohta Y. Heart rate measurement based on a time-lapse image. Med Eng Phys 2007;29:853–7. 10.1016/j.medengphy.2006.09.006
    1. Moço A, Verkruysse W. Pulse oximetry based on photoplethysmography imaging with red and green light : Calibratability and challenges. J Clin Monit Comput 2021;35:123–33. 10.1007/s10877-019-00449-y
    1. Parra JE, Da Costa G. Optical remote sensing of heartbeats. In: Allgood GO, Faust NL, eds. Proc. SPIE 4368, visualization of temporal and spatial data for civilian and defense applications. Orlando, FL, 2001: 113–21. 10.1117/12.438115
    1. Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 1988;124:869–71. 10.1001/archderm.1988.01670060015008
    1. Liu H, Wang Y, Wang L. A review of non-contact, low-cost physiological information measurement based on photoplethysmographic imaging. Annu Int Conf IEEE Eng Med Biol Soc 2012;2012pp.:2088–91. 10.1109/EMBC.2012.6346371
    1. Hollander JE, Carr BG. Virtually perfect? telemedicine for Covid-19. N Engl J Med 2020;382:1679–81. 10.1056/NEJMp2003539
    1. Keesara S, Jonas A, Schulman K. Covid-19 and health care's digital revolution. N Engl J Med 2020;382:e82. 10.1056/NEJMp2005835

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