4.6 Article

3D Camera and Pulse Oximeter for Respiratory Events Detection

期刊

出版社

IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/JBHI.2020.2984954

关键词

Cameras; Three-dimensional displays; Sleep apnea; Sensors; Biomedical measurement; Manuals; Biomedical computing; detection algorithm; biomedical signal processing; biomedical monitoring

资金

  1. Austrian Research Promotion Agency (FFG) [859622]
  2. RF Government [075-15-2019-1885]

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The study demonstrates that using SpO2 and a 3D camera for respiratory event detection shows excellent reliability and substantial agreement with PSG-based scoring.
Objective: The purpose of this study was to derive a respiratory movement signal from a 3D time-of-flight camera and to investigate if it can be used in combination with SpO2 to detect respiratory events comparable to polysomnography (PSG) based detection. Methods: We derived a respiratory signal from a 3D camera and developed a new algorithm that detects reduced respiratory movement and SpO2 desaturation to score respiratory events. The method was tested on 61 patients synchronized 3D video and PSG recordings. The predicted apnea-hypopnea index (AHI), calculated based on total sleep time, and predicted severity were compared to manual PSG annotations (manualPSG). Predicted AHI evaluation, measured by intraclass correlation (ICC), and severity classification were performed. Furthermore, the results were evaluated by 30-second epoch analysis, labelled either as respiratory event or normal breathing, wherein the accuracy, sensitivity, specificity and Cohens kappa were calculated. Results: The predicted AHI scored an ICC r 0.94 (0.90 0.96 at 95 confidence interval, p < 0.001) compared to manualPSG. Severity classification scored 80 accuracy, with no misclassification by more than one severity level. Based on 30-second epoch analysis, the method scored a Cohens kappa 0.72, accuracy 0.88, sensitivity 0.80, and specificity 0.91. Conclusion: Our detection method using SpO2 and 3D camera had excellent reliability and substantial agreement with PSG-based scoring. Significance: This method showed the potential to reliably detect respiratory events without airflow and respiratory belt sensors, sensors that can be uncomfortable to patients and susceptible to movement artefacts.

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