Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice, and one of the main causes of ictus and strokes. Despite the advances in the comprehension of its mechanisms, its thorough characterization and the quantification of its effects on the human heart are still an open issue. In particular, the choice of the most appropriate therapy is frequently a hard task. Radiofrequency catheter ablation (CA) is becoming one of the most popular solutions for the treatment of the disease. Yet, very little is known about its impact on heart substrate during AF, thus leading to an inaccurate selection of positive responders to therapy and a low success rate; hence, the need for advanced signal processing tools able to quantify AF impact on heart substrate and assess the effectiveness of the CA therapy in an objective and ...

Advances in wearable electrocardiogram (ECG) monitoring devices have allowed for new cardiovascular applications to emerge beyond diagnostics, such as stress and fatigue detection, athletic performance assessment, sleep disorder characterization, mood recognition, activity surveillance, biometrics, and fitness tracking, to name a few. Such devices, however, are prone to artifacts, particularly due to movement, thus hampering heart rate and heart rate variability measurement and posing a serious threat to cardiac monitoring applications. To address these issues, this thesis proposes the use of a spectro-temporal signal representation called “modulation spectrum”, which is shown to accurately separate cardiac and noise components from the ECG signals, thus opening doors for noise-robust ECG signal processing tools and applications. First, an innovative ECG quality index based on the modulation spectral signal representation is proposed. The representation quantifies the rate-of-change of ECG spectral components, which are shown to ...

The electrocardiogram (ECG) signals bear fundamental information for medical experts to make decisions about heart diseases. Therefore, in the past decades the scientific community has made great efforts to develop methods for the heartbeat features extraction via ECG records with the highest accuracy and efficiency using different strategies. It should be noted that noise and artifacts induced by external factors make it difficult to learn specific patterns of ECG signals, which play an important role to find abnormalities. Using filtering techniques such as the unbiased finite impulse response FIR (UFIR) filtering approach promises better results. Aimed at extracting the features with the highest accuracy, in this dissertation, we have designed and applied to ECG signals the adaptive UFIR filter and smoother. We also compared the proposed technique with the traditional method such as UFIR predictors, standard filters (e.g. low-pass filter), ...

A complex physical system like the human brain can only be comprehended by the use of a combination of various medical imaging techniques, each of which shed light on only a specific aspect of the neural processes that take place beneath the skull. Electroencephalography (EEG) and functional magnetic resonance (fMRI) are two such modalities, which enable the study of brain (dys)function. While the EEG is measured with a limited set of scalp electrodes which record rapid electrical changes resulting from neural activity, fMRI offers a superior spatial resolution at the expense of only picking up slow fluctuations of oxygen concentration that takes place near active brain cells. Hence, combining these very complementary modalities is an appealing, but complicated task due to their heterogeneous nature. In this thesis, we devise advanced signal processing techniques which integrate the multimodal data stemming from ...

Electrocardiography (ECG) is the standard method for assessing the state of the cardiovascular system non-invasively. In the context of magnetic resonance imaging (MRI) the ECG signal is used for cardiac monitoring and triggering, i.e., the acquisition of images synchronized to the cardiac cycle. However, ECG acquisition is impeded by the static and dynamic magnetic fields which alter the measured voltages and may reduce signal-to-noise ratio (SNR), leading to false alarms during cardiac monitoring or to image artifacts during cardiac triggering. A major source of noise is the magnetohydrodynamic (MHD) effect as it is proportional to field strength and represents a key challenge in application of ultra-high-field (UHF) MRI >=7 T. In this work, two approaches for overcoming these limitations are proposed: i) Development of a hardware and software system based on the principal of photoplethysmography imaging (PPGi) as an optical ...

Obstructive sleep apnea (OSA) is the most prevalent sleep related breathing disorder, nevertheless subjects suffering from it often remain undiagnosed due to the cumbersome diagnosis procedure. Moreover, the prevalence of OSA is increasing and a better phenotyping of patients is needed in order to prioritize treatment. The goal of this thesis was to tackle those challenges in OSA diagnosis. Additionally, two main algorithmic contributions which are generally applicable were proposed within this thesis. The binary interval coded scoring algorithm was extended to multilevel problems and novel monotonicity constraints were introduced. Moreover, improvements to the random-forest based feature selection were proposed including the use of the Cohen’s kappa value, patient independent validation, and further feature pruning steered by the correlation between features. These novel methods were applied together with classification and feature selection methods from the literature to improve the OSA ...

Accurate detection of ischemic patterns in ECG is important for correct diagnosis of myocardial ischemia or infarct and further treatment of the patients. Therefore, this research area is highly topical for the past few decades. The thesis introduces the results of comprehensive study on rabbit isolated heart, where many various aspects of ECG acquisition, processing and analysis have been addressed. Particularly, effects of ischemia, increased left ventricular mass and voltage-sensitive dye di-4-ANEPPS on heart electrical activity were evaluated by analysis of various ECG and VCG parameters. The impact of the last two phenomena (frequent in animal studies) on electrocardiographic ischemia manifestations and detection was described quantitatively. Various approaches for ischemia detection via advanced supervised classification tools and feature selection methods were proposed and evaluated by cross-validation technique considering such important aspects as electrode placement, features and classification models used, definition ...

Cardiovascular diseases are a growing problem in today’s society. The World Health Organization (WHO) reported that these diseases make up about 30% of total global deaths and that heart diseases have no geographic, gender or socioeconomic boundaries. Therefore, detecting cardiac irregularities early-stage and a correct treatment are very important. However, this requires a good physiological understanding of the cardiovascular system. The heart is stimulated electrically by the brain via the autonomic nervous system, where sympathetic and vagal pathways are always interacting and modulating heart rate. Continuous monitoring of the heart activity is obtained by means of an ElectroCardioGram (ECG). Studying the fluctuations of heart beat intervals over time reveals a lot of information and is called heart rate variability (HRV) analysis. A reduction of HRV has been reported in several cardiological and noncardiological diseases. Moreover, HRV also has a prognostic ...

This thesis contributes to motion characterization through inertial and physiological signals captured by wearable devices and analyzed using signal processing and deep learning techniques. This research leverages the possibilities of motion analysis for three main applications: to know what physical activity a person is performing (Human Activity Recognition), to identify who is performing that motion (user identification) or know how the movement is being performed (motor anomaly detection). Most previous research has addressed human motion modeling using invasive sensors in contact with the user or intrusive sensors that modify the user’s behavior while performing an action (cameras or microphones). In this sense, wearable devices such as smartphones and smartwatches can collect motion signals from users during their daily lives in a less invasive or intrusive way. Recently, there has been an exponential increase in research focused on inertial-signal processing to ...

Cochlear implants (CIs) aim to restore hearing in severely to profoundly deaf adults, children and infants. Electrically evoked auditory steady-state responses (EASSRs) are neural responses to continuous modulated pulse trains, and can be objectively detected at the modulation frequency in the electro-encephalogram (EEG). EASSRs provide a number of advantages over other objective measures, because frequency-specific stimuli are used, because targeted brain areas can be studied, depending on the chosen stimulation parameters, and because they can objectively be detected using statistical methods. EASSRs can potentially be used to determine appropriate stimulation levels during CI fitting, without behavioral input from the subjects. Furthermore, speech understanding in noise varies greatly between CI subjects. EASSRs lend themselves well to study the underlying causes of this variability, such as the integrity of the electrode-neuron interface or changes in the auditory cortex following deafness and following ...

In this thesis, advanced robust estimation methodologies for signal processing are developed and analyzed. The developed methodologies solve problems concerning multi-sensor data, robust model selection as well as robustness for dependent data. The work has been applied to solve practical signal processing problems in different areas of biomedical and array signal processing. In particular, for univariate independent data, a robust criterion is presented to select the model order with an application to corneal-height data modeling. The proposed criterion overcomes some limitations of existing robust criteria. For real-world data, it selects the radial model order of the Zernike polynomial of the corneal topography map in accordance with clinical expectations, even if the measurement conditions for the videokeratoscopy, which is the state-of-the-art method to collect corneal-height data, are poor. For multi-sensor data, robust model order selection selection criteria are proposed and applied ...

The rate at which our heart beats, is a dynamical process enabling adaptive changes according to the demands of our body. These variations in heart rate are widely studied in so-called heart rate variability (HRV) analyses, as they contain much information about the activity of our autonomic nervous system. Variability in the heart rate arises from several processes, such as thermoregulation, hormones, arterial blood pressure, respiration, etc. One of the main short-term modulators of the heart rate is respiration. This phenomenon is called respiratory sinus arrhythmia (RSA) and comprises the rhythmic fluctuation of the heart rate at respiratory frequency. It has also widely been used as an index of vagal outflow. However, this has been widely debated as some studies have shown that the magnitude of RSA changes with respiratory rate and the depth of breathing, independently of parasympathetic activity. ...

Most cognitive processes in the brain are reflected through several aspects simultaneously, allowing us to observe the same process from different biological phenomena. The diverse nature of these biological processes suggests that a better understanding of cerebral activity may be achieved through multimodal measurements. One of the possible multimodal brain recording settings is the combination of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI), which is one of the main topics of this thesis. Two groups of EEG-fMRI integration approaches are possible. The first group, commonly called model-based techniques, are very popular due to the fact that the results from such analyses confirm or disprove a specific hypothesis. However, such hypotheses are not always available, requiring a more explorative approach to analyze the data. This exploration is possible with the second group of approaches, the so-called data-driven methods. The data-driven ...

Various real-life data such as time series and multi-sensor recordings can be represented by vectors and matrices, which are one-way and two-way arrays of numerical values, respectively. Valuable information can be extracted from these measured data matrices by means of matrix factorizations in a broad range of applications within signal processing, data mining, and machine learning. While matrix-based methods are powerful and well-known tools for various applications, they are limited to single-mode variations, making them ill-suited to tackle multi-way data without loss of information. Higher-order tensors are a natural extension of vectors (first order) and matrices (second order), enabling us to represent multi-way arrays of numerical values, which have become ubiquitous in signal processing and data mining applications. By leveraging the powerful utitilies offered by tensor decompositions such as compression and uniqueness properties, we can extract more information from multi-way ...

The electrocardiogram or ECG is a relatively easy-to-record signal that contains an enormous amount of potentially useful information. It is currently mostly being used for screening purposes. For example, pre-participation cardiovascular screening of young athletes has been endorsed by both scientific organisations and sporting governing bodies. A typical cardiac examination is taken in a hospital environment and lasts 10 seconds. This is often sufficient to detect major pathologies, yet this small sample size of the heart’s functioning can be deceptive when used to evaluate one’s general condition. A solution for this problem is to monitor the patient outside of the hospital, during a longer period of time. Due to the extension of the analysis period, the detection rate of cardiac events can be highly increased, compared to the cardiac exam in the hospital. However, it also increases the likelihood of ...