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 ...

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. ...

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 ...

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 ...

The first part of the presented work is focused on measuring of QT intervals. QT interval can be an indicator of the cardiovascular health of the patient and detect any potential abnormalities. The QT interval is measured from the onset of the QRS complex to the end of the T wave. However, measurements for the end of the T wave are often highly subjective and the corresponding verification is difficult. Here we propose two methods of QT interval measuring – wavelet based and template matching method. Methods are compared with each other and tested on standard QT database. The second part of the presented work is focused on modelling of arrhythmias using McSharry’s model followed with classification using an artificial neural network. The proposed method uses pre-processing of signals with Linear Approximation Distance Thresholding method and Line Segment Clustering method ...

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 ...

Every year, an estimated 15 million babies are born preterm, that is, before 37 weeks of gestation. This number is rising in all countries and currently represents more than 1 in 10 babies, affecting families all over the world. During the last decades, the survival rate of prematurely born neonates has steadily increased, mainly as a result of medical and technical progress in neonatal intensive care. The very preterm infants, which represent up to 10% of the preterm infants in the EU, remain at risk for adverse outcome and neurodevelopmental disability. These maladaptive outcomes have a severe effect on the children’s quality of life and a huge economic impact on society. In order to reduce this burden and improve neonatal care in general, appropriate tools need to be developed to identify the neonates with a higher risk of adverse outcomes. ...

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 ...

Due to significant advances made over the last few decades in the areas of (wireless) networking, communications and microprocessor fabrication, the use of sensor networks to observe physical phenomena is rapidly becoming commonplace. Over this period, many aspects of sensor networks have been explored, yet a thorough understanding of how to analyse and process the vast amounts of sensor data collected remains an open area of research. This work, therefore, aims to provide theoretical, as well as practical, advances this area. In particular, we consider the problem of inferring certain underlying properties of the monitored phenomena, from our sensor measurements. Within mathematics, this is commonly formulated as an inverse problem; whereas in signal processing, it appears as a (multidimensional) sampling and reconstruction problem. Indeed it is well known that inverse problems are notoriously ill-posed and very demanding to solve; meanwhile ...

Chapter 2 contains a short introduction to the fundamentals of compressed sensing theory, which is the larger context of this thesis. We start with introducing the key concepts of sparsity and sparse representations of signals. We discuss the central problem of compressed sensing, i.e. how to adequately recover sparse signals from a small number of measurements, as well as the multiple formulations of the reconstruction problem. A large part of the chapter is devoted to some of the most important conditions necessary and/or sufficient to guarantee accurate recovery. The aim is to introduce the reader to the basic results, without the burden of detailed proofs. In addition, we also present a few of the popular reconstruction and optimization algorithms that we use throughout the thesis. Chapter 3 presents an alternative sparsity model known as analysis sparsity, that offers similar recovery ...

Disturbances in cerebral hemodynamics are one of the principal causes of cerebral damage in premature infants. Specifically, changes in cerebral blood flow might cause ischemia or hemorrhage that can lead to motor and developmental disabilities. Under normal circumstances, there are several mechanisms that act jointly to preserve cerebral hemodynamics homeostasis. However, in case that one of these mechanisms is disrupted the brain is exposed to damage. Premature infants are susceptible to variations in cerebral circulation due to their fragility. Therefore, monitoring cerebral hemodynamics is of vital importance in order to prevent brain damage in this population and avoid subsequent sequelae. This thesis is oriented to the development of signal processing techniques that can be of help in monitoring cerebral hemodynamics in neonates. There are several problems that hinder the use in clinical practice of monitoring cerebral hemodynamics. On one hand, ...

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 ...

Over the last decade there has been an increasing interest in solutions for the continuous monitoring of health status with wireless, and in particular, wearable devices that provide remote analysis of physiological data. The use of wireless technologies have introduced new problems such as the transmission of a huge amount of data within the constraint of limited battery life devices. The design of an accurate and energy efficient telemonitoring system can be achieved by reducing the amount of data that should be transmitted, which is still a challenging task on devices with both computational and energy constraints. Furthermore, it is not sufficient merely to collect and transmit data, and algorithms that provide real-time analysis are needed. In this thesis, we address the problems of compression and analysis of physiological data using the emerging frameworks of Compressive Sensing (CS) and sparse ...

Epilepsy is one of the most common neurological disorders, which affects almost 1% of the population worldwide. Anti-epileptic drugs provide adequate treatment for about 70% of epilepsy patients. The remaining 30% of the patients continue to have seizures, which drastically affects their quality of life. In order to obtain efficacy measures of therapeutic interventions for these patients, an objective way to count and document seizures is needed. However, in an outpatient setting, one of the major problems is that seizure diaries kept by patients are unreliable. Automated seizure detection systems could help to objectively quantify seizures. Those detection systems are typically based on full scalp Electroencephalography (EEG). In an outpatient setting, full scalp EEG is of limited use because patients will not tolerate wearing a full EEG cap for long time periods during daily life. There is a need for ...

Independent component analysis (ICA) and blind source separation (BSS) deal with extracting a number of mutually independent elements from a set of observed linear mixtures. Motivated by various applications, this work considers a more general and more flexible model: the sources can be partitioned into groups exhibiting dependence within a given group but independence between two different groups. We argue that this is tantamount to considering multidimensional components, as opposed to the standard ICA case which is restricted to one-dimensional components. In this work, we focus on second-order methods to separate statistically-independent multidimensional components from their linear instantaneous mixture. The purpose of this work is to provide theoretical answers to questions which so far have been discussed mainly in the empirical domain. Namely, we provide a closed-form expression for the figure of merit, the mean square error (MSE), for multidimensional ...