Mauricio Villarroel's research while affiliated with University of Oxford and other places
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Publications (31)
Abstract There is a growing emphasis being placed on the potential for cuffless blood pressure (BP) estimation through modelling of morphological features from the photoplethysmogram (PPG) and electrocardiogram (ECG). However, the appropriate features and models to use remain unclear. We investigated the best features available from the PPG and ECG...
Prolonged non-contact camera-based monitoring in critically ill patients presents unique challenges, but may facilitate safe recovery. A study was designed to evaluate the feasibility of introducing a non-contact video camera monitoring system into an acute clinical setting. We assessed the accuracy and robustness of the video camera-derived estima...
Objectives.Clinical assessment of skin perfusion informs prognosis in critically ill patients. Video camera monitoring could provide an objective, continuous method to monitor skin perfusion. In this prospective, interventional study of healthy volunteers, we tested whether video camera-derived photoplethysmography imaging and colour measurements c...
There is increasing emphasis being placed on cuffless blood pressure (BP) monitoring using the electrocardiogram (ECG) and photoplethysmogram (PPG). These signals have previously been employed to compute estimates of the pulse arrival time (PAT, the time between characteristic fiducial points on the ECG and PPG) as a surrogate for BP. Current work...
Background
We have previously shown that wearable technology and machine learning techniques can accurately discriminate between progressive supranuclear palsy (PSP), Parkinson's disease, and healthy controls. To date these techniques have not been applied in longitudinal studies of disease progression in PSP.
Objectives
We aimed to establish whet...
Circadian rhythms in blood pressure (BP) may in some cases be indicative of an increased risk of adverse cardiovascular events. However, current methods for assessing these rhythms can be disruptive to sleep, work, and daily activities. Features of the photoplethysmogram (PPG), which can be non-invasively and unobtrusively recorded, have been sugge...
Background
Respiratory disorders, including apnoea, are common in preterm infants due to their immature respiratory control compared with term-born infants. However, our inability to accurately measure respiratory rate in hospitalised infants results in unreported episodes of apnoea and an incomplete picture of respiratory activity.
Methods
We dev...
Various models have been proposed for the estimation of blood pressure (BP) from pulse transit time (PTT). PTT is defined as the time delay of the pressure wave, produced by left ventricular contraction, measured between a proximal and a distal site along the arterial tree. Most researchers, when they measure the time difference between the peak of...
Circadian rhythms of blood pressure (BP) have key diagnostic significance in the assessment of hypertension. The night-time dip or rise in BP (10-20% decrease or increase compared to daytime BP), for example, has been shown to be a strong indicator for cardiovascular disease. However, current methods for assessing the circadian rhythms of BP can be...
Background
Respiratory disorders, including apnoea, are common in preterm infants due to their immature respiratory control and function compared with term-born infants. However, our inability to accurately measure respiratory rate in hospitalised infants results in unreported episodes of apnoea and an incomplete picture of respiratory dynamics.
Me...
Background:
Disrupted vital-sign circadian rhythms in the intensive care unit (ICU) are associated with complications such as immune system disruption, delirium and increased patient mortality. However, the prevalence and extent of this disruption is not well understood. Tools for its detection are currently limited.
Methods:
This paper evaluate...
A clinical study was designed to record a wide range of physiological values from patients undergoing haemodialysis treatment in the Renal Unit of the Churchill Hospital in Oxford. Video was recorded for a total of 84 dialysis sessions from 40 patients during the course of 1 year, comprising an overall video recording time of approximately 304.1 h....
Skin temperature has long been used as a natural indicator of vascular diseases in the extremities. Considerable correlation between oscillations in skin surface temperature and oscillations of skin blood flow has previously been demonstrated. We hypothesised that the impairment of blood flow in stenotic (subcutaneous) peripheral arteries would inf...
Introduction
Skin perfusion varies in response to changes in the circulatory status. Blood flow to skin is reduced during haemodynamic collapse secondary to peripheral vasoconstriction, whereas increased skin perfusion is frequently observed when haemodynamics improve with resuscitation. These changes in perfusion may be monitored using non-contact...
The implementation of video-based non-contact technologies to monitor the vital signs of preterm infants in the hospital presents several challenges, such as the detection of the presence or the absence of a patient in the video frame, robustness to changes in lighting conditions, automated identification of suitable time periods and regions of int...
There is an increasing need for fast and accurate transfer of readings from blood glucose metres and blood pressure monitors to a smartphone mHealth application, without a dependency on Bluetooth technology. Most of the medical devices recommended for home monitoring use a seven-segment display to show the recorded measurement to the patient. We ai...
Non-contact vital sign monitoring enables the estimation of vital signs, such as heart rate, respiratory rate and oxygen saturation (SpO2), by measuring subtle color changes on the skin surface using a video camera. For patients in a hospital ward, the main challenges in the development of continuous and robust non-contact monitoring techniques are...
Thoracic electrical bioimpedance (TEB) and transthoracic echocardiography (TTE) are non-invasive methods to estimate stroke volume (SV) and cardiac output (CO). Thoracic electrical bioimpedance is not in widespread clinical use with reports of inaccurate cardiac output estimation compared to invasive monitors, particularly in non-healthy population...
Knowledge of the pathological instabilities in the breathing pattern can provide valuable insights into the cardiorespiratory status of the critically-ill infant as well as their maturation level. This paper is concerned with the measurement of respiratory rate (RR) in premature infants. We compare the rates estimated from (a) the chest impedance p...
Several techniques have been developed for estimation of respiratory rate (RR) from physiological waveforms. This case study presents a comparison of exemplary techniques for estimation of RR from the electrocardiogram (ECG) and photoplethysmogram (PPG) waveforms.
A novel method (Sophia) is presented to track oxygen saturation changes in a controlled environment using an RGB camera placed approximately 1.5 m away from the subject. The method is evaluated on five healthy volunteers (Fitzpatrick skin phenotypes II, III, and IV) whose oxygen saturations were varied between 80% and 100% in a purpose-built chambe...
Current technologies to allow continuous monitoring of vital signs in pre-term infants in the hospital require adhesive electrodes or sensors to be in direct contact with the patient. These can cause stress, pain, and also damage the fragile skin of the infants. It has been established previously that the colour and volume changes in superficial bl...
Remote sensing of the reflectance photoplethysmogram using a video camera typically positioned 1 m away from the patient's face is a promising method for monitoring the vital signs of patients without attaching any electrodes or sensors to them. Most of the papers in the literature on non-contact vital sign monitoring report results on human volunt...
Citations
... Moreover, being supported by additional markers such as isovolumetric contraction time (IVCT) and relaxation time (IVRT), it derives the Myocardial context of the TDW's origin. Currently, the proposed origin of this fiducial point is attributed to blood pressure wave reflection [32]. As result of the afore-mentioned findings, it is evident that the extraction of ejection time from the PPG signal is indeed feasible. ...
... Most of the existing research utilizes the diffuse reflection from the face region to estimate the rPPG signal, with the exception of a few works analyzing the hand [6,17,33,41], arms [50], and thigh [11]. A gap in current rPPG re- Figure 2. The subjects remained seated while collecting data (a). ...
... We have previously shown that kinematic features derived from the data collected by wearable devices placed on the participant's trunk, wrists, and feet, together with machine learning algorithms can be used to track the progression of Progressive Supranuclear Palsy motor symptoms 18 . The current study aims to extend this knowledge, using walking and postural sway features derived from data collected by six IMUs, to identify the earliest signal of motor symptom progression in individuals with PD measured every three months, over a period of 18 months. ...
... In a study of ICU patients, contact PPG with cuff calibration was shown to accurately predict invasive arterial BP using a DL model [25] . A preliminary study for rPPG in the ICU demonstrated a promising correlation (r = 0.49 ± 0.083 standard error) with invasively measured pulse pressure, though BP was not included as an outcome [92] . Real-time HR tracking using rPPG has been shown to be reliable in the post-operative unit [93] , neonatal intensive care unit [94] , and hemodialysis unit [95] . ...
... Poets et al. developed an interesting apnoea score to assess the severity of apnoea, but this score is not validated yet and is mostly a reflection of current clinical practice [57]. The rate of apnoea and hypoxic events can also fluctuate largely within and between patients, and detection can be difficult [51,58]. We therefore chose for a more pragmatic design with less strict inclusion criteria. ...
... Long-and short-term memory (LSTM) networks, dense networks, random forests, and linear regression models were employed to track the trends in BP. Finnegan et al. [15] investigated the presence of circadian rhythm in PAT and its applications in nocturnal BP dip or rise classification, as it is a strong indicator for CVDs. ...
... This fundamental principle underlies the measurement of pulse wave velocity (PWV) to estimate arterial pressure. Pulse transit time (PTT), the time interval required for an electrical pulse to traverse between peripheral points, serves as an indicator of BP variation [23]. Researchers can use numerous approaches according to different wave properties from signals, especially heuristic modeling with regression [24], which generally uses machine learning algorithms for modeling. ...
... Lee et al. (91) developed a new method for the detection of apnoea from the impedance pneumograph by first removing cardiac interference. Our group recently built on this work and developed a new method to identify inter-breath intervals and apnoeas in infants which included an automated classifier to distinguish between periods of true apnoea and signal which is low amplitude due to artefacts or poor electrode placement (93). Using these methods could improve apnoea detection and consequently our understanding of apnoea in preterm infants; 74% of apnoeic events across 276 infants identified using the algorithm of Lee et al. were not documented in clinical notes (94). ...
... More insight into the postoperative course of vital parameters would be especially interesting, as the literature describes disruption of the diurnal rhythm following surgery and anaesthesia [9][10][11][12], and the disturbance of the diurnal timing system might negatively affect an individual's ability to recover after surgery [12]. This hypothesis is supported by a study by Davidson et al., who were the first to study diurnal rhythms in continuous measurements of vital parameters in the ICU, where they described potential prognostic value for patient recovery [13]. New innovations, such as continuous monitoring using wearables, have been increasingly investigated and recent studies have shown the potential for deterioration detection in perioperative care [14][15][16][17]. ...
... These commonplace gadgets are equipped with a wide range of sensors that may be applied to smart health applications. For instance, apps that measure pulse rate using a camera and LED have previously proven to be accurate in this regard [28,29] . Spirometry tests, which play a crucial part in the identification of respiratory disorders, have previously been conducted using pressure applications coupled to mobile phones. ...