Pulse Arrival Time Research Articles

Exploring the repeatability of pulse arrival time in healthy subjects: A test-retest approach

Objectives: Vascular ageing is increasingly being recognised as a vital marker of cardiovascular morbidity and mortality. Assessment of vascular stiffness is an important parameter in this context. Pulse arrival time (PAT) assessed using photoplethysmography (PPG) and digital electrocardiogram (ECG) signals is a feasible and cost-effective parameter for this assessment. However, there are few, if any, studies that have assessed the test-retest repeatability of this parameter over time. Materials and Methods: We computed PAT using finger PPG and Lead II ECG and measured it sequentially at five instances over a period of 1 month in 21 healthy adults (10 males and 11 females). Mean and diastolic blood pressure (MBP and DBP) and heart rate (HR) were also measured at each visit. A novel parameter, PAT normalised for HR of 75 (PAT-75), was also computed. PAT and PAT-75 were compared for these visits using repeated measures analysis of variance. The intraclass correlation coefficient (ICC) was used to assess the test-retest reliability of this parameter. Results: MBP, DBP, and PAT values did not show any difference between the visits. HR was significantly different between the visits. PAT-75 was significantly lower for the afternoon of day 1 as compared to the forenoon. ICC demonstrated only moderate reliability of PAT (ICC = 0.57), with further reduction observed for PAT-75 (ICC = 0.38). Conclusion: PAT was only moderately repeatable on repeated evaluation over a 1-month period. This finding may have implications for the large-scale applicability of this technology, and therefore, we propose further investigation into the repeatability of this parameter in large cohorts.

Coherent Radio Emission from “Main-sequence Radio Pulse Emitters”: A New Stellar Diagnostic to Probe 3D Magnetospheric Structures

Main-sequence radio pulse emitters (MRPs) are magnetic early-type stars that produce coherent radio emission observed in the form of periodic radio pulses. The emission mechanism behind this is the electron-cyclotron maser emission (ECME). Among all kinds of magnetospheric emission, ECME is unique due to its high directivity and intrinsically narrow bandwidth. The emission is also highly circularly polarized and the sign of polarization is opposite for the two magnetic hemispheres. This combination of properties makes ECME highly sensitive to the three-dimensional structures in the stellar magnetospheres. This is especially significant for late-B and A-type magnetic stars that do not emit other types of magnetospheric emission such as Hα, the key probe used to trace magnetospheric densities. In this paper, we use an ultra-wideband observation (0.4–2 GHz) of a late B-type MRP HD 133880 to demonstrate how we can extract information on plasma distribution from ECME. We achieve this by examining the differences in pulse arrival times (“lags”) as a function of frequencies and qualitatively comparing those with lags obtained by simulating ECME ray paths in hot stars’ magnetospheres. This reveals that the stellar magnetosphere has a disk-like overdensity inclined to the magnetic equator with a centrally concentrated density that primarily affects the intermediate frequencies (400–800 MHz). This result, which is consistent with the recent density model proposed for hotter centrifugally supported magnetospheres, lends support to the idea of a unifying model for magnetospheric operations in early-type stars, and also provides further motivation to fully characterize the ECME phenomenon in large-scale stellar magnetospheres.

Kalman tracking and parameter estimation of continuous gravitational waves with a pulsar timing array

Abstract Continuous nanohertz gravitational waves from individual supermassive black hole binaries may be detectable with pulsar timing arrays. A novel search strategy is developed, wherein intrinsic achromatic spin wandering is tracked simultaneously with the modulation induced by a single gravitational wave source in the pulse times of arrival. A two-step inference procedure is applied within a state-space framework, such that the modulation is tracked with a Kalman filter, which then provides a likelihood for nested sampling. The procedure estimates the static parameters in the problem, such as the sky position of the source, without fitting for ensemble-averaged statistics such as the power spectral density of the timing noise, and therefore complements traditional parameter estimation methods. It also returns the Bayes factor relating a model with a single gravitational wave source to one without, complementing traditional detection methods. It is shown via astrophysically representative software injections in Gaussian measurement noise that the procedure distinguishes a gravitational wave from pure noise down to a characteristic wave strain of h0 ≈ 2 × 10−15. Full posterior distributions of model parameters are recovered and tested for accuracy. There is a bias of ≈0.3 rad in the marginalised one-dimensional posterior for the orbital inclination ι, introduced by dropping the so-called ‘pulsar terms’. Smaller biases $\lesssim 10~{{\%}}$ are also observed in other static parameters.

The NANOGrav 15 yr Data Set: Chromatic Gaussian Process Noise Models for Six Pulsars

Abstract Pulsar timing arrays (PTAs) are designed to detect low-frequency gravitational waves (GWs). GWs induce achromatic signals in PTA data, meaning that the timing delays do not depend on radio frequency. However, pulse arrival times are also affected by radio-frequency-dependent “chromatic” noise from sources such as dispersion measure (DM) and scattering delay variations. Furthermore, the characterization of GW signals may be influenced by the choice of chromatic noise model for each pulsar. To better understand this effect, we assess if and how different chromatic noise models affect the achromatic noise properties in each pulsar. The models we compare include existing DM models used by the North American Nanohertz Observatory for Gravitational waves (NANOGrav) and noise models used for the European PTA Data Release 2 (EPTA DR2). We perform this comparison using a subsample of six pulsars from the NANOGrav 15 yr data set, selecting the same six pulsars as from the EPTA DR2 six-pulsar data set. We find that the choice of chromatic noise model noticeably affects the achromatic noise properties of several pulsars. This is most dramatic for PSR J1713+0747, where the amplitude of its achromatic red noise lowers from log 10 A RN = − 14.1 − 0.1 + 0.1 to − 14.7 − 0.5 + 0.3 , and the spectral index broadens from γ RN = 2.6 − 0.4 + 0.5 to γ RN = 3.5 − 0.9 + 1.2 . We also compare each pulsar's noise properties with those inferred from the EPTA DR2, using the same models. From the discrepancies, we identify potential areas where the noise models could be improved. These results highlight the potential for custom chromatic noise models to improve PTA sensitivity to GWs.

Correlation-Assisted Pixel Array for Direct Time of Flight.

Time of flight is promising technology in machine vision and sensing, with an emerging need for low power consumption, a high image resolution, and reliable operation in high ambient light conditions. Therefore, we propose a novel direct time-of-flight pixel using the single-photon avalanche diode (SPAD) sensor, with an in-pixel averaging method to suppress ambient light and detect the laser pulse arrival time. The system utilizes two orthogonal sinusoidal signals applied to the pixel as inputs, which are synchronized with a pulsed laser source. The detected signal phase indicates the arrival time. To evaluate the proposed system's potential, we developed analytical and statistical models for assessing the phase error and precision of the arrival time under varying ambient light levels. The pixel simulation showed that the phase precision is less than 1% of the detection range when the ambient-to-signal ratio is 120. A proof-of-concept pixel array prototype was fabricated and characterized to validate the system's performance. The pixel consumed, on average, 40 μW of power in operation with ambient light. The results demonstrate that the system can operate effectively under varying ambient light conditions and its potential for customization based on specific application requirements. This paper concludes by discussing the system's performance relative to the existing direct time-of-flight technologies, identifying their strengths and limitations.

Obstructive Sleep Apnea Characterization: A Multimodal Cross-Recurrence-Based Approach for Investigating Atrial Fibrillation.

Obstructive sleep apnea (OSA) is believed to contribute significantly to atrial fibrillation (AF) development in certain patients. Recent studies indicate a rising risk of AF with increasing OSA severity. However, the commonly used apnea-hypopnea index in clinical practice may not adequately account for the potential cardiovascular risks associated with OSA. (1) Objective: to propose and explore a novel method for assessing OSA severity considering potential connection to cardiac arrhythmias. (2) Method: the approach utilizes cross-recurrence features to characterize OSA and AF by considering the relationships among oxygen desaturation, pulse arrival time, and heart-beat intervals. Multinomial logistic regression models were trained to predict four levels of OSA severity and four groups related to heart rhythm issues. The rank biserial correlation coefficient, \boldmath rrb, was used to estimate effect size for statistical analysis. The investigation was conducted using the MESA database, which includes polysomnography data from 2055 subjects. (3) Results: a derived cross-recurrence-based index showed a significant association with a higher OSA severity (\boldmath p 0.01) and the presence of AF (\boldmath p 0.01). Additionally, the proposed index had a significantly larger effect, \boldmath rrb, than the conventional apnea-hypopnea index in differentiating increasingly severe heart rhythm issue groups: 0.14 0.06, 0.33 0.10, and 0.41 0.07. (4) Significance: the proposed method holds relevance as a supplementary diagnostic tool for assessing the authentic state of sleep apnea in clinical practice.

Systematic errors in searches for nanohertz gravitational waves

ABSTRACT A number of pulsar timing arrays have recently reported preliminary evidence for the existence of a nanohertz frequency gravitational wave background. These analyses rely on noise analyses, which are inherently complex due to the many astrophysical and instrumental factors. We investigate whether realistic systematic errors, stemming from misspecified noise models that fail to capture salient features of the pulsar timing noise, could bias the evidence for gravitational waves. We consider two plausible forms of misspecification: small instrumental pulse arrival time offsets and radio-frequency-dependent time-correlated noise. Using simulated data, we calculate the distribution of the commonly used optimal statistic with no signal present and using plausibly misspecified noise models. By comparing the optimal statistic distribution with the distribution created using “quasi-resampling” techniques (such as sky scrambles and phase shifts), we endeavour to determine the extent to which plausible misspecification might lead to a false positive. The results are reassuring: we find that quasi-resampling techniques tend to underestimate the significance of pure-noise data sets. We conclude that recent reported evidence for a nanohertz gravitational wave background is likely robust to the most obvious sources of systematic errors; if anything, the significance of the signal is potentially underestimated.

Non-invasive pulse arrival time is associated with cardiac index in pediatric heart transplant patients with normal ejection fraction

Objective. Cardiac Index (CI) is a key physiologic parameter to ensure end organ perfusion in the pediatric intensive care unit (PICU). Determination of CI requires invasive cardiac measurements and is not routinely done at the PICU bedside. To date, there is no gold standard non-invasive means to determine CI. This study aims to use a novel non-invasive methodology, based on routine continuous physiologic data, called Pulse Arrival Time (PAT) as a surrogate for CI in patients with normal Ejection Fraction (EF). Approach. Electrocardiogram (ECG) and photoplethysmogram (PPG) signals were collected from beside monitors at a sampling frequency of 250 samples per second. Continuous PAT, derived from the ECG and PPG waveforms was averaged per patient. Pearson’s correlation coefficient was calculated between PAT and CI, PAT and heart rate (HR), and PAT and EF. Main Results. Twenty patients underwent right heart cardiac catheterization. The mean age of patients was 11.7 ± 5.4 years old, ranging from 11 months old to 19 years old, the median age was 13.4 years old. HR in this cohort was 93.8 ± 17.0 beats per minute. The average EF was 54.4 ± 9.6%. The average CI was 3.51 ± 0.72 l min−1 m−2, with ranging from 2.6 to 4.77 l min−1 m−2. The average PAT was 0.31 ± 0.12 s. Pearson correlation analysis showed a positive correlation between PAT and CI (0.57, p < 0.01). Pearson correlation between HR and CI, and correlation between EF and CI was 0.22 (p = 0.35) and 0.03 (p = 0.23) respectively. The correlation between PAT, when indexed by HR (i.e. PAT × HR), and CI minimally improved to 0.58 (p < 0.01). Significance. This pilot study demonstrates that PAT may serve as a valuable surrogate marker for CI at the bedside, as a non-invasive and continuous modality in the PICU. The use of PAT in clinical practice remains to be thoroughly investigated.

Are Wearable Photoplethysmogram-Based Heart Rate Variability Measures Equivalent to Electrocardiogram? A Simulation Study.

Traditional electrocardiography (ECG)-derived heart rate variability (HRV) and photoplethysmography (PPG)-derived "HRV" (termed PRV) have been reported interchangeably. Any potential dissociation between HRV and PRV could be due to the variability in pulse arrival time (PAT; time between heartbeat and peripheral pulse). This study examined if PRV is equivalent to ECG-derived HRV and if PRV's innate error makes it a high-quality measurement separate from HRV. ECG data from 1084 subjects were obtained from the PhysioNet Autonomic Aging dataset, and individual PAT dispersions for both the wrist (n = 42) and finger (n = 49) were derived from Mol et al. (Exp Gerontol. 2020; 135: 110938). A Bayesian simulation was constructed whereby the individual arrival times of the PPG wave were calculated by placing a Gaussian prior on the individual QRS-wave timings of each ECG series. The standard deviation (σ) of the prior corresponds to the PAT dispersion from Mol et al. This was simulated 10,000 times for each PAT σ. The root mean square of successive differences (RMSSD) and standard deviation of N-N intervals (SDNN) were calculated for both HRV and PRV. The Region of Practical Equivalence bounds (ROPE) were set a priori at ± 0.2% of true HRV. The highest density interval (HDI) width, encompassing 95% of the posterior distribution, was calculated for each PAT σ. The lowest PAT σ (2.0 SD) corresponded to 88.4% within ROPE for SDNN and 21.4% for RMSSD. As the σ of PAT increases, the equivalence of PRV and HRV decreases for both SDNN and RMSSD. The HDI interval width increases with increasing PAT σ, with the HDI width increasing at a higher rate for RMSSD than SDNN. For individuals with greater PAT variability, PRV is not a surrogate for HRV. When considering PRV as a unique biometric measure, SDNN may have more favorable measurement properties than RMSSD, though both exhibit a non-uniform measurement error.

Speckle Plethysmograph-Based Blood Pressure Assessment

Continuous non-invasive blood pressure (CNBP) monitoring is of the utmost importance in detecting and managing hypertension, a leading cause of death in the United States. Extensive research has delved into pioneering methods for predicting systolic and diastolic blood pressure values by leveraging pulse arrival time (PAT), the time difference between the proximal and distal signal peaks. The most widely employed pairing involves electrocardiography (ECG) and photoplethysmography (PPG). Possessing similar characteristics in terms of measuring blood flow changes, a recently investigated optical signal known as speckleplethysmography (SPG) showed its stability and high signal-to-noise ratio compared with PPG. Thus, SPG is a potential surrogate to pair with ECG for CNBP estimation. The present study aims to unlock the untapped potential of SPG as a signal for non-invasive blood pressure monitoring based on PAT. To ascertain SPG’s capabilities, eight subjects were enrolled in multiple recording sessions. A third-party device was employed for ECG and PPG measurements, while a commercial device served as the reference for arterial blood pressure (ABP). SPG measurements were obtained using a prototype smartphone-based system. Following the completion of three scenarios—sitting, walking, and running—the subjects’ signals and ABP were recorded to investigate the predictive capacity of systolic blood pressure. The collected data were processed and prepared for machine learning models, including support vector regression and decision tree regression. The models’ effectiveness was evaluated using root-mean-square error and mean absolute percentage error. In most instances, predictions utilizing PATSPG exhibited comparable or superior performance to PATPPG (i.e., SPG Rest ± 12.4 mmHg vs. PPG Rest ± 13.7 mmHg for RSME, and SPG 8% vs. PPG 9% for MAPE). Furthermore, incorporating an additional feature, namely the previous SBP value, resulted in reduced prediction errors for both signals in multiple model configurations (i.e., SPG Rest ± 12.4 mmHg to ±3.7 mmHg for RSME, and SPG Rest 8% to 3% for MAPE). These preliminary tests of SPG underscore the remarkable potential of this novel signal in PAT-based blood pressure predictions. Subsequent studies involving a larger cohort of test subjects and advancements in the SPG acquisition system hold promise for further improving the effectiveness of this newly explored signal in blood pressure monitoring.

Non-invasive pulse arrival time as a surrogate for oscillometric systolic blood pressure changes during non-pharmacological intervention

Background. Non-invasive continuous blood pressure (BP) monitoring is of longstanding interest in various cardiovascular scenarios. In this context, pulse arrival time (PAT), i.e., a surrogate parameter for systolic BP (change), became very popular recently, especially in the context of cuffless BP measurement and dedicated lifestyle interventions. Nevertheless, there is also understandable doubt on its reliability in uncontrolled and mobile settings. Objective. The aim of this work is therefore the investigation whether PAT follows oscillometric systolic BP readings during moderate interventions by physical or mental activity using a medical grade handheld device for non-invasive PAT assessment. Approach. A study was conducted featuring an experimental group performing a physical and a mental task, and a control group. Oscillometric BP and PAT were assessed at baseline and after each intervention. Interventions were selected randomly but then performed sequentially in a counterbalanced order. Multivariate analyses of variance were used to test within-subject and between-subject effects for the dependent variables, followed by univariate analyses for post-hoc testing. Furthermore, correlation analysis was performed to assess the association of intervention effects between BP and PAT. Main results. The study included 51 subjects (31 females). Multivariate analysis of variances showed that effects in BP, heart rate, PAT and pulse wave parameters were consistent and significantly different between experimental and control groups. After physical activity, heart rate and systolic BP increased significantly whereas PAT decreased significantly. Mental activity leads to a decrease in systolic BP at stable heart rate. Pulse wave parameters follow accordingly by an increase of PAT and mainly unchanged pulse wave analysis features due to constant heart rate. Finally, also the control group behaviour was accurately registered by the PAT method compared to oscillometric cuff. Correlation analyses revealed significant negative associations between changes of systolic BP and changes of PAT from baseline to the physical task (−0.33 [−0.63, 0.01], p < 0.048), and from physical to mental task (−0.51 [−0.77, −0.14], p = 0.001), but not for baseline to mental task (−0.12 [−0,43,0,20], p = 0.50) in the experimental group. Significance. PAT and the used digital, handheld device proved to register changes in BP and heart rate reliably compared to oscillometric measurements during intervention. Therefore, it might add benefit to future mobile health solutions to support BP management by tracking relative, not absolute, BP changes during non-pharmacological interventions.

The Relationships between Emission Geometry and Jitter Noise in Millisecond Pulsars

The relationships between several parameters of an emission geometry and jitter noise in 17 millisecond pulsars (MSPs) are investigated. By assuming the jitter noise is due only to a pulse variation in phase, the former can be modeled as changes in the plasma flow rate leading to variation in the measured pulse arrival time relative to the predicted time. In the model for pulsar magnetospheres with multiple emission states, the plasma flow is associated with the emission states, and a change in the emission state corresponds to a change in the plasma flow causing variation in the pulse arrival time. These can be specified in an emission geometry defined by the obliquity and viewing angles, measured from the rotation axis to the magnetic axis and to the line of sight, respectively. We calculate the maximum change in the emission state based on the reported jitter noise for each of the MSPs. Using the results, we show that the MSPs possess relatively large obliquity angles, which is consistent with observation, and the jitter noise exhibits dependency on frequency. We find that the jitter noise in our sample displays an exponential decay as a function that combines the obliquity angle and the rotation period, revealing the correlation among the three parameters. This suggests that the magnitude of the jitter noise is likely specific to an MSP. We discuss how jitter noise may be related to the evolution of an MSP.

Wearable Ring-Shaped Biomedical Device for Physiological Monitoring through Finger-Based Acquisition of Electrocardiographic, Photoplethysmographic, and Galvanic Skin Response Signals: Design and Preliminary Measurements.

Wearable health devices (WHDs) are rapidly gaining ground in the biomedical field due to their ability to monitor the individual physiological state in everyday life scenarios, while providing a comfortable wear experience. This study introduces a novel wearable biomedical device capable of synchronously acquiring electrocardiographic (ECG), photoplethysmographic (PPG), galvanic skin response (GSR) and motion signals. The device has been specifically designed to be worn on a finger, enabling the acquisition of all biosignals directly on the fingertips, offering the significant advantage of being very comfortable and easy to be employed by the users. The simultaneous acquisition of different biosignals allows the extraction of important physiological indices, such as heart rate (HR) and its variability (HRV), pulse arrival time (PAT), GSR level, blood oxygenation level (SpO2), and respiratory rate, as well as motion detection, enabling the assessment of physiological states, together with the detection of potential physical and mental stress conditions. Preliminary measurements have been conducted on healthy subjects using a measurement protocol consisting of resting states (i.e., SUPINE and SIT) alternated with physiological stress conditions (i.e., STAND and WALK). Statistical analyses have been carried out among the distributions of the physiological indices extracted in time, frequency, and information domains, evaluated under different physiological conditions. The results of our analyses demonstrate the capability of the device to detect changes between rest and stress conditions, thereby encouraging its use for assessing individuals' physiological state. Furthermore, the possibility of performing synchronous acquisitions of PPG and ECG signals has allowed us to compare HRV and pulse rate variability (PRV) indices, so as to corroborate the reliability of PRV analysis under stationary physical conditions. Finally, the study confirms the already known limitations of wearable devices during physical activities, suggesting the use of algorithms for motion artifact correction.

Design of a Remote Multiparametric Tool to Assess Mental Well-Being and Distress in Young People (mHealth Methods in Mental Health Research Project): Protocol for an Observational Study.

Mental health conditions have become a substantial cause of disability worldwide, resulting in economic burden and strain on the public health system. Incorporating cognitive and physiological biomarkers using noninvasive sensors combined with self-reported questionnaires can provide a more accurate characterization of the individual's well-being. Biomarkers such as heart rate variability or those extracted from the electrodermal activity signal are commonly considered as indices of autonomic nervous system functioning, providing objective indicators of stress response. A model combining a set of these biomarkers can constitute a comprehensive tool to remotely assess mental well-being and distress. This study aims to design and validate a remote multiparametric tool, including physiological and cognitive variables, to objectively assess mental well-being and distress. This ongoing observational study pursues to enroll 60 young participants (aged 18-34 years) in 3 groups, including participants with high mental well-being, participants with mild to moderate psychological distress, and participants diagnosed with depression or anxiety disorder. The inclusion and exclusion criteria are being evaluated through a web-based questionnaire, and for those with a mental health condition, the criteria are identified by psychologists. The assessment consists of collecting mental health self-reported measures and physiological data during a baseline state, the Stroop Color and Word Test as a stress-inducing stage, and a final recovery period. Several variables related to heart rate variability, pulse arrival time, breathing, electrodermal activity, and peripheral temperature are collected using medical and wearable devices. A second assessment is carried out after 1 month. The assessment tool will be developed using self-reported questionnaires assessing well-being (short version of Warwick-Edinburgh Mental Well-being Scale), anxiety (Generalized Anxiety Disorder-7), and depression (Patient Health Questionnaire-9) as the reference. We will perform correlation and principal component analysis to reduce the number of variables, followed by the calculation of multiple regression models. Test-retest reliability, known-group validity, and predictive validity will be assessed. Participant recruitment is being carried out on a university campus and in mental health services. Recruitment commenced in October 2022 and is expected to be completed by June 2024. As of July 2023, we have recruited 41 participants. Most participants correspond to the group with mild to moderate psychological distress (n=20, 49%), followed by the high mental well-being group (n=13, 32%) and those diagnosed with a mental health condition (n=8, 20%). Data preprocessing is currently ongoing, and publication of the first results is expected by September 2024. This study will establish an initial framework for a comprehensive mental health assessment tool, taking measurements from sophisticated devices, with the goal of progressing toward a remotely accessible and objectively measured approach that maintains an acceptable level of accuracy in clinical practice and epidemiological studies. OSF Registries N3GCH; https://doi.org/10.17605/OSF.IO/N3GCH. DERR1-10.2196/51298.

A comprehensive study of orbital evolution of LMC X-4: existence of a second derivative of the orbital period

ABSTRACT We report here results from pulse arrival time delay analysis of the eclipsing high-mass X-ray binary (HMXB) pulsar LMC X-4 using observations made with the Rossi X-ray Timing Explorer, XMM–Newton, NuSTAR (Nuclear Spectroscopic Telescope ARray), and AstroSat. Combining the orbital parameters determined from these observations with the historical measurements dating back to 1998, we have extended the Tπ/2 epoch history of LMC X-4 by about 4600 binary orbits spanning about 18 yr. We also report mid-eclipse time measurements (Tecl) using data obtained from wide-field X-ray monitors of MAXI-GSC (Monitor of All-sky X-ray Image – Gas Slit Camera) and Swift-BAT (Burst Alert Telescope). Combining the new Tπ/2 and Tecl estimates with all the previously reported values, we have significantly improved the orbital evolution measurement, which indicates that the orbital period is evolving at a time-scale ($P_{\rm orb}/\dot{P}_{\rm orb}$) of about 0.8 Myr. For the first time in an accreting X-ray pulsar system, we confirm the existence of a second derivative of the orbital period, having an evolution time-scale ($\dot{P}_{\mathrm{ orb}}/\ddot{P}_{\mathrm{ orb}}$) of about 55 yr. Detection of a second derivative of the orbital period in LMC X-4 makes its orbital evolution time-scale more uncertain, which may also be true for other HMXBs. Independent solutions for the orbital evolution measurement using the mid-eclipse data and the pulse timing data are consistent with each other, and help us put an upper limit of 0.009 on the eccentricity of the binary system.

Estimation of aortic stiffness by finger photoplethysmography using enhanced pulse wave analysis and machine learning.

Aortic stiffness plays a critical role in the evolution of cardiovascular diseases, but the assessment requires specialized equipment. Photoplethysmography (PPG) and single-lead electrocardiogram (ECG) are readily available in healthcare and wearable devices. We studied whether a brief PPG registration, alone or in combination with single-lead ECG, could be used to reliably estimate aortic stiffness. A proof-of-concept study with simultaneous high-resolution index finger recordings of infrared PPG, single-lead ECG, and finger blood pressure (Finapres) was performed in 33 participants [median age 44 (range 21-66) years, 19 men] and repeated within 2 weeks. Carotid-femoral pulse wave velocity (cfPWV; two-site tonometry with SphygmoCor) was used as a reference. A brachial single-cuff oscillometric device assessed aortic pulse wave velocity (aoPWV; Arteriograph) for further comparisons. We extracted 136 established PPG waveform features and engineered 13 new with improved coupling to the finger blood pressure curve. Height-normalized pulse arrival time (NPAT) was derived using ECG. Machine learning methods were used to develop prediction models. The best PPG-based models predicted cfPWV and aoPWV well (root-mean-square errors of 0.70 and 0.52 m/s, respectively), with minor improvements by adding NPAT. Repeatability and agreement were on par with the reference equipment. A new PPG feature, an amplitude ratio from the early phase of the waveform, was most important in modelling, showing strong correlations with cfPWV and aoPWV (r = -0.81 and -0.75, respectively, both P < 0.001). Using new features and machine learning methods, a brief finger PPG registration can estimate aortic stiffness without requiring additional information on age, anthropometry, or blood pressure. Repeatability and agreement were comparable to those obtained using non-invasive reference equipment. Provided further validation, this readily available simple method could improve cardiovascular risk evaluation, treatment, and prognosis.

Increasing accuracy of pulse arrival time estimation in low frequency recordings

Objective. Wearable devices that measure vital signals using photoplethysmography are becoming more commonplace. To reduce battery consumption, computational complexity, memory footprint or transmission bandwidth, companies of commercial wearable technologies are often looking to minimize the sampling frequency of the measured vital signals. One such vital signal of interest is the pulse arrival time (PAT), which is an indicator of blood pressure. To leverage this non-invasive and non-intrusive measurement data for use in clinical decision making, the accuracy of obtained PAT-parameters needs to increase in lower sampling frequency recordings. The aim of this paper is to develop a new strategy to estimate PAT at sampling frequencies up to 25 Hertz. Approach. The method applies template matching to leverage the random nature of sampling time and expected change in the PAT. Main results. The algorithm was tested on a publicly available dataset from 22 healthy volunteers, under sitting, walking and running conditions. The method significantly reduces both the mean and the standard deviation of the error when going to lower sampling frequencies by an average of 16.6% and 20.2%, respectively. Looking only at the sitting position, this reduction is even larger, increasing to an average of 22.2% and 48.8%, respectively. Significance. This new method shows promise in allowing more accurate estimation of PAT even in lower frequency recordings.

Evaluation of silicon and indium gallium arsenide photodiodes as direct timing detectors for pulsed x-ray systems.

Benchtop pulsed x-ray systems are commonly used to record dynamic material data on the order of nanoseconds, but pulse timing is often difficult to accurately determine. This study demonstrates that commercially available photodiodes can be used effectively for direct x-ray pulse detection without the need for visible light scintillators. X-ray pulses from four commercially available flash x-ray systems were quantified using one silicon and two indium gallium arsenide (InGaAs) photodiodes. The measured InGaAs pulse durations were strongly dependent on radiation dose in the non-linear operating regime, so the photodiodes were shielded to operate below the 2.5V non-linear regime threshold. The average pulse duration and pulse arrival time jitter of the photodiodes for each x-ray source were within several nanoseconds with the exception of two sets of measurements that were affected by low instrument sensitivity and electrical noise. These results show that InGaAs photodiodes can be used as effective and repeatable stand-alone timing diagnostics for x-ray pulses as short as 20ns or less.

Characterizing Timing Noise in Normal Pulsars with the Nanshan Radio Telescope

We present a decade of observations of pulse arrival times for 85 pulsars using the Nanshan radio telescope from July 2002 to March 2014. The Cholesky method can accurately estimate the covariance function of the timing residuals, significantly improving the parameter’s estimation accuracy when red noise is prominent. We utilize the Cholesky method to determine positions and basic timing parameters of these pulsars, as well as to obtain timing residuals. Most of these sources showed evidence of significant timing irregularities, which are described. The spectral analyses of timing residuals are presented for pulsars showing obvious red noise. Our results show that timing residuals in half of these pulsars are attributed to rotational irregularities. The red noise in normal pulsars may originate from a random walk in spin frequency or spin-down rate.

On the use of fractional calculus to improve the pulse arrival time (PAT) detection when using photoplethysmography (PPG) and electrocardiography (ECG) signals.

The pulse arrival time (PAT) has been considered a surrogate measure for pulse wave velocity (PWV), although some studies have noted that this parameter is not accurate enough. Moreover, the inter-beat interval (IBI) time series obtained from successive pulse wave arrivals can be employed as a surrogate measure of the RR time series avoiding the use of electrocardiogram (ECG) signals. Pulse arrival detection is a procedure needed for both PAT and IBI measurements and depends on the proper fiducial points chosen. In this paper, a new set of fiducial points that can be tailored using several optimization criteria is proposed to improve the detection of successive pulse arrivals. This set is based on the location of local maxima and minima in the systolic rise of the pulse wave after fractional differintegration of the signal. Several optimization criteria have been proposed and applied to high-quality recordings of a database with subjects who were breathing at different rates while sitting or standing. When a proper fractional differintegration order is selected by using the RR time series as a reference, the agreement between the obtained IBI and RR is better than that for other state-of-the-art fiducial points. This work tested seven different traditional fiducial points. For the agreement analysis, the median standard deviation of the difference between the IBI and RR time series is 5.72 ms for the proposed fiducial point versus 6.20 ms for the best-performing traditional fiducial point, although it can reach as high as 9.93 ms for another traditional fiducial point. Other optimization criteria aim to reduce the standard deviation of the PAT (7.21 ms using the proposed fiducial point versus 8.22 ms to 15.4 ms for the best- and worst-performing traditional fiducial points) or to minimize the standard deviation of the PAT attributable to breathing (3.44 ms using the proposed fiducial point versus 4.40 ms to 5.12 ms for best- and worst-performing traditional fiducial points). The use of these fiducial points may help to better quantify the beat-to-beat PAT variability and IBI time series.