SPLGMED-PHFeb 23, 2024

Constraint Latent Space Matters: An Anti-anomalous Waveform Transformation Solution from Photoplethysmography to Arterial Blood Pressure

arXiv:2402.17780v12 citationsh-index: 2AAAI
Originality Incremental advance
AI Analysis

This work addresses the challenge of non-invasive continuous cardiovascular monitoring for healthcare applications, though it appears incremental as it builds on prior generative and discriminative models.

The paper tackles the problem of converting photoplethysmography (PPG) signals to arterial blood pressure (ABP) equivalents, which is hindered by latent space shifts due to hardware and individual variations, and presents the Latent Space Constraint Transformer (LSCT) with modules like CAM and MSEK, achieving noteworthy performance enhancements over existing methods in experiments on public and private datasets.

Arterial blood pressure (ABP) holds substantial promise for proactive cardiovascular health management. Notwithstanding its potential, the invasive nature of ABP measurements confines their utility primarily to clinical environments, limiting their applicability for continuous monitoring beyond medical facilities. The conversion of photoplethysmography (PPG) signals into ABP equivalents has garnered significant attention due to its potential in revolutionizing cardiovascular disease management. Recent strides in PPG-to-ABP prediction encompass the integration of generative and discriminative models. Despite these advances, the efficacy of these models is curtailed by the latent space shift predicament, stemming from alterations in PPG data distribution across disparate hardware and individuals, potentially leading to distorted ABP waveforms. To tackle this problem, we present an innovative solution named the Latent Space Constraint Transformer (LSCT), leveraging a quantized codebook to yield robust latent spaces by employing multiple discretizing bases. To facilitate improved reconstruction, the Correlation-boosted Attention Module (CAM) is introduced to systematically query pertinent bases on a global scale. Furthermore, to enhance expressive capacity, we propose the Multi-Spectrum Enhancement Knowledge (MSEK), which fosters local information flow within the channels of latent code and provides additional embedding for reconstruction. Through comprehensive experimentation on both publicly available datasets and a private downstream task dataset, the proposed approach demonstrates noteworthy performance enhancements compared to existing methods. Extensive ablation studies further substantiate the effectiveness of each introduced module.

Foundations

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