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vital_sqi: A Python package for physiological signal quality control

Abstract:

Electrocardiogram (ECG) and photoplethysmogram (PPG) are commonly used to determine the vital signs of heart rate, respiratory rate, and oxygen saturation in patient monitoring. In addition to simple observation of those summarized indexes, waveform signals can be analyzed to provide deeper insights into disease pathophysiology and support clinical decisions. Such data, generated from continuous patient monitoring from both conventional bedside and low-cost wearable monitors, are increasingly accessible. However, the recorded waveforms suffer from considerable noise and artifacts and, hence, are not necessarily used prior to certain quality control (QC) measures, especially by those with limited programming experience. Various signal quality indices (SQIs) have been proposed to indicate signal quality. To facilitate and harmonize a wider usage of SQIs in practice, we present a Python package, named vital_sqi, which provides a unified interface to the state-of-the-art SQIs for ECG and PPG signals. The vital_sqi package provides with seven different peak detectors and access to more than 70 SQIs by using different settings. The vital_sqi package is designed with pipelines and graphical user interfaces to enable users of various programming fluency to use the package. Multiple SQI extraction pipelines can take the PPG and ECG waveforms and generate a bespoke SQI table. As these SQI scores represent the signal features, they can be input in any quality classifier. The package provides functions to build simple rule-based decision systems for signal segment quality classification using user-defined SQI thresholds. An experiment with a carefully annotated PPG dataset suggests thresholds for relevant PPG SQIs.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.3389/fphys.2022.1020458

Authors

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Institution:
University of Oxford
Division:
MPLS
Department:
Engineering Science
Role:
Author

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Funder identifier:
https://ror.org/029chgv08
Grant:
215010/Z/18/Z


Publisher:
Frontiers Media
Journal:
Frontiers in Physiology More from this journal
Volume:
13
Article number:
1020458
Publication date:
2022-11-11
Acceptance date:
2022-10-07
DOI:
EISSN:
1664-042X
ISSN:
1664-042X
Pmid:
36439252


Language:
English
Keywords:
Pubs id:
1314692
UUID:
uuid_67ef9c28-af6d-4ab4-ad8e-2ed5332f50eb
Local pid:
pubs:1314692
Deposit date:
2023-02-03
ARK identifier:

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