In this letter, a sparse representation (SR) model named convolutional sparsity based morphological component analysis (CS-MCA) is introduced for pixel-level medical image fusion. Unlike the standard SR model which is based on single image component and overlapping patches, the CS-MCA model can simultaneously achieve multi-component and global sparse representations of source images, by integrating MCA and convolutional sparse representation (CSR) into a unified optimization framework. For each source image, in the proposed fusion method, the convolutional sparse representations of its cartoon and texture components are firstly obtained by the CS-MCA model using pre-learned dictionaries. Then, for each image component, the sparse coefficients of all the source images are merged and the fused component is accordingly reconstructed using the corresponding dictionary. Finally, the fused image is calculated as the superposition of the fused cartoon and texture components. Experimental results demonstrate that the proposed method can outperform some benchmarking and state-of-the-art SR-based fusion methods in terms of both visual perception and objective assessment.

Heart rate (HR) estimation and monitoring is of great importance to determine a person's physiological and mental status. Recently, it has been demonstrated that HR can be remotely retrieved from facial video-based photoplethysmographic signals captured using professional or consumer-level cameras. Many efforts have been made to improve the detection accuracy of this noncontact technique. This paper presents a timely, systematic survey on such video-based remote HR measurement approaches, with a focus on recent advancements that overcome dominating technical challenges arising from illumination variations and motion artifacts. Representative methods up to date are comparatively summarized with respect to their principles, pros, and cons under different conditions. Future prospects of this promising technique are discussed and potential research directions are described. We believe that such a remote HR measurement technique, taking advantages of unobtrusiveness while providing comfort and convenience, will be beneficial for many healthcare applications.

Blood pressure is a basic physiological parameter in the cardiovascular circulatory system. Long-term abnormal blood pressure will lead to various cardiovascular diseases, making the early detection and assessment of hypertension profoundly significant for the prevention and treatment of cardiovascular diseases. In this paper, we investigate whether or not deep learning can provide better results for hypertension risk stratification when compared to the classical signal processing and feature extraction methods. We tested a deep learning method for the classification and evaluation of hypertension using photoplethysmography (PPG) signals based on the continuous wavelet transform (using Morse) and pretrained convolutional neural network (using GoogLeNet). We collected 121 data recordings from the Multiparameter Intelligent Monitoring in Intensive Care (MIMIC) Database, each containing arterial blood pressure (ABP) and photoplethysmography (PPG) signals. The ABP signals were utilized to extract blood pressure category labels, and the PPG signals were used to train and test the model. According to the seventh report of the Joint National Committee, blood pressure levels are categorized as normotension (NT), prehypertension (PHT), and hypertension (HT). For the early diagnosis and assessment of HT, the timely detection of PHT and the accurate diagnosis of HT are significant. Therefore, three HT classification trials were set: NT vs. PHT, NT vs. HT, and (NT + PHT) vs. HT. The F-scores of these three classification trials were 80.52%, 92.55%, and 82.95%, respectively. The tested deep method achieved higher accuracy for hypertension risk stratification when compared to the classical signal processing and feature extraction method. Additionally, the method achieved comparable results to another approach that requires electrocardiogram and PPG signals.

One in three adults worldwide has hypertension, which is associated with significant morbidity and mortality. Consequently, there is a global demand for continuous and non-invasive blood pressure (BP) measurements that are convenient, easy to use, and more accurate than the currently available methods for detecting hypertension. This could easily be achieved through the integration of single-site photoplethysmography (PPG) readings into wearable devices, although improved reliability and an understanding of BP estimation accuracy are essential. This review paper focuses on understanding the features of PPG associated with BP and examines the development of this technology over the 2010–2019 period in terms of validation, sample size, diversity of subjects, and datasets used. Challenges and opportunities to move single-site PPG forward are also discussed.

Cardiovascular diseases (CVDs) have become the biggest threat to human health, and they are accelerated by hypertension. The best way to avoid the many complications of CVDs is to manage and prevent hypertension at an early stage. However, there are no symptoms at all for most types of hypertension, especially for prehypertension. The awareness and control rates of hypertension are extremely low. In this study, a novel hypertension management method based on arterial wave propagation theory and photoplethysmography (PPG) morphological theory was researched to explore the physiological changes in different blood pressure (BP) levels. Pulse Arrival Time (PAT) and photoplethysmogram (PPG) features were extracted from electrocardiogram (ECG) and PPG signals to represent the arterial wave propagation theory and PPG morphological theory, respectively. Three feature sets, one containing PAT only, one containing PPG features only, and one containing both PAT and PPG features, were used to classify the different BP categories, defined as normotension, prehypertension, and hypertension. PPG features were shown to classify BP categories more accurately than PAT. Furthermore, PAT and PPG combined features improved the BP classification performance. The F1 scores to classify normotension versus prehypertension reached 84.34%, the scores for normotension versus hypertension reached 94.84%, and the scores for normotension plus prehypertension versus hypertension reached 88.49%. This indicates that the simultaneous collection of ECG and PPG signals could detect hypertension.