Abstract
BACKGROUND: The field of contactless health monitoring has witnessed significant advancements with the advent of piezoelectric sensing technology, which enables the monitoring of vital signs such as heart rate and respiration without requiring direct contact with the subject. This is especially advantageous for home sleep monitoring, where traditional wearable devices may be intrusive. However, the acquisition of piezoelectric signals is often impeded by motion artifacts, which are distortions caused by the subject of movements and can obscure the underlying physiological signals. These artifacts can significantly impair the reliability of signal analysis, necessitating effective identification and mitigation strategies. Various methods, including filtering techniques and machine learning approaches, have been employed to address this issue, but the challenge persists due to the complexity and variability of motion artifacts. METHODS: This study introduces a hybrid model for detecting motion artifacts in ballistocardiogram (BCG) signals, utilizing a dual-channel approach. The first channel uses a deep learning model, specifically a temporal Bidirectional Gated Recurrent Unit combined with a Fully Convolutional Network (BiGRU-FCN), to identify motion artifacts. The second channel employs multi-scale standard deviation empirical thresholds to detect motion. The model was designed to address the randomness and complexity of motion artifacts by integrating deep learning capabilities with manual feature judgment. The data used for this study were collected from patients with sleep apnea using piezoelectric sensors, and the model's performance was evaluated using a set of predefined metrics. RESULTS: This paper proposes and confirms through analysis that the proposed hybrid model exhibits exceptional accuracy in detecting motion artifacts in ballistocardiogram (BCG) signals. Employing a dual-channel approach, the model integrates multi-scale feature judgment with a BiGRU-FCN deep learning model. It achieved a classification accuracy of 98.61% and incurred only a 4.61% loss of valid signals in non-motion intervals. When tested on data from ten patients with sleep apnea, the model demonstrated robust performance, highlighting its potential for practical use in home sleep monitoring. CONCLUSION: The proposed hybrid model presents a significant advancement in the detection of motion artifacts in BCG signals. Compared to existing methods such as the Alivar method [29], Enayati method [22], and Wiard method [20], our hybrid model achieves higher classification accuracy (98.61%) and lower valid signal loss ratio (4.61%). This demonstrates the effectiveness of integrating multi-scale standard deviation empirical thresholds with a deep learning model in enhancing the accuracy and robustness of motion artifact detection. This approach is particularly effective for home sleep monitoring, where motion artifacts can significantly impact the reliability of health monitoring data. The study findings suggest that the proposed hybrid model could serve as a valuable tool for improving the accuracy of motion artifact detection in various health monitoring applications.