Statistical approach for the detection of motion/noise artifacts in Photoplethysmogram

Motion and noise artifacts (MNA) have been a serious obstacle in realizing the potential of Photoplethysmogram (PPG) signals for real-time monitoring of vital signs. We present a statistical approach based on the computation of kurtosis and Shannon Entropy (SE) for the accurate detection of MNA in PPG data. The MNA detection algorithm was verified on multi-site PPG data collected from both laboratory and clinical settings. The accuracy of the fusion of kurtosis and SE metrics for the artifact detection was 99.0%, 94.8% and 93.3% in simultaneously recorded ear, finger and forehead PPGs obtained in a clinical setting, respectively. For laboratory PPG data recorded from a finger with contrived artifacts, the accuracy was 88.8%. It was identified that the measurements from the forehead PPG sensor contained the most artifacts followed by finger and ear. The proposed MNA algorithm can be implemented in real-time as the computation time was 0.14 seconds using Matlab®.