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COVID-19 Detection Using Photoplethysmography and Neural Networks
Sara Lombardi1, Piergiorgio Francia1, Rossella Deodati2
1Department of Information Engineering, University of Florence, 50139 Florence, Italy.
Sensors (Basel, Switzerland)
|March 11, 2023
Summary
Deep learning models can identify COVID-19 patients using photoplethysmography (PPG) signals from pulse oximeters. This non-invasive method aids in early detection of SARS-CoV-2-induced microvascular changes.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Medicine
- Cardiovascular Physiology
Background:
- Early identification of microvascular changes in COVID-19 patients is crucial for clinical management.
- Photoplethysmography (PPG) signals offer a potential non-invasive window into microcirculation.
- Deep learning presents opportunities for analyzing complex physiological signals.
Purpose of the Study:
- To develop a deep learning-based method for identifying COVID-19 patients using raw PPG signals.
- To assess the feasibility of using pulse oximeter data for COVID-19 detection.
- To investigate PPG as a tool for early recognition of SARS-CoV-2-induced microvascular alterations.
Main Methods:
- Acquisition of PPG signals from 93 COVID-19 patients and 90 healthy controls using finger pulse oximeters.
- Development of a template-matching algorithm to filter noise and motion artifacts from PPG signals.
- Training a custom convolutional neural network (CNN) model for binary classification of COVID-19 versus control samples.
Main Results:
- The CNN model achieved 83.86% accuracy and 84.30% sensitivity in identifying COVID-19 patients on test data.
- A template-matching method effectively selected high-quality PPG signal segments for analysis.
- The model demonstrated robust performance in distinguishing between COVID-19 and healthy control groups.
Conclusions:
- Deep learning analysis of PPG signals can effectively identify COVID-19 patients.
- Photoplethysmography is a promising non-invasive tool for microcirculation assessment and early detection of COVID-19-related vascular changes.
- This low-cost, user-friendly approach is suitable for resource-limited healthcare settings.

