aiqbench analysis
This paper proposes a Transformer-based deep network that estimates systolic and diastolic blood pressure from a single photoplethysmography (PPG) signal, without a cuff or a second ECG sensor. Its reported RMSE and MAE are validated only on the MIMIC-IV dataset, so generalisation across populations, devices, and motion conditions remains untested. For ML readers, the useful question is whether the attention mechanism adds value over simpler models on noisy wearable signals.
TransfoRhythm: A Transformer Architecture Conductive to Blood Pressure Estimation via Solo PPG Signal Capturing
arXiv:2404.15352v3 Announce Type: replace-cross Abstract: Recent statistics indicate that approximately 1.3 billion individuals worldwide suffer from hypertension, a leading cause of premature death globally. Blood Pressure (BP) serves as a critical health indicator for accurate and timely diagnosis and/or treatment of hypertension. Traditional BP measurement methods rely on cuff-based approaches, which lack real-time, continuous, and reliable BP estimates, crucial for the timely diagnosis/treatment of hypertension. Driven by recent advancements in Artificial Intelligence (AI) and Deep Neural Networks (DNNs), there has been a surge of interest in developing data-driven and cuff-less BP estimation solutions. In this context, current literature predominantly focuses on coupling Electrocardiography (ECG) and Photoplethysmography (PPG) sensors, though this approach is constrained by reliance on multiple sensor types. An alternative, utilizing standalone PPG signals, presents challenges due to the absence of auxiliary sensors (ECG), requiring the use of morphological features while addressing motion artifacts and high-frequency noise. To address these issues, the paper introduces the TransfoRhythm framework, a Transformer-based DNN architecture built upon the recently released physiological database, MIMIC-IV. Leveraging the Multi-Head Attention (MHA) mechanism, TransfoRhythm identifies dependencies and similarities across data segments, forming a robust framework for cuff-less BP estimation solely using PPG signals. To our knowledge, this paper represents the first study to apply the MIMIC IV dataset for cuff-less BP estimation. TransfoRhythm achieves highly accurate results with a Root Mean Square Error (RMSE) of [2.21, 1.84] and a Mean Absolute Error (MAE) of [1.37, 1.06] for systolic and diastolic blood pressures, respectively.
Abstract:Recent statistics indicate that approximately 1.3 billion individuals worldwide suffer from hypertension, a leading cause of premature death globally. Blood Pressure (BP) serves as a critical health indicator for accurate and timely diagnosis and/or treatment of hypertension. Traditional BP measurement methods rely on cuff-based approaches, which lack real-time, continuous, and reliable BP estimates, crucial for the timely diagnosis/treatment of hypertension. Driven by recent advancements in Artificial Intelligence (AI) and Deep Neural Networks (DNNs), there has been a surge of interest in developing data-driven and cuff-less BP estimation solutions. In this context, current literature predominantly focuses on coupling Electrocardiography (ECG) and Photoplethysmography (PPG) sensors, though this approach is constrained by reliance on multiple sensor types. An alternative, utilizing standalone PPG signals, presents challenges due to the absence of auxiliary sensors (ECG), requiring the use of morphological features while addressing motion artifacts and high-frequency noise. To address these issues, the paper introduces the TransfoRhythm framework, a Transformer-based DNN architecture built upon the recently released physiological database, MIMIC-IV. Leveraging the Multi-Head Attention (MHA) mechanism, TransfoRhythm identifies dependencies and similarities across data segments, forming a robust framework for cuff-less BP estimation solely using PPG signals. To our knowledge, this paper represents the first study to apply the MIMIC IV dataset for cuff-less BP estimation. TransfoRhythm achieves highly accurate results with a Root Mean Square Error (RMSE) of [2.21, 1.84] and a Mean Absolute Error (MAE) of [1.37, 1.06] for systolic and diastolic blood pressures, respectively.
Signal Processing (eess.SP); Machine Learning (cs.LG)
arXiv:2404.15352 [eess.SP]
(or arXiv:2404.15352v3 [eess.SP] for this version)
A. Arjomand, et al., "TransfoRhythm: A Transformer Architecture Conductive to Blood Pressure Estimation via Solo PPG Signal Capturing," Applied Soft Computing, 203, 116316, 2026
Full text under the publisher's open licence · 279 words