Joint Attention Mechanism Learning to Facilitate Opto-physiological Monitoring during Physical Activity

Opto-physiological monitoring is a non-contact technique for measuring cardiac signals, i.e., photoplethysmography (PPG). Quality PPG signals directly lead to reliable physiological readings. However, PPG signal acquisition procedures are often accompanied by spurious motion artefacts (MAs), especially during low-to-high-intensity physical activity. This study proposes a practical adversarial learning approach for opto-physiological monitoring by using a generative adversarial network with an attention mechanism (AM-GAN) to model motion noise and to allow MA removal. The AM-GAN learns an MA-resistant mapping from raw and noisy signals to clear PPG signals in an adversarial manner, guided by an attention mechanism to directly translate the motion reference of triaxial acceleration to the MAs appearing in the raw signal. The AM-GAN was experimented with three various protocols engaged with 39 subjects in various physical activities. The average absolute error for heart rate (HR) derived from the MA-free PPG signal via the AM-GAN, is 1.81 beats/min for the IEEE-SPC dataset and 3.86 beats/min for the PPGDalia dataset. The same procedure applied to an in-house LU dataset resulted in average absolute errors for HR and respiratory rate (RR) of less than 1.37 beats/min and 2.49 breaths/min, respectively. The study demonstrates the robustness and resilience of AM-GAN, particularly during low-to-high-intensity physical activities.