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Background: Heart rate (HR) is a critical biomarker that provides insights into overall health, stress levels, and the autonomic nervous system. Pulse wave signals contain valuable information about the cardiovascular system and heart status. However, signal acquisition in wearables poses challenges, particularly when using electrical sensors, due to factors like the distance from the heart, body movement, and suboptimal electrode placement. Methods: Electrical bioimpedance (EBI) measurements using bipolar and tetrapolar electrode systems were employed for pulse wave signal acquisition from the wrist in both perpendicular and distal configurations. Signal preprocessing techniques, including baseline removal via Hankel matrix methods, normalization, cross-correlation, and peak detection, were applied to improve signal quality. This study describes the combination of sensor-level signal acquisition and processing for accurate wearable HR estimation. Results: The bipolar system was shown to produce larger ΔZ(t), while the tetrapolar system demonstrated higher sensitivity. Distal placement of the electrodes yielded greater ΔZ(t) (up to 0.231 Ω) when targeting both wrist arteries. Bandpass filtering resulted in a better signal-to-noise ratio (SNR), achieving 3.6 dB for the best bipolar setup and 4.8 dB for the tetrapolar setup, compared to 2.6 and 3.3 dB SNR, respectively, with the Savitzky–Golay filter. The custom HR estimation algorithm presented in this paper demonstrated improved accuracy over a reference method, achieving an average error of 1.8 beats per minute for the best bipolar setup, with a mean absolute percentage error (MAPE) of 8%. Conclusions: The analysis supports the feasibility of using bipolar electrode setups on the wrist and highlights the importance of electrode positioning relative to the arteries. The proposed signal processing method, featuring a preprocessing pipeline and HR estimation algorithm, provides a proof-of-concept demonstration for HR estimation from EBI signals acquired at the wrist.

Background: Cardiovascular diseases (CVDs), being the culprit for one-third of deaths globally, constitute a challenge for biomedical instrumentation development, especially for early disease detection. Pulsating arterial blood flow, providing access to cardiac-related parameters, involves the whole body. Unobtrusive and continuous acquisition of electrical bioimpedance (EBI) and photoplethysmography (PPG) constitute important techniques for monitoring the peripheral arteries, requiring novel approaches and clever means. Methods: In this work, five peripheral arteries were selected for EBI and PPG signal acquisition. The acquisition sites were evaluated based on the signal morphological parameters. A small-data-based deep learning model, which increases the data by dividing them into cardiac periods, was proposed to evaluate the continuity of the signals. Results: The highest sensitivity of EBI was gained for the carotid artery (0.86%), three times higher than that for the next best, the posterior tibial artery (0.27%). The excitation signal parameters affect the measured EBI, confirming the suitability of classical 100 kHz frequency (average probability of 52.35%). The continuity evaluation of the EBI signals confirmed the advantage of the carotid artery (59.4%), while the posterior tibial artery (49.26%) surpasses the radial artery (48.17%). The PPG signal, conversely, commends the location of the posterior tibial artery (97.87%). Conclusions: The peripheral arteries are highly suitable for non-invasive EBI and PPG signal acquisition. The posterior tibial artery constitutes a candidate for the joint acquisition of EBI and PPG signals in sensor-fusion-based wearable devices—an important finding of this research.

The early detection of head and neck squamous cell carcinoma (HNSCC) is essential to improve patient prognosis and enable organ and function preservation treatments. The objective of this study is to assess the feasibility of using electrical bioimpedance (EBI) sensing technology to detect HNSCC tissue. A prospective study was carried out analyzing tissue from 46 patients undergoing surgery for HNSCC. The goal was the correct identification of pathologic tissue using a novel needle-based EBI sensing device and AI-based classifiers. Considering the data from the overall patient cohort, the system achieved accuracies between 0.67 and 0.93 when tested on tissues from the mucosa, skin, muscle, lymph node, and cartilage. Furthermore, when considering a patient-specific setting, the accuracy range increased to values between 0.82 and 0.95. This indicates that more reliable results may be achieved when considering a tissue-specific and patient-specific tissue assessment approach. Overall, this study shows that EBI sensing may be a reliable technology to distinguish pathologic from healthy tissue in the head and neck region. This observation supports the continuation of this research on the clinical use of EBI-based devices for early detection and margin assessment of HNSCC.

Background: Pelotherapy is the traditional procedure of applying curative muds on the skin’s surface—shown to have a positive effect on the human body and cure illnesses. The effect of pelotherapy is complex, functioning through several mechanisms, and depends on the skin’s functional condition. The current research objective was to develop a methodology and electrodes to assess the passage of the chemical and biologically active compounds of curative mud through human skin by performing electrical bioimpedance (EBI) analysis. Methods: The methodology included local area mud pack and simultaneous tap water compress application on the forearms with the comparison to the measurements of the dry skin. A custom-designed small-area gold-plated electrode on a rigid printed circuit board, in a tetrapolar configuration, was designed. A pilot study experiment with ten volunteers was performed. Results: Our results indicated the presence of an effect of pelotherapy, manifested by the varying electrical properties of the skin. Distinguishable difference in the measured real part of impedance (R) emerged, showing a very strong correlation between the dry and tap-water-treated skin (r = 0.941), while a poor correlation between the dry and mud-pack-treated skin (r = 0.166) appeared. The findings emerged exclusively in the frequency interval of 10 kHz …1 MHz and only for R. Conclusions: EBI provides a promising tool for monitoring the variations in the electrical properties of the skin, including the skin barrier. We foresee developing smart devices for promoting the exploitation of spa therapies.

Parasitic capacitance represents the main error source in measurement systems based on electrical impedance spectroscopy. The capacitive nature of electrodes’ impedance in tetrapolar configuration can give origin to phase errors when electrodes are coupled to parasitic capacitances. Nevertheless, reactive charges in tissue excitation systems are susceptible to instability. Based on such a scenario, mitigating capacitive effects associated with the electrode is a requirement in order to reduce errors in the measurement system. A literature review about the main compensation techniques for parasitic capacitance was carried out. The selected studies were categorized into three groups: (i) compensation in electronic instrumentation; (ii) compensation in measurement processing, and (iii) compensation by negative impedance converters. The three analyzed methods emerged as effective against fixed capacitance. No method seemed capable of mitigating the effects of electrodes’ capacitance, that changes in the frequency spectrum. The analysis has revealed the need for a method to compensate varying capacitances, since electrodes’ impedance is unknown.

The early detection of head and neck squamous cell carcinoma (HNSCC) is essential to improve patient prognosis and enable organ and function preservation treatments. The objective of this study is to assess the feasibility of using electrical bioimpedance (EBI) sensing technology to detect HNSCC tissue. A prospective study was carried out analyzing tissue from 46 patients undergoing surgery for HNSCC. The goal was the correct identification of pathologic tissue using a novel needle-based EBI sensing device and AI-based classifiers. Considering the data from the overall patient cohort, the system achieved accuracies between 0.67 and 0.93 when tested on tissues from the mucosa, skin, muscle, lymph node, and cartilage. Furthermore, when considering a patient-specific setting, the accuracy range increased to values between 0.82 and 0.95. This indicates that more reliable results may be achieved when considering a tissue-specific and patient-specific tissue assessment approach. Overall, this study shows that EBI sensing may be a reliable technology to distinguish pathologic from healthy tissue in the head and neck region. This observation supports the continuation of this research on the clinical use of EBI-based devices for early detection and margin assessment of HNSCC.

Electrical Bioimpedance Spectroscopy (EIS) is a technique used to assess passive electrical properties of biological materials. EIS detects physiological and pathological conditions in animal tissues. Recently, the introduction of broadband excitation signals has reduced the measuring time for application techniques such as Electrical Bioimpedance Myography. Therefore, this work is aimed at proposing a prototype by using discrete interval binary sequences (DIBS), which is based on a system that holds a current source, impedance acquisition system, microcontroller and graphical user interface. Measurements between 5 Ω to 5 kΩ had impedance acquisition and phase angle errors of aproximately 2% and were lower than 3 degrees, respectively. Based on a proposed circuit, bioimpedance of the chest muscle (Pectoralis Major) was measured during isotonic exercise (push-up). As a result, our analyses have detected tiredness and fatigue. We have explored and proposed new parameters which assess such conditions, as both the maximum magnitude and tiredness coefficient. These parameters decrease exponentially with consecutive push-ups and were convergent in the majority of the sixteen days of measurement.