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A Physiological-Model-Based Neural Network Framework for Blood Pressure Estimation from Photoplethysmography Signals

Medical Physics 2025-04-24 v2

Abstract

Continuous blood pressure (BP) estimation via photoplethysmography (PPG) remains a significant challenge, particularly in providing comprehensive cardiovascular insights for hypertensive complications. This study presents a novel physiological model-based neural network (PMB-NN) framework for BP estimation from PPG signals, incorporating the identification of total peripheral resistance (TPR) and arterial compliance (AC) to enhance physiological interpretability. Preliminary experimental results, obtained from a single healthy participant under varying activity intensities, demonstrated promising accuracy, with a median standard deviation of 6.88 mmHg for systolic BP and 3.72 mmHg for diastolic BP. The median error for TPR and AC was 0.048 mmHg*s/ml and -0.521 ml/mmHg, respectively. Consistent with expectations, both estimated TPR and AC exhibited a reduction as activity intensity increased.

Keywords

Cite

@article{arxiv.2502.03731,
  title  = {A Physiological-Model-Based Neural Network Framework for Blood Pressure Estimation from Photoplethysmography Signals},
  author = {Yaowen Zhang and Libera Fresiello and Peter H. Veltink and Dirk W. Donker and Ying Wang},
  journal= {arXiv preprint arXiv:2502.03731},
  year   = {2025}
}