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Non-Invasive Anemia Detection: A Multichannel PPG-Based Hemoglobin Estimation with Explainable Artificial Intelligence

Computers and Society 2026-02-20 v1

Abstract

Anemia is a prevalent hematological disorder that requires frequent hemoglobin monitoring for early diagnosis and effective management. Conventional hemoglobin assessment relies on invasive blood sampling, limiting its suitability for large-scale or continuous screening. This paper presents a non-invasive framework for hemoglobin estimation and anemia screening using multichannel photoplethysmography (PPG) signals and explainable artificial intelligence. Four-wavelength PPG signals (660, 730, 850, and 940~nm) are processed to extract optical and cross-wavelength features, which are aggregated at the subject level to avoid data leakage. A gradient boosting regression model is employed to estimate hemoglobin concentration, followed by post-regression anemia screening using World Health Organization (WHO) thresholds. Model interpretability is achieved using SHapley Additive explanations (SHAP), enabling both global and subject-specific analysis of feature contributions. Experimental evaluation on a publicly available dataset demonstrates a mean absolute error of 8.50 plus minus 1.27 and a root mean squared error of 8.21~g/L on unseen test subjects, indicating the potential of the proposed approach for interpretable, non-invasive hemoglobin monitoring and preliminary anemia screening.

Keywords

Cite

@article{arxiv.2602.17290,
  title  = {Non-Invasive Anemia Detection: A Multichannel PPG-Based Hemoglobin Estimation with Explainable Artificial Intelligence},
  author = {Garima Sahu and Poorva Verma and Nachiket Tapas},
  journal= {arXiv preprint arXiv:2602.17290},
  year   = {2026}
}
R2 v1 2026-07-01T10:42:48.130Z