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Motion-Robust Multimodal Fusion of PPG and Accelerometer Signals for Three-Class Heart Rhythm Classification




TekijätZhao, Yangyang; Kaisti, Matti; Lahdenoja, Olli; Koivisto, Tero

ToimittajaBeigl, Michael; Jacucci, Giulio; Sigg, Stephan; Xiao, Yu; Bardram, Jakob; Tsiropoulou, Eirini Eleni; Xu, Chenren

Konferenssin vakiintunut nimiACM international joint conference on pervasive and ubiquitous computing

Julkaisuvuosi2025

Lehti: ACM international joint conference on pervasive and ubiquitous computing

Kokoomateoksen nimiUbiComp Companion '25 : Companion of the 2025 ACM International Joint Conference on Pervasive and Ubiquitous Computing

Aloitussivu171

Lopetussivu175

ISBN979-8-4007-1477-1

DOIhttps://doi.org/10.1145/3714394.3754412

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Osittain avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1145/3714394.3754412

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/500360183

Preprintin osoitehttps://arxiv.org/abs/2511.00949

Rinnakkaistallenteen lisenssiCC BY

Rinnakkaistallennetun julkaisun versioKustantajan versio

LisätietojaACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp) / ACM International Symposium on Wearable Computers (ISWC)


Tiivistelmä

Atrial fibrillation (AF) is a leading cause of stroke and mortality, particularly in elderly patients. Wrist-worn photoplethysmography (PPG) enables non-invasive, continuous rhythm monitoring, yet suffers from significant vulnerability to motion artifacts and physiological noise. Many existing approaches rely solely on single-channel PPG and are limited to binary AF detection, often failing to capture the broader range of arrhythmias encountered in clinical settings. We introduce RhythmiNet, a residual neural network enhanced with temporal and channel attention modules that jointly leverage PPG and accelerometer (ACC) signals. The model performs three-class rhythm classification: AF, sinus rhythm (SR), and Other. To assess robustness across varying movement conditions, test data are stratified by accelerometer-based motion intensity percentiles without excluding any segments. RhythmiNet achieved a 4.3% improvement in macro-AUC over the PPG-only baseline. In addition, performance surpassed a logistic regression model based on handcrafted HRV features by 12%, highlighting the benefit of multimodal fusion and attention-based learning in noisy, real-world clinical data.


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This is an electronic reprint of the original article.
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Julkaisussa olevat rahoitustiedot
This study was funded by the Moore4Medical project, supported by the ECSEL JU and Business Finland (Grant Agreements H2020-ECSEL-2019-IA-876190 and 7215/31/2019), and by the ITEA project RM4HEALTH, supported by Business Finland (Grant 8139/31/2022).


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