Photoplethysmography (PPG) is a simple and cost-efficient technique that effectively measures cardiovascular response by detecting blood volume changes in a noninvasive manner. A practical challenge in the use of PPGs in real-world applications is noise reduction. PPG signals are likely to be compromised by various types of noise, such as scattering or motion artifacts, and removing such compounding noises using a monotonous method is not easy. To this end, this paper proposes a neural PPG denoiser that can robustly remove multiple types of noise from a PPG signal. By casting the noise reduction problem into a signal restoration approach, we aim to achieve a solid performance in the reduction of different noise types using a single neural denoiser built upon transformer-based deep generative models. Using this proposed method, we conducted the experiments on the noise reduction of a PPG signal synthetically contaminated with five types of noise. Following this, we performed a comparative study using six different noise reduction algorithms, each of which is known to be the best model for each noise. Evaluation results of the peak signal-to-noise ratio (PSNR) show that the neural PPG denoiser is superior in three out of five noise types to the performance of conventional noise reduction algorithms. The salt-and-pepper noise type showed the best performance, with the PSNR of the neural PPG denoiser being 36.6080, and the PSNRs of the other methods were 19.8160 and 32.8234. The Poisson noise type performed the worst, showing a PSNR of 33.0090; the PSNRs of other methods were 35.1822 and 33.4795, respectively. Thereafter, an experiment to recover a signal synthesized with two or more of the five noise types was conducted. When the number of mixed noises was two, three, four, and five, the PSNRs were 29.2759, 27.8759, 26.5608, and 25.9402, respectively. Finally, an experiment to recover motion artifacts was also conducted. The synthesized motion artifact signal was created by synthesizing only a certain ratio of the total signal length. As a result of the motion artifact signal restoration, the PSNRs were 25.2872, 22.8240, 21.2901, and 19.9577 at 30%, 50%, 70%, and 90% motion artifact ratios, respectively. In the three experiments conducted, the neural PPG denoiser showed that various types of noise were effectively removed. This proposal contributes to the universal denoising of continuous PPG signals and can be further expanded to denoise continuous signals in the general domain.
Keywords: denoising; photoplethysmography; universal denoiser.