Context-Aware System Design for Remote Health Monitoring: An Application to Continuous Edema Assessment

Abstract

Designing remote health monitoring systems requires a multi-faceted perspective that takes into account requirements and contexts imposed by the medical application, technology, and end-user. We study such a design perspective in the context of remote and real-time edema monitoring. Edema (accumulation of fluid in certain soft-tissues) is regarded as one of the most important symptoms for systematic diseases such as heart failure. Monitoring edema allows patients and caregivers to understand the state of sickness and effectiveness of the treatments. This article proposes a novel low-power context-aware and real-time wearable platform capable of continuous assessment of ankle edema in remote settings. Our system keeps track of changes in subject’s ankle circumference as well as current body posture. An examination of our system with 15 subjects demonstrates the effectiveness and reliability of the proposed force-sensitive-resistor-based edema sensor (with an R2 of 0.87 for our regression model and intra-class correlation of 0.97) as well as an over 96 percent accuracy in activity monitoring that provide the means to perform reliable data validation on ankle circumference measurements in a continuous manner. Furthermore, we devise a novel derivative-free power optimization approach to maximize the battery lifetime resulting in improvement in battery lifetime by a factor of 2.13.

Publication
IEEE Transactions on Mobile Computing (TMC), vol. 16, no. 8, pp. 2159–2173, August 2017
Ramin Fallahzadeh
Ramin Fallahzadeh
Graduate Alumni

Graduate Research Assistant.

Yuchao Ma
Yuchao Ma
Graduate Alumni

Graduate Research Assistant.

Hassan Ghasemzadeh
Hassan Ghasemzadeh
Director

Hassan Ghasemzadeh (Zadeh) is an Associate Professor of Computer Science in the School of Electrical Engineering and Computer Science at Washington State University (WSU). Prior to joining WSU in 2014, he was a Research Manager at the UCLA Wireless Health Institute and an Adjunct Professor of Biomedical Informatics at San Diego State University. He received his Ph.D. in Computer Engineering from the University of Texas at Dallas in 2010, and spent the academic year 2010-2011 as a Postdoctoral Fellow at the West Health Institute. He was Founding Chair of Computer Science and Engineering Department at Azad University, Damavand, 2003-2006. He received his M.S. degree in Computer Engineering from University of Tehran, Tehran, Iran, in 2001 and his B.S. degree in Computer Engineering from Sharif University of Technology, Tehran, Iran in 1998. He received the 2019 WSU GPSA Academic Advisor Excellence Award, 2018 NSF CAREER Award, 2018 WSU EECS Early Career Award, 2018 WSU VCEA Outstanding Communication, Connection, and Engagement Award, 2016 NSF CRII Award, and 2011 IEEE RTAS Best Paper Award.