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//! This crate provides a realtime ECG QRS detector. //! //! The implementation is based on [this article](https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/1475-925X-3-28). //! //! `QrsDetector` does not use dynamic memory allocation. Instead, this crate relies on //! [`generic_array`](../generic_array/index.html), //! which means there's a bit of setup necessary to set the size of internal buffers. //! //! For more information, see [`QrsDetector`](./struct.QrsDetector.html). #![cfg_attr(not(test), no_std)] mod internal { pub fn max(a: f32, b: f32) -> f32 { if a > b { a } else { b } } } use if_chain::if_chain; use sliding_window::Size; pub use sliding_window::typenum; mod algorithms { use sliding_window::{typenum::consts::U5, Size, SlidingWindow}; use crate::internal::max; use crate::sampling::*; #[derive(Copy, Clone, Debug)] pub enum MState { Init(u32, f32), Disallow(u32, f32), Decreasing(u32, f32, f32), ConstantLow(f32), } pub struct M { state: MState, mm: SlidingWindow<f32, U5>, fs: SamplingFrequency, pub current_decrement: f32, } impl M { pub fn new(fs: SamplingFrequency) -> Self { Self { fs, mm: SlidingWindow::new(), // Initially M = 0.6*max(Y) is set for the first 3 s [originally 5s] of the signal state: MState::Init(fs.s_to_samples(3.0), 0.0), current_decrement: 0.0, } } fn m(&self) -> f32 { // M is calculated as an average value of MM. // Divide by 5 was done while calculating the individual Mx values self.mm.iter_unordered().sum() } pub fn update(&mut self, sample: f32) -> Option<f32> { self.state = match self.state { MState::Init(0, m) => { // Initially M = 0.6*max(Y) is set for the first 3 s [originally 5s] of the signal // A buffer with 5 steep-slope threshold values is preset: // MM = [M1 M2 M3 M4 M5], // where M1 ÷ M5 are equal to M let m = 0.6 * max(m, sample); for _ in 0..5 { self.mm.insert(m / 5.0); } // It is not clear in the article what to do initially: // - wait for a QRS detection and then start the M algorithm with Disallow state // - decrease using "low slope" immediately // This implementation uses the second option // M is decreased in an interval 225 to 1225 ms [originally 200 to 1200 ms] // following the last QRS detection at a low slope, reaching 60 % of its // refreshed value at 1225 ms [originally 1200 ms]. let n_samples = self.fs.s_to_samples(1.0); let decrement = m * 0.4 / n_samples as f32; self.current_decrement = decrement; MState::Decreasing(n_samples, m, decrement) } // Initially M = 0.6*max(Y) is set for the first 3 s [originally 5s] of the signal // Collect maximum value while in Init state MState::Init(samples, m) => MState::Init(samples - 1, max(m, sample)), MState::Disallow(0, m) => { // In the interval QRS ÷ QRS+200ms a new value of M5 is calculated: // newM 5 = 0.6*max(Yi) let m = 0.6 * max(m, sample) / 5.0; // divide by 5 for averaging // The estimated newM 5 value can become quite high, if steep slope premature // ventricular contraction or artifact appeared, and for that reason it is // limited to newM5 = 1.1* M5 if newM 5 > 1.5* M5. let prev_m = self.mm[4]; if m > prev_m * 1.5 { self.mm.insert(1.1 * prev_m); } else { self.mm.insert(m); } let m = self.m(); // M is decreased in an interval 225 to 1225 ms [originally 200 to 1200 ms] // following the last QRS detection at a low slope, reaching 60 % of its // refreshed value at 1225 ms [originally 1200 ms]. let n_samples = self.fs.s_to_samples(1.0); let decrement = m * 0.4 / n_samples as f32; self.current_decrement = decrement; MState::Decreasing(n_samples, m, decrement) } // In the interval QRS ÷ QRS+200ms a new value of M5 is calculated: // newM 5 = 0.6*max(Yi) // Collect maximum value while in Disallow state MState::Disallow(samples, m) => MState::Disallow(samples - 1, max(m, sample)), // After 1225 ms [originally 1200 ms] M remains unchanged. MState::Decreasing(0, m, _) => MState::ConstantLow(m), // M is decreased in an interval 225 to 1225 ms [originally 200 to 1200 ms] // following the last QRS detection at a low slope, reaching 60 % of its // refreshed value at 1225 ms [originally 1200 ms]. MState::Decreasing(samples, m, decrease_amount) => { // Linear decrease using precomputed decrement value MState::Decreasing(samples - 1, m - decrease_amount, decrease_amount) } // After 1225 ms [originally 1200 ms] M remains unchanged. MState::ConstantLow(m) => MState::ConstantLow(m), }; match self.state { MState::Init(_, _) | MState::Disallow(_, _) => None, MState::Decreasing(_, m, _) | MState::ConstantLow(m) => Some(m), } } pub fn detection_event(&mut self, sample: f32) { // No detection is allowed 225 ms [originally 200 ms] after the current one. self.state = MState::Disallow(self.fs.s_to_samples(0.225), sample); } } #[derive(Copy, Clone, Debug)] pub enum FState { Ignore(u32), Init(u32, f32), Integrate(f32), } pub struct F<FMW, FB> where FMW: Size<f32>, FB: Size<f32>, { /// F should be initialized at the same time as M is, skip earlier samples state: FState, /// 350ms of the individual max samples of the 50ms buffer f_max_window: SlidingWindow<f32, FMW>, /// 50ms window of the signal f_buffer: SlidingWindow<f32, FB>, } impl<FMW, FB> F<FMW, FB> where FMW: Size<f32>, FB: Size<f32>, { pub fn new(fs: SamplingFrequency) -> Self { // sanity check buffer sizes debug_assert_eq!( FMW::to_u32(), fs.ms_to_samples(300.0), "Incorrect type parameters, must be <U{}, U{}>", fs.ms_to_samples(300.0), fs.ms_to_samples(50.0) ); debug_assert_eq!( FB::to_u32(), fs.ms_to_samples(50.0), "Incorrect type parameters, must be <U{}, U{}>", fs.ms_to_samples(300.0), fs.ms_to_samples(50.0) ); Self { state: FState::Ignore(fs.s_to_samples(2.65)), f_max_window: SlidingWindow::new(), f_buffer: SlidingWindow::new(), } } fn update_f_buffers(&mut self, sample: f32) -> (Option<f32>, f32) { // TODO: there are some special cases where the max search can be skipped self.f_buffer.insert(sample); // Calculate maximum value in the latest 50ms window let max = *self .f_buffer .iter_unordered() .max_by(|a, b| a.partial_cmp(b).unwrap()) .unwrap(); // Keep the 50ms maximum values for each sample in latest 300ms window // The oldest sample corresponds to the oldest 50ms in the latest 350ms window // TODO FIXME: off by some error :) let old = self.f_max_window.insert(max); (old, max) } pub fn update(&mut self, sample: f32) -> Option<f32> { self.state = match self.state { FState::Ignore(1) => FState::Init(FMW::to_u32() - 1, 0.0), FState::Ignore(n) => FState::Ignore(n - 1), FState::Init(n, favg) => { let favg = favg + sample; self.update_f_buffers(sample); if n == 0 { FState::Integrate(favg / (FMW::to_u32() as f32)) } else { FState::Init(n - 1, favg) } } FState::Integrate(f) => { let (oldest_max, max) = self.update_f_buffers(sample); FState::Integrate(f + (max - oldest_max.unwrap()) / 150.0) } }; if let FState::Integrate(f) = self.state { Some(f) } else { None } } } #[derive(Copy, Clone, Debug)] pub enum RState { Ignore, InitBuffer, NoDecrease(u32, u32), // samples remaining, average rr interval Decrease(u32, f32, f32), // samples remaining, value, decrement Constant(f32), } pub struct R { state: RState, rr: SlidingWindow<u32, U5>, prev_idx: u32, // no need to make it an Option } impl R { pub fn new() -> Self { Self { state: RState::Ignore, rr: SlidingWindow::new(), prev_idx: 0, } } fn enter_no_decrease(&mut self) { let rr_sum: u32 = self.rr.iter().sum(); let rr_avg = rr_sum / 5; self.state = RState::NoDecrease(rr_avg * 2 / 3, rr_avg); } pub fn update(&mut self, m_decrement: f32) -> f32 { self.state = match self.state { RState::NoDecrease(0, rr_avg) => { RState::Decrease(rr_avg / 3, 0.0, m_decrement / 1.4) } RState::NoDecrease(samples, rr_avg) => RState::NoDecrease(samples - 1, rr_avg), RState::Decrease(0, r, _) => RState::Constant(r), RState::Decrease(samples, r, decrement) => { RState::Decrease(samples - 1, r - decrement, decrement) } o => o, }; match self.state { RState::Ignore | RState::InitBuffer | RState::NoDecrease(_, _) => 0.0, RState::Constant(r) | RState::Decrease(_, r, _) => r, } } pub fn detection_event(&mut self, idx: u32) { match self.state { RState::Ignore => self.state = RState::InitBuffer, RState::InitBuffer => { self.rr.insert(idx.wrapping_sub(self.prev_idx)); if self.rr.is_full() { self.enter_no_decrease(); } } _ => { self.rr.insert(idx.wrapping_sub(self.prev_idx)); self.enter_no_decrease(); } }; self.prev_idx = idx; } } } /// Helpers for working with sampling frequencies and sample numbers. pub mod sampling; use sampling::SamplingFrequency; use algorithms::{F, M, R}; /// Find QRS complex in real-time sampled ECG signal. /// /// # Type parameters: /// /// The `QrsDetector` is built upon [`generic_array`](../generic_array/index.html). /// This has an unfortunate implementation detail where the internal buffer sizes must be set on /// the type level. /// /// - `FMW` - number of samples representing 350ms, as [`typenum::U*`](../typenum/consts/index.html) /// - `FB` - number of samples representing 50ms, as [`typenum::U*`](../typenum/consts/index.html) /// /// These type parameters are checked at runtime and if incorrect and the error message will contain /// the correct sizes. pub struct QrsDetector<FMW, FB> where FMW: Size<f32>, FB: Size<f32>, { fs: SamplingFrequency, total_samples: u32, m: M, f: F<FMW, FB>, r: R, } impl<FMW, FB> QrsDetector<FMW, FB> where FMW: Size<f32>, FB: Size<f32>, { /// Returns a new QRS detector for signals sampled at `fs` sampling frequency. /// /// # Arguments /// * `fs` - The sampling frequency of the processed signal. For more information see /// [`SamplingFrequencyExt`](./sampling/trait.SamplingFrequencyExt.html). /// /// # Example /// ```rust /// use qrs_detector::sampling::*; /// use qrs_detector::QrsDetector; /// use qrs_detector::typenum::{U150, U25}; /// /// // Assuming 500 samples per second /// // Type parameters must be 300ms and 50ms in number of samples /// let detector: QrsDetector<U150, U25> = QrsDetector::new(500.sps()); /// ``` pub fn new(fs: SamplingFrequency) -> Self { Self { fs, total_samples: 0, m: M::new(fs), f: F::new(fs), r: R::new(), } } /// Reset the internal state of the detector pub fn clear(&mut self) { *self = Self::new(self.fs); } /// Process a sample. Returns Some sample index if a QRS complex is detected. pub fn update(&mut self, sample: f32) -> Option<u32> { let m = self.m.update(sample); let f = self.f.update(sample); let r = self.r.update(self.m.current_decrement); let result = if_chain! { if let Some(m) = m; if let Some(f) = f; if sample > m + f + r; then { self.m.detection_event(sample); self.r.detection_event(self.total_samples); Some(self.total_samples) } else { None } }; self.total_samples += 1; result } }