Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach

With advancing age, blood vessels undergo deterioration that causes structural and functional changes, including a progressive increase in arterial wall stiffness. Since arterial stiffness is closely linked to the potential risks of cardiovascular diseases, which remains the leading cause of global...

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Main Authors: Gianluca Diana, Francesco Scardulla, Silvia Puleo, Salvatore Pasta, Leonardo D’Acquisto
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/25/11/3301
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author Gianluca Diana
Francesco Scardulla
Silvia Puleo
Salvatore Pasta
Leonardo D’Acquisto
author_facet Gianluca Diana
Francesco Scardulla
Silvia Puleo
Salvatore Pasta
Leonardo D’Acquisto
author_sort Gianluca Diana
collection DOAJ
description With advancing age, blood vessels undergo deterioration that causes structural and functional changes, including a progressive increase in arterial wall stiffness. Since arterial stiffness is closely linked to the potential risks of cardiovascular diseases, which remains the leading cause of global mortality, it has become essential to develop effective techniques for early diagnosis and continuous monitoring over time. Photoplethysmography, a low-cost and non-invasive technology that measures blood volume changes, has gained increasing popularity in recent years and has proven to be a potential valuable tool for estimating arterial stiffness. This study employs an in vitro experimental setup designed to simulate the cardiovascular system performing under controlled velocity and pressure conditions, in which silicone phantom models with different geometric and mechanical properties were implemented to evaluate their stiffness using a pair of photoplethysmographic sensors. These were employed to measure the pulse wave velocity, currently considered the reference technique for estimating arterial stiffness, correlated through the well-known Moens–Korteweg equation. Photoplethysmographic sensors were placed at three specific distances to determine an optimal configuration for assessing arterial stiffness. Results showed the best performance for softer vascular models at a 15 cm sensor distance, with measurements demonstrating satisfactory accuracy. Variability and standard deviation values increased with model stiffness. The aim of this study is to improve the use of photoplethysmographic sensors for monitoring the mechanical properties of blood vessels and, therefore, to prevent potential cardiovascular diseases.
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spelling doaj-art-cc8958eddeff4f01a3a9560fa67b50d32025-08-20T02:32:56ZengMDPI AGSensors1424-82202025-05-012511330110.3390/s25113301Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro ApproachGianluca Diana0Francesco Scardulla1Silvia Puleo2Salvatore Pasta3Leonardo D’Acquisto4Department of Engineering, University of Palermo, Viale delle Scienze, Ed. 8, 90128 Palermo, ItalyDepartment of Engineering, University of Palermo, Viale delle Scienze, Ed. 8, 90128 Palermo, ItalyDepartment of Engineering, University of Palermo, Viale delle Scienze, Ed. 8, 90128 Palermo, ItalyDepartment of Engineering, University of Palermo, Viale delle Scienze, Ed. 8, 90128 Palermo, ItalyDepartment of Engineering, University of Palermo, Viale delle Scienze, Ed. 8, 90128 Palermo, ItalyWith advancing age, blood vessels undergo deterioration that causes structural and functional changes, including a progressive increase in arterial wall stiffness. Since arterial stiffness is closely linked to the potential risks of cardiovascular diseases, which remains the leading cause of global mortality, it has become essential to develop effective techniques for early diagnosis and continuous monitoring over time. Photoplethysmography, a low-cost and non-invasive technology that measures blood volume changes, has gained increasing popularity in recent years and has proven to be a potential valuable tool for estimating arterial stiffness. This study employs an in vitro experimental setup designed to simulate the cardiovascular system performing under controlled velocity and pressure conditions, in which silicone phantom models with different geometric and mechanical properties were implemented to evaluate their stiffness using a pair of photoplethysmographic sensors. These were employed to measure the pulse wave velocity, currently considered the reference technique for estimating arterial stiffness, correlated through the well-known Moens–Korteweg equation. Photoplethysmographic sensors were placed at three specific distances to determine an optimal configuration for assessing arterial stiffness. Results showed the best performance for softer vascular models at a 15 cm sensor distance, with measurements demonstrating satisfactory accuracy. Variability and standard deviation values increased with model stiffness. The aim of this study is to improve the use of photoplethysmographic sensors for monitoring the mechanical properties of blood vessels and, therefore, to prevent potential cardiovascular diseases.https://www.mdpi.com/1424-8220/25/11/3301photoplethysmography (PPG)optical sensorsarterial stiffnessYoung’s moduluspulse wave velocityexperimental setup
spellingShingle Gianluca Diana
Francesco Scardulla
Silvia Puleo
Salvatore Pasta
Leonardo D’Acquisto
Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
Sensors
photoplethysmography (PPG)
optical sensors
arterial stiffness
Young’s modulus
pulse wave velocity
experimental setup
title Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
title_full Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
title_fullStr Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
title_full_unstemmed Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
title_short Non-Invasive Estimation of Arterial Stiffness Using Photoplethysmography Sensors: An In Vitro Approach
title_sort non invasive estimation of arterial stiffness using photoplethysmography sensors an in vitro approach
topic photoplethysmography (PPG)
optical sensors
arterial stiffness
Young’s modulus
pulse wave velocity
experimental setup
url https://www.mdpi.com/1424-8220/25/11/3301
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