Abstract
Vital sign detection is used across ubiquitous scenarios in medical and health settings, and contact and wearable sensors have been widely deployed. However, they are unsuitable for patients with burn wounds or infants with insufficient areas for attachment. Contactless detection can be achieved using camera imaging, but it is susceptible to ambient light conditions and has privacy concerns. Here we report a photonic radar for non-contact vital sign detection to overcome these challenges. This photonic radar can achieve millimetre-level range resolution based on synthesized radar signals with a bandwidth of up to 30 GHz. The high resolution of the radar system enables accurate respiratory detection from breathing simulators and a cane toad as a human proxy. Moreover, we demonstrate that the optical signals generated from the proposed system can enable vital sign detection based on light detection and ranging (LiDAR). This demonstration reveals the potential of a sensor-fusion architecture that can combine the complementary features of radar and LiDAR to achieve improved sensing accuracy and system resilience. The work provides a technical basis for contactless and high-resolution vital sign detection to meet the increasing demands of future medical and healthcare applications.
Main
Vital signs—a group of clinical measurements reflecting essential body functions—are used as diagnostic parameters for monitoring medical and health conditions. Vital sign detection is widely employed across ubiquitous scenarios, including intensive care units for patients with critical health conditions, aged-care facilities for day-and-night health monitoring to prevent medical emergencies in unattended patients and vehicles to determine the occurrence of driver drowsiness1,2. Conventional vital sign detection relies on contact-based devices, such as pulse oximeters, which use electrodes to detect weak electrical changes resulting from cardiac contractions (electrocardiography), and smartwatches, based on the intensity variation of infrared probe light caused by blood flow and volume changes (photoplethysmography)3. Although widely deployed, contact-based methods can cause discomfort when used in round-the-clock monitoring4,5,6. Despite improved user experience with wearable sensors located in bands or clothes, they are unsuitable for patients with burn wounds or skin irritations, and in infants with an insufficient area for attachment7. Non-contacting methods based on optical sensors have been explored, for instance, using cameras to track certain body regions of interest8,9,10. However, camera-based systems (including infrared and conventional cameras) are sensitive to skin colour and lighting conditions11. Such systems typically rely on complex computing algorithms and infrared camera-generated thermal videos, and often have limited resolution12. Additionally, the high resolution of some camera-based systems can lead to privacy concerns13,14,15, particularly when invasive monitoring practices are involved and insufficient security measures exist within cloud computing and data-storage infrastructures.
Radar using radiofrequency (RF) waves can remotely access targets’ vital signs to overcome the drawbacks of contact-based sensors. Vital sign information is produced based on RF sensing rather than camera filming, thus naturally providing the desired privacy protection. Electronic radar vital sign detection has recently been explored using single-tone and frequency-modulated waves. Single-tone radars that rely on the Doppler principle can acquire vital signs by obtaining the phase information of the reflected signal from a moving object. However, this technique lacks the facility to detect the roundtrip time and so access targets’ range information. As a result, they cannot utilize range information to separate closely located targets and isolate a target from the surrounding clutter16,17, which limits their performance and practicality in real-world deployment. In contrast, frequency-modulated radars can extract the range information to overcome this issue18,19,20,21. More importantly, the range resolution and accuracy of frequency-modulated radars can be increased by broadening the bandwidth of the sensing signals. Unfortunately, conventional electronic radar systems usually have limited sub-gigahertz bandwidths that lead to a resolution of just tens of centimetres22,23,24, which is insufficient to accurately detect delicate human vital sign signals (such as human respiration, with a chest displacement of ~1 cm). This limited resolution would greatly limit the capability to adequately cancel body motion and track multiple targets. Moreover, distributed sensing at multiple frequency bands and deployment locations is needed in emerging applications, but this is challenging for conventional electronics without a complicated parallel hardware architecture25.
Microwave photonics-enabled radar technology is gaining momentum due to its numerous advantages over conventional electronic approaches for radar sensing26,27. Photonic radar systems have demonstrated their effectiveness in generating ultra-wideband signals, resulting in exceptional range resolution. Dispersion-based techniques offer bandwidths of up to 40 GHz, achieving fine resolutions down to 3.9 mm (ref. 28). Frequency-sweeping light sources based on external optical injection have achieved a large time–bandwidth product exceeding 1.2 × 105, with longer pulse times improving signal-to-noise ratios in noisy environments, as well as overall performance29. Photonic frequency multiplication30,31 and digital-to-analogue converters32 provide a substantial bandwidth and high time–frequency linearity for accurate radar sensing. Photonic radar can generate different types of radar signal, including linear-frequency modulated (LFM)33,34 and stepped-frequency (SF) signals35,36,37,38,39. Moreover, it can operate in multiple frequency bands across the millimetre-wave region, optimizing the performance based on operating conditions40. These features overcome the limitations of their electronic counterparts, making them well-suited to vital sign detection. However, despite its potential, photonic radar for vital sign detection has yet to be explored in real-world scenarios.
In this Article, we demonstrate a photonic radar for vital sign detection using human respiration simulators and a living animal—a cane toad—serving as a human proxy. The radar generates 10-GHz-wide SF RF signals in the Ka-band (26.5–40 GHz) to detect the respiratory activities of the simulators, achieving 13.7-mm range resolution with micrometre-level accuracy. This high resolution and accuracy are essential to resolve the delicate vital signs of the cane toad, even with an undersized animal radar cross-section. We demonstrated bandwidth scalability up to 30 GHz without the limitations of RF antennas and amplifiers. We also demonstrated a light detection and ranging (LiDAR) vital sign detection system based on the same microwave photonic source, showing the system’s potential to enable the complementary features of radar and LiDAR. We envisage applying such a high-performance, distributed radar system in a range of healthcare scenarios, such as round-the-clock vital sign monitoring in aged-care facilities, hospitals and custodial settings. For example, a distributed photonic radar sensing network with multiple radar optical-RF access points can use RF waves to detect human vital signs (Fig. 1a). This approach can continuously track uncooperative, back- or side-facing targets, unlike with the deployment of a single radar access point. As illustrated, one optical radar signal source enabling multiple optical-RF access points could cover diverse perspectives to monitor one or multiple targets using low-loss optical fibres.
a, Conceptual drawing of the vital sign radar with distributed sensing access points (APs) enabled by low-loss fibre and a centralized, photonics-assisted radar platform. b, Schematic of the demonstrated photonic radar for vital sign detection based on a frequency-shifting (FS) fibre cavity with its optical input and output signals shown on the top. A seed pulse at a single frequency gated by a temporal square envelope is optically injected to the FS fibre loop. The output signal unveils the resultant optically synthesized stepped-frequency signal. E(t) denotes the electric field of the optical signals in the time domain. c, The optical coherent ranging principle is realized by mixing transmitted (solid lines depicted in the time–frequency domain) and received (dashed lines) optical SF signals in a photodetector (PD). The demodulated RF signals after the PD are illustrated in the bottom panels, demonstrating the range at two distances, d1 and d2. Δτ1 and Δτ2 are the time delays introduced by the radar signal propagation with a speed of c. I(t) denotes the demodulated signals (the photocurrent) after the photodetection in the time domain. d, Illustration of the use of the demonstrated photonic radar with millimetre resolution for detecting respiratory activities from multiple targets. OS, optical switch; FS, frequency-shifting. Δf, FS introduced by the AOFS.
An advanced SF photonic radar was constructed to detect the respiratory activities of humans and animals (Fig. 1b). The system mainly comprises an optical frequency-shifting fibre cavity to generate radar signals in the optical domain, an optical-fibre distribution network and optical-RF access points for electro-optic conversion and RF transceiving. In the frequency-shifting fibre cavity, an acousto-optic frequency shifter (AOFS) shifts the frequency of an optically injected pulse (with single frequency, fc) by 100 MHz in each successive roundtrip (Δf = 100 MHz). An erbium-doped fibre amplifier (EDFA) inserted in the optical loop compensates for the power loss from optical propagation and coupling. This approach generates an optical SF signal consisting of a series of sine waves with linearly increased frequency in a precisely determined step (Fig. 1b,c). In the optical-RF access points, SF radar signals in the RF domain are generated through heterodyne mixing with a reference laser. The optical signal source only requires cost-effective and low-speed electronic devices (a dual-channel electrical function generator with an analogue bandwidth of 100 MHz) to precisely control the total synthesized bandwidth of the SF signal, which is tunable from the sub-gigahertz level to 30 GHz (Supplementary Section I). The function generator could be replaced by 100-MHz reference oscillators and RF switches with reduced complexity.
Radar vital sign detection starts by using the SF signal in the RF domain to illuminate a target area of interest (for example, the chest area in humans) using a transmitting antenna element (TX). Another antenna element (RX) receives the reflected radar signals that carry the vital sign information, which are converted back to the optical domain using an electro-optic modulator (EOM). Demodulated SF signals are generated via a coherent detection process (Fig. 1c), that is, by optically mixing the transmitted reference signal (solid lines) with the received signal (dashed lines). Thus, targets at different ranges, for example, d1 and d2, have demodulated signals with different oscillating frequencies (Fig. 1c). These oscillating frequencies can be extracted through Fourier analysis, and show different peak locations in the frequency domain37. One advantage of using the SF signal format over other frequency-modulated approaches is that the radar receiver has a much lower sampling rate, which is favourable for fast signal processing, due to the fact that only one sample is required per roundtrip. For the same bandwidth, the SF signals sustain exactly the same resolution as other wideband radar waveforms (for example, LFM)41. As a result, such a system requires less computational power for digital signal processing (DSP), enabling real-time, multi-target respiration detection (Fig. 1d).
In a vital sign detection radar system, RF sensing signals with broader bandwidth and high time–frequency linearity42 are required to maintain the range resolution and reduce measuring errors (increase accuracy). The signal (Fig. 2a) generated by the present frequency-shifting cavity demonstrated a bandwidth of 25 GHz, comparable to the signal generated by a digital arbitrary waveform generator (AWG) with 25-GHz analogue bandwidth. The frequency-shifting cavity has a roundtrip time of 162.26 ns with a constant 100-MHz frequency shift enabled by the AOFS. A total synthesized 25-GHz SF signal can be generated after the first injected pulse finishes 250 roundtrips in the frequency-shifting cavity. High time–frequency linearity is inherited from the constant and stable AOFS-enabled frequency–time shifting38, which is challenging to achieve using other photonics-based approaches43,44.
a, The demonstrated SF waveform (left axis) and corresponding frequency (right axis), showing an overall bandwidth of 25 GHz. The completion time for the first injected pulse’s nth roundtrip can be calculated by multiplying the number of roundtrips with the constant roundtrip time of 166.26 ns. b, Comparison of the demonstrated signal’s PSD and an SF signal generated from an AWG with a sampling rate of 65 GSa s−1. RBW, resolution bandwidth. c, SNR of signals generated by the demonstrated system and the AWG. d,e, Range (d) and accuracy in terms of s.d. (e) using 2.5-GHz- (crosses) and 10-GHz- (squares) bandwidth signals. f, S.d. values (left) of the 2.5-GHz (orange) and 10-GHz (blue) SF signals. Over 6,000 measurements, the 2.5-GHz and 10-GHz SF signals show s.d. values of 725.90 μm and 93.28 μm, respectively. Experimental (lines) and theoretical (−3 dB, plus symbols) range resolutions of the two signals are plotted accordingly.
The power spectral density (PSD) of the generated SF waveform maintains a constant level of around −103.7 dBc Hz−1 during the entire recirculation (Fig. 2b), only slightly reducing to −108.3 dBc Hz−1 on reaching the 250th circulation. In contrast, the PSD of the electronic counterpart exhibits noticeable degradation, from −103.0 dBc Hz−1 to −113.6 dBc Hz−1, due to the AWG’s limited analogue bandwidth. The signal-to-noise ratio (SNR) of the generated waveform was also calculated based on the PSD results (Methods), then compared with the signal generated by the AWG (Fig. 2c). The SNR results show no notable difference between these two signals across the 25-GHz bandwidth, proving that the demonstrated system could generate radar signals with AWG-comparable quality. It is worth mentioning that the signal quality is not expected to deteriorate with photonics-based upconversion, unlike with conventional electronic upconversion45,46.
We also investigated the range resolution (Fig. 2d) and accuracy (characterized as the standard deviation, s.d.; Fig. 2e) of the vital sign-detection photonic radar system. The results were taken for SF signals with 2.5-GHz (crosses) and 10-GHz (squares) bandwidths based on a metal plane reflector with dimensions of 4 × 5 × 0.3 cm3 (Methods). The SF signal with wider bandwidth (10 GHz) shows a significant accuracy improvement compared with the narrower-bandwidth (2.5 GHz) signal (Fig. 2f), showing a reduction in s.d. to 93.28 μm from 725.90 μm based on signals with experimental range resolutions of 13.7 and 53.2 mm, respectively. These results prove that increasing the sensing signal bandwidth will simultaneously improve the range resolution and accuracy, which is greatly desirable in a radar system used to detect delicate respiratory activities from multiple targets.
Next, we applied the photonic radar to multi-target respiration detection using two simulators of human breathing (Fig. 3a). Our radar successfully detected the respiratory activities of two closely located targets (~10 cm apart) in real time (Fig. 3b). Over a 60-s time window, the relative chest movements of the two targets were extracted (Fig. 3c). The corresponding respiratory frequencies, in units of b.p.m., were acquired by taking the Fourier transform of the trajectories (Fig. 3f), finding respiratory rates (RRs) of 12 b.p.m. and 16.5 b.p.m. for the two targets, respectively. These two frequencies were chosen deliberately to match the typical RR of an adult at rest47,48,49. The superior accuracy of our system also allows the radar system to detect irregular respiration patterns from subtle movements (around the millimetre level), such as irregular breathing with longer inhalations and shorter exhalations, as well as halts in breathing (Fig. 3d,e). It can thus help accurately identify or even predict respiratory abnormalities linked to many medical conditions, such as asthma, anxiety, congestive heart failure and lung disease48. The demonstrated results indeed prove that the accuracy of the demonstrated system offers sufficient precision to pick up respiratory abnormalities.
a, Experimental set-up using the demonstrated photonic SF radar with an RF bandwidth of 10 GHz. Two metal plates (4 × 5 × 0.3 cm3) separately mounted onto two stepper motors were used to emulate the chest movements of a human breathing. O/E denotes bidirectional conversions between the electrical and optical domains. b, Contactless vital sign detections of two closely located targets. c, Chest movements of the two targets. d, Chest movement showing irregular (longer inhalation and shorter exhalation) breathing patterns. e, Chest movement showing halted breathing, which could be a sign of apnoea. f, Fourier-transform results based on the chest movements in c–e.
To prove its suitability for practical applications, we demonstrated animal respiratory detection using a female cane toad as a human proxy (a pilot study before human trials) to evaluate the performance of the radar (Fig. 4a). The cane toad has a radar cross-section (the buccal area, ~2 × 2.5 cm2) that is smaller than the human chest, making the experiment more challenging than human trials. The buccal cavity is connected to the lungs during its breathing activity50,51,52. The toad was located ~1 m from the radar antenna, with the beam pointing to the toad’s buccal area. The data extracted from the photonic radar produced a real-time trace of the toad’s buccal movement, which had a displacement of ~5 mm (Fig. 4b). The radar data were then cross-referenced with data extracted from a simultaneously recorded video clip, giving a cross-correlation coefficient of 0.746 (Fig. 4c). It is worth mentioning that the camera had a different perspective from the radar beam direction, which might have slightly decreased the correlation coefficient (Supplementary Section IX). Fourier-domain analyses based on the radar and camera data further proved the accuracy and performance of the photonics-enabled radar system (Fig. 4d). The respiration data show that the cane toad has an irregular respiration pattern—intermittent or discontinuous breathing patterns (Supplementary Section X) are common in amphibians50,51,52—which agrees with both the radar and camera-based results.
a, Experimental set-up using the demonstrated system for radar sensing, which also shows its flexibility and capability for LiDAR detection. b, Experimental results for detecting the buccal-cavity movement of a cane toad using the demonstrated radar system. Camera-extracted data were used as a reference. c, Cross-correlation between the radar and camera data, showing a coefficient of 0.746. d, Frequency-domain analyses of the radar (red shadow) and camera (blue shadow) data with three top-weighted Fourier coefficients in solid and dashed lines, respectively. e, Experimental results for detecting the buccal-cavity movement of the cane toad using a LiDAR system. f, Cross-correlation between the LiDAR and camera data, showing a coefficient of 0.724. g, Frequency-domain analyses of the LiDAR (red shadow) and camera (blue shadow) data with three top-weighted Fourier coefficients in solid and dashed lines, respectively. OC, optical coupler; CIRC, optical circulator; Galvo, 2D scanning mirrors. The cross-correlation and frequency-domain analyses use time-domain data longer than the data shown in b and e.
The proposed radar system can also be adopted for LiDAR sensing (Fig. 4a), where RF components such as RF amplifiers and antennas no longer limit the system’s bandwidth. The demonstrated scheme enabled a LiDAR system with a total synthesized bandwidth of 25 GHz (6-mm range resolution), sufficient to catch the toad’s buccal movements (Fig. 4e). This was validated by cross-referencing the LiDAR data with camera data using cross-correlation (Fig. 4f) and Fourier analyses (Fig. 4g). We have thus provided an approach to achieve a hybrid radar–LiDAR system that combines complementary detection techniques for improved sensing accuracy and system resilience.
In summary, we have demonstrated a photonic vital sign detection system with fine resolution down to 6 mm and micrometre-level accuracy, enabling multi-target detection without comfort and privacy issues. Experimental validations have proved its ability and effectiveness in picking up delicate respiratory abnormalities and accurately extracting a cane toad’s buccal movements. More importantly, it has a simplified system structure that provides improved bandwidth and flexibility that are not achievable by current state-of-the-art electronic vital sign radars without requiring parallel or multiplexed electronic architectures.
The system can support radar and LiDAR sensing, proving its unprecedented flexibility and potential for hybrid detection and sensor abilities, which offer more consistent and accurate sensing results53. The radar system operates similarly to LiDAR, as both rely on the same ranging and detection principle. Radar uses radio waves instead of light waves, resulting in better penetration through clothes and thin walls. However, the longer wavelength (typically centimetre-level) of radio waves makes it harder to confine the signal, leading to a lack of spatial information, and requiring a larger antenna to improve gain and directionality. The larger beam size of radar systems, compared to LiDAR, increases their vulnerability to reflections from surrounding clutter, crosstalk with other vital sign radar systems, and interference from unknown RF signals in the same frequency band. On the other hand, LiDAR, which uses light, with its much shorter wavelengths, has a superior range and spatial resolution due to its broader sensing bandwidth and 2D scanning capabilities. However, it is more difficult for LiDAR to see through (penetration ability) objects such as clothes due to its micrometre optical wavelength. Accordingly, LiDAR is a complementary approach that can be used to assist radar in detecting vital signs.
The proposed radar system can maximize its bandwidth potential via the integration of available photonic and RF technologies, including the use of commercially available components such as the uni-travelling-carrier photodiode with its frequency range of up to 900 GHz and a bandwidth exceeding 340 GHz (refs. 54,55), as well as RF amplifiers56 and antennas designed for compatible frequencies. Furthermore, it is compatible with the photonic distributed, multi-band-operation radar technique25. Thus, multiple sensors, enabled by one centralized photonic system, can seamlessly work together without interference to achieve broader detection coverage with lower overall complexity and cost. In terms of future developments towards the miniaturization of photonic systems, recent advances in the photonic integration of critical function building blocks, such as on-chip AOFSs57,58 and optical waveguide amplifiers59,60, are providing a promising technical basis with which to achieve compact size for portable sensing31,53. This photonic approach offers a new path towards high-resolution, rapid-response and cost-effective hybrid radar–LiDAR modules for distributed, contactless vital sign detection.
Methods
Baseband RF signals were acquired by mixing the optical SF signal with a tap of the c.w. laser in a 50-GHz PD. A real-time oscilloscope, with a sampling speed of 80 GSa s−1, measured the time-domain data in Fig. 2. Each time and frequency data point was extracted based on a 100-ns time window located in the middle of each frequency step.
The PSD shown in Fig. 2b was estimated by employing a one-sided periodogram. Each PSD estimation utilized a 100-ns time-domain segment containing 8,000 data points, employing a rectangular window and a resolution bandwidth of 10 MHz. The SNR presented in Fig. 2c was estimated using a one-sided power spectrum, employing a 100-ns time-domain segment with 8,000 data points and a Kaiser window (shape factor β = 38). This approach maximized the energy concentration in the main lobe and resulted in an equivalent rectangular noise bandwidth of 35.08 MHz.
The ranging results were measured using 2.5-GHz and 10-GHz stepped-frequency waveforms to illuminate a metal plane reflector with dimensions of 4 × 5 × 0.3 cm3. The reflected RF signal was converted to the optical domain via a phase modulator and mixed with a tap of the transmitted optical SF signal for coherent optical detection in a PD, forming an RF demodulated signal (Fig. 1c). Another low-speed real-time oscilloscope sampled the demodulated signal with a sampling rate (1.25 GSa s−1) greater than the inverse of the roundtrip time to ensure a minimum of one sample per frequency step. The demodulated signal was used in DSP. For example, the 10-GHz SF signal had 100 steps, so 100 data points were used for extracting the range information. Each ranging result had a Fourier-transform-limited resolution of 46 μm using a 215-point (inverse) Fourier transform. Each data point in Fig. 2d was obtained by extracting 1,000 individual range measurements for the same stationary target. This 1,000-time range measurement process was repeated at varying distances, with a 6-cm spacing between each distance and an estimated human placement error of ~1 mm.
Data availability
The data that support the plots within this paper are available at https://doi.org/10.5281/zenodo.7896142 (ref. 61). Any other data and findings of this study are available from the corresponding author upon reasonable request.
Code availability
The data-processing code used to produce the plots within this paper is available at https://doi.org/10.5281/zenodo.7896142 (ref. 61).
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Acknowledgements
This work was supported in part by the US Air Force (USAF) under grant no. FA2386-16-14036, in part by the US Office of Naval Research Global (ONRG) under grant no. N62909-18-1-2013, and in part by Australian Research Council Discovery Project under grant no. DP200101893. We acknowledge a discussion on contactless vital sign detection with A. Withana, and assistance with building the respiration simulator from J. Coyte. We acknowledge the 3D furniture model designs from B Pluse Furniture. Z.Z. is supported by an Australian Government Research Training Program (RTP) Scholarship.
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Y.L. and B.J.E. conceived the project. Y.L. and Z.Z. designed the system structure. Z.Z. conducted the experiments. Z.Z. and T.S. conducted the animal experiments. Z.Z., Y.L. and T.S. performed the data analysis. Z.Z. and Y.L. wrote the manuscript with contributions from B.J.E. and T.S. Y.L. and B.J.E. supervised the project.
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Animal ethics
All animal experiments were performed under the Animal Research Authority, project number 2022/2090, approved by the Animal Ethics Committee (AEC), the University of Sydney, in compliance with Section 27 of the NSW Animal Research Act 1985.
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Nature Photonics thanks Alexander Cerjan and the other, anonymous, reviewers for their contribution to the peer review of this work.
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Supplementary Figs. 1–6, discussion and Tables 1 and 2.
Supplementary Video 1
A demonstration video showcasing the effectiveness of the photonic radar in detecting the subtle buccal movements of a cane toad, compared to simultaneous video clip analysis.
Supplementary Video 2
A demonstration video showing the use of LiDAR to detect the buccal movements of a cane toad compared to the camera detection.
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Zhang, Z., Liu, Y., Stephens, T. et al. Photonic radar for contactless vital sign detection. Nat. Photon. 17, 791–797 (2023). https://doi.org/10.1038/s41566-023-01245-6
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DOI: https://doi.org/10.1038/s41566-023-01245-6