Exploring Near- and Far-Field Effects in Photoplethysmography Signals Across Different Source–Detector Distances

Photoplethysmography is a widely used optical technique to extract physiological information non-invasively. Despite its large use and adoption, multiple factors influence the signal shape and quality, including the instrumentation used. This work analyzes the variability of the DC component of the PPG signal at three source-detector distances (6 mm, 9 mm, and 12 mm) using green, red, and infrared light and four photodiodes per distance. The coefficient of variation (CV) is proposed as a new signal quality index (SQI) to evaluate signal variabilities. This study first characterizes the PPG system, which is then used to acquire PPG signals in the chest of 14 healthy participants. Results show a great DC variability at 6 mm, homogenizing at 9 and 12 mm. This suggests that PPG systems are also sensitive to the near- and far-field effects commonly reported and studied in optics, which can impact the accuracy of physiological parameters dependent on the DC component, such as oxygen saturation (SpO₂).