# Denoising Non-Invasive Electroespinography Signals by Different Cardiac Artifact Removal Algorithms

## TL;DR

This paper evaluates different methods to remove heart signals from spinal cord recordings to improve data accuracy.

## Contribution

The study introduces a comparison of seven cardiac artifact removal algorithms for electrospinography signal processing.

## Key findings

- Adaptive Template Subtraction (ATS) performed best in suppressing cardiac artifacts across different shapes.
- ATS achieved the best balance between artifact removal and signal integrity despite not preserving low-frequency content.
- Algorithm performance improved with lower ECG contamination, especially in brachial plexus recordings.

## Abstract

The non-invasive recording of spinal cord neuronal activity, also known as electrospinography (ESG), using high-density surface electromyography (HD-sEMG) is a promising emerging biosensing modality. However, these recordings often contain electrocardiographic (ECG) artifacts that must be removed for accurate analysis. Given the emerging nature of ESG and the lack of dedicated signal processing methods, this study assesses the performance of seven established EMG denoising algorithms for their ability to preserve the broad spectral bandwidth needed for future ESG characterization: Template Subtraction (TS), Adaptive Template Subtraction (ATS), High-Pass Filtering at 200 Hz (HP200), ATS combined with HP200, Second-Order Extended Kalman Smoother (EKS2), Stationary Wavelet Transform (SWT), and Empirical Mode Decomposition (EMD). Performance was quantified using six metrics: Relative Error (RE), Signal-to-Noise Ratio (SNR), Cross-Correlation (CC), Spectral Distortion (SD), and Kurtosis Ratio (KR2) and its variation (ΔKR2). ESG data were recorded from nine healthy participants at brachial and lumbar plexus sites with various electrode configurations. ATS consistently outperformed all other methods in suppressing cardiac artifacts of varying shapes. Although it did not fully preserve low-frequency content, ATS achieved the best balance between artifact removal and signal integrity. Algorithm performance improved when ECG contamination was lower, especially in brachial plexus recordings with closer reference electrodes.