A photoplethysmography method has recently been widely used to noninvasively measure blood volume changes during a cardiac cycle. Photoplethysmogram (PPG) signals are sensitive to artifacts that negatively impact the accuracy of many important measurements. In this paper, we propose an efficient system for detecting PPG signal artifacts acquired from a fingertip in the public healthcare database named Multiparameter Intelligent Monitoring in Intensive Care (MIMIC) by using 11 features as the

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... ut of the random forest algorithm and classified the signals into two classes: acceptable and anomalous. A real-time algorithm is proposed to identify artifacts by using the method. The efficient Fisher score feature selection algorithm was used to order and select 11 relevant features from 19 available features that represented the PPG signal very effectively. Six machine learning algorithms (random forest, decision tree, Gaussian naïve Bayes, linear support vector machine, artificial neural network, and probabilistic neural network) were applied with the extracted features, and their classification accuracy was measured. Among them, the random forest had the best performance using only 11 out of 19 features with an accuracy of 85.68%. Our proposed method also achieved good sensitivity and specificity value of 86.57% and 85.09%, respectively. The proposed real-time algorithm can be an easy and convenient way for real-time PPG signal artifact detection using smartphones and wearable devices.