scholarly journals Discrete Biorthogonal Wavelet Transform Based Convolutional Neural Network for Atrial Fibrillation Diagnosis from Electrocardiogram

Author(s):  
Qingsong Xie ◽  
Shikui Tu ◽  
Guoxing Wang ◽  
Yong Lian ◽  
Lei Xu

For the problem of early detection of atrial fibrillation (AF) from electrocardiogram (ECG), it is difficult to capture subject-invariant discriminative features from ECG signals, due to the high variation in ECG morphology across subjects and the noise in ECG. In this paper, we propose an Discrete Biorthogonal Wavelet Transform (DBWT) Based Convolutional Neural Network (CNN) for AF detection, shortly called DBWT-AFNet. In DBWT-AFNet, rather than directly feeding ECG into CNN, DBWT is used to separate sub-signals in frequency band of heart beat from ECG, whose output is fed to CNN for AF diagnosis. Such sub-signals are better than the raw ECG for subject-invariant CNN representation learning because noisy information irrelevant to human beat has been largely filtered out. To strengthen the generalization ability of CNN to discover subject-invariant pattern in ECG, skip connection is exploited to propagate information well in neural network and channel attention is designed to adaptively highlight informative channel-wise features. Experiments show that the proposed DBWT-AFNet outperforms the state-of- the-art methods, especially for ECG segments classification across different subjects, where no data from testing subjects have been used in training.

Entropy ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. 119
Author(s):  
Tao Wang ◽  
Changhua Lu ◽  
Yining Sun ◽  
Mei Yang ◽  
Chun Liu ◽  
...  

Early detection of arrhythmia and effective treatment can prevent deaths caused by cardiovascular disease (CVD). In clinical practice, the diagnosis is made by checking the electrocardiogram (ECG) beat-by-beat, but this is usually time-consuming and laborious. In the paper, we propose an automatic ECG classification method based on Continuous Wavelet Transform (CWT) and Convolutional Neural Network (CNN). CWT is used to decompose ECG signals to obtain different time-frequency components, and CNN is used to extract features from the 2D-scalogram composed of the above time-frequency components. Considering the surrounding R peak interval (also called RR interval) is also useful for the diagnosis of arrhythmia, four RR interval features are extracted and combined with the CNN features to input into a fully connected layer for ECG classification. By testing in the MIT-BIH arrhythmia database, our method achieves an overall performance of 70.75%, 67.47%, 68.76%, and 98.74% for positive predictive value, sensitivity, F1-score, and accuracy, respectively. Compared with existing methods, the overall F1-score of our method is increased by 4.75~16.85%. Because our method is simple and highly accurate, it can potentially be used as a clinical auxiliary diagnostic tool.


2020 ◽  
Vol 10 (3) ◽  
pp. 976
Author(s):  
Rana N. Costandy ◽  
Safa M. Gasser ◽  
Mohamed S. El-Mahallawy ◽  
Mohamed W. Fakhr ◽  
Samir Y. Marzouk

Electrocardiogram (ECG) signal analysis is a critical task in diagnosing the presence of any cardiac disorder. There are limited studies on detecting P-waves in various atrial arrhythmias, such as atrial fibrillation (AFIB), atrial flutter, junctional rhythm, and other arrhythmias due to P-wave variability and absence in various cases. Thus, there is a growing need to develop an efficient automated algorithm that annotates a 2D printed version of P-waves in the well-known ECG signal databases for validation purposes. To our knowledge, no one has annotated P-waves in the MIT-BIH atrial fibrillation database. Therefore, it is a challenge to manually annotate P-waves in the MIT-BIH AF database and to develop an automated algorithm to detect the absence and presence of different shapes of P-waves. In this paper, we present the manual annotation of P-waves in the well-known MIT-BIH AF database with the aid of a cardiologist. In addition, we provide an automatic P-wave segmentation for the same database using a fully convolutional neural network model (U-Net). This algorithm works on 2D imagery of printed ECG signals, as this type of imagery is the most commonly used in developing countries. The proposed automatic P-wave detection method obtained an accuracy and sensitivity of 98.56% and 98.78%, respectively, over the first 5 min of the second lead of the MIT-BIH AF database (a total of 8280 beats). Moreover, the proposed method is validated using the well-known automatically and manually annotated QT database (a total of 11,201 and 3194 automatically and manually annotated beats, respectively). This results in accuracies of 98.98 and 98.9%, and sensitivities of 98.97 and 97.24% for the automatically and manually annotated QT databases, respectively. Thus, these results indicate that the proposed automatic method can be used for analyzing long-printed ECG signals on mobile battery-driven devices using only images of the ECG signals, without the need for a cardiologist.


2021 ◽  
Author(s):  
Yunendah Nur Fu’adah ◽  
Ki Moo Lim

Abstract Delayed diagnosis of atrial fibrillation (AF) and congestive heart failure (CHF) can lead to death. Early diagnosis of these cardiac conditions is possible by manually analyzing electrocardiogram (ECG) signals. However, manual diagnosis is complex, owing to the various characteristics of ECG signals. Several studies have reported promising results using the automatic classification of ECG signals. The performance accuracy needs to be improved considering that an accurate classification system of AF and CHF has the potential to save a patient’s life. An optimal ECG signal classification system for AF and CHF has been proposed in this study using a one-dimensional convolutional neural network (1-D CNN) to improve the performance. A total of 150 datasets of ECG signals were modeled using the1-D CNN. The proposed 1-D CNN algorithm, provided precision values, recall, f1-score, accuracy of 100%, and successfully classified raw data of ECG signals into three conditions, which are normal sinus rhythm (NSR), AF, and CHF. The results showed that the proposed method outperformed the previous methods. This approach can be considered as an adjunct for medical personnel to diagnose AF, CHF, and NSR.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bambang Tutuko ◽  
Siti Nurmaini ◽  
Alexander Edo Tondas ◽  
Muhammad Naufal Rachmatullah ◽  
Annisa Darmawahyuni ◽  
...  

Abstract Background Generalization model capacity of deep learning (DL) approach for atrial fibrillation (AF) detection remains lacking. It can be seen from previous researches, the DL model formation used only a single frequency sampling of the specific device. Besides, each electrocardiogram (ECG) acquisition dataset produces a different length and sampling frequency to ensure sufficient precision of the R–R intervals to determine the heart rate variability (HRV). An accurate HRV is the gold standard for predicting the AF condition; therefore, a current challenge is to determine whether a DL approach can be used to analyze raw ECG data in a broad range of devices. This paper demonstrates powerful results for end-to-end implementation of AF detection based on a convolutional neural network (AFibNet). The method used a single learning system without considering the variety of signal lengths and frequency samplings. For implementation, the AFibNet is processed with a computational cloud-based DL approach. This study utilized a one-dimension convolutional neural networks (1D-CNNs) model for 11,842 subjects. It was trained and validated with 8232 records based on three datasets and tested with 3610 records based on eight datasets. The predicted results, when compared with the diagnosis results indicated by human practitioners, showed a 99.80% accuracy, sensitivity, and specificity. Result Meanwhile, when tested using unseen data, the AF detection reaches 98.94% accuracy, 98.97% sensitivity, and 98.97% specificity at a sample period of 0.02 seconds using the DL Cloud System. To improve the confidence of the AFibNet model, it also validated with 18 arrhythmias condition defined as Non-AF-class. Thus, the data is increased from 11,842 to 26,349 instances for three-class, i.e., Normal sinus (N), AF and Non-AF. The result found 96.36% accuracy, 93.65% sensitivity, and 96.92% specificity. Conclusion These findings demonstrate that the proposed approach can use unknown data to derive feature maps and reliably detect the AF periods. We have found that our cloud-DL system is suitable for practical deployment


2021 ◽  
Author(s):  
K Reddy Madhavi ◽  
Padmavathi kora ◽  
L Venkateswara Reddy ◽  
J Avanija ◽  
KLS Soujanya ◽  
...  

Abstract The non-stationary ECG signals are used as a key tools in screening coronary diseases. ECG recording is collected from millions of cardiac cells’ and depolarization and re-polarization conducted in a synchronized manner as: The P-wave occurs first, followed by the QRScomplex and the T-wave, which will repeat in each beat. The signal is altered in a cardiac beat period for different heart conditions. This change can be observed in order to diagnose the patient’s heart status. There are life-threatening (critical) and non-life - threatening (noncritical) arrhythmia (abnormal Heart). Critical arrhythmia gives little time for surgery, whereas non-critical needs additional life-saving care. Simple naked eye diagnosis can mislead the detection. At that point, Computer Assisted Diagnosis (CAD) is therefore required. In this paper Dual Tree Wavelet Transform (DTWT) used as a feature extraction technique along with Convolution Neural Network (CNN) to detect abnormal Heart. The findings of this research and associated studies are without any cumbersome artificial environments. The CAD method proposed has high generalizability; it can help doctors efficiently identify diseases and decrease misdiagnosis.


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