scholarly journals P-Wave Detection Using a Fully Convolutional Neural Network in Electrocardiogram Images

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.

Author(s):  
Jinlei Liu ◽  
Yunqing Liu ◽  
Yanrui Jin ◽  
Xiaojun Chen ◽  
Liqun Zhao ◽  
...  

2019 ◽  
Vol 10 (3) ◽  
pp. 1626-1630
Author(s):  
Sharanya S ◽  
Sridhar PA ◽  
Poornakala J ◽  
Muppala Vasishta ◽  
Tharani U

Classification of Electrocardiogram (ECG) signals plays a significant role in the identification of the functioning of the heart. This work pertains with the ECG signals, where the classifier is developed for identification of normal or abnormal conditions of the heart. The raw ECG signals are collected from an online database (www.physioNet.org) for classification. The raw ECG signal is pre-processed for noise removal, and the frequency spectrum is analysed to compare raw and denoised ECG signal. Attributes (P, Q, R, S, T time intervals) from denoised ECG signal is analysed and classified using Convolution Neural Network (CNN). The paper reports a classification technique to differentiate ECG signals from the MIT-BIH database (arrhythmia database, arrhythmia p-wave annotations, atrial fibrillation). The CNN analyses the deviation between nominal ranges of attributes (amplitude and time interval) and classifies between the abnormality and normal ECG wave. This work provides a simple method for interpreting ECG related condition for the clinician and helps medical practitioners to make diagnostic decisions.


Author(s):  
Henry Castro ◽  
Juan David Garcia-Racines ◽  
Alvaro Bernal-Noreña

The detection of Paroxysmal Atrial Fibrillation (PAF) is a fairly complex process performed manually by cardiologists or electrophysiologists by reading an electrocardiogram (ECG). Currently, computational techniques for automatic detection based on fast Fourier transform (FFT), Bayes optimal classifier (BOC), k-nearest neighbors (K-NNs), and artificial neural network (ANN) have been proposed. In this study, six features were obtained based on the morphology of the P-Wave, the QRS complex and the heart rate variability (HRV) of the ECG. The performance of this methodology was validated using clinical ECG signals from the Physionet arrhythmia database MIT-BIH. A feedforward neural network was used to detect the presence of PAF reaching a general accuracy of 97.4%. The results obtained show that the inclusion of the information of the P-Wave, HRV and QR Electrical alternans increases the accuracy to identify the PAF event compared to other works that use the information of only one or at most two of them.


Sensors ◽  
2020 ◽  
Vol 20 (7) ◽  
pp. 2085 ◽  
Author(s):  
Rami M. Jomaa ◽  
Hassan Mathkour ◽  
Yakoub Bazi ◽  
Md Saiful Islam

Although fingerprint-based systems are the commonly used biometric systems, they suffer from a critical vulnerability to a presentation attack (PA). Therefore, several approaches based on a fingerprint biometrics have been developed to increase the robustness against a PA. We propose an alternative approach based on the combination of fingerprint and electrocardiogram (ECG) signals. An ECG signal has advantageous characteristics that prevent the replication. Combining a fingerprint with an ECG signal is a potentially interesting solution to reduce the impact of PAs in biometric systems. We also propose a novel end-to-end deep learning-based fusion neural architecture between a fingerprint and an ECG signal to improve PA detection in fingerprint biometrics. Our model uses state-of-the-art EfficientNets for generating a fingerprint feature representation. For the ECG, we investigate three different architectures based on fully-connected layers (FC), a 1D-convolutional neural network (1D-CNN), and a 2D-convolutional neural network (2D-CNN). The 2D-CNN converts the ECG signals into an image and uses inverted Mobilenet-v2 layers for feature generation. We evaluated the method on a multimodal dataset, that is, a customized fusion of the LivDet 2015 fingerprint dataset and ECG data from real subjects. Experimental results reveal that this architecture yields a better average classification accuracy compared to a single fingerprint modality.


2016 ◽  
Vol 61 (1) ◽  
pp. 37-56 ◽  
Author(s):  
Gustavo Lenis ◽  
Nicolas Pilia ◽  
Tobias Oesterlein ◽  
Armin Luik ◽  
Claus Schmitt ◽  
...  

Abstract Robust and exact automatic P wave detection and delineation in the electrocardiogram (ECG) is still an interesting but challenging research topic. The early prognosis of cardiac afflictions such as atrial fibrillation and the response of a patient to a given treatment is believed to improve if the P wave is carefully analyzed during sinus rhythm. Manual annotation of the signals is a tedious and subjective task. Its correctness depends on the experience of the annotator, quality of the signal, and ECG lead. In this work, we present a wavelet-based algorithm to detect and delineate P waves in individual ECG leads. We evaluated a large group of commonly used wavelets and frequency bands (wavelet levels) and introduced a special phase free wavelet transformation. The local extrema of the transformed signals are directly related to the delineating points of the P wave. First, the algorithm was studied using synthetic signals. Then, the optimal parameter configuration was found using intracardiac electrograms and surface ECGs measured simultaneously. The reverse biorthogonal wavelet 3.3 was found to be optimal for this application. In the end, the method was validated using the QT database from PhysioNet. We showed that the algorithm works more accurately and more robustly than other methods presented in literature. The validation study delivered an average delineation error of the P wave onset of -0.32±12.41 ms when compared to manual annotations. In conclusion, the algorithm is suitable for handling varying P wave shapes and low signal-to-noise ratios.


Author(s):  
Mohand Lokman Ahmad Al-dabag ◽  
Haider Th. Salim ALRikabi ◽  
Raid Rafi Omar Al-Nima

One of the common types of arrhythmia is Atrial Fibrillation (AF), it may cause death to patients. Correct diagnosing of heart problem through examining the Electrocardiogram (ECG) signal will lead to prescribe the right treatment for a patient. This study proposes a system that distinguishes between the normal and AF ECG signals. First, this work provides a novel algorithm for segmenting the ECG signal for extracting a single heartbeat. The algorithm utilizes low computational cost techniques to segment the ECG signal. Then, useful pre-processing and feature extraction methods are suggested. Two classifiers, Support Vector Machine (SVM) and Multilayer Perceptron (MLP), are separately used to evaluate the two proposed algorithms. The performance of the last proposed method with the two classifiers (SVM and MLP) show an improvement of about (19% and 17%, respectively) after using the proposed segmentation method so it became 96.2% and 97.5%, respectively.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ricardo Salinas-Martínez ◽  
Johannes de Bie ◽  
Nicoletta Marzocchi ◽  
Frida Sandberg

Background: Brief episodes of atrial fibrillation (AF) may evolve into longer AF episodes increasing the chances of thrombus formation, stroke, and death. Classical methods for AF detection investigate rhythm irregularity or P-wave absence in the ECG, while deep learning approaches profit from the availability of annotated ECG databases to learn discriminatory features linked to different diagnosis. However, some deep learning approaches do not provide analysis of the features used for classification. This paper introduces a convolutional neural network (CNN) approach for automatic detection of brief AF episodes based on electrocardiomatrix-images (ECM-images) aiming to link deep learning to features with clinical meaning.Materials and Methods: The CNN is trained using two databases: the Long-Term Atrial Fibrillation and the MIT-BIH Normal Sinus Rhythm, and tested on three databases: the MIT-BIH Atrial Fibrillation, the MIT-BIH Arrhythmia, and the Monzino-AF. Detection of AF is done using a sliding window of 10 beats plus 3 s. Performance is quantified using both standard classification metrics and the EC57 standard for arrhythmia detection. Layer-wise relevance propagation analysis was applied to link the decisions made by the CNN to clinical characteristics in the ECG.Results: For all three testing databases, episode sensitivity was greater than 80.22, 89.66, and 97.45% for AF episodes shorter than 15, 30 s, and for all episodes, respectively.Conclusions: Rhythm and morphological characteristics of the electrocardiogram can be learned by a CNN from ECM-images for the detection of brief episodes of AF.


2021 ◽  
Author(s):  
Lucie Maršánová ◽  
Radovan Smíšek ◽  
Andrea Němcová ◽  
Lukáš Smital ◽  
Martin Vítek

Abstract Background: Brno University of Technology ECG Signal Database with Annotations of P Wave (BUT PDB) is an ECG signal database with marked peaks of P waves created by the cardiology team at the Department of Biomedical Engineering, Brno University of Technology. Results: The database consists of 50 2-minute 2-lead ECG signal records with various types of pathologies. The ECGs were selected from 3 existing databases of ECG signal - MIT-BIH Arrhythmia Database, MIT-BIH Supraventricular Arrhythmia Database and Long Term AF Database. The P waves positions were manually annotated by two ECG experts in all 50 records. Each record contains also dominant diagnosis (pathology) present in the record and annotated positions and types of QRS complexes (from the original database). Conclusion: The database is created for the development, evaluation and objective comparison of P wave detection algorithms.


2020 ◽  
Author(s):  
Zhong Liu ◽  
Xin’an Wang

Abstract Background: Cardiovascular diseases (CVDs) are common diseases that pose significant threats to human health. Statistics have demonstrated that a large number of individuals die unexpectedly from sudden CVDs. Therefore, real-time monitoring and diagnosis of abnormal changes in cardiac activity are critical, as they can help the elderly and patients handle emergencies in a timely manner. To this end, a round-the-clock electrocardiogram (ECG) monitoring system can be developed with the quick detection of an ECG signal, segmentation of the detected ECG signal, and rapid diagnosis of a single segmented ECG beat. In this paper, to achieve the automatic detection and diagnosis of an ECG signal, five common types of ECG signals are used for recognition. For pre-processing the original ECG signal, the dual-slope detection algorithm is proposed and developed. Then, with the pre-processed ECG data, a five-layer one-dimensional convolutional neural network is constructed to classify five categories of heartbeats, namely, a normal heartbeat and four types of abnormal heartbeats. Results: To be able to compare the results of the experiment, the experimental data used in this study are obtained from the open-source MIT-BIH arrhythmia database. This database is authoritative, as each ECG signal cycle is annotated by at least two cardiologists, and abnormal ECG signals are classified into different categories. By comparing the detection and recognition results in this study with the results annotated in the MIT-BIH arrhythmia database, an overall accuracy of 96.20% is achieved in the classification of normal ECG signals and four categories of abnormal ECG signals.Conclusions: This paper provides an accurate method with low computational complexity for 24-hour dynamic monitoring and automated diagnosis of heartbeat conditions. With wearable devices, this method can be used at home for the initial screening of CVDs. In addition, it can perform diagnosis and warning for postoperative patients or patients with chronic CVDs.


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.


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