Objectives: With the technological advancements in the field of tele-health monitoring, it is now possible to gather huge amounts of electro-physiological signals such as electrocardiogram (ECG). It is therefore necessary to develop models/algorithms that are capable of analysing these massive amounts of data in real-time. This paper proposes a deep learning model for real-time segmentation of heartbeats. Methods: The proposed algorithm, named as the DENS-ECG algorithm, combines convolutional neural network (CNN) and long short-term memory (LSTM) model to detect onset, peak, and offset of different heartbeat waveforms such as the P-wave, QRS complex, T-wave, and No wave (NW). Using ECG as the inputs, the model learns to extract high level features through the training process, which, unlike other classical machine learning based methods, eliminates the feature engineering step. Results: The proposed DENS-ECG model was trained and validated on a dataset with 105 ECGs of length 15 minutes each and achieved an average sensitivity and precision of 97.95% and 95.68%, respectively, using a 5-fold cross validation. Additionally, the model was evaluated on an unseen dataset to examine its robustness in QRS detection, which resulted in a sensitivity of 99.61% and precision of 99.52%. Conclusion: The empirical results show the flexibility and accuracy of the combined CNN-LSTM model for ECG signal delineation. Significance: This paper proposes an efficient and easy to use approach using deep learning for heartbeat segmentation, which could potentially be used in real-time tele-health monitoring systems.
Universitat Pompeu Fabra（庞培法布拉大学）；Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN)（生物工程、生物材料与纳米医学生物医学研究网络中心（CIBER-BBN））；Aragón Institute of Engineering Research（阿拉贡工程研究所）；University of Zaragoza（萨拉戈萨大学）
Electrocardiogram (ECG) detection and delineation are key steps for numerous tasks in clinical practice, as ECG is the most performed non-invasive test for assessing cardiac condition. State-of-the-art algorithms employ digital signal processing (DSP), which require laborious rule adaptation to new morphologies. In contrast, deep learning (DL) algorithms, especially for classification, are gaining weight in academic and industrial settings. However, the lack of model explainability and small databases hinder their applicability. We demonstrate DL can be successfully applied to low interpretati…
Label-Efficient Deep Learning for ECG Delineation: A Multi-Dataset Benchmark against Widely Used Delineation Tools
VUNO Inc.（VUNO公司）；Ajou University（亚洲大学）；C&Thoth Co., Ltd.（C&Thoth有限公司）；Chonnam National University Graduate School（全南大学研究生院）；Chonnam National University Hospital（全南大学医院）；Chonnam National University Medical School（全南大学医学院）
Deep learning based ECG segmentation for delineation of diverse arrhythmias
Seoul National University（首尔大学）；Asan Medical Center, University of Ulsan College of Medicine（蔚山大学医学院附属峨山医院）；Pusan National University Hospital, Pusan National University School of Medicine（釜山大学医学院附属釜山国立大学医院）；AI Institute, Seoul National University（首尔大学人工智能研究院）；Seoul National University Hospital（首尔大学医院）；Medifarmsoft Co., Ltd.（Medifarmsoft有限公司）
本文提出一种类 U-Net 的心电图分割模型及后处理算法，用于在多种心律失常条件下准确 delineation P、QRS 和 T 波，并针对标准基准中代表性不足的心律失常提出改进策略。
Virgen Del Rocío University Hospital（罗西奥圣母大学医院）；Universidad San Jorge（圣豪尔赫大学）；Pompeu Fabra University（庞培法布拉大学）
Obtaining per-beat information is a key task in the analysis of cardiac electrocardiograms (ECG), as many downstream diagnosis tasks are dependent on ECG-based measurements. Those measurements, however, are costly to produce, especially in recordings that change throughout long periods of time. However, existing annotated databases for ECG delineation are small, being insufficient in size and in the array of pathological conditions they represent. This article delves has two main contributions. First, a pseudo-synthetic data generation algorithm was developed, based in probabilistically compos…
The electrocardiogram (ECG) signal is the most widely used non-invasive tool for the investigation of cardiovascular diseases. Automatic delineation of ECG fiducial points, in particular the R-peak, serves as the basis for ECG processing and analysis. This study proposes a new method of ECG signal analysis by introducing a new class of graphical models based on optimal changepoint detection models, named the graph-constrained changepoint detection (GCCD) model. The GCCD model treats fiducial points delineation in the non-stationary ECG signal as a changepoint detection problem. The proposed mo…
A Novel end-to-end Digital Health System Using Deep Learning-based ECG Analysis
KIOS Research and Innovation Center of Excellence (KIOS CoE)（KIOS研究与创新中心（KIOS CoE））；University of Cyprus（塞浦路斯大学）；MEDTL Medical Technologies Ltd.（MEDTL医疗技术有限公司）；Department of Computer Science, University of Cyprus（塞浦路斯大学计算机科学系）
Beihang University（北京航空航天大学）；Tianjin Medical University（天津医科大学）
In recent years, deep learning has witnessed its blossom in the field of Electrocardiography (ECG) processing, outperforming traditional signal processing methods in various tasks, for example, classification, QRS detection, wave delineation. Although many neural architectures have been proposed in the literature, there is a lack of systematic studies and open-source libraries for ECG deep learning. In this paper, we propose a deep learning framework, named \texttt{torch\_ecg}, which gathers a large number of neural networks, both from literature and novel, for various ECG processing tasks. It…
We exploit a self-supervised deep multi-task learning framework for electrocardiogram (ECG) -based emotion recognition. The proposed solution consists of two stages of learning a) learning ECG representations and b) learning to classify emotions. ECG representations are learned by a signal transformation recognition network. The network learns high-level abstract representations from unlabeled ECG data. Six different signal transformations are applied to the ECG signals, and transformation recognition is performed as pretext tasks. Training the model on pretext tasks helps the network learn sp…
Electrocardiogram signals are omnipresent in medicine. A vital aspect in the analysis of this data is the identification and classification of heart beat types which is often done through automated algorithms. Advancements in neural networks and deep learning have led to a high classification accuracy. However, the final adoption of these models into clinical practice is limited due to the black-box nature of the methods. In this work, we explore the use of variational auto-encoders based on linear dense networks to learn human interpretable beat embeddings in time-series data. We demonstrate …
HSE University（高等经济大学）；Sber AI Lab（俄联邦储蓄银行人工智能实验室）；Artificial Intelligence Research Institute (AIRI)（人工智能研究院（AIRI））
Cardiovascular disease remains a significant problem in modern society. Among non-invasive techniques, the electrocardiogram (ECG) is one of the most reliable methods for detecting abnormalities in cardiac activities. However, ECG interpretation requires expert knowledge and it is time-consuming. Developing a novel method to detect the disease early could prevent death and complication. The paper presents novel various approaches for classifying cardiac diseases from ECG recordings. The first approach suggests the Poincare representation of ECG signal and deep-learning-based image classifiers …
Swiss Center for Electronics and Microtechnology (CSEM)（瑞士电子与微技术中心）
We developed a convolutional recurrent neural network to classify 12-lead ECG signals for the challenge of PhysioNet/ Computing in Cardiology 2020 as team Pink Irish Hat. The model combines convolutional and recurrent layers, takes sliding windows of ECG signals as input and yields the probability of each class as output. The convolutional part extracts features from each sliding window. The bi-directional gated recurrent unit (GRU) layer and an attention layer aggregate these features from all windows into a single feature vector. Finally, a dense layer outputs class probabilities. The final …
We present an electrocardiogram (ECG) -based emotion recognition system using self-supervised learning. Our proposed architecture consists of two main networks, a signal transformation recognition network and an emotion recognition network. First, unlabelled data are used to successfully train the former network to detect specific pre-determined signal transformations in the self-supervised learning step. Next, the weights of the convolutional layers of this network are transferred to the emotion recognition network, and two dense layers are trained in order to classify arousal and valence sco…
Qatar University（卡塔尔大学）；Liverpool John Moores University（利物浦约翰摩尔斯大学）；University of Kurdistan Hewler（库尔德斯坦休勒尔大学）；Firat University（菲拉特大学）；Sulaimani Polytechnic University（苏莱曼尼亚理工大学）
The reliable and rapid identification of the COVID-19 has become crucial to prevent the rapid spread of the disease, ease lockdown restrictions and reduce pressure on public health infrastructures. Recently, several methods and techniques have been proposed to detect the SARS-CoV-2 virus using different images and data. However, this is the first study that will explore the possibility of using deep convolutional neural network (CNN) models to detect COVID-19 from electrocardiogram (ECG) trace images. In this work, COVID-19 and other cardiovascular diseases (CVDs) were detected using deep-lear…
Atrial fibrillation is a cardiac arrhythmia that affects an estimated 33.5 million people globally and is the potential cause of 1 in 3 strokes in people over the age of 60. Detection and diagnosis of atrial fibrillation (AFIB) is done noninvasively in the clinical environment through the evaluation of electrocardiograms (ECGs). Early research into automated methods for the detection of AFIB in ECG signals focused on traditional bio-medical signal analysis to extract important features for use in statistical classification models. Artificial intelligence models have more recently been used tha…
Swiss Center for Electronics and Microtechnology (CSEM SA)（瑞士电子与微技术中心）
ECG heartbeat classification plays a vital role in diagnosis of cardiac arrhythmia. The goal of the Physionet/CinC 2021 challenge was to accurately classify clinical diagnosis based on 12, 6, 4, 3 or 2-lead ECG recordings in order to aid doctors in the diagnoses of different heart conditions. Transformers have had great success in the field of natural language processing in the past years. Our team, CinCSEM, proposes to draw the parallel between text and periodic time series signals by viewing the repeated period as words and the whole signal as a sequence of such words. In this way, the atten…
With the periodic rise and fall of COVID-19 and numerous countries being affected by its ramifications, there has been a tremendous amount of work that has been done by scientists, researchers, and doctors all over the world. Prompt intervention is keenly needed to tackle the unconscionable dissemination of the disease. The implementation of Artificial Intelligence (AI) has made a significant contribution to the digital health district by applying the fundamentals of deep learning algorithms. In this study, a novel approach is proposed to automatically diagnose the COVID-19 by the utilization …
The objective is to study the feasibility of predicting subsurface rock properties in wells from real-time drilling data. Geophysical logs, namely, density, porosity and sonic logs are of paramount importance for subsurface resource estimation and exploitation. These wireline petro-physical measurements are selectively deployed as they are expensive to acquire; meanwhile, drilling information is recorded in every drilled well. Hence a predictive tool for wireline log prediction from drilling data can help management make decisions about data acquisition, especially for delineation and producti…
Indian Institute of Technology, Roorkee（鲁尔基印度理工学院）；Leicester Royal Infirmary（莱斯特皇家医院）；Glenfield Hospital（格伦菲尔德医院）
The incidences of atrial fibrillation (AFib) are increasing at a daunting rate worldwide. For the early detection of the risk of AFib, we have developed an automatic detection system based on deep neural networks. For achieving better classification, it is mandatory to have good pre-processing of physiological signals. Keeping this in mind, we have proposed a two-fold study. First, an end-to-end model is proposed to denoise the electrocardiogram signals using denoising autoencoders (DAE). To achieve denoising, we have used three networks including, convolutional neural network (CNN), dense neu…
