A Tiny Transformer for Low-Power Arrhythmia Classification on Microcontrollers

Wearable systems for the continuous and real-time monitoring of cardiovascular diseases are becoming widespread and valuable assets in diagnosis and therapy. A promising approach for real-time analysis of the electrocardiographic (ECG) signal and the detection of heart conditions, such as arrhythmia, is represented by the transformer machine learning model. Transformers are powerful models for the classification of time series, although efficient implementation in the wearable domain raises significant design challenges, to combine adequate accuracy and a suitable complexity. In this work, we present a tiny transformer model for the analysis of the ECG signal, requiring only 6k parameters and reaching 98.97% accuracy in the recognition of the 5 most common arrhythmia classes from the MIT-BIH Arrhythmia database, assessed considering 8-bit integer inference as required for efficient execution on low-power microcontroller-based devices. We explored an augmentation-based training approach for improving the robustness against electrode motion artifacts noise, resulting in a worst-case post-deployment performance assessment of 98.36% accuracy. Suitability for wearable monitoring solutions is finally demonstrated through efficient deployment on the parallel ultra-low-power GAP9 processor, where inference execution requires 4.28ms and 0.09mJ

Time series kernel similarities for predicting Paroxysmal Atrial Fibrillation from ECGs

We tackle the problem of classifying Electrocardiography (ECG) signals with the aim of predicting the onset of Paroxysmal Atrial Fibrillation (PAF). Atrial fibrillation is the most common type of arrhythmia, but in many cases PAF episodes are asymptomatic. Therefore, in order to help diagnosing PAF, it is important to design procedures for detecting and, more importantly, predicting PAF episodes. We propose a method for predicting PAF events whose first step consists of a feature extraction procedure that represents each ECG as a multi-variate time series. Successively, we design a classification framework based on kernel similarities for multi-variate time series, capable of handling missing data. We consider different approaches to perform classification in the original space of the multi-variate time series and in an embedding space, defined by the kernel similarity measure. We achieve a classification accuracy comparable with state of the art methods, with the additional advantage of detecting the PAF onset up to 15 minutes in advance

Deep Learning in Cardiology

The medical field is creating large amount of data that physicians are unable to decipher and use efficiently. Moreover, rule-based expert systems are inefficient in solving complicated medical tasks or for creating insights using big data. Deep learning has emerged as a more accurate and effective technology in a wide range of medical problems such as diagnosis, prediction and intervention. Deep learning is a representation learning method that consists of layers that transform the data non-linearly, thus, revealing hierarchical relationships and structures. In this review we survey deep learning application papers that use structured data, signal and imaging modalities from cardiology. We discuss the advantages and limitations of applying deep learning in cardiology that also apply in medicine in general, while proposing certain directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table

A Survey of Wearable Biometric Recognition Systems

The growing popularity of wearable devices is leading to new ways to interact with the environment, with other smart devices, and with other people. Wearables equipped with an array of sensors are able to capture the owner’s physiological and behavioural traits, thus are well suited for biometric authentication to control other devices or access digital services. However, wearable biometrics have substantial differences from traditional biometrics for computer systems, such as fingerprints, eye features, or voice. In this article, we discuss these differences and analyse how researchers are approaching the wearable biometrics field. We review and provide a categorization of wearable sensors useful for capturing biometric signals. We analyse the computational cost of the different signal processing techniques, an important practical factor in constrained devices such as wearables. Finally, we review and classify the most recent proposals in the field of wearable biometrics in terms of the structure of the biometric system proposed, their experimental setup, and their results. We also present a critique of experimental issues such as evaluation and feasibility aspects, and offer some final thoughts on research directions that need attention in future work

A survey of wearable biometric recognition systems

The growing popularity of wearable devices is leading to new ways to interact with the environment, with other smart devices, and with other people. Wearables equipped with an array of sensors are able to capture the owner's physiological and behavioural traits, thus are well suited for biometric authentication to control other devices or access digital services. However, wearable biometrics have substantial differences from traditional biometrics for computer systems, such as fingerprints, eye features, or voice. In this article, we discuss these differences and analyse how researchers are approaching the wearable biometrics field. We review and provide a categorization of wearable sensors useful for capturing biometric signals. We analyse the computational cost of the different signal processing techniques, an important practical factor in constrained devices such as wearables. Finally, we review and classify the most recent proposals in the field of wearable biometrics in terms of the structure of the biometric system proposed, their experimental setup, and their results. We also present a critique of experimental issues such as evaluation and feasibility aspects, and offer some final thoughts on research directions that need attention in future work.This work was partially supported by the MINECO grant TIN2013-46469-R (SPINY) and the CAM Grant S2013/ICE-3095 (CIBERDINE

A Multitier Deep Learning Model for Arrhythmia Detection

Electrocardiograph (ECG) is employed as a primary tool for diagnosing cardiovascular diseases (CVD) in the hospital, which often helps in the early detection of such ailments. ECG signals provide a framework to probe the underlying properties and enhance the initial diagnosis obtained via traditional tools and patient-doctor dialogues. It provides cardiologists with inferences regarding more serious cases. Notwithstanding its proven utility, deciphering large datasets to determine appropriate information remains a challenge in ECG-based CVD diagnosis and treatment. Our study presents a deep neural network (DNN) strategy to ameliorate the aforementioned difficulties. Our strategy consists of a learning stage where classification accuracy is improved via a robust feature extraction. This is followed using a genetic algorithm (GA) process to aggregate the best combination of feature extraction and classification. The MIT-BIH Arrhythmia was employed in the validation to identify five arrhythmia categories based on the association for the advancement of medical instrumentation (AAMI) standard. The performance of the proposed technique alongside state-of-the-art in the area shows an increase of 0.94 and 0.953 in terms of average accuracy and F1 score, respectively. The proposed model could serve as an analytic module to alert users and/or medical experts when anomalies are detected in the acquired ECG data in a smart healthcare framework