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

Transparent authentication: Utilising heart rate for user authentication

There has been exponential growth in the use of wearable technologies in the last decade with smart watches having a large share of the market. Smart watches were primarily used for health and fitness purposes but recent years have seen a rise in their deployment in other areas. Recent smart watches are fitted with sensors with enhanced functionality and capabilities. For example, some function as standalone device with the ability to create activity logs and transmit data to a secondary device. The capability has contributed to their increased usage in recent years with researchers focusing on their potential. This paper explores the ability to extract physiological data from smart watch technology to achieve user authentication. The approach is suitable not only because of the capacity for data capture but also easy connectivity with other devices - principally the Smartphone. For the purpose of this study, heart rate data is captured and extracted from 30 subjects continually over an hour. While security is the ultimate goal, usability should also be key consideration. Most bioelectrical signals like heart rate are non-stationary time-dependent signals therefore Discrete Wavelet Transform (DWT) is employed. DWT decomposes the bioelectrical signal into n level sub-bands of detail coefficients and approximation coefficients. Biorthogonal Wavelet (bior 4.4) is applied to extract features from the four levels of detail coefficents. Ten statistical features are extracted from each level of the coffecient sub-band. Classification of each sub-band levels are done using a Feedforward neural Network (FF-NN). The 1 st , 2 nd , 3 rd and 4 th levels had an Equal Error Rate (EER) of 17.20%, 18.17%, 20.93% and 21.83% respectively. To improve the EER, fusion of the four level sub-band is applied at the feature level. The proposed fusion showed an improved result over the initial result with an EER of 11.25% As a one-off authentication decision, an 11% EER is not ideal, its use on a continuous basis makes this more than feasible in practice

A Review of Atrial Fibrillation Detection Methods as a Service

Atrial Fibrillation (AF) is a common heart arrhythmia that often goes undetected, and even if it is detected, managing the condition may be challenging. In this paper, we review how the RR interval and Electrocardiogram (ECG) signals, incorporated into a monitoring system, can be useful to track AF events. Were such an automated system to be implemented, it could be used to help manage AF and thereby reduce patient morbidity and mortality. The main impetus behind the idea of developing a service is that a greater data volume analyzed can lead to better patient outcomes. Based on the literature review, which we present herein, we introduce the methods that can be used to detect AF efficiently and automatically via the RR interval and ECG signals. A cardiovascular disease monitoring service that incorporates one or multiple of these detection methods could extend event observation to all times, and could therefore become useful to establish any AF occurrence. The development of an automated and efficient method that monitors AF in real time would likely become a key component for meeting public health goals regarding the reduction of fatalities caused by the disease. Yet, at present, significant technological and regulatory obstacles remain, which prevent the development of any proposed system. Establishment of the scientific foundation for monitoring is important to provide effective service to patients and healthcare professionals

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal

Personalized Health Monitoring Using Evolvable Block-based Neural Networks

This dissertation presents personalized health monitoring using evolvable block-based neural networks. Personalized health monitoring plays an increasingly important role in modern society as the population enjoys longer life. Personalization in health monitoring considers physiological variations brought by temporal, personal or environmental differences, and demands solutions capable to reconfigure and adapt to specific requirements. Block-based neural networks (BbNNs) consist of 2-D arrays of modular basic blocks that can be easily implemented using reconfigurable digital hardware such as field programmable gate arrays (FPGAs) that allow on-line partial reorganization. The modular structure of BbNNs enables easy expansion in size by adding more blocks. A computationally efficient evolutionary algorithm is developed that simultaneously optimizes structure and weights of BbNNs. This evolutionary algorithm increases optimization speed by integrating a local search operator. An adaptive rate update scheme removing manual tuning of operator rates enhances the fitness trend compared to pre-determined fixed rates. A fitness scaling with generalized disruptive pressure reduces the possibility of premature convergence. The BbNN platform promises an evolvable solution that changes structures and parameters for personalized health monitoring. A BbNN evolved with the proposed evolutionary algorithm using the Hermite transform coefficients and a time interval between two neighboring R peaks of ECG signal, provides a patient-specific ECG heartbeat classification system. Experimental results using the MIT-BIH Arrhythmia database demonstrate a potential for significant performance enhancements over other major techniques

Advanced sensors technology survey

This project assesses the state-of-the-art in advanced or 'smart' sensors technology for NASA Life Sciences research applications with an emphasis on those sensors with potential applications on the space station freedom (SSF). The objectives are: (1) to conduct literature reviews on relevant advanced sensor technology; (2) to interview various scientists and engineers in industry, academia, and government who are knowledgeable on this topic; (3) to provide viewpoints and opinions regarding the potential applications of this technology on the SSF; and (4) to provide summary charts of relevant technologies and centers where these technologies are being developed