27,794 research outputs found
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
Recommended from our members
Deep learning for cardiac image segmentation: A review
Deep learning has become the most widely used approach for cardiac image segmentation in recent years. In this paper, we provide a review of over 100 cardiac image segmentation papers using deep learning, which covers common imaging modalities including magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound (US) and major anatomical structures of interest (ventricles, atria and vessels). In addition, a summary of publicly available cardiac image datasets and code repositories are included to provide a base for encouraging reproducible research. Finally, we discuss the challenges and limitations with current deep learning-based approaches (scarcity of labels, model generalizability across different domains, interpretability) and suggest potential directions for future research
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
Classification of Arrhythmia by Using Deep Learning with 2-D ECG Spectral Image Representation
The electrocardiogram (ECG) is one of the most extensively employed signals
used in the diagnosis and prediction of cardiovascular diseases (CVDs). The ECG
signals can capture the heart's rhythmic irregularities, commonly known as
arrhythmias. A careful study of ECG signals is crucial for precise diagnoses of
patients' acute and chronic heart conditions. In this study, we propose a
two-dimensional (2-D) convolutional neural network (CNN) model for the
classification of ECG signals into eight classes; namely, normal beat,
premature ventricular contraction beat, paced beat, right bundle branch block
beat, left bundle branch block beat, atrial premature contraction beat,
ventricular flutter wave beat, and ventricular escape beat. The one-dimensional
ECG time series signals are transformed into 2-D spectrograms through
short-time Fourier transform. The 2-D CNN model consisting of four
convolutional layers and four pooling layers is designed for extracting robust
features from the input spectrograms. Our proposed methodology is evaluated on
a publicly available MIT-BIH arrhythmia dataset. We achieved a state-of-the-art
average classification accuracy of 99.11\%, which is better than those of
recently reported results in classifying similar types of arrhythmias. The
performance is significant in other indices as well, including sensitivity and
specificity, which indicates the success of the proposed method.Comment: 14 pages, 5 figures, accepted for future publication in Remote
Sensing MDPI Journa
Transfer Knowledge from Natural Language to Electrocardiography: Can We Detect Cardiovascular Disease Through Language Models?
Recent advancements in Large Language Models (LLMs) have drawn increasing
attention since the learned embeddings pretrained on large-scale datasets have
shown powerful ability in various downstream applications. However, whether the
learned knowledge by LLMs can be transferred to clinical cardiology remains
unknown. In this work, we aim to bridge this gap by transferring the knowledge
of LLMs to clinical Electrocardiography (ECG). We propose an approach for
cardiovascular disease diagnosis and automatic ECG diagnosis report generation.
We also introduce an additional loss function by Optimal Transport (OT) to
align the distribution between ECG and language embedding. The learned
embeddings are evaluated on two downstream tasks: (1) automatic ECG diagnosis
report generation, and (2) zero-shot cardiovascular disease detection. Our
approach is able to generate high-quality cardiac diagnosis reports and also
achieves competitive zero-shot classification performance even compared with
supervised baselines, which proves the feasibility of transferring knowledge
from LLMs to the cardiac domain.Comment: EACL 202
Benchmarking Deep Learning Architectures for Predicting Readmission to the ICU and Describing Patients-at-Risk
Objective: To compare different deep learning architectures for predicting
the risk of readmission within 30 days of discharge from the intensive care
unit (ICU). The interpretability of attention-based models is leveraged to
describe patients-at-risk. Methods: Several deep learning architectures making
use of attention mechanisms, recurrent layers, neural ordinary differential
equations (ODEs), and medical concept embeddings with time-aware attention were
trained using publicly available electronic medical record data (MIMIC-III)
associated with 45,298 ICU stays for 33,150 patients. Bayesian inference was
used to compute the posterior over weights of an attention-based model. Odds
ratios associated with an increased risk of readmission were computed for
static variables. Diagnoses, procedures, medications, and vital signs were
ranked according to the associated risk of readmission. Results: A recurrent
neural network, with time dynamics of code embeddings computed by neural ODEs,
achieved the highest average precision of 0.331 (AUROC: 0.739, F1-Score:
0.372). Predictive accuracy was comparable across neural network architectures.
Groups of patients at risk included those suffering from infectious
complications, with chronic or progressive conditions, and for whom standard
medical care was not suitable. Conclusions: Attention-based networks may be
preferable to recurrent networks if an interpretable model is required, at only
marginal cost in predictive accuracy
- …