1,966 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
Unsupervised Heart-rate Estimation in Wearables With Liquid States and A Probabilistic Readout
Heart-rate estimation is a fundamental feature of modern wearable devices. In
this paper we propose a machine intelligent approach for heart-rate estimation
from electrocardiogram (ECG) data collected using wearable devices. The novelty
of our approach lies in (1) encoding spatio-temporal properties of ECG signals
directly into spike train and using this to excite recurrently connected
spiking neurons in a Liquid State Machine computation model; (2) a novel
learning algorithm; and (3) an intelligently designed unsupervised readout
based on Fuzzy c-Means clustering of spike responses from a subset of neurons
(Liquid states), selected using particle swarm optimization. Our approach
differs from existing works by learning directly from ECG signals (allowing
personalization), without requiring costly data annotations. Additionally, our
approach can be easily implemented on state-of-the-art spiking-based
neuromorphic systems, offering high accuracy, yet significantly low energy
footprint, leading to an extended battery life of wearable devices. We
validated our approach with CARLsim, a GPU accelerated spiking neural network
simulator modeling Izhikevich spiking neurons with Spike Timing Dependent
Plasticity (STDP) and homeostatic scaling. A range of subjects are considered
from in-house clinical trials and public ECG databases. Results show high
accuracy and low energy footprint in heart-rate estimation across subjects with
and without cardiac irregularities, signifying the strong potential of this
approach to be integrated in future wearable devices.Comment: 51 pages, 12 figures, 6 tables, 95 references. Under submission at
Elsevier Neural Network
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
Automatic calcium scoring in low-dose chest CT using deep neural networks with dilated convolutions
Heavy smokers undergoing screening with low-dose chest CT are affected by
cardiovascular disease as much as by lung cancer. Low-dose chest CT scans
acquired in screening enable quantification of atherosclerotic calcifications
and thus enable identification of subjects at increased cardiovascular risk.
This paper presents a method for automatic detection of coronary artery,
thoracic aorta and cardiac valve calcifications in low-dose chest CT using two
consecutive convolutional neural networks. The first network identifies and
labels potential calcifications according to their anatomical location and the
second network identifies true calcifications among the detected candidates.
This method was trained and evaluated on a set of 1744 CT scans from the
National Lung Screening Trial. To determine whether any reconstruction or only
images reconstructed with soft tissue filters can be used for calcification
detection, we evaluated the method on soft and medium/sharp filter
reconstructions separately. On soft filter reconstructions, the method achieved
F1 scores of 0.89, 0.89, 0.67, and 0.55 for coronary artery, thoracic aorta,
aortic valve and mitral valve calcifications, respectively. On sharp filter
reconstructions, the F1 scores were 0.84, 0.81, 0.64, and 0.66, respectively.
Linearly weighted kappa coefficients for risk category assignment based on per
subject coronary artery calcium were 0.91 and 0.90 for soft and sharp filter
reconstructions, respectively. These results demonstrate that the presented
method enables reliable automatic cardiovascular risk assessment in all
low-dose chest CT scans acquired for lung cancer screening
- …