15 research outputs found
Detection of Bundle Branch Blocks using Machine Learning Techniques
The most effective method used for the diagnosis of heart diseases is the Electrocardiogram (ECG). The shape of the ECG signal and the time interval between its various components gives useful details about any underlying heart disease. Any dysfunction of the heart is called as cardiac arrhythmia. The electrical impulses of the heart are blocked due to the cardiac arrhythmia called Bundle Branch Block (BBB) which can be observed as an irregular ECG wave. The BBB beats can indicate serious heart disease. The precise and quick detection of cardiac arrhythmias from the ECG signal can save lives and can also reduce the diagnostics cost. This study presents a machine learning technique for the automatic detection of BBB. In this method both morphological and statistical features were calculated from the ECG signals available in the standard MIT BIH database to classify them as normal, Left Bundle Branch Block (LBBB) and Right Bundle Branch Block (RBBB). ECG records in the MIT- BIH arrhythmia database containing Normal sinus rhythm, RBBB, and LBBB were used in the study. The suitability of the features extracted was evaluated using three classifiers, support vector machine, k-nearest neighbours and linear discriminant analysis. The accuracy of the technique is highly promising for all the three classifiers with k-nearest neighbours giving the highest accuracy of 98.2%. Since the ECG waveforms of patients with the same cardiac disorder is similar in shape, the proposed method is subject independent. The proposed technique is thus a reliable and simple method involving less computational complexity for the automatic detection of bundle branch block. This system can reduce the effort of cardiologists thereby enabling them to concentrate more on treatment of the patients
Ventricular Fibrillation and Tachycardia Detection Using Features Derived from Topological Data Analysis
A rapid and accurate detection of ventricular arrhythmias is essential to take appropriate therapeutic actions when cardiac arrhythmias occur. Furthermore, the accurate discrimination between arrhythmias is also important, provided that the required shocking therapy would not be the same. In this work, the main novelty is the use of the mathematical method known as Topological Data Analysis (TDA) to generate new types of features which can contribute to the improvement of the detection and classification performance of cardiac arrhythmias such as Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT). The electrocardiographic (ECG) signals used for this evaluation were obtained from the standard MIT-BIH and AHA databases. Two input data to the classify are evaluated: TDA features, and Persistence Diagram Image (PDI). Using the reduced TDA-obtained features, a high average accuracy near 99% was observed when discriminating four types of rhythms (98.68% to VF; 99.05% to VT; 98.76% to normal sinus; and 99.09% to Other rhythms) with specificity values higher than 97.16% in all cases. In addition, a higher accuracy of 99.51% was obtained when discriminating between shockable (VT/VF) and non-shockable rhythms (99.03% sensitivity and 99.67% specificity). These results show that the use of TDA-derived geometric features, combined in this case this the k-Nearest Neighbor (kNN) classifier, raises the classification performance above results in previous works. Considering that these results have been achieved without preselection of ECG episodes, it can be concluded that these features may be successfully introduced in Automated External Defibrillation (AED) and Implantable Cardioverter Defibrillation (ICD) therapie
Novel Fourier Quadrature Transforms and Analytic Signal Representations for Nonlinear and Non-stationary Time Series Analysis
The Hilbert transform (HT) and associated Gabor analytic signal (GAS)
representation are well-known and widely used mathematical formulations for
modeling and analysis of signals in various applications. In this study, like
the HT, to obtain quadrature component of a signal, we propose the novel
discrete Fourier cosine quadrature transforms (FCQTs) and discrete Fourier sine
quadrature transforms (FSQTs), designated as Fourier quadrature transforms
(FQTs). Using these FQTs, we propose sixteen Fourier-Singh analytic signal
(FSAS) representations with following properties: (1) real part of eight FSAS
representations is the original signal and imaginary part is the FCQT of the
real part, (2) imaginary part of eight FSAS representations is the original
signal and real part is the FSQT of the real part, (3) like the GAS, Fourier
spectrum of the all FSAS representations has only positive frequencies, however
unlike the GAS, the real and imaginary parts of the proposed FSAS
representations are not orthogonal to each other. The Fourier decomposition
method (FDM) is an adaptive data analysis approach to decompose a signal into a
set of small number of Fourier intrinsic band functions which are AM-FM
components. This study also proposes a new formulation of the FDM using the
discrete cosine transform (DCT) with the GAS and FSAS representations, and
demonstrate its efficacy for improved time-frequency-energy representation and
analysis of nonlinear and non-stationary time series.Comment: 22 pages, 13 figure
QRS Complex Detection based on Multilevel Thresholding and Peak-to-Peak Interval Statistics
Heart beats are important aspects of the study of heart diseases in medical science as they provide vital information on heart disorders and diseases or abnormalities in the heart rhythm. Each heart beat provides a QRS complex in the electrocardiogram (ECG) which is centered at the R-peak. The analysis of ECG is hindered by low-frequency noises, high-frequency noise, interference from P and T waves, and change in QRS morphology. Therefore, it is a major challenge to detect the QRS complexes using automatic detection algorithms.This thesis aims to present three new peak detection algorithms based on a statistical analysis of the ECG signal. In the first algorithm, a novel method of segmentation and statistical false peak elimination is proposed. The second algorithm uses different levels of adaptive thresholds to detect true peaks while the third algorithm combines and modifies the two proposed algorithms to provide better efficiency and accuracy in QRS complex detection. The proposed algorithms are tested on the MIT-BIH arrhythmia and provides better detection accuracy in comparison to several state-of-the-art methods in the field. To evaluate the performance of the proposed method, the merits of evaluation consider the number of false positives and negatives. A false positive (FP) is the result of a noise peak being detected and a false negative (FN) occurs when a beat is not detected at all. The methods emphasize better detection algorithms that detect peaks efficiently and automatically without eliminating the high-frequency noise completely and hence reduces the overall computational time
A Research on Maximum Symbolic Entropy from Intrinsic Mode Function and Its Application in Fault Diagnosis
Empirical mode decomposition (EMD) is a self-adaptive analysis method for nonlinear and nonstationary signals. It has been widely applied to machinery fault diagnosis and structural damage detection. A novel feature, maximum symbolic entropy of intrinsic mode function based on EMD, is proposed to enhance the ability of recognition of EMD in this paper. First, a signal is decomposed into a collection of intrinsic mode functions (IMFs) based on the local characteristic time scale of the signal, and then IMFs are transformed into a serious of symbolic sequence with different parameters. Second, it can be found that the entropies of symbolic IMFs are quite different. However, there is always a maximum value for a certain symbolic IMF. Third, take the maximum symbolic entropy as features to describe IMFs from a signal. Finally, the proposed features are applied to evaluate the effect of maximum symbolic entropy in fault diagnosis of rolling bearing, and then the maximum symbolic entropy is compared with other standard time analysis features in a contrast experiment. Although maximum symbolic entropy is only a time domain feature, it can reveal the signal characteristic information accurately. It can also be used in other fields related to EMD method
Extracting heart rate dependent electrocardiogram templates for a body emulator environment
Abstract. Medical device and analysis method developments often include tests on humans, which are expensive, time consuming, and sometimes even dangerous. In order to perform human tests, special safety conditions and ethical and legal requirements must be taken into account. Emulators that can emulate the physiological functions of the human body could solve these difficulties. In this study, the heart rate depended electrocardiogram templates for this kind of an emulator were extracted. The real-life electrocardiogram preprocessing included a high-pass filter and a Savitzky-Golay filter. A beat detection algorithm was developed to detect QRS complexes in the signals and classify beat artefacts based on the RR interval sequences and two adaptive thresholds. Heart rate levels were detected using the K-means clustering technique. Vectorcardiogram signals were converted from the electrocardiogram signals using the inverse Dower’s transformation matrix, and vectorcardiogram templates were extracted to the respective heart rate levels. Finally, a graphical user interface was created for the mentioned methods. The developed beat detection algorithm was tested with the MIT-BIH Arrhythmia Database and the comparison was made with the state-of-the-art algorithms. The beat detection algorithm resulted the sensitivity of 99.77 \%, precision of 99.65 \%, and detection error rate of 0.58 \%. Based on the results, the proposed methods and extracted vectorcardiogram templates were successful.Sykkeestä riippuvien elektrokardiogrammimallien poiminta kehoemulaattoriympäristöön. Tiivistelmä. Lääketieteellisten laitteiden ja analyysimenetelmien kehitystyö sisältää usein ihmisille suoritettavia testejä, jotka ovat kalliita, aikaa vieviä ja joskus jopa vaarallisia. Ihmiskokeiden toteuttamiseksi on otettava huomioon erityisiä turvallisuusehtoja, sekä eettisiä ja laillisia vaatimuksia. Emulaattorit, jotka pystyvät jäljittelemään ihmiskehon fysiologisia toimintoja, voivat olla ratkaisu näihin ongelmiin. Tässä tutkimuksessa sykkeestä riippuvia elektrokardiogrammimalleja poimittiin tämän tyyppiselle emulaattorille. Tosielämän elektrokardiogrammisignaalien esikäsittely sisälsi ylipäästösuodattimen ja Savitzky-Golay suodattimen. Sydämen lyöntien tunnistussalgoritmi kehitettiin tunnistamaan QRS-komplekseja signaaleista ja luokittelemaan lyöntiartefakteja RR-intervallisekvenssien ja kahden adaptiivisen kynnysarvon perusteella. Syketasot tunnistettiin käyttämällä K-means klusterointitekniikkaa. Vektorikardiogrammisignaalit muunnettiin elektrokardiogrammisignaaleista käyttämällä käänteistä Dowerin muunnosmatriisia ja vektorikardiogrammimallit poimittiin vastaaville syketasoille. Lopuksi luotiin graafnen käyttöliittymä mainituille menetelmille. Kehitetty lyöntien tunnistusalgoritmi testattiin MIT-BIH Arrhythmia Database-tietokannalla ja vertailu suoritettiin vastaavien algoritmien kanssa. Algoritmi suoriutui 99,77 % herkkyydellä, 99,65 % spesifsyydellä ja 0,58 % virheprosentilla. Tulosten perusteella ehdotetut menetelmät ja poimitut vektorikardiogrammimallit olivat onnistuneita
Novel approaches for quantitative electrogram analysis for rotor identification: Implications for ablation in patients with atrial fibrillation
University of Minnesota Ph.D. dissertation. May 2017. Major: Biomedical Engineering. Advisor: Elena Tolkacheva. 1 computer file (PDF); xxviii, 349 pages + 4 audio/video filesAtrial fibrillation (AF) is the most common sustained cardiac arrhythmia that causes stroke affecting more than 2.3 million people in the US. Catheter ablation with pulmonary vein isolation (PVI) to terminate AF is successful for paroxysmal AF but suffers limitations with persistent AF patients as current mapping methods cannot identify AF active substrates outside of PVI region. Recent evidences in the mechanistic understating of AF pathophysiology suggest that ectopic activity, localized re-entrant circuit with fibrillatory propagation and multiple circuit re-entries may all be involved in human AF. Accordingly, the hypothesis that rotor is an underlying AF mechanism is compatible with both the presence of focal discharges and multiple wavelets. Rotors are stable electrical sources which have characteristic spiral waves like appearance with a pivot point surrounded by peripheral region. Targeted ablation at the rotor pivot points in several animal studies have demonstrated efficacy in terminating AF. The objective of this dissertation was to develop robust spatiotemporal mapping techniques that can fully capture the intrinsic dynamics of the non-stationary time series intracardiac electrogram signal to accurately identify the rotor pivot zones that may cause and maintain AF. In this thesis, four time domain approaches namely multiscale entropy (MSE) recurrence period density entropy (RPDE), kurtosis and intrinsic mode function (IMF) complexity index and one frequency domain approach namely multiscale frequency (MSF) was proposed and developed for accurate identification of rotor pivot points. The novel approaches were validated using optical mapping data with induced ventricular arrhythmia in ex-vivo isolated rabbit heart with single, double and meandering rotors (including numerically simulated data). The results demonstrated the efficacy of the novel approaches in accurate identification of rotor pivot point. The chaotic nature of rotor pivot point resulted in higher complexity measured by MSE, RPDE, kurtosis, IMF and MSF compared to the stable rotor periphery that enabled its accurate identification. Additionally, the feasibility of using conventional catheter mapping system to generate patient specific 3D maps for intraprocedural guidance for catheter ablation using these novel approaches was demonstrated with 1055 intracardiac electrograms obtained from both atria’s in a persistent AF patient. Notably, the 3D maps did not provide any clinically significant information on rotor pivot point identification or the presence of rotors themselves. Validation of these novel approaches is required in large datasets with paroxysmal and persistent AF patients to evaluate their clinical utility in rotor identification as potential targets for AF ablation