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

Tracking the Position of the Heart From Body Surface Potential Maps and Electrograms

The accurate generation of forward models is an important element in general research in electrocardiography, and in particular for the techniques for ElectroCardioGraphic Imaging (ECGI). Recent research efforts have been devoted to the reliable and fast generation of forward models. However, these model can suffer from several sources of inaccuracy, which in turn can lead to considerable error in both the forward simulation of body surface potentials and even more so for ECGI solutions. In particular, the accurate localization of the heart within the torso is sensitive to movements due to respiration and changes in position of the subject, a problem that cannot be resolved with better imaging and segmentation alone. Here, we propose an algorithm to localize the position of the heart using electrocardiographic recordings on both the heart and torso surface over a sequence of cardiac cycles. We leverage the dependency of electrocardiographic forward models on the underlying geometry to parameterize the forward model with respect to the position (translation) and orientation of the heart, and then estimate these parameters from heart and body surface potentials in a numerical inverse problem. We show that this approach is capable of localizing the position of the heart in synthetic experiments and that it reduces the modeling error in the forward models and resulting inverse solutions in canine experiments. Our results show a consistent decrease in error of both simulated body surface potentials and inverse reconstructed heart surface potentials after re-localizing the heart based on our estimated geometric correction. These results suggest that this method is capable of improving electrocardiographic models used in research settings and suggest the basis for the extension of the model presented here to its application in a purely inverse setting, where the heart potentials are unknown

Smart Sensors for Healthcare and Medical Applications

This book focuses on new sensing technologies, measurement techniques, and their applications in medicine and healthcare. Specifically, the book briefly describes the potential of smart sensors in the aforementioned applications, collecting 24 articles selected and published in the Special Issue “Smart Sensors for Healthcare and Medical Applications”. We proposed this topic, being aware of the pivotal role that smart sensors can play in the improvement of healthcare services in both acute and chronic conditions as well as in prevention for a healthy life and active aging. The articles selected in this book cover a variety of topics related to the design, validation, and application of smart sensors to healthcare

Learning Biosignals with Deep Learning

The healthcare system, which is ubiquitously recognized as one of the most influential system in society, is facing new challenges since the start of the decade.The myriad of physiological data generated by individuals, namely in the healthcare system, is generating a burden on physicians, losing effectiveness on the collection of patient data. Information systems and, in particular, novel deep learning (DL) algorithms have been prompting a way to take this problem. This thesis has the aim to have an impact in biosignal research and industry by presenting DL solutions that could empower this field. For this purpose an extensive study of how to incorporate and implement Convolutional Neural Networks (CNN), Recursive Neural Networks (RNN) and Fully Connected Networks in biosignal studies is discussed. Different architecture configurations were explored for signal processing and decision making and were implemented in three different scenarios: (1) Biosignal learning and synthesis; (2) Electrocardiogram (ECG) biometric systems, and; (3) Electrocardiogram (ECG) anomaly detection systems. In (1) a RNN-based architecture was able to replicate autonomously three types of biosignals with a high degree of confidence. As for (2) three CNN-based architectures, and a RNN-based architecture (same used in (1)) were used for both biometric identification, reaching values above 90% for electrode-base datasets (Fantasia, ECG-ID and MIT-BIH) and 75% for off-person dataset (CYBHi), and biometric authentication, achieving Equal Error Rates (EER) of near 0% for Fantasia and MIT-BIH and bellow 4% for CYBHi. As for (3) the abstraction of healthy clean the ECG signal and detection of its deviation was made and tested in two different scenarios: presence of noise using autoencoder and fully-connected network (reaching 99% accuracy for binary classification and 71% for multi-class), and; arrhythmia events by including a RNN to the previous architecture (57% accuracy and 61% sensitivity). In sum, these systems are shown to be capable of producing novel results. The incorporation of several AI systems into one could provide to be the next generation of preventive medicine, as the machines have access to different physiological and anatomical states, it could produce more informed solutions for the issues that one may face in the future increasing the performance of autonomous preventing systems that could be used in every-day life in remote places where the access to medicine is limited. These systems will also help the study of the signal behaviour and how they are made in real life context as explainable AI could trigger this perception and link the inner states of a network with the biological traits.O sistema de saúde, que é ubiquamente reconhecido como um dos sistemas mais influentes da sociedade, enfrenta novos desafios desde o ínicio da década. A miríade de dados fisiológicos gerados por indíviduos, nomeadamente no sistema de saúde, está a gerar um fardo para os médicos, perdendo a eficiência no conjunto dos dados do paciente. Os sistemas de informação e, mais espcificamente, da inovação de algoritmos de aprendizagem profunda (DL) têm sido usados na procura de uma solução para este problema. Esta tese tem o objetivo de ter um impacto na pesquisa e na indústria de biosinais, apresentando soluções de DL que poderiam melhorar esta área de investigação. Para esse fim, é discutido um extenso estudo de como incorporar e implementar redes neurais convolucionais (CNN), redes neurais recursivas (RNN) e redes totalmente conectadas para o estudo de biosinais. Diferentes arquiteturas foram exploradas para processamento e tomada de decisão de sinais e foram implementadas em três cenários diferentes: (1) Aprendizagem e síntese de biosinais; (2) sistemas biométricos com o uso de eletrocardiograma (ECG), e; (3) Sistema de detecção de anomalias no ECG. Em (1) uma arquitetura baseada na RNN foi capaz de replicar autonomamente três tipos de sinais biológicos com um alto grau de confiança. Quanto a (2) três arquiteturas baseadas em CNN e uma arquitetura baseada em RNN (a mesma usada em (1)) foram usadas para ambas as identificações, atingindo valores acima de 90 % para conjuntos de dados à base de eletrodos (Fantasia, ECG-ID e MIT -BIH) e 75 % para o conjunto de dados fora da pessoa (CYBHi) e autenticação, atingindo taxas de erro iguais (EER) de quase 0 % para Fantasia e MIT-BIH e abaixo de 4 % para CYBHi. Quanto a (3) a abstração de sinais limpos e assimptomáticos de ECG e a detecção do seu desvio foram feitas e testadas em dois cenários diferentes: na presença de ruído usando um autocodificador e uma rede totalmente conectada (atingindo 99 % de precisão na classificação binária e 71 % na multi-classe), e; eventos de arritmia incluindo um RNN na arquitetura anterior (57 % de precisão e 61 % de sensibilidade). Em suma, esses sistemas são mais uma vez demonstrados como capazes de produzir resultados inovadores. A incorporação de vários sistemas de inteligência artificial em um unico sistema pederá desencadear a próxima geração de medicina preventiva. Os algoritmos ao terem acesso a diferentes estados fisiológicos e anatómicos, podem produzir soluções mais informadas para os problemas que se possam enfrentar no futuro, aumentando o desempenho de sistemas autónomos de prevenção que poderiam ser usados na vida quotidiana, nomeadamente em locais remotos onde o acesso à medicinas é limitado. Estes sistemas também ajudarão o estudo do comportamento do sinal e como eles são feitos no contexto da vida real, pois a IA explicável pode desencadear essa percepção e vincular os estados internos de uma rede às características biológicas

Advanced Signal Processing in Wearable Sensors for Health Monitoring

Smart, wearables devices on a miniature scale are becoming increasingly widely available, typically in the form of smart watches and other connected devices. Consequently, devices to assist in measurements such as electroencephalography (EEG), electrocardiogram (ECG), electromyography (EMG), blood pressure (BP), photoplethysmography (PPG), heart rhythm, respiration rate, apnoea, and motion detection are becoming more available, and play a significant role in healthcare monitoring. The industry is placing great emphasis on making these devices and technologies available on smart devices such as phones and watches. Such measurements are clinically and scientifically useful for real-time monitoring, long-term care, and diagnosis and therapeutic techniques. However, a pertaining issue is that recorded data are usually noisy, contain many artefacts, and are affected by external factors such as movements and physical conditions. In order to obtain accurate and meaningful indicators, the signal has to be processed and conditioned such that the measurements are accurate and free from noise and disturbances. In this context, many researchers have utilized recent technological advances in wearable sensors and signal processing to develop smart and accurate wearable devices for clinical applications. The processing and analysis of physiological signals is a key issue for these smart wearable devices. Consequently, ongoing work in this field of study includes research on filtration, quality checking, signal transformation and decomposition, feature extraction and, most recently, machine learning-based methods