Detection of Inferior Myocardial Infarction using Shallow Convolutional Neural Networks

Myocardial Infarction is one of the leading causes of death worldwide. This paper presents a Convolutional Neural Network (CNN) architecture which takes raw Electrocardiography (ECG) signal from lead II, III and AVF and differentiates between inferior myocardial infarction (IMI) and healthy signals. The performance of the model is evaluated on IMI and healthy signals obtained from Physikalisch-Technische Bundesanstalt (PTB) database. A subject-oriented approach is taken to comprehend the generalization capability of the model and compared with the current state of the art. In a subject-oriented approach, the network is tested on one patient and trained on rest of the patients. Our model achieved a superior metrics scores (accuracy= 84.54%, sensitivity= 85.33% and specificity= 84.09%) when compared to the benchmark. We also analyzed the discriminating strength of the features extracted by the convolutional layers by means of geometric separability index and euclidean distance and compared it with the benchmark model

Computer Aided ECG Analysis - State of the Art and Upcoming Challenges

In this paper we present current achievements in computer aided ECG analysis and their applicability in real world medical diagnosis process. Most of the current work is covering problems of removing noise, detecting heartbeats and rhythm-based analysis. There are some advancements in particular ECG segments detection and beat classifications but with limited evaluations and without clinical approvals. This paper presents state of the art advancements in those areas till present day. Besides this short computer science and signal processing literature review, paper covers future challenges regarding the ECG signal morphology analysis deriving from the medical literature review. Paper is concluded with identified gaps in current advancements and testing, upcoming challenges for future research and a bullseye test is suggested for morphology analysis evaluation.Comment: 7 pages, 3 figures, IEEE EUROCON 2013 International conference on computer as a tool, 1-4 July 2013, Zagreb, Croati

Application of artificial intelligence techniques for automated detection of myocardial infarction: A review

Myocardial infarction (MI) results in heart muscle injury due to receiving insufficient blood flow. MI is the most common cause of mortality in middle-aged and elderly individuals around the world. To diagnose MI, clinicians need to interpret electrocardiography (ECG) signals, which requires expertise and is subject to observer bias. Artificial intelligence-based methods can be utilized to screen for or diagnose MI automatically using ECG signals. In this work, we conducted a comprehensive assessment of artificial intelligence-based approaches for MI detection based on ECG as well as other biophysical signals, including machine learning (ML) and deep learning (DL) models. The performance of traditional ML methods relies on handcrafted features and manual selection of ECG signals, whereas DL models can automate these tasks. The review observed that deep convolutional neural networks (DCNNs) yielded excellent classification performance for MI diagnosis, which explains why they have become prevalent in recent years. To our knowledge, this is the first comprehensive survey of artificial intelligence techniques employed for MI diagnosis using ECG and other biophysical signals.Comment: 16 pages, 8 figure

Early detection of Myocardial Infarction using WBAN

International audienceCardiovascular diseases are the leading cause of death in the world, and Myocardial Infarction (MI) is the most serious one among those diseases. Patient monitoring for an early detection of MI is important to alert medical assistance and increase the vital prognostic of patients. With the development of wearable sensor devices having wireless transmission capabilities, there is a need to develop real-time applications that are able to accurately detect MI non-invasively. In this paper, we propose a new approach for early detection of MI using wireless body area networks. The proposed approach analyzes the patient electrocardiogram (ECG) in real time and extracts from each ECG cycle the ST elevation which is a significant indicator of an upcoming MI. We use the sequential change point detection algorithm CUmulative SUM (CUSUM) to early detect any deviation in ST elevation time series, and to raise an alarm for healthcare professionals. The experimental results on the ECG of real patients show that our proposed approach can detect MI with low delay and high accuracy

Biosignal Generation and Latent Variable Analysis with Recurrent Generative Adversarial Networks

The effectiveness of biosignal generation and data augmentation with biosignal generative models based on generative adversarial networks (GANs), which are a type of deep learning technique, was demonstrated in our previous paper. GAN-based generative models only learn the projection between a random distribution as input data and the distribution of training data.Therefore, the relationship between input and generated data is unclear, and the characteristics of the data generated from this model cannot be controlled. This study proposes a method for generating time-series data based on GANs and explores their ability to generate biosignals with certain classes and characteristics. Moreover, in the proposed method, latent variables are analyzed using canonical correlation analysis (CCA) to represent the relationship between input and generated data as canonical loadings. Using these loadings, we can control the characteristics of the data generated by the proposed method. The influence of class labels on generated data is analyzed by feeding the data interpolated between two class labels into the generator of the proposed GANs. The CCA of the latent variables is shown to be an effective method of controlling the generated data characteristics. We are able to model the distribution of the time-series data without requiring domain-dependent knowledge using the proposed method. Furthermore, it is possible to control the characteristics of these data by analyzing the model trained using the proposed method. To the best of our knowledge, this work is the first to generate biosignals using GANs while controlling the characteristics of the generated data

Detection of myocardial infarction based on novel deep transfer learning methods for urban healthcare in smart cities

YesOne of the common cardiac disorders is a cardiac attack called Myocardial infarction (MI), which occurs due to the blockage of one or more coronary arteries. Timely treatment of MI is important and slight delay results in severe consequences. Electrocardiogram (ECG) is the main diagnostic tool to monitor and reveal the MI signals. The complex nature of MI signals along with noise poses challenges to doctors for accurate and quick diagnosis. Manually studying large amounts of ECG data can be tedious and time-consuming. Therefore, there is a need for methods to automatically analyze the ECG data and make diagnosis. Number of studies has been presented to address MI detection, but most of these methods are computationally expensive and faces the problem of overfitting while dealing real data. In this paper, an effective computer-aided diagnosis (CAD) system is presented to detect MI signals using the convolution neural network (CNN) for urban healthcare in smart cities. Two types of transfer learning techniques are employed to retrain the pre-trained VGG-Net (Fine-tuning and VGG-Net as fixed feature extractor) and obtained two new networks VGG-MI1 and VGG-MI2. In the VGG-MI1 model, the last layer of the VGG-Net model is replaced with a specific layer according to our requirements and various functions are optimized to reduce overfitting. In the VGG-MI2 model, one layer of the VGG-Net model is selected as a feature descriptor of the ECG images to describe it with informative features. Considering the limited availability of dataset, ECG data is augmented which has increased the classification performance. A standard well-known database Physikalisch-Technische Bundesanstalt (PTB) Diagnostic ECG is used for the validation of the proposed framework. It is evident from experimental results that the proposed framework achieves a high accuracy surpasses the existing methods. In terms of accuracy, sensitivity, and specificity; VGG-MI1 achieved 99.02%, 98.76%, and 99.17%, respectively, while VGG-MI2 models achieved an accuracy of 99.22%, a sensitivity of 99.15%, and a specificity of 99.49%.This project was funded by University of Jeddah, Jeddah, Saudi Arabia (Project number: UJ-02-018-ICGR)

Modelos de Markov ocultos para la detección temprana de enfermedades cardiovasculares

Introduction: This article, developed between 2022 and 2023 within the framework of Applied Stochastic Processes by the SciBas group at the Universidad Distrital Francisco José de Caldas, focuses on the role of Hidden Markov Models (HMM) in predicting cardiovascular diseases. Problem: The addressed issue is the need to enhance the early detection of heart diseases, emphasizing how HMM can address uncertainty in clinical data and detect complex patterns. Objective: To evaluate the use of Hidden Markov Models (HMM) in the analysis of electrocardiograms (ECG) for the early detection of cardiovascular diseases. Methodology: The methodology comprises a literature review concerning the relationship between HMM and cardiovascular diseases, followed by the application of HMM to prevent heart attacks and address uncertainty in clinical data. Results: The findings indicate that HMM is effective in preventing heart diseases, yet its effectiveness is contingent upon data quality. These results are promising but not universally applicable. Conclusions: In summary, this study underscores the utility of HMM in early infarction detection and its statistical approach in medicine. It is emphasized that HMM is not infallible and should be complemented with other clinical options and assessment methods in real-world situations. Originality: This work stands out for its statistical and probabilistic approach in the application of Hidden Markov Models (HMM) in medical analysis, offering an innovative perspective and enhancing the understanding of their utility in the field of medicine. Limitations: It is recognized that there are limitations, such as dependence on data quality and variable applicability in clinical cases. These limitations should be considered in the context of their implementation in medical practice.Introducción: Este artículo, desarrollado entre 2022 y 2023 en el marco de Procesos Estocásticos Aplicados por el grupo SciBas de la Universidad Distrital Francisco José de Caldas, se enfoca en el papel de las cadenas de Markov ocultas (HMM) en la predicción de enfermedades cardiovasculares. Problema: El problema abordado es la necesidad de mejorar la detección temprana de enfermedades cardíacas, y se destaca cómo las HMM pueden abordar la incertidumbre en los datos clínicos y detectar patrones complejos. Objetivo: Evaluar el uso de modelos de Markov ocultos (HMM) en el análisis de electrocardiogramas (ECG) para la detección temprana de enfermedades cardiovasculares. Metodología: La metodología incluye una revisión de la literatura sobre la relación entre las HMM y las enfermedades cardiovasculares, seguida de la aplicación de HMM para prevenir infartos y abordar la incertidumbre en los datos clínicos. Resultados: Los resultados indican que las HMM son efectivas en la prevención de enfermedades cardíacas, pero su eficacia depende de la calidad de los datos. Estos resultados son prometedores, pero no universales en su aplicabilidad. Conclusiones: En resumen, este estudio destaca la utilidad de las HMM en la detección temprana de infartos y su enfoque estadístico en medicina. Se enfatiza que no son infalibles y deben complementarse con otras opciones clínicas y métodos de evaluación en situaciones reales

ECG-Based Arrhythmia Classification using Recurrent Neural Networks in Embedded Systems

Cardiac arrhythmia is one of the most important cardiovascular diseases (CVDs), causing million deaths every year. Moreover it is difficult to diagnose because it occurs intermittently and as such requires the analysis of large amount of data, collected during the daily life of patients. An important tool for CVD diagnosis is the analysis of electrocardiogram (ECG), because of its non-invasive nature and simplicity of acquisition. In this work we propose a classification algorithm for arrhythmia based on recurrent neural networks (RNNs) that operate directly on ECG data, exploring the effectiveness and efficiency of several variations of the general RNN, in particular using different types of layers implementing the network memory. We use the MIT-BIH arrhythmia database and the evaluation protocol recommended by the Association for the Advancement of Medical Instrumentation (AAMI). After designing and testing the effectiveness of the different networks, we then test its porting to an embedded platform, namely the STM32 microcontroller architecture from ST, using a specific framework to port a pre-built RNN to the embedded hardware, convert it to optimized code for the platform and evaluate its performance in terms of resource usage. Both in binary and multiclass classification, the basic RNN model outperforms the other architectures in terms of memory storage (∼117 KB), number of parameters (∼5 k) and inference time (∼150 ms), while the RNN LSTM-based achieved the best accuracy (∼90%)

Feature Selection and Non-Euclidean Dimensionality Reduction: Application to Electrocardiology.

Heart disease has been the leading cause of human death for decades. To improve treatment of heart disease, algorithms to perform reliable computer diagnosis using electrocardiogram (ECG) data have become an area of active research. This thesis utilizes well-established methods from cluster analysis, classification, and localization to cluster and classify ECG data, and aims to help clinicians diagnose and treat heart diseases. The power of these methods is enhanced by state-of-the-art feature selection and dimensionality reduction. The specific contributions of this thesis are as follows. First, a unique combination of ECG feature selection and mixture model clustering is introduced to classify the sites of origin of ventricular tachycardias. Second, we apply a restricted Boltzmann machine (RBM) to learn sparse representations of ECG signals and to build an enriched classifier from patient data. Third, a novel manifold learning algorithm is introduced, called Quaternion Laplacian Information Maps (QLIM), and is applied to visualize high-dimensional ECG signals. These methods are applied to design of an automated supervised classification algorithm to help a physician identify the origin of ventricular arrhythmias (VA) directed from a patient's ECG data. The algorithm is trained on a large database of ECGs and catheter positions collected during the electrophysiology (EP) pace-mapping procedures. The proposed algorithm is demonstrated to have a correct classification rate of over 80% for the difficult task of classifying VAs having epicardial or endocardial origins.PhDElectrical Engineering: SystemsUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/113303/1/dyjung_1.pd