47 research outputs found

    Prediction Analysis of Esophageal Variceal Degrees using Data Mining: Is Validated in Clinical Medicine?

    Get PDF
    The objective of this study is to assess the feasibility of a data mining association analysis technique in early prediction of esophageal varices in cirrhotic patients and prediction of risky groups candidates for urgent interventional procedure. A manuscript titled 201C;Detection of Risky Esophageal varices using 2D U/S: when to perform Endoscopy201D;, published in The American Journal of The Medical Science on 21Th of December 2012, to our knowledge it was the first prospective study to assess the degree of esophageal varices by 2D ultrasound using the data mining statistical computed analysis in 673 patients. A descriptive model was generated using a decision tree algorithm (Rapid Miner, version 4.6, Berlin, Germany), the over all accuracy was 95%. Following another 59 patients using statistical analysis to determine the association between esophageal variceal degrees detected by Ultrasound in comparable to Upper Endoscopy, was done. Categorical data were compared using the x2 test, where as continuous variables were compared using Student2019;s t test. The comparative results accuracy of both two studies was 97.9%

    Electrocardiogram pattern recognition and analysis based on artificial neural networks and support vector machines: a review.

    Get PDF
    Computer systems for Electrocardiogram (ECG) analysis support the clinician in tedious tasks (e.g., Holter ECG monitored in Intensive Care Units) or in prompt detection of dangerous events (e.g., ventricular fibrillation). Together with clinical applications (arrhythmia detection and heart rate variability analysis), ECG is currently being investigated in biometrics (human identification), an emerging area receiving increasing attention. Methodologies for clinical applications can have both differences and similarities with respect to biometrics. This paper reviews methods of ECG processing from a pattern recognition perspective. In particular, we focus on features commonly used for heartbeat classification. Considering the vast literature in the field and the limited space of this review, we dedicated a detailed discussion only to a few classifiers (Artificial Neural Networks and Support Vector Machines) because of their popularity; however, other techniques such as Hidden Markov Models and Kalman Filtering will be also mentioned

    ECG beat classification using a cost sensitive classifier

    Get PDF
    In this paper, we introduce a new system for ECG beat classification using Support Vector Machines (SVMs) classifier with rejection. After ECG preprocessing, the QRS complexes are detected and segmented. A set of features including frequency information, RR intervals, QRS morphology and AC power of QRS detail coefficients is exploited to characterize each beat. An SVM follows to classify the feature vectors. Our decision rule uses dynamic reject thresholds following the cost of misclassifying a sample and the cost of rejecting a sample. Significant performance enhancement is observed when the proposed approach is tested with the MIT-BIH arrhythmia database. The achieved results are represented by the average accuracy of 97.2% with no rejection and 98.8% for the minimal classification cost

    Cardiovascular data analytics for real time patient monitoring

    Get PDF
    Improvements in wearable sensor devices make it possible to constantly monitor physiological parameters such as electrocardiograph (ECG) signals for long periods. Remote patient monitoring with wearable sensors has an important role to play in health care, particularly given the prevalence of chronic conditions such as cardiovascular disease (CVD)—one of the prominent causes of morbidity and mortality worldwide. Approximately 4.2 million Australians suffer from long-term CVD with approximately one death every 12 minutes. The assessment of ECG features, especially heart rate variability (HRV), represents a non-invasive technique which provides an indication of the autonomic nervous system (ANS) function. Conditions such as sudden cardiac death, hypertension, heart failure, myocardial infarction, ischaemia, and coronary heart disease can be detected from HRV analysis. In addition, the analysis of ECG features can also be used to diagnose many types of life-threatening arrhythmias, including ventricular fibrillation and ventricular tachycardia. Non-cardiac conditions, such as diabetes, obesity, metabolic syndrome, insulin resistance, irritable bowel syndrome, dyspepsia, anorexia nervosa, anxiety, and major depressive disorder have also been shown to be associated with HRV. The analysis of ECG features from real time ECG signals generated from wearable sensors provides distinctive challenges. The sensors that receive and process the signals have limited power, storage and processing capacity. Consequently, algorithms that process ECG signals need to be lightweight, use minimal storage resources and accurately detect abnormalities so that alarms can be raised. The existing literature details only a few algorithms which operate within the constraints of wearable sensor networks. This research presents four novel techniques that enable ECG signals to be processed within the limitations of resource constraints on devices to detect some key abnormalities in heart function. - The first technique is a novel real-time ECG data reduction algorithm, which detects and transmits only those key points that are critical for the generation of ECG features for diagnoses. - The second technique accurately predicts the five-minute HRV measure using only three minutes of data with an algorithm that executes in real-time using minimal computational resources. - The third technique introduces a real-time ECG feature recognition system that can be applied to diagnose life threatening conditions such as premature ventricular contractions (PVCs). - The fourth technique advances a classification algorithm to enhance the performance of automated ECG classification to determine arrhythmic heart beats based on noisy ECG signals. The four novel techniques are evaluated in comparison with benchmark algorithms for each task on the standard MIT-BIH Arrhythmia Database and with data generated from patients in a major hospital using Shimmer3 wearable ECG sensors. The four techniques are integrated to demonstrate that remote patient monitoring of ECG using HRV and ECG features is feasible in real time using minimal computational resources. The evaluation show that the ECG reduction algorithm is significantly better than existing algorithms that can be applied within sensor nodes, such as time-domain methods, transformation methods and compressed sensing methods. Furthermore, the proposed ECG reduction is found to be computationally less complex for resource constrained sensors and achieves higher compression ratios than existing algorithms. The prediction of a common HRV measure, the five-minute standard deviation of inter-beat variations (SDNN) and the accurate detection of PVC beats was achieved using a Count Data Model, combined with a Poisson-generated function from three-minute ECG recordings. This was achieved with minimal computational resources and was well suited to remote patient monitoring with wearable sensors. The PVC beats detection was implemented using the same count data model together with knowledge-based rules derived from clinical knowledge. A real-time cardiac patient monitoring system was implemented using an ECG sensor and smartphone to detect PVC beats within a few seconds using artificial neural networks (ANN), and it was proven to provide highly accurate results. The automated detection and classification were implemented using a new wrapper-based hybrid approach that utilized t-distributed stochastic neighbour embedding (t-SNE) in combination with self-organizing maps (SOM) to improve classification performance. The t-SNE-SOM hybrid resulted in improved sensitivity, specificity and accuracy compared to most common hybrid methods in the presence of noise. It also provided a better, more accurate identification for the presence of many types of arrhythmias from the ECG recordings, leading to a more timely diagnosis and treatment outcome.Doctor of Philosoph

    Role of independent component analysis in intelligent ECG signal processing

    Get PDF
    The Electrocardiogram (ECG) reflects the activities and the attributes of the human heart and reveals very important hidden information in its structure. The information is extracted by means of ECG signal analysis to gain insights that are very crucial in explaining and identifying various pathological conditions. The feature extraction process can be accomplished directly by an expert through, visual inspection of ECGs printed on paper or displayed on a screen. However, the complexity and the time taken for the ECG signals to be visually inspected and manually analysed means that it‟s a very tedious task thus yielding limited descriptions. In addition, a manual ECG analysis is always prone to errors: human oversights. Moreover ECG signal processing has become a prevalent and effective tool for research and clinical practices. A typical computer based ECG analysis system includes a signal preprocessing, beats detection and feature extraction stages, followed by classification.Automatic identification of arrhythmias from the ECG is one important biomedical application of pattern recognition. This thesis focuses on ECG signal processing using Independent Component Analysis (ICA), which has received increasing attention as a signal conditioning and feature extraction technique for biomedical application. Long term ECG monitoring is often required to reliably identify the arrhythmia. Motion induced artefacts are particularly common in ambulatory and Holter recordings, which are difficult to remove with conventional filters due to their similarity to the shape of ectopic xiiibeats. Feature selection has always been an important step towards more accurate, reliable and speedy pattern recognition. Better feature spaces are also sought after in ECG pattern recognition applications. Two new algorithms are proposed, developed and validated in this thesis, one for removing non-trivial noises in ECGs using the ICA and the other deploys the ICA extracted features to improve recognition of arrhythmias. Firstly, independent component analysis has been studiedand found effective in this PhD project to separate out motion induced artefacts in ECGs, the independent component corresponding to noise is then removed from the ECG according to kurtosis and correlation measurement.The second algorithm has been developed for ECG feature extraction, in which the independent component analysis has been used to obtain a set of features, or basis functions of the ECG signals generated hypothetically by different parts of the heart during the normal and arrhythmic cardiac cycle. ECGs are then classified based on the basis functions along with other time domain features. The selection of the appropriate feature set for classifier has been found important for better performance and quicker response. Artificial neural networks based pattern recognition engines are used to perform final classification to measure the performance of ICA extracted features and effectiveness of the ICA based artefacts reduction algorithm.The motion artefacts are effectively removed from the ECG signal which is shown by beat detection on noisy and cleaned ECG signals after ICA processing. Using the ICA extracted feature sets classification of ECG arrhythmia into eight classes with fewer independent components and very high classification accuracy is achieved

    ECG analysis and classification using CSVM, MSVM and SIMCA classifiers

    Get PDF
    Reliable ECG classification can potentially lead to better detection methods and increase accurate diagnosis of arrhythmia, thus improving quality of care. This thesis investigated the use of two novel classification algorithms: CSVM and SIMCA, and assessed their performance in classifying ECG beats. The project aimed to introduce a new way to interactively support patient care in and out of the hospital and develop new classification algorithms for arrhythmia detection and diagnosis. Wave (P-QRS-T) detection was performed using the WFDB Software Package and multiresolution wavelets. Fourier and PCs were selected as time-frequency features in the ECG signal; these provided the input to the classifiers in the form of DFT and PCA coefficients. ECG beat classification was performed using binary SVM. MSVM, CSVM, and SIMCA; these were subsequently used for simultaneously classifying either four or six types of cardiac conditions. Binary SVM classification with 100% accuracy was achieved when applied on feature-reduced ECG signals from well-established databases using PCA. The CSVM algorithm and MSVM were used to classify four ECG beat types: NORMAL, PVC, APC, and FUSION or PFUS; these were from the MIT-BIH arrhythmia database (precordial lead group and limb lead II). Different numbers of Fourier coefficients were considered in order to identify the optimal number of features to be presented to the classifier. SMO was used to compute hyper-plane parameters and threshold values for both MSVM and CSVM during the classifier training phase. The best classification accuracy was achieved using fifty Fourier coefficients. With the new CSVM classifier framework, accuracies of 99%, 100%, 98%, and 99% were obtained using datasets from one, two, three, and four precordial leads, respectively. In addition, using CSVM it was possible to successfully classify four types of ECG beat signals extracted from limb lead simultaneously with 97% accuracy, a significant improvement on the 83% accuracy achieved using the MSVM classification model. In addition, further analysis of the following four beat types was made: NORMAL, PVC, SVPB, and FUSION. These signals were obtained from the European ST-T Database. Accuracies between 86% and 94% were obtained for MSVM and CSVM classification, respectively, using 100 Fourier coefficients for reconstructing individual ECG beats. Further analysis presented an effective ECG arrhythmia classification scheme consisting of PCA as a feature reduction method and a SIMCA classifier to differentiate between either four or six different types of arrhythmia. In separate studies, six and four types of beats (including NORMAL, PVC, APC, RBBB, LBBB, and FUSION beats) with time domain features were extracted from the MIT-BIH arrhythmia database and the St Petersburg INCART 12-lead Arrhythmia Database (incartdb) respectively. Between 10 and 30 PCs, coefficients were selected for reconstructing individual ECG beats in the feature selection phase. The average classification accuracy of the proposed scheme was 98.61% and 97.78 % using the limb lead and precordial lead datasets, respectively. In addition, using MSVM and SIMCA classifiers with four ECG beat types achieved an average classification accuracy of 76.83% and 98.33% respectively. The effectiveness of the proposed algorithms was finally confirmed by successfully classifying both the six beat and four beat types of signal respectively with a high accuracy ratio

    Electrocardiogram Pattern Recognition and Analysis Based on Artificial Neural Networks and Support Vector Machines: A Review

    Full text link
    corecore