Automated Diagnosis of Myocardial Infarction ECG Signals Using Sample Entropy in Flexible Analytic Wavelet Transform Framework

Myocardial infarction (MI) is a silent condition that irreversibly damages the heart muscles. It expands rapidly and, if not treated timely, continues to damage the heart muscles. An electrocardiogram (ECG) is generally used by the clinicians to diagnose the MI patients. Manual identification of the changes introduced by MI is a time-consuming and tedious task, and there is also a possibility of misinterpretation of the changes in the ECG. Therefore, a method for automatic diagnosis of MI using ECG beat with flexible analytic wavelet transform (FAWT) method is proposed in this work. First, the segmentation of ECG signals into beats is performed. Then, FAWT is applied to each ECG beat, which decomposes them into subband signals. Sample entropy (SEnt) is computed from these subband signals and fed to the random forest (RF), J48 decision tree, back propagation neural network (BPNN), and least-squares support vector machine (LS-SVM) classifiers to choose the highest performing one. We have achieved highest classification accuracy of 99.31% using LS-SVM classifier. We have also incorporated Wilcoxon and Bhattacharya ranking methods and observed no improvement in the performance. The proposed automated method can be installed in the intensive care units (ICUs) of hospitals to aid the clinicians in confirming their diagnosis

Use of Accumulated Entropies for Automated Detection of Congestive Heart Failure in Flexible Analytic Wavelet Transform Framework Based on Short-Term HRV Signals

In the present work, an automated method to diagnose Congestive Heart Failure (CHF) using Heart Rate Variability (HRV) signals is proposed. This method is based on Flexible Analytic Wavelet Transform (FAWT), which decomposes the HRV signals into different sub-band signals. Further, Accumulated Fuzzy Entropy (AFEnt) and Accumulated Permutation Entropy (APEnt) are computed over cumulative sums of these sub-band signals. This provides complexity analysis using fuzzy and permutation entropies at different frequency scales. We have extracted 20 features from these signals obtained at different frequency scales of HRV signals. The Bhattacharyya ranking method is used to rank the extracted features from the HRV signals of three different lengths (500, 1000 and 2000 samples). These ranked features are fed to the Least Squares Support Vector Machine (LS-SVM) classifier. Our proposed system has obtained a sensitivity of 98.07%, specificity of 98.33% and accuracy of 98.21% for the 500-sample length of HRV signals. Our system yielded a sensitivity of 97.95%, specificity of 98.07% and accuracy of 98.01% for HRV signals of a length of 1000 samples and a sensitivity of 97.76%, specificity of 97.67% and accuracy of 97.71% for signals corresponding to the 2000-sample length of HRV signals. Our automated system can aid clinicians in the accurate detection of CHF using HRV signals. It can be installed in hospitals, polyclinics and remote villages where there is no access to cardiologists

Tunable-Q Wavelet Transform Based Multivariate Sub-Band Fuzzy Entropy with Application to Focal EEG Signal Analysis

This paper analyses the complexity of multivariate electroencephalogram (EEG) signals in different frequency scales for the analysis and classification of focal and non-focal EEG signals. The proposed multivariate sub-band entropy measure has been built based on tunable-Q wavelet transform (TQWT). In the field of multivariate entropy analysis, recent studies have performed analysis of biomedical signals with a multi-level filtering approach. This approach has become a useful tool for measuring inherent complexity of the biomedical signals. However, these methods may not be well suited for quantifying the complexity of the individual multivariate sub-bands of the analysed signal. In this present study, we have tried to resolve this difficulty by employing TQWT for analysing the sub-band signals of the analysed multivariate signal. It should be noted that higher value of Q factor is suitable for analysing signals with oscillatory nature, whereas the lower value of Q factor is suitable for analysing signals with non-oscillatory transients in nature. Moreover, with an increased number of sub-bands and a higher value of Q-factor, a reasonably good resolution can be achieved simultaneously in high and low frequency regions of the considered signals. Finally, we have employed multivariate fuzzy entropy (mvFE) to the multivariate sub-band signals obtained from the analysed signal. The proposed Q-based multivariate sub-band entropy has been studied on the publicly available bivariate Bern Barcelona focal and non-focal EEG signals database to investigate the statistical significance of the proposed features in different time segmented signals. Finally, the features are fed to random forest and least squares support vector machine (LS-SVM) classifiers to select the best classifier. Our method has achieved the highest classification accuracy of 84.67% in classifying focal and non-focal EEG signals with LS-SVM classifier. The proposed multivariate sub-band fuzzy entropy can also be applied to measure complexity of other multivariate biomedical signals

Tunable-Q Wavelet Transform Based Multiscale Entropy Measure for Automated Classification of Epileptic EEG Signals

This paper analyzes the underlying complexity and non-linearity of electroencephalogram (EEG) signals by computing a novel multi-scale entropy measure for the classification of seizure, seizure-free and normal EEG signals. The quality factor (Q) based multi-scale entropy measure is proposed to compute the entropy of the EEG signal in different frequency-bands of interest. The Q -based entropy (QEn) is computed by decomposing the signal with the tunable-Q wavelet transform (TQWT) into the number of sub-bands and estimating K-nearest neighbor (K-NN) entropies from various sub-bands cumulatively. The optimal selection of Q and the redundancy parameter (R) of TQWT showed better robustness for entropy computation in the presence of high- and low-frequency components. The extracted features are fed to the support vector machine (SVM) classifier with the wrapper-based feature selection method. The proposed method has achieved accuracy of 100% in classifying normal (eyes-open and eyes-closed) and seizure EEG signals, 99.5% in classifying seizure-free EEG signals (from the hippocampal formation of the opposite hemisphere of the brain) from seizure EEG signals and 98% in classifying seizure-free EEG signals (from the epileptogenic zone) from seizure EEG signals, respectively, using the SVM classifier. We have also achieved classification accuracies of 99% and 98.6% in classifying seizure versus non-seizure EEG signals and the individual three classes, namely normal, seizure-free and seizure EEG signals, respectively. The performance measure of the proposed multi-scale entropy has been found to be comparable with the existing state of the art epileptic EEG signals classification methods studied using the same database