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Chen Y, Ge H, Su X, Ma X. Classification of exercise fatigue levels by multi-class SVM from ECG and HRV. Med Biol Eng Comput 2024; 62:2853-2865. [PMID: 38705958 DOI: 10.1007/s11517-024-03116-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 04/22/2024] [Indexed: 05/07/2024]
Abstract
Among the various physiological signals, electrocardiogram (ECG) is a valid criterion for the classification of various exercise fatigue. In this study, we combine features extracted by deep neural networks with linear features from ECG and heart rate variability (HRV) for exercise fatigue classification. First, the ECG signals are converted into 2-D images by using the short-term Fourier transform (STFT), and image features are extracted by the visual geometry group (VGG) . The extracted image and linear features of ECG and HRV are sent to the different types of classifiers to distinguish distinct exercise fatigue level. To validate performance, the proposed methods are tested on (i) an open-source EPHNOGRAM dataset and (ii) a self-collected dataset (n = 51). The results reveal that the classification based on the concatenated features has the highest accuracy, and the calculation time of the system is also significantly reduced. This demonstrates that the proposed novel hybrid approach can be used to assist in improving the accuracy and timeliness of exercise fatigue classification in a real-time exercise environment. The experimental results show that the proposed method outperforms other recent state-of-the-art methods in terms of accuracy 96.90%, sensitivity 96.90%, F1-score of 0.9687 in EPHNOGRAM and accuracy 92.17%, sensitivity 92.63%, F1-score of 0.9213 in self-collected dataset.
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Affiliation(s)
- Yuru Chen
- School of Sports Engineering, Beijing Sport University, Beijing, China
| | - Huanmin Ge
- School of Sports Engineering, Beijing Sport University, Beijing, China.
| | - Xinhua Su
- School of Sports Engineering, Beijing Sport University, Beijing, China
| | - Xinxin Ma
- School of Sports Engineering, Beijing Sport University, Beijing, China
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Wang L, Wang S, Jin B, Wei X. GC-STCL: A Granger Causality-Based Spatial-Temporal Contrastive Learning Framework for EEG Emotion Recognition. ENTROPY (BASEL, SWITZERLAND) 2024; 26:540. [PMID: 39056903 PMCID: PMC11275820 DOI: 10.3390/e26070540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 06/06/2024] [Accepted: 06/17/2024] [Indexed: 07/28/2024]
Abstract
EEG signals capture information through multi-channel electrodes and hold promising prospects for human emotion recognition. However, the presence of high levels of noise and the diverse nature of EEG signals pose significant challenges, leading to potential overfitting issues that further complicate the extraction of meaningful information. To address this issue, we propose a Granger causal-based spatial-temporal contrastive learning framework, which significantly enhances the ability to capture EEG signal information by modeling rich spatial-temporal relationships. Specifically, in the spatial dimension, we employ a sampling strategy to select positive sample pairs from individuals watching the same video. Subsequently, a Granger causality test is utilized to enhance graph data and construct potential causality for each channel. Finally, a residual graph convolutional neural network is employed to extract features from EEG signals and compute spatial contrast loss. In the temporal dimension, we first apply a frequency domain noise reduction module for data enhancement on each time series. Then, we introduce the Granger-Former model to capture time domain representation and calculate the time contrast loss. We conduct extensive experiments on two publicly available sentiment recognition datasets (DEAP and SEED), achieving 1.65% improvement of the DEAP dataset and 1.55% improvement of the SEED dataset compared to state-of-the-art unsupervised models. Our method outperforms benchmark methods in terms of prediction accuracy as well as interpretability.
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Affiliation(s)
- Lei Wang
- School of Software Technology, Dalian University of Technology, Dalian 116024, China;
| | - Siming Wang
- School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu 611731, China;
| | - Bo Jin
- School of Innovation and Entrepreneurship, Dalian University of Technology, Dalian 116024, China
| | - Xiaopeng Wei
- School of Computer Science and Technology, Dalian University of Technology, Dalian 116024, China
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Safdar MF, Nowak RM, Pałka P. Pre-Processing techniques and artificial intelligence algorithms for electrocardiogram (ECG) signals analysis: A comprehensive review. Comput Biol Med 2024; 170:107908. [PMID: 38217973 DOI: 10.1016/j.compbiomed.2023.107908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 12/19/2023] [Accepted: 12/24/2023] [Indexed: 01/15/2024]
Abstract
Electrocardiogram (ECG) are the physiological signals and a standard test to measure the heart's electrical activity that depicts the movement of cardiac muscles. A review study has been conducted on ECG signals analysis with the help of artificial intelligence (AI) methods over the last ten years i.e., 2012-22. Primarily, the method of ECG analysis by software systems was divided into classical signal processing (e.g. spectrograms or filters), machine learning (ML) and deep learning (DL), including recursive models, transformers and hybrid. Secondly, the data sources and benchmark datasets were depicted. Authors grouped resources by ECG acquisition methods into hospital-based portable machines and wearable devices. Authors also included new trends like advanced pre-processing, data augmentation, simulations and agent-based modeling. The study found improvement in ECG examination perfection made each year through ML, DL, hybrid models, and transformers. Convolutional neural networks and hybrid models were more targeted and proved efficient. The transformer model extended the accuracy from 90% to 98%. The Physio-Net library helps acquire ECG signals, including the popular benchmark databases such as MIT-BIH, PTB, and challenging datasets. Similarly, wearable devices have been established as a appropriate option for monitoring patient health without the time and place limitations and are also helpful for AI model calibration with so far accuracy of 82%-83% on Samsung smartwatch. In the pre-processing signals, spectrogram generation through Fourier and wavelet transformations are erected leading approaches promoting on average accuracy of 90%-95%. Likewise, data enhancement using geometrical techniques is well-considered; however, extraction and concatenation-based methods need attention. As the what-if analysis in healthcare or cardiac issues can be performed using a complex simulation, the study reviews agent-based modeling and simulation approaches for cardiovascular risk event assessment.
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Affiliation(s)
- Muhammad Farhan Safdar
- Institute of Computer Science, Faculty of Electronics and Information Technology, Warsaw University of Technology, 00-665 Warsaw, Poland.
| | - Robert Marek Nowak
- Institute of Computer Science, Faculty of Electronics and Information Technology, Warsaw University of Technology, 00-665 Warsaw, Poland
| | - Piotr Pałka
- Institute of Control and Computation Engineering, Faculty of Electronics and Information Technology, Warsaw University of Technology, 00-665 Warsaw, Poland
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Piliuk K, Tomforde S. Artificial intelligence in emergency medicine. A systematic literature review. Int J Med Inform 2023; 180:105274. [PMID: 37944275 DOI: 10.1016/j.ijmedinf.2023.105274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 10/21/2023] [Accepted: 10/26/2023] [Indexed: 11/12/2023]
Abstract
Motivation and objective: Emergency medicine is becoming a popular application area for artificial intelligence methods but remains less investigated than other healthcare branches. The need for time-sensitive decision-making on the basis of high data volumes makes the use of quantitative technologies inevitable. However, the specifics of healthcare regulations impose strict requirements for such applications. Published contributions cover separate parts of emergency medicine and use disparate data and algorithms. This study aims to systematize the relevant contributions, investigate the main obstacles to artificial intelligence applications in emergency medicine, and propose directions for further studies. METHODS The contributions selection process was conducted with systematic electronic databases querying and filtering with respect to established exclusion criteria. Among the 380 papers gathered from IEEE Xplore, ACM Digital Library, Springer Library, ScienceDirect, and Nature databases 116 were considered to be a part of the survey. The main features of the selected papers are the focus on emergency medicine and the use of machine learning or deep learning algorithms. FINDINGS AND DISCUSSION The selected papers were classified into two branches: diagnostics-specific and triage-specific. The former ones are focused on either diagnosis prediction or decision support. The latter covers such applications as mortality, outcome, admission prediction, condition severity estimation, and urgent care prediction. The observed contributions are highly specialized within a single disease or medical operation and often use privately collected retrospective data, making them incomparable. These and other issues can be addressed by creating an end-to-end solution based on human-machine interaction. CONCLUSION Artificial intelligence applications are finding their place in emergency medicine, while most of the corresponding studies remain isolated and lack higher generalization and more sophisticated methodology, which can be a matter of forthcoming improvements.
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Affiliation(s)
| | - Sven Tomforde
- Christian-Albrechts-Universität zu Kiel, 24118 Kiel, Germany
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Rahman MM, Rivolta MW, Badilini F, Sassi R. A Systematic Survey of Data Augmentation of ECG Signals for AI Applications. SENSORS (BASEL, SWITZERLAND) 2023; 23:5237. [PMID: 37299964 PMCID: PMC10256074 DOI: 10.3390/s23115237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 05/23/2023] [Accepted: 05/27/2023] [Indexed: 06/12/2023]
Abstract
AI techniques have recently been put under the spotlight for analyzing electrocardiograms (ECGs). However, the performance of AI-based models relies on the accumulation of large-scale labeled datasets, which is challenging. To increase the performance of AI-based models, data augmentation (DA) strategies have been developed recently. The study presented a comprehensive systematic literature review of DA for ECG signals. We conducted a systematic search and categorized the selected documents by AI application, number of leads involved, DA method, classifier, performance improvements after DA, and datasets employed. With such information, this study provided a better understanding of the potential of ECG augmentation in enhancing the performance of AI-based ECG applications. This study adhered to the rigorous PRISMA guidelines for systematic reviews. To ensure comprehensive coverage, publications between 2013 and 2023 were searched across multiple databases, including IEEE Explore, PubMed, and Web of Science. The records were meticulously reviewed to determine their relevance to the study's objective, and those that met the inclusion criteria were selected for further analysis. Consequently, 119 papers were deemed relevant for further review. Overall, this study shed light on the potential of DA to advance the field of ECG diagnosis and monitoring.
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Affiliation(s)
- Md Moklesur Rahman
- Dipartimento di Informatica, Università degli Studi di Milano, 20133 Milan, Italy
| | | | - Fabio Badilini
- School of Nursing, University of California, San Francisco, CA 94143, USA
- AMPS-LLC, New York, NY 10025, USA
| | - Roberto Sassi
- Dipartimento di Informatica, Università degli Studi di Milano, 20133 Milan, Italy
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Fan T, Qiu S, Wang Z, Zhao H, Jiang J, Wang Y, Xu J, Sun T, Jiang N. A new deep convolutional neural network incorporating attentional mechanisms for ECG emotion recognition. Comput Biol Med 2023; 159:106938. [PMID: 37119553 DOI: 10.1016/j.compbiomed.2023.106938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 03/28/2023] [Accepted: 04/14/2023] [Indexed: 05/01/2023]
Abstract
Using ECG signals captured by wearable devices for emotion recognition is a feasible solution. We propose a deep convolutional neural network incorporating attentional mechanisms for ECG emotion recognition. In order to address the problem of individuality differences in emotion recognition tasks, we incorporate an improved Convolutional Block Attention Module (CBAM) into the proposed deep convolutional neural network. The deep convolutional neural network is responsible for capturing ECG features. Channel attention in CBAM is responsible for adding weight information to ECG features of different channels and spatial attention is responsible for the weighted representation of ECG features of different regions inside the channel. We used three publicly available datasets, WESAD, DREAMER, and ASCERTAIN, for the ECG emotion recognition task. The new state-of-the-art results are set in three datasets for multi-class classification results, WESAD for tri-class results, and ASCERTAIN for two-category results, respectively. A large number of experiments are performed, providing an interesting analysis of the design of the convolutional structure parameters and the role of the attention mechanism used. We propose to use large convolutional kernels to improve the effective perceptual field of the model and thus fully capture the ECG signal features, which achieves better performance compared to the commonly used small kernels. In addition, channel attention and spatial attention were added to the deep convolutional model separately to explore their contribution levels. We found that in most cases, channel attention contributed to the model at a higher level than spatial attention.
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Affiliation(s)
- Tianqi Fan
- Key Laboratory of Intelligent Control and Optimization for Industrial Equipment of Ministry of Education, Dalian University of Technology, Dalian, China.
| | - Sen Qiu
- Key Laboratory of Intelligent Control and Optimization for Industrial Equipment of Ministry of Education, Dalian University of Technology, Dalian, China.
| | - Zhelong Wang
- Key Laboratory of Intelligent Control and Optimization for Industrial Equipment of Ministry of Education, Dalian University of Technology, Dalian, China.
| | - Hongyu Zhao
- Key Laboratory of Intelligent Control and Optimization for Industrial Equipment of Ministry of Education, Dalian University of Technology, Dalian, China.
| | - Junhan Jiang
- First Affiliated Hospital of China Medical University, Shenyang, China.
| | | | - Junnan Xu
- Department of Medical Oncology, Cancer Hospital of Dalian University of Technology, Shenyang, China.
| | - Tao Sun
- Department of Medical Oncology, Cancer Hospital of Dalian University of Technology, Shenyang, China.
| | - Nan Jiang
- College of Information Engineering, East China Jiaotong University, Nanchang, China.
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