An ECG generative model of myocardial infarction

Efficient electrocardiogram generation based on cardiac electric vector simulation model

This study introduces a novel Cardiac Electric Vector Simulation Model (CEVSM) to address the computational inefficiencies and low fidelity of traditional electrophysiological models in generating electrocardiograms (ECGs). Our approach leverages CEVSM to efficiently produce reliable ECG samples, facilitating data augmentation essential for the computer-aided diagnosis of myocardial infarction (MI). Significantly, experimental results show that our model dramatically reduces computation time compared to conventional models, with the self-adapting regression transformation matrix method (SRTM) providing clear advantages. SRTM not only achieves high fidelity in ECG simulations but also ensures exceptional consistency with the gold standard method, greatly enhancing MI localization accuracy by data augmentation. These advancements highlight the potential of our model to generate dependable ECG training samples, making it highly suitable for data augmentation and significantly advancing the development and validation of intelligent MI diagnostic systems. Furthermore, this study demonstrates the feasibility of applying life system simulations in the training of medical big models.

Pre-Processing techniques and artificial intelligence algorithms for electrocardiogram (ECG) signals analysis: A comprehensive review

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.

A Generative Adversarial Network to Synthesize 3D Magnetohydrodynamic Distortions for Electrocardiogram Analyses Applied to Cardiac Magnetic Resonance Imaging

Recently, deep learning (DL) models have been increasingly adopted for automatic analyses of medical data, including electrocardiograms (ECGs). Large, available ECG datasets, generally of high quality, often lack specific distortions, which could be helpful for enhancing DL-based algorithms. Synthetic ECG datasets could overcome this limitation. A generative adversarial network (GAN) was used to synthesize realistic 3D magnetohydrodynamic (MHD) distortion templates, as observed during magnetic resonance imaging (MRI), and then added to available ECG recordings to produce an augmented dataset. Similarity metrics, as well as the accuracy of a DL-based R-peak detector trained with and without data augmentation, were used to evaluate the effectiveness of the synthesized data. Three-dimensional MHD distortions produced by the proposed GAN were similar to the measured ones used as input. The precision of a DL-based R-peak detector, tested on actual unseen data, was significantly enhanced by data augmentation; its recall was higher when trained with augmented data. Using synthesized MHD-distorted ECGs significantly improves the accuracy of a DL-based R-peak detector, with a good generalization capacity. This provides a simple and effective alternative to collecting new patient data. DL-based algorithms for ECG analyses can suffer from bias or gaps in training datasets. Using a GAN to synthesize new data, as well as metrics to evaluate its performance, can overcome the scarcity issue of data availability.