Arrhythmic Heartbeat Classification Using 2D Convolutional Neural Networks

Arrhythmia detection in inter-patient ECG signals using entropy rate features and RR intervals with CNN architecture

The classification of inter-patient ECG data for arrhythmia detection using electrocardiogram (ECG) signals presents a significant challenge. Despite the recent surge in deep learning approaches, there remains a noticeable gap in the performance of inter-patient ECG classification. In this study, we introduce an innovative approach for ECG classification in arrhythmia detection by employing a 1D convolutional neural network (CNN) to leverage both morphological and temporal characteristics of cardiac cycles. Through the utilization of 1D-CNN layers, we automatically capture the morphological attributes of ECG data, allowing us to represent the shape of the ECG waveform around the R peaks. Additionally, we incorporate four RR interval features to provide temporal context, and we explore the potential application of entropy rate as a feature extraction technique for ECG signal classification. Consequently, the classification layers benefit from the combination of both temporal and learned features, leading to the achievement of the final arrhythmia classification. We validate our approach using the MIT-BIH arrhythmia dataset, employing both intra-patient and inter-patient paradigms for model training and testing. The model's generalization ability is assessed by evaluating it on the INCART dataset. The model attains average accuracy rates of 99.13% and 99.17% for 2-fold and 5-fold cross-validation, respectively, in intra-patient classification with five classes. In inter-patient classification with three and five classes, the model achieves average accuracies of 98.73% and 97.91%, respectively. For the INCART dataset, the model achieves an average accuracy of 98.20% for three classes. The experimental outcomes demonstrate the superiority of the proposed model compared to state-of-the-art models in recognizing arrhythmias. Thus, the proposed model exhibits enhanced generalization and the potential to serve as an effective solution for recognizing arrhythmias in real-world datasets characterized by class imbalances in practical applications.

Automated cardiac arrhythmia detection techniques: a comprehensive review for prospective approach

Abnormal cardiac functionality produces irregular heart rhythms which are commonly known as arrhythmias. In some conditions, arrhythmias are treated as very dangerous which may lead to sudden cardiac arrest. The incidence and prevalence of cardiac anomalies seeks early detection of arrhythmias using automated classification techniques. In the past, numerous automated arrhythmia detection techniques have been developed that are based on electrocardiogram (ECG) signal analysis. Focusing on the prospective research in this field, this article reports a comprehensive review of existing techniques that are obtained using search engines such as IEEE explore, Google scholar and science direct. Based on the review, the existing techniques are broadly categorized into two types: machine-learning and deep-learning-based techniques. In this study, it is noticed that the performance of the machine-learning-based arrhythmia detection techniques depend on pre-processing of ECG signal, R-peaks detection, features extraction and classification tools while the deep-learning-based techniques do not require the features extraction step. Generally, the existing techniques utilize Massachusetts Institute of Technology-Beth Israel Hospital arrhythmia database to evaluate the classification performance. The classification performance of automated techniques also depends on ECG data used for training and testing of the classifier. It is expected that the performance should be evaluated using a variety of ECG signals including the cases of inter-patient and intra-patient paradigm. The existing techniques also require to deal with the class-imbalance problem. In addition to this, a specific partition-ratio between training and testing datasets should be maintained for fair comparison of performance of different techniques.

EEG-based finger movement classification with intrinsic time-scale decomposition

Introduction

Brain-computer interfaces (BCIs) are systems that acquire the brain's electrical activity and provide control of external devices. Since electroencephalography (EEG) is the simplest non-invasive method to capture the brain's electrical activity, EEG-based BCIs are very popular designs. Aside from classifying the extremity movements, recent BCI studies have focused on the accurate coding of the finger movements on the same hand through their classification by employing machine learning techniques. State-of-the-art studies were interested in coding five finger movements by neglecting the brain's idle case (i.e., the state that brain is not performing any mental tasks). This may easily cause more false positives and degrade the classification performances dramatically, thus, the performance of BCIs. This study aims to propose a more realistic system to decode the movements of five fingers and the no mental task (NoMT) case from EEG signals.

Methods

In this study, a novel praxis for feature extraction is utilized. Using Proper Rotational Components (PRCs) computed through Intrinsic Time Scale Decomposition (ITD), which has been successfully applied in different biomedical signals recently, features for classification are extracted. Subsequently, these features were applied to the inputs of well-known classifiers and their different implementations to discriminate between these six classes. The highest classifier performances obtained in both subject-independent and subject-dependent cases were reported. In addition, the ANOVA-based feature selection was examined to determine whether statistically significant features have an impact on the classifier performances or not.

Results

As a result, the Ensemble Learning classifier achieved the highest accuracy of 55.0% among the tested classifiers, and ANOVA-based feature selection increases the performance of classifiers on five-finger movement determination in EEG-based BCI systems.

Discussion

When compared with similar studies, proposed praxis achieved a modest yet significant improvement in classification performance although the number of classes was incremented by one (i.e., NoMT).

Statistically significant features improve binary and multiple Motor Imagery task predictions from EEGs

In recent studies, in the field of Brain-Computer Interface (BCI), researchers have focused on Motor Imagery tasks. Motor Imagery-based electroencephalogram (EEG) signals provide the interaction and communication between the paralyzed patients and the outside world for moving and controlling external devices such as wheelchair and moving cursors. However, current approaches in the Motor Imagery-BCI system design require effective feature extraction methods and classification algorithms to acquire discriminative features from EEG signals due to the non-linear and non-stationary structure of EEG signals. This study investigates the effect of statistical significance-based feature selection on binary and multi-class Motor Imagery EEG signal classifications. In the feature extraction process performed 24 different time-domain features, 15 different frequency-domain features which are energy, variance, and entropy of Fourier transform within five EEG frequency subbands, 15 different time-frequency domain features which are energy, variance, and entropy of Wavelet transform based on five EEG frequency subbands, and 4 different Poincare plot-based non-linear parameters are extracted from each EEG channel. A total of 1,364 Motor Imagery EEG features are supplied from 22 channel EEG signals for each input EEG data. In the statistical significance-based feature selection process, the best one among all possible combinations of these features is tried to be determined using the independent t-test and one-way analysis of variance (ANOVA) test on binary and multi-class Motor Imagery EEG signal classifications, respectively. The whole extracted feature set and the feature set that contain statistically significant features only are classified in this study. We implemented 6 and 7 different classifiers in multi-class and binary (two-class) classification tasks, respectively. The classification process is evaluated using the five-fold cross-validation method, and each classification algorithm is tested 10 times. These repeated tests provide to check the repeatability of the results. The maximum of 61.86 and 47.36% for the two-class and four-class scenarios, respectively, are obtained with Ensemble Subspace Discriminant among all these classifiers using selected features including only statistically significant features. The results reveal that the introduced statistical significance-based feature selection approach improves the classifier performances by achieving higher classifier performances with fewer relevant components in Motor Imagery task classification. In conclusion, the main contribution of the presented study is two-fold evaluation of non-linear parameters as an alternative to the commonly used features and the prediction of multiple Motor Imagery tasks using statistically significant features.

Convolutional neural network optimized by differential evolution for electrocardiogram classification

The Coronavirus disease 2019, or COVID-19, has shifted the medical paradigm from face-to-face to telehealth. Telehealth has become a vital resource to contain the virus spread and ensure the continued care of patients. In terms of preventing cardiovascular diseases, automating electrocardiogram (ECG) classification is a promising telehealth intervention. The healthcare service ensures that patient care is appropriate, comfortable, and accessible. Convolutional neural networks (CNNs) have demonstrated promising results in ECG categorization, which require high accuracy and short training time to ensure healthcare quality. This study proposes a one-dimensional-CNN (1D-CNN) arrhythmia classification based on the differential evolution (DE) algorithm to optimize the accuracy of ECG classification and training time. The performance of 1D-CNNs of different activation functions are optimized based on the standard DE algorithm. Finally, based on MIT-BIH and SCDH arrhythmia databases, the performances of optimized and unoptimized 1D-CNN are compared and analysed. Results show that the 1D-CNN optimized by the DE has higher accuracy in heartbeats classification. The optimized 1D-CNN improves from 97.6% to 99.5% on MIT-BIH and from 80.2% to 88.5% on SCDH. Therefore, the optimized 1D-CNN shows improvements of 1.9% and 8.3% in the two datasets, respectively. In addition, compared with the unoptimized 1D-CNN based on the same parameter settings, the optimized 1D-CNN has less training time. Under the conditions of ReLU function and 10 epochs, the training takes 9.22 s on MIT-BIH and 10.35 s on SCDH, reducing training time by 67.2% and 64.2%, respectively.

Artificial intelligence based approach for categorization of COVID-19 ECG images in presence of other cardiovascular disorders

Coronavirus disease (COVID-19) is a class of SARS-CoV-2 virus which is initially identified in the later half of the year 2019 and then evolved as a pandemic. If it is not identified in the early stage then the infection and mortality rates increase with time. A timely and reliable approach for COVID-19 identification has become important in order to prevent the disease from spreading rapidly. In recent times, many methods have been suggested for the detection of COVID-19 disease have various flaws, to increase diagnosis performance, fresh investigations are required. In this article, automatically diagnosing COVID-19 using ECG images and deep learning approaches like as Visual Geometry Group (VGG) and AlexNet architectures have been proposed. The proposed method is able to classify between COVID-19, myocardial infarction, normal sinus rhythm, and other abnormal heart beats using Lead-II ECG image only. The efficacy of the technique proposed is validated by using a publicly available ECG image database. We have achieved an accuracy of 77.42% using Alexnet model and 75% accuracy with the help of VGG19 model.

Low Complexity Binarized 2D-CNN Classifier for Wearable Edge AI Devices

Wearable Artificial Intelligence-of-Things (AIoT) devices exhibit the need to be resource and energy-efficient. In this paper, we introduced a quantized multilayer perceptron (qMLP) for converting ECG signals to binary image, which can be combined with binary convolutional neural network (bCNN) for classification. We deploy our model into a low-power and low-resource field programmable gate array (FPGA) fabric. The model requires 5.8× lesser multiply and accumulate (MAC) operations than known wearable CNN models. Our model also achieves a classification accuracy of 98.5%, sensitivity of 85.4%, specificity of 99.5%, precision of 93.3%, and F1-score of 89.2%, along with dynamic power dissipation of 34.9 μW.

An End-to-End Cardiac Arrhythmia Recognition Method with an Effective DenseNet Model on Imbalanced Datasets Using ECG Signal

Electrocardiography (ECG) is a well-known noninvasive technique in medical science that provides information about the heart's rhythm and current conditions. Automatic ECG arrhythmia diagnosis relieves doctors' workload and improves diagnosis effectiveness and efficiency. This study proposes an automatic end-to-end 2D CNN (two-dimensional convolution neural networks) deep learning method with an effective DenseNet model for addressing arrhythmias recognition. To begin, the proposed model is trained and evaluated on the 97720 and 141404 beat images extracted from the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia and St. Petersburg Institute of Cardiological Technics (INCART) datasets (both are imbalanced class datasets) using a stratified 5-fold evaluation strategy. The data is classified into four groups: N (normal), V (ventricular ectopic), S (supraventricular ectopic), and F (fusion), based on the Association for the Advancement of Medical Instrumentation® (AAMI). The experimental results show that the proposed model outperforms state-of-the-art models for recognizing arrhythmias, with the accuracy of 99.80% and 99.63%, precision of 98.34% and 98.94%, and F_1-score of 98.91% and 98.91% on the MIT-BIH arrhythmia and INCART datasets, respectively. Using a transfer learning mechanism, the proposed model is also evaluated with only five individuals of supraventricular MIT-BIH arrhythmia and five individuals of European ST-T datasets (both of which are also class imbalanced) and achieved satisfactory results. So, the proposed model is more generalized and could be a prosperous solution for arrhythmias recognition from class imbalance datasets in real-life applications.

An Energy Efficient ECG Ventricular Ectopic Beat Classifier Using Binarized CNN for Edge AI Devices

Wearable Artificial Intelligence-of-Things (AIoT) requires edge devices to be resource and energy-efficient. In this paper, we design and implement an efficient binary convolutional neural network (bCNN) algorithm utilizing function-merging and block-reuse techniques to classify between Ventricular and non-Ventricular Ectopic Beat images. We deploy our model into a low-resource low-power field programmable gate array (FPGA) fabric. Our model achieves a classification accuracy of 97.3%, sensitivity of 91.3%, specificity of 98.1%, precision of 86.7%, and F1-score of 88.9%, along with dynamic power dissipation of only 10.5-μW.

Generalizable Beat-by-Beat Arrhythmia Detection by Using Weakly Supervised Deep Learning

Beat-by-beat arrhythmia detection in ambulatory electrocardiogram (ECG) monitoring is critical for the evaluation and prognosis of cardiac arrhythmias, however, it is a highly professional demanding and time-consuming task. Current methods for automatic beat-by-beat arrhythmia detection suffer from poor generalization ability due to the lack of large-sample and finely-annotated (labels are given to each beat) ECG data for model training. In this work, we propose a weakly supervised deep learning framework for arrhythmia detection (WSDL-AD), which permits training a fine-grained (beat-by-beat) arrhythmia detector with the use of large amounts of coarsely annotated ECG data (labels are given to each recording) to improve the generalization ability. In this framework, heartbeat classification and recording classification are integrated into a deep neural network for end-to-end training with only recording labels. Several techniques, including knowledge-based features, masked aggregation, and supervised pre-training, are proposed to improve the accuracy and stability of the heartbeat classification under weak supervision. The developed WSDL-AD model is trained for the detection of ventricular ectopic beats (VEB) and supraventricular ectopic beats (SVEB) on five large-sample and coarsely-annotated datasets and the model performance is evaluated on three independent benchmarks according to the recommendations from the Association for the Advancement of Medical Instrumentation (AAMI). The experimental results show that our method improves the F₁ score of supraventricular ectopic beats detection by 8%–290% and the F1 of ventricular ectopic beats detection by 4%–11% on the benchmarks compared with the state-of-the-art methods of supervised learning. It demonstrates that the WSDL-AD framework can leverage the abundant coarsely-labeled data to achieve a better generalization ability than previous methods while retaining fine detection granularity. Therefore, this framework has a great potential to be used in clinical and telehealth applications. The source code is available at https://github.com/sdnjly/WSDL-AD.

ECG Recurrence Plot-Based Arrhythmia Classification Using Two-Dimensional Deep Residual CNN Features

In this paper, an effective electrocardiogram (ECG) recurrence plot (RP)-based arrhythmia classification algorithm that can be implemented in portable devices is presented. Public databases from PhysioNet were used to conduct this study including the MIT-BIH Atrial Fibrillation Database, the MIT-BIH Arrhythmia Database, the MIT-BIH Malignant Ventricular Ectopy Database, and the Creighton University Ventricular Tachyarrhythmia Database. ECG time series were segmented and converted using an RP, and two-dimensional images were used as inputs to the CNN classifiers. In this study, two-stage classification is proposed to improve the accuracy. The ResNet-18 architecture was applied to detect ventricular fibrillation (VF) and noise during the first stage, whereas normal, atrial fibrillation, premature atrial contraction, and premature ventricular contractions were detected using ResNet-50 in the second stage. The method was evaluated using 5-fold cross-validation which improved the results when compared to previous studies, achieving first and second stage average accuracies of 97.21% and 98.36%, sensitivities of 96.49% and 97.92%, positive predictive values of 95.54% and 98.20%, and F1-scores of 95.96% and 98.05%, respectively. Furthermore, a 5-fold improvement in the memory requirement was achieved when compared with a previous study, making this classifier feasible for use in resource-constricted environments such as portable devices. Even though the method is successful, first stage training requires combining four different arrhythmia types into one label (other), which generates more data for the other category than for VF and noise, thus creating a data imbalance that affects the first stage performance.

Classification of COVID-19 electrocardiograms by using hexaxial feature mapping and deep learning

BACKGROUND

Coronavirus disease 2019 (COVID-19) has become a pandemic since its first appearance in late 2019. Deaths caused by COVID-19 are still increasing day by day and early diagnosis has become crucial. Since current diagnostic methods have many disadvantages, new investigations are needed to improve the performance of diagnosis.

METHODS

A novel method is proposed to automatically diagnose COVID-19 by using Electrocardiogram (ECG) data with deep learning for the first time. Moreover, a new and effective method called hexaxial feature mapping is proposed to represent 12-lead ECG to 2D colorful images. Gray-Level Co-Occurrence Matrix (GLCM) method is used to extract features and generate hexaxial mapping images. These generated images are then fed into a new Convolutional Neural Network (CNN) architecture to diagnose COVID-19.

RESULTS

Two different classification scenarios are conducted on a publicly available paper-based ECG image dataset to reveal the diagnostic capability and performance of the proposed approach. In the first scenario, ECG data labeled as COVID-19 and No-Findings (normal) are classified to evaluate COVID-19 classification ability. According to results, the proposed approach provides encouraging COVID-19 detection performance with an accuracy of 96.20% and F1-Score of 96.30%. In the second scenario, ECG data labeled as Negative (normal, abnormal, and myocardial infarction) and Positive (COVID-19) are classified to evaluate COVID-19 diagnostic ability. The experimental results demonstrated that the proposed approach provides satisfactory COVID-19 prediction performance with an accuracy of 93.00% and F1-Score of 93.20%. Furthermore, different experimental studies are conducted to evaluate the robustness of the proposed approach.

CONCLUSION

Automatic detection of cardiovascular changes caused by COVID-19 can be possible with a deep learning framework through ECG data. This not only proves the presence of cardiovascular changes caused by COVID-19 but also reveals that ECG can potentially be used in the diagnosis of COVID-19. We believe the proposed study may provide a crucial decision-making system for healthcare professionals.

SOURCE CODE

All source codes are made publicly available at: https://github.com/mkfzdmr/COVID-19-ECG-Classification.