ULECGNet: An Ultra-Lightweight End-to-End ECG Classification Neural Network

Novel interpretable Feature set extraction and classification for accurate atrial fibrillation detection from ECGs

OBJECTIVE

We present a novel method for detecting atrial fibrillation (AFib) by analyzing Lead II electrocardiograms (ECGs) using a unique set of features.

METHODS

For this purpose, we used specific signal processing techniques, such as proper orthogonal decomposition, continuous wavelet transforms, discrete cosine transform, and standard cross-correlation, to extract 48 features from the ECGs. Thus, our approach aims to more effectively capture AFib signatures, such as beat-to-beat variability and fibrillatory waves, than traditional metrics. Moreover, our features were designed to be physiologically interpretable. Subsequently, we incorporated an XGBoost-based ECG classifier to train and evaluate it using the publicly available 'Training' dataset of the 2017 PhysioNet Challenge, which includes 'Normal,' 'AFib,' 'Other,' and 'Noisy' ECG categories.

RESULTS

Our method achieved an accuracy of 96 % and an F1-score of 0.83 for 'AFib' detection and 80 % accuracy and 0.85 F1-score for 'Normal' ECGs. Finally, we compared our method's performance with the top-classifiers from the 2017 PhysioNet Challenge, namely ENCASE, Random Forest, and Cascaded Binary. As reported by Clifford et al., 2017, these three best performing models scored 0.80, 0.83, 0.82, in terms of F1-score for 'AFib' detection, respectively.

CONCLUSION

Despite using significantly fewer features than the competition's state-of-the-art ECG detection algorithms (48 vs. 150-622), our model achieved a comparable F1-score of 0.83 for successful 'AFib' detection.

SIGNIFICANCE

The interpretable features specifically designed for 'AFib' detection results in our method's adaptability in clinical settings for real-time arrhythmia detection and is even effective with short ECGs (<10 heartbeats).

Review on spiking neural network-based ECG classification methods for low-power environments

This paper reviews arrhythmia classification studies using electrocardiogram (ECG) signals. Research on automatically diagnosing arrhythmia in daily life has been actively underway for early detection and treatment of heart disease. Development of automatic arrhythmia classification using ECG signal began based on handcrafted morphological feature extraction and machine learning-based classification methods. As deep neural networks (DNN) show excellent performance in the signal processing field, studies using various types of DNN are also being conducted in ECG classification. However, these DNN-based studies have extremely high computational complexity, making it challenging to perform real-time classification, and are unsuitable for low-power environments such as wearable devices due to high power consumption. Currently, research based on spiking neural network (SNN), which mimics the low-power operation of the human nervous system, is attracting attention as a method that can dramatically reduce complexity and power consumption. The classification accuracy of the SNN-based ECG classification studies is close to that of the DNN-based studies. When combined with neuromorphic hardware, it shows ultra-low-power performance, suggesting the possibility of use in lightweight devices. In this paper, the SNN-based ECG classification studies for low-power environments are mainly reviewed, and prior to this, conventional and DNN-based ECG classification studies are also reviewed. We hope that this review will be helpful to researchers and engineers interested in the field of ECG classification.

Estimating age and gender from electrocardiogram signals: A comprehensive review of the past decade

Twelve lead electrocardiogram signals capture unique fingerprints about the body's biological processes and electrical activity of heart muscles. Machine learning and deep learning-based models can learn the embedded patterns in the electrocardiogram to estimate complex metrics such as age and gender that depend on multiple aspects of human physiology. ECG estimated age with respect to the chronological age reflects the overall well-being of the cardiovascular system, with significant positive deviations indicating an aged cardiovascular system and a higher likelihood of cardiovascular mortality. Several conventional, machine learning, and deep learning-based methods have been proposed to estimate age from electronic health records, health surveys, and ECG data. This manuscript comprehensively reviews the methodologies proposed for ECG-based age and gender estimation over the last decade. Specifically, the review highlights that elevated ECG age is associated with atherosclerotic cardiovascular disease, abnormal peripheral endothelial dysfunction, and high mortality, among many other cardiovascular disorders. Furthermore, the survey presents overarching observations and insights across methods for age and gender estimation. This paper also presents several essential methodological improvements and clinical applications of ECG-estimated age and gender to encourage further improvements of the state-of-the-art methodologies.

Severity-Based Hierarchical ECG Classification Using Neural Networks

Timely detection of cardiac arrhythmia characterized by abnormal heartbeats can help in the early diagnosis and treatment of cardiovascular diseases. Wearable healthcare devices typically use neural networks to provide the most convenient way of continuously monitoring heart activity for arrhythmia detection. However, it is challenging to achieve high accuracy and energy efficiency in these smart wearable healthcare devices. In this work, we provide architecture-level solutions to deploy neural networks for cardiac arrhythmia classification. We have created a hierarchical structure after analyzing various neural network topologies where only required network components are activated to improve energy efficiency while maintaining high accuracy. In our proposed architecture, we introduce a severity-based classification approach to directly help the users of the wearable healthcare device as well as the medical professionals. Additionally, we have employed computation-in-memory based hardware to improve energy efficiency and area consumption by leveraging in-situ data processing and scalability of emerging memory technologies such as resistive random access memory (RRAM). Simulation experiments conducted using the MIT-BIH arrhythmia dataset show that the proposed architecture provides high accuracy while consuming average energy of 0.11 μJ per heartbeat classification and 0.11 mm² area, thereby achieving 25× improvement in average energy consumption and 12× improvement in area compared to the state-of-the-art.