A lightweight 1D convolutional neural network model for arrhythmia diagnosis from electrocardiogram signal.

IF 2 4区 医学 Q3 ENGINEERING, BIOMEDICAL Physical and Engineering Sciences in Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-25 DOI:10.1007/s13246-025-01525-1
Beaudelaire Saha Tchinda, Daniel Tchiotsop
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Abstract

Electrocardiogram (ECG) is used by cardiologist to diagnose heart diseases. The use of ECG signal in an artificial intelligence system can permit to automatically analyze these signals and thereby improve diagnosis quality. For this purpose, many models have been proposed in the literature. But many of these models are complex enough for implementation in an embedded system dedicated to medical diagnosis. Still others have performances that remain to be improved. To solve this problem of complexity, while improving performance, we propose a simple 1D convolutional neural network model for cardiac arrhythmia diagnosis. The proposed model combines two convolution layers, two max pooling layers, three dense layers, two dropout layers and a flatten layer. We apply the proposed model on the public MIT-BIH database for inter-patient classification of five distinct types of heartbeat rhythms which are consistent with the association for advancement of medical instrumentation (AAMI) standard. We also apply our model on the PTB database in order to evaluate its generalization capability. On the MIT-BIH database, the results provide an accuracy of 0.9842, a precision of 0.9523, a sensitivity of 0.8760, a specificity of 0.9869, a negative predictive value (NPV) of 0.9936, an average area under the ROC curve (AUC) of 0.99 and a F1-measure of 0.9095. The accuracy, precision, sensitivity, specificity, NPV, and AUC on the PTB dataset are 0.9924, 0.9938, 0.9957, 0.9844, 0.9892, and 1, respectively. Compared to other existing models, for unbalanced data, the performances obtained by our model are quite interesting for an inter-patient classification.

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基于心电图信号诊断心律失常的轻量级一维卷积神经网络模型。
心电图(ECG)被心脏病专家用来诊断心脏病。在人工智能系统中使用心电信号可以自动分析这些信号,从而提高诊断质量。为此,文献中提出了许多模型。但是,这些模型中的许多都足够复杂,无法在专门用于医疗诊断的嵌入式系统中实现。还有一些公司的表现有待改进。为了解决这一复杂性问题,同时提高性能,我们提出了一个简单的一维卷积神经网络模型用于心律失常诊断。该模型由两个卷积层、两个最大池化层、三个密集层、两个dropout层和一个flatten层组成。我们将提出的模型应用于MIT-BIH公共数据库,对五种不同类型的心跳节律进行患者间分类,这与医疗器械进步协会(AAMI)标准一致。我们还将该模型应用于PTB数据库,以评估其泛化能力。在MIT-BIH数据库上,结果的准确度为0.9842,精密度为0.9523,灵敏度为0.8760,特异性为0.9869,负预测值(NPV)为0.9936,ROC曲线下平均面积(AUC)为0.99,f1测量值为0.9095。PTB数据集的准确度、精密度、灵敏度、特异度、NPV和AUC分别为0.9924、0.9938、0.9957、0.9844、0.9892和1。与其他现有模型相比,对于不平衡数据,我们的模型获得的性能对于患者间分类是非常有趣的。
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来源期刊
CiteScore
8.40
自引率
4.50%
发文量
110
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