Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs

Automatic detection of abnormal heart rhythms, including atrial fibrillation (AF), using signals obtained from a single-lead wearable electrocardiogram (ECG) device, is useful for daily cardiac health monitoring. In this study, we propose a novel image-based deep learning framework to classify singl...

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Main Authors: Hyeonjeong Lee, Miyoung Shin
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/13/4331
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author Hyeonjeong Lee
Miyoung Shin
author_facet Hyeonjeong Lee
Miyoung Shin
author_sort Hyeonjeong Lee
collection DOAJ
description Automatic detection of abnormal heart rhythms, including atrial fibrillation (AF), using signals obtained from a single-lead wearable electrocardiogram (ECG) device, is useful for daily cardiac health monitoring. In this study, we propose a novel image-based deep learning framework to classify single-lead ECG recordings of short variable length into several different rhythms associated with arrhythmias. By transforming variable-length 1D ECG signals into fixed-size 2D time-morphology representations and feeding them to the beat–interval–texture convolutional neural network (BIT-CNN) model, we aimed to learn the comprehensible characteristics of beat shape and inter-beat patterns over time for arrhythmia classification. The proposed approach allows feature embedding vectors to provide interpretable time-morphology patterns focused at each step of the learning process. In addition, this method reduces the number of model parameters needed to be trained and aids visual interpretation, while maintaining similar performance to other CNN-based approaches to arrhythmia classification. For experiments, we used the PhysioNet/CinC Challenge 2017 dataset and achieved an overall F<sub>1_NAO</sub> of 81.75% and F<sub>1_NAOP</sub> of 76.87%, which are comparable to those of the state-of-the-art methods for variable-length ECGs.
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spelling doaj.art-a465f64d5ff241c9950cd46915de950c2023-11-22T01:37:29ZengMDPI AGSensors1424-82202021-06-012113433110.3390/s21134331Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGsHyeonjeong Lee0Miyoung Shin1Bio-Intelligence & Data Mining Laboratory, School of Electronic and Electrical Engineering, Kyungpook National University, Daegu 41566, KoreaBio-Intelligence & Data Mining Laboratory, School of Electronic and Electrical Engineering, Kyungpook National University, Daegu 41566, KoreaAutomatic detection of abnormal heart rhythms, including atrial fibrillation (AF), using signals obtained from a single-lead wearable electrocardiogram (ECG) device, is useful for daily cardiac health monitoring. In this study, we propose a novel image-based deep learning framework to classify single-lead ECG recordings of short variable length into several different rhythms associated with arrhythmias. By transforming variable-length 1D ECG signals into fixed-size 2D time-morphology representations and feeding them to the beat–interval–texture convolutional neural network (BIT-CNN) model, we aimed to learn the comprehensible characteristics of beat shape and inter-beat patterns over time for arrhythmia classification. The proposed approach allows feature embedding vectors to provide interpretable time-morphology patterns focused at each step of the learning process. In addition, this method reduces the number of model parameters needed to be trained and aids visual interpretation, while maintaining similar performance to other CNN-based approaches to arrhythmia classification. For experiments, we used the PhysioNet/CinC Challenge 2017 dataset and achieved an overall F<sub>1_NAO</sub> of 81.75% and F<sub>1_NAOP</sub> of 76.87%, which are comparable to those of the state-of-the-art methods for variable-length ECGs.https://www.mdpi.com/1424-8220/21/13/4331arrhythmia classificationatrial fibrillation (AF)electrocardiogram (ECG)convolutional neural network (CNN)deep learning
spellingShingle Hyeonjeong Lee
Miyoung Shin
Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
Sensors
arrhythmia classification
atrial fibrillation (AF)
electrocardiogram (ECG)
convolutional neural network (CNN)
deep learning
title Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
title_full Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
title_fullStr Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
title_full_unstemmed Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
title_short Learning Explainable Time-Morphology Patterns for Automatic Arrhythmia Classification from Short Single-Lead ECGs
title_sort learning explainable time morphology patterns for automatic arrhythmia classification from short single lead ecgs
topic arrhythmia classification
atrial fibrillation (AF)
electrocardiogram (ECG)
convolutional neural network (CNN)
deep learning
url https://www.mdpi.com/1424-8220/21/13/4331
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AT miyoungshin learningexplainabletimemorphologypatternsforautomaticarrhythmiaclassificationfromshortsingleleadecgs