Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis
Abstract Background Long-term monitoring of Electrocardiogram (ECG) recordings is crucial to diagnose arrhythmias. Clinicians can find it challenging to diagnose arrhythmias, and this is a particular issue in more remote and underdeveloped areas. The development of digital ECG and AI methods could a...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-02-01
|
| Series: | Communications Medicine |
| Online Access: | https://doi.org/10.1038/s43856-024-00464-4 |
| _version_ | 1797273493346189312 |
|---|---|
| author | Yanrui Jin Zhiyuan Li Mengxiao Wang Jinlei Liu Yuanyuan Tian Yunqing Liu Xiaoyang Wei Liqun Zhao Chengliang Liu |
| author_facet | Yanrui Jin Zhiyuan Li Mengxiao Wang Jinlei Liu Yuanyuan Tian Yunqing Liu Xiaoyang Wei Liqun Zhao Chengliang Liu |
| author_sort | Yanrui Jin |
| collection | DOAJ |
| description | Abstract Background Long-term monitoring of Electrocardiogram (ECG) recordings is crucial to diagnose arrhythmias. Clinicians can find it challenging to diagnose arrhythmias, and this is a particular issue in more remote and underdeveloped areas. The development of digital ECG and AI methods could assist clinicians who need to diagnose arrhythmias outside of the hospital setting. Methods We constructed a large-scale Chinese ECG benchmark dataset using data from 272,753 patients collected from January 2017 to December 2021. The dataset contains ECG recordings from all common arrhythmias present in the Chinese population. Several experienced cardiologists from Shanghai First People’s Hospital labeled the dataset. We then developed a deep learning-based multi-label interpretable diagnostic model from the ECG recordings. We utilized Accuracy, F1 score and AUC-ROC to compare the performance of our model with that of the cardiologists, as well as with six comparison models, using testing and hidden data sets. Results The results show that our approach achieves an F1 score of 83.51%, an average AUC ROC score of 0.977, and 93.74% mean accuracy for 6 common arrhythmias. Results from the hidden dataset demonstrate the performance of our approach exceeds that of cardiologists. Our approach also highlights the diagnostic process. Conclusions Our diagnosis system has superior diagnostic performance over that of clinicians. It also has the potential to help clinicians rapidly identify abnormal regions on ECG recordings, thus improving efficiency and accuracy of clinical ECG diagnosis in China. This approach could therefore potentially improve the productivity of out-of-hospital ECG diagnosis and provides a promising prospect for telemedicine. |
| first_indexed | 2024-03-07T14:44:06Z |
| format | Article |
| id | doaj.art-d6a8b5c4d7a244de8dc2316120817c1f |
| institution | Directory Open Access Journal |
| issn | 2730-664X |
| language | English |
| last_indexed | 2024-03-07T14:44:06Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Communications Medicine |
| spelling | doaj.art-d6a8b5c4d7a244de8dc2316120817c1f2024-03-05T20:05:40ZengNature PortfolioCommunications Medicine2730-664X2024-02-01411810.1038/s43856-024-00464-4Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosisYanrui Jin0Zhiyuan Li1Mengxiao Wang2Jinlei Liu3Yuanyuan Tian4Yunqing Liu5Xiaoyang Wei6Liqun Zhao7Chengliang Liu8State Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityDepartment of cardiology, Shanghai First People’s Hospital Affiliated to Shanghai Jiao Tong UniversityState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong UniversityAbstract Background Long-term monitoring of Electrocardiogram (ECG) recordings is crucial to diagnose arrhythmias. Clinicians can find it challenging to diagnose arrhythmias, and this is a particular issue in more remote and underdeveloped areas. The development of digital ECG and AI methods could assist clinicians who need to diagnose arrhythmias outside of the hospital setting. Methods We constructed a large-scale Chinese ECG benchmark dataset using data from 272,753 patients collected from January 2017 to December 2021. The dataset contains ECG recordings from all common arrhythmias present in the Chinese population. Several experienced cardiologists from Shanghai First People’s Hospital labeled the dataset. We then developed a deep learning-based multi-label interpretable diagnostic model from the ECG recordings. We utilized Accuracy, F1 score and AUC-ROC to compare the performance of our model with that of the cardiologists, as well as with six comparison models, using testing and hidden data sets. Results The results show that our approach achieves an F1 score of 83.51%, an average AUC ROC score of 0.977, and 93.74% mean accuracy for 6 common arrhythmias. Results from the hidden dataset demonstrate the performance of our approach exceeds that of cardiologists. Our approach also highlights the diagnostic process. Conclusions Our diagnosis system has superior diagnostic performance over that of clinicians. It also has the potential to help clinicians rapidly identify abnormal regions on ECG recordings, thus improving efficiency and accuracy of clinical ECG diagnosis in China. This approach could therefore potentially improve the productivity of out-of-hospital ECG diagnosis and provides a promising prospect for telemedicine.https://doi.org/10.1038/s43856-024-00464-4 |
| spellingShingle | Yanrui Jin Zhiyuan Li Mengxiao Wang Jinlei Liu Yuanyuan Tian Yunqing Liu Xiaoyang Wei Liqun Zhao Chengliang Liu Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis Communications Medicine |
| title | Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis |
| title_full | Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis |
| title_fullStr | Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis |
| title_full_unstemmed | Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis |
| title_short | Cardiologist-level interpretable knowledge-fused deep neural network for automatic arrhythmia diagnosis |
| title_sort | cardiologist level interpretable knowledge fused deep neural network for automatic arrhythmia diagnosis |
| url | https://doi.org/10.1038/s43856-024-00464-4 |
| work_keys_str_mv | AT yanruijin cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT zhiyuanli cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT mengxiaowang cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT jinleiliu cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT yuanyuantian cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT yunqingliu cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT xiaoyangwei cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT liqunzhao cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis AT chengliangliu cardiologistlevelinterpretableknowledgefuseddeepneuralnetworkforautomaticarrhythmiadiagnosis |