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Register a new userLow-dimensional Denoising Embedding Transformer for ECG Classification
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Jian Guan
Publication date
2021
fields
Electronic Engineering
and research's language is
English
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The transformer based model (e.g., FusingTF) has been employed recently for Electrocardiogram (ECG) signal classification. However, the high-dimensional embedding obtained via 1-D convolution and positional encoding can lead to the loss of the signals own temporal information and a large amount of training parameters. In this paper, we propose a new method for ECG classification, called low-dimensional denoising embedding transformer (LDTF), which contains two components, i.e., low-dimensional denoising embedding (LDE) and transformer learning. In the LDE component, a low-dimensional representation of the signal is obtained in the time-frequency domain while preserving its own temporal information. And with the low dimensional embedding, the transformer learning is then used to obtain a deeper and narrower structure with fewer training parameters than that of the FusingTF. Experiments conducted on the MIT-BIH dataset demonstrates the effectiveness and the superior performance of our proposed method, as compared with state-of-the-art methods.
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Cardiac arrhythmia is a prevalent and significant cause of morbidity and mortality among cardiac ailments. Early diagnosis is crucial in providing intervention for patients suffering from cardiac arrhythmia. Traditionally, diagnosis is performed by examination of the Electrocardiogram (ECG) by a cardiologist. This method of diagnosis is hampered by the lack of accessibility to expert cardiologists. For quite some time, signal processing methods had been used to automate arrhythmia diagnosis. However, these traditional methods require expert knowledge and are unable to model a wide range of arrhythmia. Recently, Deep Learning methods have provided solutions to performing arrhythmia diagnosis at scale. However, the black-box nature of these models prohibit clinical interpretation of cardiac arrhythmia. There is a dire need to correlate the obtained model outputs to the corresponding segments of the ECG. To this end, two methods are proposed to provide interpretability to the models. The first method is a novel application of Gradient-weighted Class Activation Map (Grad-CAM) for visualizing the saliency of the CNN model. In the second approach, saliency is derived by learning the input deletion mask for the LSTM model. The visualizations are provided on a model whose competence is established by comparisons against baselines. The results of model saliency not only provide insight into the prediction capability of the model but also aligns with the medical literature for the classification of cardiac arrhythmia.
In this paper, we present a novel Image Fusion Model (IFM) for ECG heart-beat classification to overcome the weaknesses of existing machine learning techniques that rely either on manual feature extraction or direct utilization of 1D raw ECG signal. At the input of IFM, we first convert the heart beats of ECG into three different images using Gramian Angular Field (GAF), Recurrence Plot (RP) and Markov Transition Field (MTF) and then fuse these images to create a single imaging modality. We use AlexNet for feature extraction and classification and thus employ end to end deep learning. We perform experiments on PhysioNet MIT-BIH dataset for five different arrhythmias in accordance with the AAMI EC57 standard and on PTB diagnostics dataset for myocardial infarction (MI) classification. We achieved an state of an art results in terms of prediction accuracy, precision and recall.
Continuous monitoring of cardiac health under free living condition is crucial to provide effective care for patients undergoing post operative recovery and individuals with high cardiac risk like the elderly. Capacitive Electrocardiogram (cECG) is one such technology which allows comfortable and long term monitoring through its ability to measure biopotential in conditions without having skin contact. cECG monitoring can be done using many household objects like chairs, beds and even car seats allowing for seamless monitoring of individuals. This method is unfortunately highly susceptible to motion artifacts which greatly limits its usage in clinical practice. The current use of cECG systems has been limited to performing rhythmic analysis. In this paper we propose a novel end-to-end deep learning architecture to perform the task of denoising capacitive ECG. The proposed network is trained using motion corrupted three channel cECG and a reference LEAD I ECG collected on individuals while driving a car. Further, we also propose a novel joint loss function to apply loss on both signal and frequency domain. We conduct extensive rhythmic analysis on the model predictions and the ground truth. We further evaluate the signal denoising using Mean Square Error(MSE) and Cross Correlation between model predictions and ground truth. We report MSE of 0.167 and Cross Correlation of 0.476. The reported results highlight the feasibility of performing morphological analysis using the filtered cECG. The proposed approach can allow for continuous and comprehensive monitoring of the individuals in free living conditions.
Electrocardiogram (ECG) is the most widely used diagnostic tool to monitor the condition of the cardiovascular system. Deep neural networks (DNNs), have been developed in many research labs for automatic interpretation of ECG signals to identify potential abnormalities in patient hearts. Studies have shown that given a sufficiently large amount of data, the classification accuracy of DNNs could reach human-expert cardiologist level. However, despite of the excellent performance in classification accuracy, it has been shown that DNNs are highly vulnerable to adversarial noises which are subtle changes in input of a DNN and lead to a wrong class-label prediction with a high confidence. Thus, it is challenging and essential to improve robustness of DNNs against adversarial noises for ECG signal classification, a life-critical application. In this work, we designed a CNN for classification of 12-lead ECG signals with variable length, and we applied three defense methods to improve robustness of this CNN for this classification task. The ECG data in this study is very challenging because the sample size is limited, and the length of each ECG recording varies in a large range. The evaluation results show that our customized CNN reached satisfying F1 score and average accuracy, comparable to the top-6 entries in the CPSC2018 ECG classification challenge, and the defense methods enhanced robustness of our CNN against adversarial noises and white noises, with a minimal reduction in accuracy on clean data.
Modern wearable devices are embedded with a range of noninvasive biomarker sensors that hold promise for improving detection and treatment of disease. One such sensor is the single-lead electrocardiogram (ECG) which measures electrical signals in the heart. The benefits of the sheer volume of ECG measurements with rich longitudinal structure made possible by wearables come at the price of potentially noisier measurements compared to clinical ECGs, e.g., due to movement. In this work, we develop a statistical model to simulate a structured noise process in ECGs derived from a wearable sensor, design a beat-to-beat representation that is conducive for analyzing variation, and devise a factor analysis-based method to denoise the ECG. We study synthetic data generated using a realistic ECG simulator and a structured noise model. At varying levels of signal-to-noise, we quantitatively measure an upper bound on performance and compare estimates from linear and non-linear models. Finally, we apply our method to a set of ECGs collected by wearables in a mobile health study.
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