基于深度神经网络的心电信号片段心房颤动患者特异性检测

Jeyson A. Castillo, Yenny C. Granados, Carlos Augusto Fajardo Ariza
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引用次数: 8

摘要

心房颤动(AF)是世界范围内最常见的心律失常。它与生活质量下降有关,并增加中风和心肌梗死的风险。不幸的是,许多房颤病例是无症状和未确诊的,这增加了患者的风险。由于房颤的发作性,检测房颤需要心脏病专家对长期心电图信号进行评估。在哥伦比亚,由于检测的相关成本和心脏病专家的地理分布,很难获得房颤的早期诊断。这项工作是一个宏观项目的一部分,该项目旨在开发一种用于AF检测的特定患者便携式设备。该设备将基于卷积神经网络(CNN)。我们的目标是找到一个合适的CNN模型,稍后可以在硬件中实现。在准确性、敏感性、特异性和精确性方面,采用了多种技术来提高答案。最终的模型实现了的准确性、特异性、灵敏度和精度。在模型的开发过程中,考虑了计算成本和内存资源,以便在设备的未来实现中获得高效的硬件模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Specific Detection of Atrial Fibrillation in Segments of ECG Signals using Deep Neural Networks
Atrial Fibrillation (AF) is the most common cardiac arrhythmia worldwide. It is associated with reduced quality of life and increases the risk of stroke and myocardial infarction. Unfortunately, many cases of AF are asymptomatic and undiagnosed, which increases the risk for the patients. Due to its paroxysmal nature, the detection of AF requires the evaluation, by a cardiologist, of long-term ECG signals. In Colombia, it is difficult to have access to an early diagnosis of AF because of the associated costs to the detection and the geographical distribution of cardiologists. This work is part of a macro project that aims to develop a specific-patient portable device for the detection of AF. This device will be based on a Convolutional Neural Network (CNN). We aim to find a suitable CNN model, which later could be implemented in hardware. Diverse techniques were applied to improve the answer regarding accuracy, sensitivity, specificity, and precision. The final model achieves an accuracy of , a specificity of , a sensitivity of  and a precision of . During the development of the model, the computational cost and memory resources were taking into account in order to obtain an efficient hardware model in a future implementation of the device.
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