Zhang Xin, Gu Kai, Miao Shumei, Zhang Xiaoliang, Yin Yuechuchu, Wan Cheng, Yu Yun, Hu Jie, Wang Zhongmin, Shan Tao, Jing Shenqi, Wang Wenming, Ge Yun, Chen Yin, Guo Jianjun, Liu Yun
Department of Medical Informatics, School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing 211166, China.
Department of Information, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
Cardiovasc Diagn Ther. 2020 Apr;10(2):227-235. doi: 10.21037/cdt.2019.12.10.
Automated electrocardiogram (ECG) diagnosis could be a useful aid for clinical use. We applied a deep learning method to build a system for automated detection and classification of ECG signals. We first trained a convolutional neural network (CNN) to detect cardiovascular disease in ECG signals using a training data set of 259,789 ECG signals collected from the cardiac function rooms of a tertiary care hospital. The CNN classification was validated using an independent test data set of 18,018 ECG signals. The labels used covered >90% of clinical diagnoses. The system grouped ECGs into 18 classifications-17 different types of abnormalities and normal ECG. The overall accuracy of the model was tested and found to be close to 95%; the accuracy for diagnosis of normal rhythm/atrial fibrillation was 99.15%. The proposed CNN model could help reduce misdiagnosis and missed diagnosis in primary care settings and also improve efficiency and save manpower cost for large general hospitals.
自动心电图(ECG)诊断对于临床应用可能是一种有用的辅助手段。我们应用深度学习方法构建了一个用于自动检测和分类ECG信号的系统。我们首先使用从一家三级护理医院的心功能室收集的259,789个ECG信号的训练数据集,训练了一个卷积神经网络(CNN)来检测ECG信号中的心血管疾病。使用18,018个ECG信号的独立测试数据集对CNN分类进行了验证。所使用的标签涵盖了超过90%的临床诊断。该系统将ECG分为18种分类——17种不同类型的异常和正常ECG。对模型的总体准确率进行了测试,发现接近95%;正常节律/心房颤动的诊断准确率为99.15%。所提出的CNN模型有助于减少基层医疗环境中的误诊和漏诊,还能提高大型综合医院的效率并节省人力成本。