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使用机器学习技术对 QRS 复合波进行分类,以检测室性期前收缩。

Classification of QRS complexes to detect Premature Ventricular Contraction using machine learning techniques.

机构信息

Department of Computer Science, University of Salerno, Fisciano, Italy.

出版信息

PLoS One. 2022 Aug 18;17(8):e0268555. doi: 10.1371/journal.pone.0268555. eCollection 2022.

DOI:10.1371/journal.pone.0268555
PMID:35980965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387858/
Abstract

Detection of Premature Ventricular Contractions (PVC) is of crucial importance in the cardiology field, not only to improve the health system but also to reduce the workload of experts who analyze electrocardiograms (ECG) manually. PVC is a non-harmful common occurrence represented by extra heartbeats, whose diagnosis is not always easily identifiable, especially when done by long-term manual ECG analysis. In some cases, it may lead to disastrous consequences when associated with other pathologies. This work introduces an approach to identify PVCs using machine learning techniques without feature extraction and cross-validation techniques. In particular, a group of six classifiers has been used: Decision Tree, Random Forest, Long-Short Term Memory (LSTM), Bidirectional LSTM, ResNet-18, MobileNetv2, and ShuffleNet. Two types of experiments have been performed on data extracted from the MIT-BIH Arrhythmia database: (i) the original dataset and (ii) the balanced dataset. MobileNetv2 came in first in both experiments with high performance and promising results for PVCs' final diagnosis. The final results showed 99.90% of accuracy in the first experiment and 99.00% in the second one, despite no feature detection techniques were used. The approach we used, which was focused on classification without using feature extraction and cross-validation techniques, allowed us to provide excellent performance and obtain better results. Finally, this research defines as first step toward understanding the explanations for deep learning models' incorrect classifications.

摘要

室性早搏(PVC)的检测在心内科领域至关重要,不仅可以改善医疗体系,还可以减轻手动分析心电图(ECG)的专家的工作量。PVC 是一种无害的常见现象,表现为额外的心跳,其诊断并不总是容易识别,特别是在长期进行手动 ECG 分析时。在某些情况下,当与其他病理学相关联时,可能会导致灾难性的后果。

本工作介绍了一种使用机器学习技术识别 PVC 的方法,无需特征提取和交叉验证技术。特别是,使用了六组分类器:决策树、随机森林、长短期记忆(LSTM)、双向 LSTM、ResNet-18、MobileNetv2 和 ShuffleNet。在从 MIT-BIH 心律失常数据库中提取的数据上进行了两种类型的实验:(i)原始数据集和(ii)平衡数据集。在这两种实验中,MobileNetv2 均以高性能排名第一,对 PVC 的最终诊断结果具有很大的前景。尽管没有使用特征检测技术,但最终结果在第一次实验中达到了 99.90%的准确率,在第二次实验中达到了 99.00%的准确率。

我们使用的方法侧重于分类,而不使用特征提取和交叉验证技术,使我们能够提供出色的性能并获得更好的结果。最后,这项研究定义了理解深度学习模型错误分类原因的第一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/f9c36b1d41c2/pone.0268555.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/74184c5dd0b0/pone.0268555.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/7754b250df72/pone.0268555.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/e546c435890f/pone.0268555.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/f0341e76c403/pone.0268555.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/652fcddffd74/pone.0268555.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/f9c36b1d41c2/pone.0268555.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/74184c5dd0b0/pone.0268555.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/7754b250df72/pone.0268555.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/e546c435890f/pone.0268555.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/f0341e76c403/pone.0268555.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/652fcddffd74/pone.0268555.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/453f/9387858/f9c36b1d41c2/pone.0268555.g006.jpg

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