Annu Int Conf IEEE Eng Med Biol Soc. 2022 Jul;2022:4291-4294. doi: 10.1109/EMBC48229.2022.9871609.
Continuous long-term heart rate (HR) monitoring using wearable devices is desirable to aid in the diagnosis of many health-related conditions. Recently, we have developed an armband device that does not use obstructive leads, has dry electrodes which are convenient for long-term electrocardiogram (ECG) recording, and has been shown to be an effective alternate approach for continuous ECG monitoring. However, motion artifacts (MA) due to electromyogram (EMG) contractions are acknowledged as the major challenge of an armband. In this study, we used a deep convolutional neural network denoising encoder-decoder (CNNDED) to enhance the accuracy of R-peak detection in MA-corrupted ECG recordings obtained by an armband device. We collected simultaneous 24-hour ECG recordings using both the armband device and a Holter monitor on 10 subjects. Each 10-sec ECG segment was converted to a time-frequency representation and subsequently used as the input to CNNDED. During the training process, the model learned to accentuate the location of R peaks by amplifying their values in each ECG beat and suppressing the remaining waveforms. For the training output, the model used the R-peak location information from the simultaneously collected Holter ECG data, which were considered as the reference. The performance of CNNDED was evaluated on an independent test data set using the standard performance metrics. The mean relative error of the estimated HR with respect to the Holter data was 17.5 and 7.3 beats/min, pre- and post-CNNDED, respectively. The mean relative difference of the root mean square of successive difference values were 0.23 and 0.06 before and after applying CNNDED, respectively. Although further study is needed, the current preliminary results suggest that CNNDED can improve detection of R peaks even when they are completely buried in the presence of EMG artifacts.
使用可穿戴设备进行连续的长期心率(HR)监测有助于诊断许多与健康相关的病症。最近,我们开发了一种无需使用阻塞性导联的臂带设备,它具有便于长期心电图(ECG)记录的干式电极,并且已经被证明是一种有效的连续 ECG 监测替代方法。然而,由于肌电图(EMG)收缩引起的运动伪影(MA)被认为是臂带的主要挑战。在这项研究中,我们使用深度卷积神经网络降噪编码器-解码器(CNNDED)来提高臂带设备获得的 MA 污染 ECG 记录中 R 波检测的准确性。我们在 10 名受试者上同时使用臂带设备和 Holter 监测仪采集了 24 小时的 ECG 记录。每个 10 秒的 ECG 段被转换为时频表示,然后作为 CNNDED 的输入。在训练过程中,模型通过放大每个 ECG 节拍中 R 波峰值的幅度并抑制其余波形来学习突出 R 波峰值的位置。对于训练输出,模型使用同时采集的 Holter ECG 数据中的 R 波峰值位置信息作为参考。使用标准性能指标在独立测试数据集上评估了 CNNDED 的性能。经 CNNDED 处理前后,估计 HR 与 Holter 数据的平均相对误差分别为 17.5 和 7.3 次/分钟。经 CNNDED 处理前后,连续差异值均方根的平均相对差异分别为 0.23 和 0.06。虽然还需要进一步研究,但目前的初步结果表明,即使在 EMG 伪影完全掩盖的情况下,CNNDED 也可以提高 R 波的检测。