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基于通道注意力和双向 LSTM 的多分支卷积神经网络的心律失常自动分类。

Automatic classification of arrhythmias using multi-branch convolutional neural networks based on channel-based attention and bidirectional LSTM.

机构信息

School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou 350108, People's Republic of China.

School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou 350108, People's Republic of China.

出版信息

ISA Trans. 2023 Jul;138:397-407. doi: 10.1016/j.isatra.2023.02.028. Epub 2023 Feb 27.

DOI:10.1016/j.isatra.2023.02.028
PMID:36898911
Abstract

Cardiac arrhythmia is an abnormal rhythm of the heartbeat and can be life-threatening Electrocardiogram (ECG) is a technology that uses an electrocardiograph machine to record a graph of the changes in electrical activity produced by the heart at each cardiac cycle. ECG can generally be used to check whether the examinee has arrhythmia, ion channel disease, cardiomyopathy, electrolyte disorder and other diseases. To reduce the workload of doctors and improve the accuracy of ECG signal recognition, a novel and lightweight automatic ECG classification method based on Convolutional Neural Network (CNN) is proposed. The multi-branch network with different receptive fields is used to extract the multi-spatial deep features of heartbeats. The Channel Attention Module (CAM) and Bidirectional Long Short-Term Memory neural network (BLSTM) module are used to filter redundant ECG features. CAM and BLSTM are beneficial for distinguishing different categories of heartbeats. In the experiments, a four-fold cross-validation technique is used to improve the generalization capability of the network, and it shows good performance on the testing set. This method divides heartbeats into five categories according to the American Advancement of Medical Instrumentation (AAMI) criteria, which is validated in the MIT-BIH arrhythmia database. The sensitivity of this method to Ventricular Ectopic Beat (VEB) is 98.5% and the F1 score is 98.2%. The precision of the Supraventricular Ectopic Beat (SVEB) is 91.1%, and the corresponding F1 score is 90.8%. The proposed method has high classification performance and a lightweight feature. In a word, it has broad application prospects in clinical medicine and health testing.

摘要

心律失常是一种心跳异常节律,可能危及生命。心电图 (ECG) 是一种使用心电图机记录心脏在每个心动周期产生的电活动变化的技术。心电图通常可用于检查受检者是否有心律失常、离子通道疾病、心肌病、电解质紊乱等疾病。为了减轻医生的工作量,提高心电图信号识别的准确性,提出了一种基于卷积神经网络 (CNN) 的新型轻量级自动心电图分类方法。使用具有不同感受野的多分支网络提取心跳的多空间深度特征。使用通道注意力模块 (CAM) 和双向长短时记忆神经网络 (BLSTM) 模块过滤冗余的心电图特征。CAM 和 BLSTM 有利于区分不同类别的心跳。在实验中,采用四折交叉验证技术提高网络的泛化能力,在测试集上表现出良好的性能。该方法根据美国医疗器械促进协会 (AAMI) 标准将心跳分为五类,在麻省理工学院-生物医学工程研究所心律失常数据库中进行验证。该方法对室性异位搏动 (VEB) 的灵敏度为 98.5%,F1 得分为 98.2%。对室上性异位搏动 (SVEB) 的准确率为 91.1%,对应的 F1 得分为 90.8%。该方法具有较高的分类性能和轻量级特征。总之,它在临床医学和健康检测中有广阔的应用前景。

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