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基于多分支多尺度卷积网络的心房颤动检测模型

[Detection model of atrial fibrillation based on multi-branch and multi-scale convolutional networks].

作者信息

Zhao Siyu, Liu Ming, Liu Mingqi, Yang Xiaoru, Xiong Peng, Zhang Jieshuo

机构信息

College of Electronic and Information Engineering, Hebei University, Baoding, Hebei 071002, P. R. China.

Baoding Municipal Productivity Promotion Center, Baoding, Hebei 071023, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024 Aug 25;41(4):700-707. doi: 10.7507/1001-5515.202303014.

Abstract

Atrial fibrillation (AF) is a life-threatening heart condition, and its early detection and treatment have garnered significant attention from physicians in recent years. Traditional methods of detecting AF heavily rely on doctor's diagnosis based on electrocardiograms (ECGs), but prolonged analysis of ECG signals is very time-consuming. This paper designs an AF detection model based on the Inception module, constructing multi-branch detection channels to process raw ECG signals, gradient signals, and frequency signals during AF. The model efficiently extracted QRS complex and RR interval features using gradient signals, extracted P-wave and f-wave features using frequency signals, and used raw signals to supplement missing information. The multi-scale convolutional kernels in the Inception module provided various receptive fields and performed comprehensive analysis of the multi-branch results, enabling early AF detection. Compared to current machine learning algorithms that use only RR interval and heart rate variability features, the proposed algorithm additionally employed frequency features, making fuller use of the information within the signals. For deep learning methods using raw and frequency signals, this paper introduced an enhanced method for the QRS complex, allowing the network to extract features more effectively. By using a multi-branch input mode, the model comprehensively considered irregular RR intervals and P-wave and f-wave features in AF. Testing on the MIT-BIH AF database showed that the inter-patient detection accuracy was 96.89%, sensitivity was 97.72%, and specificity was 95.88%. The proposed model demonstrates excellent performance and can achieve automatic AF detection.

摘要

心房颤动(AF)是一种危及生命的心脏疾病,近年来其早期检测和治疗受到了医生的广泛关注。传统的AF检测方法严重依赖医生基于心电图(ECG)的诊断,但对ECG信号进行长时间分析非常耗时。本文设计了一种基于Inception模块的AF检测模型,构建多分支检测通道来处理AF期间的原始ECG信号、梯度信号和频率信号。该模型利用梯度信号有效提取QRS波群和RR间期特征,利用频率信号提取P波和f波特征,并利用原始信号补充缺失信息。Inception模块中的多尺度卷积核提供了不同的感受野,并对多分支结果进行综合分析,实现了AF的早期检测。与目前仅使用RR间期和心率变异性特征的机器学习算法相比,该算法还采用了频率特征,更充分地利用了信号中的信息。对于使用原始信号和频率信号的深度学习方法,本文引入了一种增强的QRS波群方法,使网络能够更有效地提取特征。通过采用多分支输入模式,该模型综合考虑了AF中不规则的RR间期以及P波和f波特征。在MIT - BIH AF数据库上的测试表明,患者间检测准确率为96.89%,灵敏度为97.72%,特异性为95.88%。所提出的模型表现出优异的性能,能够实现AF的自动检测。

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本文引用的文献

1
Atrial electrogram amplitude variability during atrial fibrillation ablation.心房颤动消融期间心房电图振幅变异性
J Cardiovasc Electrophysiol. 2023 Jan;34(1):35-43. doi: 10.1111/jce.15702. Epub 2022 Oct 23.
5
Differential diagnosis of wide QRS tachycardia: A review.宽QRS波心动过速的鉴别诊断:综述
J Arrhythm. 2021 Aug 9;37(5):1162-1172. doi: 10.1002/joa3.12599. eCollection 2021 Oct.
6
[Atrial fibrillation diagnosis algorithm based on improved convolutional neural network].基于改进卷积神经网络的心房颤动诊断算法
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2021 Aug 25;38(4):686-694. doi: 10.7507/1001-5515.202007039.
10
Early Rhythm-Control Therapy in Patients with Atrial Fibrillation.心房颤动患者的早期节律控制治疗。
N Engl J Med. 2020 Oct 1;383(14):1305-1316. doi: 10.1056/NEJMoa2019422. Epub 2020 Aug 29.

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