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神经网络中用于心脏病分类的心电图输入选择艺术:兼顾最大化信息与减少冗余的双重关注点。

The art of selecting the ECG input in neural networks to classify heart diseases: a dual focus on maximizing information and reducing redundancy.

作者信息

Ramirez Elisa, Ruiperez-Campillo Samuel, Casado-Arroyo Ruben, Merino José Luis, Vogt Julia E, Castells Francisco, Millet José

机构信息

ITACA Institute, Universitat Politècnica de València, Valencia, Spain.

Department of Computer Science, ETH Zürich, Zurich, Switzerland.

出版信息

Front Physiol. 2024 Oct 7;15:1452829. doi: 10.3389/fphys.2024.1452829. eCollection 2024.

DOI:10.3389/fphys.2024.1452829
PMID:39434723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11491564/
Abstract

BACKGROUND AND OBJECTIVES

Accurate diagnosis of cardiovascular diseases often relies on the electrocardiogram (ECG). Since the cardiac vector is located within a three-dimensional space and the standard ECG comprises 12 projections or leads derived from it, redundant information is inherently present. This study aims to quantify this redundancy and its impact on classification tasks using Convolutional Neural Networks (CNNs) in cardiovascular diseases.

METHODS

We employed signal theory and mutual information to introduce a novel redundancy metric and explored techniques for redundancy augmentation and reduction. This involved lead selection and transformation to evaluate the effects on neural network performance.

RESULTS

Our findings indicate that optimizing input configurations through redundancy reduction techniques can enhance the performance of deep learning models in cardiovascular diagnostics, provided that the information is preserved and minimally distorted.

CONCLUSION

For the first time, this research has quantified the redundancy present in the input by validating various redundancy reduction techniques using a CNN. This discovery paves the way for advancing biomedical signal processing research, simplifying model complexity, and enhancing diagnostic performance in cardiovascular medicine within reduced lead systems, such as Holter monitors or wearables.

摘要

背景与目的

心血管疾病的准确诊断通常依赖于心电图(ECG)。由于心脏向量位于三维空间中,而标准心电图由从中导出的12个投影或导联组成,因此必然存在冗余信息。本研究旨在使用卷积神经网络(CNN)量化这种冗余及其对心血管疾病分类任务的影响。

方法

我们运用信号理论和互信息引入了一种新的冗余度量,并探索了冗余增强和减少技术。这包括导联选择和变换,以评估对神经网络性能的影响。

结果

我们的研究结果表明,通过冗余减少技术优化输入配置可以提高深度学习模型在心血管诊断中的性能,前提是信息得以保留且失真最小。

结论

本研究首次通过使用CNN验证各种冗余减少技术,量化了输入中存在的冗余。这一发现为推进生物医学信号处理研究、简化模型复杂性以及提高诸如动态心电图监测仪或可穿戴设备等简化导联系统中心血管医学的诊断性能铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/5e9ded092487/fphys-15-1452829-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/45d1baad28bf/fphys-15-1452829-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/243ce815c3a2/fphys-15-1452829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/cf2499bdf1bd/fphys-15-1452829-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/2cd43d25cc40/fphys-15-1452829-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/fe1e6ec081b1/fphys-15-1452829-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/5e9ded092487/fphys-15-1452829-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/45d1baad28bf/fphys-15-1452829-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/243ce815c3a2/fphys-15-1452829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/cf2499bdf1bd/fphys-15-1452829-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/2cd43d25cc40/fphys-15-1452829-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/fe1e6ec081b1/fphys-15-1452829-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4736/11491564/5e9ded092487/fphys-15-1452829-g006.jpg

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本文引用的文献

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Assessment of cardiovascular disease risk: a 2023 update.心血管疾病风险评估:2023 年更新。
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Electrocardiogram Devices for Home Use: Technological and Clinical Scoping Review.家用心电图设备:技术与临床范围综述
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From 12 to 1 ECG lead: multiple cardiac condition detection mixing a hybrid machine learning approach with a one-versus-rest classification strategy.
从 12 导联心电图到多心脏疾病检测:混合机器学习方法和一对一分类策略的混合应用。
Physiol Meas. 2022 Jun 28;43(6). doi: 10.1088/1361-6579/ac72f5.
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Classification of ECG using ensemble of residual CNNs with or without attention mechanism.使用带有或不带有注意力机制的残差卷积神经网络集成对心电图进行分类。
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