Kapfo Ato, Datta Sumit, Dandapat Samarendra, Bora Prabin Kumar
Department of Electronics and Electrical Engineering, Indian Institute of Technology Guwahati, Guwahati, Assam 781039 India.
School of Electronic Systems and Automation, Digital University Kerala (Formerly IIITM Kerala), Thiruvananthapuram, Kerala 695317 India.
Biomed Eng Lett. 2024 Jul 31;14(6):1385-1395. doi: 10.1007/s13534-024-00412-0. eCollection 2024 Nov.
Synthesis of a 12-lead electrocardiogram from a reduced lead set has previously been extensively studied in order to meet patient comfort, minimise complexity, and enable telemonitoring. Traditional methods relied solely on the inter-lead correlation between the standard twelve leads for learning the models. The 12-lead ECG possesses not only inter-lead correlation but also intra-lead correlation. Learning a model that can exploit this spatio-temporal information in the ECG could generate lead signals while preserving important diagnostic information. The proposed approach takes leverage of the enhanced inter-lead correlation of the ECG signal in the wavelet domain. Long-short-term memory (LSTM) networks, which have emerged as a powerful tool for sequential data mining, are a type of recurrent neural network architecture with an inherent capability to capture the spatiotemporal information of the heart signal. This work proposes the deep learning architecture that utilizes the discrete wavelet transform and the LSTM to reconstruct a generic 12-lead ECG from a reduced lead set. The experimental results are evaluated using different diagnostic measures and similarity metrics. The proposed framework is well founded, and accurate reconstruction is possible as it can capture clinically significant features and provides a robust solution against noise.
为了满足患者舒适度、降低复杂度并实现远程监测,此前已对从简化导联集合成12导联心电图进行了广泛研究。传统方法仅依靠标准12导联之间的导联间相关性来学习模型。12导联心电图不仅具有导联间相关性,还具有导联内相关性。学习一个能够利用心电图中这种时空信息的模型,可以在保留重要诊断信息的同时生成导联信号。所提出的方法利用了小波域中增强的心电图信号导联间相关性。长短期记忆(LSTM)网络作为一种强大的序列数据挖掘工具而出现,它是一种递归神经网络架构,具有捕获心脏信号时空信息的固有能力。这项工作提出了一种深度学习架构,该架构利用离散小波变换和LSTM从简化导联集重建通用的12导联心电图。使用不同的诊断措施和相似性指标对实验结果进行评估。所提出的框架有充分依据,并且能够进行准确的重建,因为它可以捕获具有临床意义的特征,并提供针对噪声的稳健解决方案。