Darmawahyuni Annisa, Nurmaini Siti, Tutuko Bambang, Rachmatullah Muhammad Naufal, Firdaus Firdaus, Sapitri Ade Iriani, Islami Anggun, Marcelino Jordan, Isdwanta Rendy, Perwira Muhammad Ikhwan
Faculty of Engineering, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Intelligent System Research Group, Faculty of Computer Science Universitas Sriwijaya, Palembang, 30139, Indonesia.
BMC Med Inform Decis Mak. 2024 Dec 30;24(1):412. doi: 10.1186/s12911-024-02822-7.
Automatic classification of arrhythmias based on electrocardiography (ECG) data faces several significant challenges, particularly due to the substantial volume of clinical data involved in ECG signal analysis. The volume of clinical data has increased considerably, especially with the emergence of new clinical symptoms and signs in various arrhythmia conditions. These symptoms and signs, which serve as distinguishing features, can number in the tens of thousands. However, the inclusion of irrelevant features can lead to inaccurate classification results.
To identify the most relevant and optimal features for ECG arrhythmia classification, common feature extraction techniques have been applied to ECG signals, specifically shallow and deep feature extraction. Additionally, a feature selection technique based on a metaheuristic optimization algorithm is utilized following the ECG feature extraction process.
Our findings indicate that shallow feature extraction based on the time-domain analysis, combined with feature selection using a metaheuristic optimization algorithm, outperformed other ECG feature extraction and selection techniques. Among eight features of time-domain anaylsis, the selected feature is one to three features from RR-interval assesment, achieving 100% accuracy, sensitivity, specificity, and precision for ECG arrhythmia classification.
The proposed end-to-end architecture for ECG arrhythmia classification demonstrates simplicity in parameters and low complexity, making it highly effective for practical applications.
基于心电图(ECG)数据的心律失常自动分类面临若干重大挑战,尤其是由于ECG信号分析涉及大量临床数据。临床数据量大幅增加,特别是随着各种心律失常病症中新的临床症状和体征的出现。这些作为区分特征的症状和体征可能数以万计。然而,包含不相关特征会导致分类结果不准确。
为了识别用于ECG心律失常分类的最相关和最优特征,已将常见特征提取技术应用于ECG信号,特别是浅层和深层特征提取。此外,在ECG特征提取过程之后,利用基于元启发式优化算法的特征选择技术。
我们的研究结果表明,基于时域分析的浅层特征提取,结合使用元启发式优化算法的特征选择,优于其他ECG特征提取和选择技术。在时域分析的八个特征中,所选特征是RR间期评估中的一到三个特征,在ECG心律失常分类中实现了100%的准确率、灵敏度、特异性和精确率。
所提出的用于ECG心律失常分类的端到端架构在参数方面表现简单且复杂度低,使其在实际应用中非常有效。