Kwon Daehyun, Kang Hanbit, Lee Dongwoo, Kim Yoon-Chul
Medical Artificial Intelligence Laboratory, Division of Digital Healthcare, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Republic of Korea.
PLoS One. 2025 Mar 10;20(3):e0317630. doi: 10.1371/journal.pone.0317630. eCollection 2025.
Portable and wearable electrocardiogram (ECG) devices are increasingly utilized in healthcare for monitoring heart rhythms and detecting cardiac arrhythmias or other heart conditions. The integration of ECG signal visualization with AI-based abnormality detection empowers users to independently and confidently assess their physiological signals. In this study, we investigated a novel method for visualizing ECG signals using polar transformations of short-time Fourier transform (STFT) spectrograms and evaluated the performance of deep convolutional neural networks (CNNs) in predicting atrial fibrillation from these polar transformed spectrograms. The ECG data, which are available from the PhysioNet/CinC Challenge 2017, were categorized into four classes: normal sinus rhythm, atrial fibrillation, other rhythms, and noise. Preprocessing steps included ECG signal filtering, STFT-based spectrogram generation, and reverse polar transformation to generate final polar spectrogram images. These images were used as inputs for deep CNN models, where three pre-trained deep CNNs were used for comparisons. The results demonstrated that deep learning-based predictions using polar transformed spectrograms were comparable to existing methods. Furthermore, the polar transformed images offer a compact and intuitive representation of rhythm characteristics in ECG recordings, highlighting their potential for wearable applications.
便携式和可穿戴心电图(ECG)设备在医疗保健领域越来越多地用于监测心律以及检测心律失常或其他心脏疾病。将心电图信号可视化与基于人工智能的异常检测相结合,使用户能够独立且自信地评估自己的生理信号。在本研究中,我们研究了一种使用短时傅里叶变换(STFT)频谱图的极坐标变换来可视化心电图信号的新方法,并评估了深度卷积神经网络(CNN)从这些极坐标变换后的频谱图预测心房颤动的性能。从PhysioNet/CinC 2017挑战赛中获取的心电图数据被分为四类:正常窦性心律、心房颤动、其他心律和噪声。预处理步骤包括心电图信号滤波、基于STFT的频谱图生成以及反向极坐标变换以生成最终的极坐标频谱图图像。这些图像被用作深度CNN模型的输入,其中使用了三个预训练的深度CNN进行比较。结果表明,使用极坐标变换后的频谱图进行基于深度学习的预测与现有方法相当。此外,极坐标变换后的图像为心电图记录中的节律特征提供了紧凑且直观的表示,突出了它们在可穿戴应用中的潜力。