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12导联心电图重建:算法综述

Reconstruction of 12-lead ECG: a review of algorithms.

作者信息

Obianom Ekenedirichukwu N, Ng G André, Li Xin

机构信息

Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.

Department of Cardiology, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.

出版信息

Front Physiol. 2025 Apr 25;16:1532284. doi: 10.3389/fphys.2025.1532284. eCollection 2025.

DOI:10.3389/fphys.2025.1532284
PMID:40352143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12061857/
Abstract

PURPOSE

This paper aims to review the literature on 12-lead ECG reconstruction, highlight various algorithmic approaches and evaluate their predictive strengths. In addition, it investigates the implications of performing reconstruction in particular ways.

METHODS

This narrative review analysed 39 works on the reconstruction of 12-lead ECGs, focusing on the algorithms used for reconstruction and the results gotten from using these algorithms.

RESULTS

The works analysed featured the use of as little as one lead and as much as four leads for reconstruction of the other leads. Linear and nonlinear (including artificial intelligence) algorithms showed promising performances. Their outputs had correlations of greater than 0.90 depending on how the reconstruction models were built.

CONCLUSION

Three leads are optimal as input predictors for minimal reconstruction errors, but there is no universal algorithm that applies to every reconstruction task. Both linear and nonlinear algorithms can achieve high correlations, and minimal root means square errors. Hence, planned steps are needed when deciding how to manipulate the data and build the models to achieve high accuracies.

摘要

目的

本文旨在回顾关于12导联心电图重建的文献,突出各种算法方法并评估其预测优势。此外,还研究了以特定方式进行重建的影响。

方法

本叙述性综述分析了39篇关于12导联心电图重建的论文,重点关注用于重建的算法以及使用这些算法所获得的结果。

结果

所分析的论文中,用于重建其他导联的导联数量少至一根,多至四根。线性和非线性(包括人工智能)算法表现出良好的性能。根据重建模型的构建方式,其输出的相关性大于0.90。

结论

三根导联作为输入预测因子可实现最小的重建误差,但不存在适用于每个重建任务的通用算法。线性和非线性算法均可实现高相关性和最小均方根误差。因此,在决定如何处理数据和构建模型以实现高精度时,需要有计划的步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3103/12061857/66055ce470af/fphys-16-1532284-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3103/12061857/08b23a0e6f48/fphys-16-1532284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3103/12061857/66055ce470af/fphys-16-1532284-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3103/12061857/08b23a0e6f48/fphys-16-1532284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3103/12061857/66055ce470af/fphys-16-1532284-g002.jpg

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本文引用的文献

1
Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG.大流行时代的远程医疗:新型三导联心电图的效用
Diagnostics (Basel). 2023 Jul 28;13(15):2525. doi: 10.3390/diagnostics13152525.
2
Importance of Electrode Selection and Number in Reconstructing Standard Twelve Lead Electrocardiograms.电极选择和数量在重建标准十二导联心电图中的重要性。
Biomedicines. 2023 May 25;11(6):1526. doi: 10.3390/biomedicines11061526.
3
Electrocardiogram lead conversion from single-lead blindly-segmented signals.单导联盲分割信号的心电信号导联转换。
BMC Med Inform Decis Mak. 2022 Nov 29;22(1):314. doi: 10.1186/s12911-022-02063-6.
4
Lead Reconstruction Using Artificial Neural Networks for Ambulatory ECG Acquisition.使用人工神经网络进行动态心电图采集的导联重建。
Sensors (Basel). 2021 Aug 18;21(16):5542. doi: 10.3390/s21165542.
5
The Reconstruction of a 12-Lead Electrocardiogram from a Reduced Lead Set Using a Focus Time-Delay Neural Network.使用聚焦时间延迟神经网络从简化导联集重建12导联心电图
Acta Cardiol Sin. 2021 Jan;37(1):47-57. doi: 10.6515/ACS.202101_37(1).20200712A.
6
Reconstruction of 12-Lead Electrocardiogram from a Three-Lead Patch-Type Device Using a LSTM Network.使用 LSTM 网络从三导联贴片式设备重建 12 导联心电图。
Sensors (Basel). 2020 Jun 9;20(11):3278. doi: 10.3390/s20113278.
7
PTB-XL, a large publicly available electrocardiography dataset.PTB-XL,一个大型的公开可用的心电图数据集。
Sci Data. 2020 May 25;7(1):154. doi: 10.1038/s41597-020-0495-6.
8
Optimal Lead Position in Patch-Type Monitoring Sensors for Reconstructing 12-Lead ECG Signals with Universal Transformation Coefficient.优化通用变换系数重建 12 导联心电图信号的贴片式监测传感器的导联位置。
Sensors (Basel). 2020 Feb 11;20(4):963. doi: 10.3390/s20040963.
9
A 12-lead electrocardiogram database for arrhythmia research covering more than 10,000 patients.一个包含超过 10000 名患者的心律失常研究用 12 导联心电图数据库。
Sci Data. 2020 Feb 12;7(1):48. doi: 10.1038/s41597-020-0386-x.
10
Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device.
Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:5481-5487. doi: 10.1109/EMBC.2019.8857251.