Automatic Classification of Cardiac Arrhythmias based on ECG Signals Using Transferred Deep Learning Convolution Neural Network

Much attention has been given to the Internet of Things (IoT) by citizens, industries, governments, and universities for applications like smart buildings, environmental monitoring, health care and so on. With IoT, network connectivity is facilitated between smart devices from anyplace and anytime. IoT-based health monitoring systems are gaining popularity and acceptance for continuous monitoring and detect health abnormalities from the data collected. Electrocardiographic (ECG) signals are widely used for heart diseases detection. A novel method has been proposed in this work for ECG monitoring using IoT techniques. In this work, a two-stage approach is employed. In the first stage, a routing protocol based on Dynamic Source Routing (DSR) and Routing by Energy and Link quality (REL) for IoT healthcare platform is proposed for efficient data collection, and in the second stage, classification of ECG for Arrhythmia. Furthermore, this work has evaluated Support Vector Machine (SVM), Artificial Neural Network (ANN), and Convolution Neural Networks (CNNs)-based approach for ECG signals classification. Deep-ECG will use a deep CNN to extract critical features and then compare through evaluation of simple and fast distance functions in order to obtain an efficient classification of heart abnormalities. For the identification of abnormal data, this work has proposed techniques for the classification of ECG data, which has been obtained from mobile watch users. For experimental verification of the proposed methods, the Beth Israel Hospital (MIT/BIH) Arrhythmia and Massachusetts Institute of Technology (MIT) Database was used for evaluation. Results confirm the presented method’s superior performance with regards to the accuracy of classification. The CNN achieved an accuracy of 91.92% and has a higher accuracy of 4.98% for the SVM and 2.68% for the ANN.

The success of arrhythmia classification tasks with Machine Learning (ML) algorithms is based on the handcrafting extraction of features from Electrocardiography (ECG) signals. However, feature extraction is a time-consuming trial-and-error approach. Deep Neural Network (DNN) algorithms bypass the process of handcrafting feature extraction since the algorithm extracts the features automatically in their hidden layers. However, it is important to have access to a balanced dataset for algorithm training. In this exploratory research study, we will compare the evaluation metrics among Convolutional Neural Networks (1D-CNN) and Support Vector Machines (SVM) using a dataset based on the merged public ECG signals database TNMG and CINC17 databases. Results: Both algorithms showed good performance using the new, merged ECG database. For evaluation metrics, the 1D-CNN algorithm has a precision of 93.04%, an accuracy of 93.07%, a recall of 93.20%, and an F1-score of 93.05%. The SVM classifier (λ = 10, C = 10 × 109) achieved the best classification metrics with two combined, handcrafted feature extraction methods: Wavelet transforms and R-peak Interval features, which achieved an overall precision of 89.04%, accuracy of 92.00%, recall of 94.20%, and F1-score of 91.54%. As an unique input feature and SVM (λ=10,C=100), wavelet transforms achieved precision, accuracy, recall, and F1-score metrics of 86.15%, 85.33%, 81.16%, and 83.58%. Conclusion: Researchers face a challenge in finding a broad dataset to evaluate ML models. One way to solve this problem, especially for deep learning models, is to combine several public datasets to increase the amount of data. The SVM and 1D-CNN algorithms showed positive results with the merge of databases, showing similar F1-score, precision, and recall during arrhythmia classification. Despite the favorable results for both of them, it should be considered that in the SVM, feature selection is a time-consuming trial-and-error process; meanwhile, CNN algorithms can reduce the workload significantly. The disadvantage of CNN algorithms is that it has a higher computational processing cost; moreover, in the absence of access to powerful computational processing, the SVM can be a reliable solution.

PurposeThe aim of this study was to analyse and review deep learning convolutional neural networks for detecting and diagnosing early-stage dental caries on periapical radiographs.Materials and MethodsIn order to conduct this review, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Studies published from 2015 to 2021 under the keywords (deep convolutional neural network) AND (caries), (deep learning caries) AND (convolutional neural network) AND (caries) were systematically reviewed.ResultsWhen dental caries is improperly diagnosed, the lesion may eventually invade the enamel, dentin, and pulp tissue, leading to loss of tooth function. Rapid and precise detection and diagnosis are vital for implementing appropriate prevention and treatment of dental caries. Radiography and intraoral images are considered to play a vital role in detecting dental caries; nevertheless, studies have shown that 20% of suspicious areas are mistakenly diagnosed as dental caries using this technique; hence, diagnosis via radiography alone without an objective assessment is inaccurate. Identifying caries with a deep convolutional neural network-based detector enables the operator to distinguish changes in the location and morphological features of dental caries lesions. Deep learning algorithms have broader and more profound layers and are continually being developed, remarkably enhancing their precision in detecting and segmenting objects.ConclusionClinical applications of deep learning convolutional neural networks in the dental field have shown significant accuracy in detecting and diagnosing dental caries, and these models hold promise in supporting dental practitioners to improve patient outcomes.

Early detection of cutaneous melanoma (CM) is crucial for patient survival, yet avoiding overdiagnosis remains essential. Differentiating CM from benign melanoma simulators (MelSim) is challenging due to overlapping features. Deep learning convolutional neural networks (DL-CNNs) have demonstrated dermatologist-level accuracy in identifying CM. We hypothesized that support from DL-CNN could increase dermatologists' accuracy in differentiating CM from MelSim. This cross-sectional reader study analyzed the diagnostic performance of a DL-CNN and 27 dermatologists for 200 skin lesions (100 CM, 100 MelSim). The DL-CNN assigned malignancy scores ranging from 0 to 1 (> 0.5 indicating malignancy). Dermatologists assessed lesions across three levels: (I) dermoscopy only, (II) full case information (dermoscopy, close-up images, metadata), and (III) full case information plus DL-CNN scores. Primary outcomes were sensitivity, specificity, and ROC-AUC of dermatologists with or without DL-CNN-support (level-II versus -III). The DL-CNN and dermatologists in level-II showed a comparable sensitivity (95 % CI) of 90.0 % (82.6-94.5 %) and 90.1 % (86.9-93.2 %, p = 0.153), respectively. However, the DL-CNN's specificity (67.0 % (57.3-75.4 %) versus 73.2 % (69.1-77.3 %)) and ROC-AUC (0.889 (0.845-0.932) versus 0.951 (0.920-0.982)) were significantly lower than for dermatologists (all p < 0.01). When dermatologists integrated DL-CNN predictions (level-III) their sensitivity increased to 91.4 % (88.3-94.5 %, p < 0.001) without markedly changing specificity (74.2 % (70.6-77.7 %, p = 0.435)) or ROC-AUC (0.954 (0.927-0.982, p = 0.581)). Collaboration with a DL-CNN slightly improved dermatologists' diagnostic accuracy in a mixed CM and MelSim dataset, by increasing sensitivity without a loss of specificity. The DL-CNN's level of sensitivity in this difficult-to-diagnose dataset underlines the potential as an assistant diagnostic tool.

With the continuous development of deep learning technology, neural networks such as convolutional neural network (CNN) have shown good performance in many fields, such as image processing. Meanwhile, the relevant algorithm has made great progress. But the experiment results show that the deeper the network layers, the more the number of parameters that need to be trained in neural network, and the massive computing resources will be consumed to reconstruct and train the deep convolutional neural network (DCNN) model. These parameters often need to be trained in large dataset. But in many practical applications, the effective sample dataset that can be collected are usually small and lack of annotated samples. It is a pity that models that perform well on large datasets often have overfitting problems when applied to small datasets. And transfer learning can recognize and apply knowledge and skills learned in previous domains/tasks to novel domains/tasks. Combining deep convolutional neural network learning with transfer learning can make full use of existing models with good performance to solve problems in new fields, so has received considerable attentions due to its high research value and wide application prospect. This paper focuses on the combination of CNN and transfer learning, analyzes their characteristics, summarizes the relevant models, methods and applications, so as to promote their effective fusion in image classification.

Chapter 14 - Comparison of deep transfer learning models to detect obstructive sleep apnea with single-channel electrocardiogram

Research on segmentation of the hippocampus in magnetic resonance images through deep learning convolutional neural networks (CNNs) shows promising results, suggesting that these methods can identify small structural abnormalities of the hippocampus, which are among the earliest and most frequent brain changes associated with Alzheimer disease (AD). However, CNNs typically achieve the highest accuracy on datasets acquired from the same domain as the training dataset. Transfer learning allows domain adaptation through further training on a limited dataset. In this study, we applied transfer learning on a network called spatial warping network segmentation (SWANS), developed and trained in a previous study. We used MR images of patients with clinical diagnoses of mild cognitive impairment (MCI) and AD, segmented by two different raters. By using transfer learning techniques, we developed four new models, using different training methods. Testing was performed using 26% of the original dataset, which was excluded from training as a hold‐out test set. In addition, 10% of the overall training dataset was used as a hold‐out validation set. Results showed that all the new models achieved better hippocampal segmentation quality than the baseline SWANS model (ps < .001), with high similarity to the manual segmentations (mean dice [best model] = 0.878 ± 0.003). The best model was chosen based on visual assessment and volume percentage error (VPE). The increased precision in estimating hippocampal volumes allows the detection of small hippocampal abnormalities already present in the MCI phase (SD = [3.9 ± 0.6]%), which may be crucial for early diagnosis.

Automatic ECG arrhythmia classification using dual tree complex wavelet based features

In this paper, we propose a deep learning convolutional neural network (CNN) approach to classify arrhythmia based on the time interval of the QRS complex of the ECG signal. The ECG signal was denoised using multiple filters based on the Pan Tompkins algorithm. QRS detection has been done using Pan Tompkins Algorithm. Then the QRS complex is identified using local peaks based technique inside the layers of the Convolutional Neural Network where the repeated application of the same filter to our input results in a map of activations called a feature map, indicating the locations and strength of a detected feature in an input which in our case is the changes in the q-s time interval. Based on the R-R time interval, Heart rate variability (HRV) was computed, and Poincare plot was generated. Instead of using raw ECG signal to train the CNN, we used the feature extracted from ECG signal obtained from Physionet database to train the CNN and map the pattern changes for different classes of diseases. The classifier was then used to classify the test input as either or normal, tachyarrhythmia or intracardiac atrial fibrillation. Data acquisition, ECG data pre-processing and CNN classifier are the several methods that are involved for the classification of several arrhythmias.

Heart arrhythmia is a condition in which the heartbeat is too fast, too slow, or irregular. As Electrocardiography (ECG) is an efficient measurement of heart arrhythmia, lots of research efforts have been spent on the identification of heart arrhythmia by classifying ECG signals for health care. Among them, support vector machines (SVMs) and artificial neural networks (ANNs) are the most popular. However, most of the previous studies reported the performance of either the SVMs or the ANNs without in-depth comparisons between these two methods. Also, a large number of features can be extracted from ECG signals, and some may be more relevant to heart arrhythmia than the others. This paper is to enhance the performance of heart arrhythmia classification by selecting relevant features from ECG signals, applying dimension reduction on the feature vectors, and applying deep neural networks (DNNs) for classification. A holistic comparison among DNNs, SVMs, and ANNs will be provided. Experimental results suggest that DNNs outperform both SVMs and ANNs, provided that relevant features have been selected.

Heart monitoring kits are only available for bedridden patients and the traditional heart monitoring kits have many wires that are obstacle patients’ mobility. Most of the existing heart monitoring kits can not detect heart diseases. Thus, the current study proposed a wireless heart monitoring kit to monitor patients with a heart abnormality. The proposed kit can detect and classify four arrhythmia types as well as normal ECG with high accuracy. The design and development of the wireless heart abnormality monitoring kit (WHAMK) in this research were divided into three stages. These stages are the development of an arrhythmias detection and classification method using artificial intelligence approach, design and implementation of the kit hardware, and design and coding of the kit software. Arrhythmias classification approach is divided into four stages, namely obtaining the electrocardiograph (ECG) signals, preprocessing, features extraction and classification. The features extraction method are based on statistical features. The library support vector machine (LIBSVM) was used to classify the ECG signals. The hardware of the kit is divided into two parts, namely ECG body sensor (EBS), and processing and displaying unit (PDU). EBS working on acquiring the ECG signal from patient's body. PDU working on processing the collected ECG signal, plotting it and detecting the arrhythmias. Arrhythmias classification approach was developed by using statistical features and LIBSVM. They were implemented in the software of the kit to enable it to detect the arrhythmias in the real-time and fully automatically. The kit can detect and classify four arrhythmia types as well as normal sinus rhythm (NSR). These types of arrhythmia are premature atrial contraction (PAC), premature ventricles contraction (PVC), Bradycardia and Tachycardia. The proposed kit gave a good accuracy for detecting and classifying Arrhythmia with the overall accuracy of 96.2%.

Experimental validation of saliency maps for understanding deep neural networks for weld penetration prediction

Introduction Catathrenia is a rare sleep-related breathing disorder characterized by recurrent monotonous groaning during sleep. The acoustic characteristics of groaning and snoring sounds have been investigated. This study aims to propose a deep convolutional neural network (CNN) for automatic binary classification. Methods This study consisted of 3728 episodes of groaning sounds and 4577 episodes of snoring sounds obtained from synchronized audio of full-night polysomnography. Four features extracted from log-scaled mel-spectrograms were used as input. The background gaussian noise and the time-shifting were used to augment the dataset. The dataset was randomly split into training (70%), validation (15%), and testing datasets (15%). A deep learning convolutional neural network architecture was trained and evaluated. Results The proposed CNN model achieves an accuracy of 95.0% on the binary classification of groaning and snoring sounds. The model attains a sensitivity/recall of 96.4%, a specificity of 93.4%, and an F1 score of 94.84%. Conclusion The proposed CNN architecture has performed well in the automatic binary classification of groaning and snoring sounds, which could reduce difficulties in acoustic analyses of groaning episode detection. The model needs to be verified with more audio data before it can be put into clinical use better. Support (if any)

Auto-detection and segmentation of involved lymph nodes in HPV-associated oropharyngeal cancer using a convolutional deep learning neural network

In pattern recognition, identifying Kannada handwritten numerals are a complex knot. This paper portrays an avenue that pikes us to attain a most potent Kannada Numerals recognition process. In this, handwritten Kannada characters are captivated in document fashion and are subjected to Pre-processing and attribute extraction processes. Pre-processing entails steps like noise removal, binarization, normalization, skew amendment, and thinning. Features are extricated by exploiting strategies like Drift Length Count, Direction related progression code, DWT and Curvelet Transfiguration Wrapping. For an impressive classification process deep convolution neural network classifier is preferred. Isolation accuracy of Kannada numeral aimed here will outsource 96% of accuracy.