Abstract

The confidence of medical equipment is intimately related to false alarms. The higher the number of false events occurs, the less truthful is the equipment. In this sense, reducing (or suppressing) false positive alarms is hugely desirable. In this work, we propose a feasible and real-time approach that works as a validation method for a heartbeat segmentation third-party algorithm. The approach is based on convolutional neural networks (CNNs), which may be embedded in dedicated hardware. Our proposal aims to detect the pattern of a single heartbeat and classifies them into two classes: a heartbeat and not a heartbeat. For this, a seven-layer convolution network is employed for both data representation and classification. We evaluate our approach in two well-settled databases in the literature on the raw heartbeat signal. The first database is a conventional on-the-person database called MIT-BIH, and the second is one less uncontrolled off-the-person type database known as CYBHi. To evaluate the feasibility and the performance of the proposed approach, we use as a baseline the Pam-Tompkins algorithm, which is a well-known method in the literature and still used in the industry. We compare the baseline against the proposed approach: a CNN model validating the heartbeats detected by a third-party algorithm. In this work, the third-party algorithm is the same as the baseline for comparison purposes. The results support the feasibility of our approach showing that our method can enhance the positive prediction of the Pan-Tompkins algorithm from 97.84%/90.28% to 100.00%/96.77% by slightly decreasing the sensitivity from 95.79%/96.95% to 92.98%/95.71% on the MIT-BIH/CYBHi databases.

Highlights

  • The confidence of medical equipment is intimately related to false alarms

  • The 2015 PhysioNet/Computing in Cardiology (CinC) Challenge was focused on five life-threatening arrhythmias

  • It is important to note that convolutional neural networks (CNNs) have been applied to classify electrocardiogram (ECG) heartbeats in the diagnosis of a­ rrhythmia[17,18,19], which is a underlying subject to the scope of this work

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Summary

Introduction

The confidence of medical equipment is intimately related to false alarms. The higher the number of false events occurs, the less truthful is the equipment. We propose a feasible and real-time approach that works as a validation method for a heartbeat segmentation third-party algorithm. The excessive false alarm problem has been extensively studied in the ­literature[1,2,3,4,5,6,7] Most of these approaches rely on the electrocardiogram (ECG) signal. Applications based on the ECG signal are commonly divided into four stages: pre-processing (filtering), ECG signal segmentation (QRS complex detection), signal representation using pattern recognition techniques, and classification algorithms. The correct segmentation of the ECG signal and the identification of fiducial points are of paramount importance to reduce false alarms. It is important to note that convolutional neural networks (CNNs) have been applied to classify electrocardiogram (ECG) heartbeats in the diagnosis of a­ rrhythmia[17,18,19], which is a underlying subject to the scope of this work

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