Using the VQ-VAE to improve the recognition of abnormalities in short-duration 12-lead electrocardiogram records

Abstract

Background and ObjectiveMorphological diagnosis is a basic clinical task of the short-duration 12-lead electrocardiogram (ECG). Due to the scarcity of positive samples and other factors, there is currently no algorithm that is comparable to human experts in ECG morphological recognition. Our objective is to develop an ECG specialist-level deep learning method that can accurately identify ten ECG morphological abnormalities in real scene data. MethodsWe established a short-duration 12-lead ECG image dataset that consists of approximately 200,000 samples. To address the problems with small positive samples, a data augmentation method was proposed. We solved it by interpolating in the latent space of the vector quantized variational autoencoder (VQ-VAE) and generating new samples via sampling. The trained final classifier, general doctors, and ECG specialists evaluated the diagnostic performance on a test set that consisted of 1000 samples. ResultsRelative to that of unaugmented data, the F1 score was improved by 0–6%. Compared with ECG specialists, the deep neural network achieved higher F1 scores and sensitivity in most categories. ConclusionsOur method can improve the classification performance of ECG data with insufficient positive samples and reach the level of ECG specialists. This approach can provide specialized reference opinions for ordinary clinicians and reduce the errors of ECG specialists.