ECG Quality Assessment Research Articles

A scalogram tensor decomposition based ECG quality assessment

ECG quality assessment is crucial for reducing false alarms and physician strain in automated diagnosis of cardiovascular diseases. Recent researches have focused on constructing an automatic noisy ECG record rejection mechanism. This work develops a noisy ECG record rejection system using scalogram and Tucker tensor decomposition. The system can reject ECG records, which cannot be analyzed or diagnosed. Scalogram of all 12‑lead ECG signals per subject are stacked to form a 3-way tensor. Tucker tensor decomposition is applied with empirical settings to obtain the core tensor. The core tensor is reshaped to form the latent features set. When tested using the PhysioNet challenge 2011 dataset in five-fold cross validation settings, the RusBoost ensemble classifier proved to be a very reliable option, producing an accuracy of 92.4% along with sensitivity of 87.1% and specificity of 93.5%. According to the experimental findings, combining the scalogram with Tucker tensor decomposition yields competitive performance and has the potential to be used in actual evaluation of ECG quality.

A novel attentional deep neural network-based assessment method for ECG quality

ECG quality assessment is of great significance to reduce false alarms in automatic arrhythmia and other cardiovascular diseases diagnoses and reduce the workload of clinicians. Recently, developing an automatic noise rejection algorithm attracts much attention. Nowadays, many researchers have applied deep learning (DL) algorithms into evaluating ECG quality. However, traditional DL approaches improve model accuracy but cannot show the concerned area of ECG signals during detection process. Hence, this paper presents dual attentional convolutional long short-term memory neural network (DAC-LSTM) to evaluate ECG quality. Firstly, convolutional and bidirectional long short-term memory layers are utilized for acquiring numerous deep features from ECG recordings. And then, for enhancing model interpretability, dual-layer attention mechanisms, including channel-based attention mechanism and time-based attention mechanism, are built to visually show the attention of the model to different leads and different periods on the multi-leads ECG signals. Finally, compared with baseline models and the existing methods, DAC-LSTM achieves 76.47% of specificity, 97.59% of sensitivity, and 94.0% of accuracy, especially improving 3.35% accuracy on average and 4.27% sensitivity on average on the commonly used ECG dataset. Generally, DAC-LSTM achieves competitive and interpretable performance and has the potential for practical ECG quality assessment.

Comparison of Machine Learning Algorithms for the Quality Assessment of Wearable ECG Signals Via Lenovo H3 Devices

PurposeElectrocardiogram (ECG) signals collected from wearable devices are easily corrupted with surrounding noise and artefacts, where the signal-to-noise ratio (SNR) of wearable ECG signals is significantly lower than that from hospital ECG machines. To meet the requirements for monitoring heart disease via wearable devices, eliminating useless or poor-quality ECG signals (e.g., lead-falls and low SNRs) can be solved by signal quality assessment algorithms.MethodsTo compensate for the deficiency of the existing ECG quality assessment system, a wearable ECG signal dataset from heart disease patients collected by Lenovo H3 devices was constructed. Then, this paper compares the performance of three machine learning algorithms, i.e., the traditional support vector machine (SVM), least-squares SVM (LS-SVM) and long short-term memory (LSTM) algorithms. Different non-morphological signal quality indices (i.e., the approximate entropy (ApEn), sample entropy (SaEn), fuzzy measure entropy (FMEn), Hurst exponent (HE), kurtosis (K) and power spectral density (PSD) features) extracted from the original ECG signals are fed into the three algorithms as input.ResultsThe true positive rate, true negative rate, sensitivity and accuracy are used to evaluate the performance of each method, and the LSTM algorithm achieves the best results on these metrics (97.14%, 86.8%, 97.46% and 95.47%, respectively).ConclusionsAmong the three algorithms, the LSTM-based quality assessment method is the most suitable for the signals collected by the Lenovo H3 devices. The results also show that the combination of statistical features can effectively evaluate the quality of ECG signals.

Real-Time Quality Assessment of Long-Term ECG Signals Recorded by Wearables in Free-Living Conditions.

Nowadays, methods for ECG quality assessment are mostly designed to binary distinguish between good/bad quality of the whole signal. Such classification is not suitable to long-term data collected by wearable devices. In this paper, a novel approach to estimate long-term ECG signal quality is proposed. The real-time quality estimation is performed in a local time window by calculation of continuous signal-to-noise ratio (SNR) curve. The layout of the data quality segments is determined by analysis of SNR waveform. It is distinguished between three levels of ECG signal quality: signal suitable for full wave ECG analysis, signal suitable only for QRS detection, and signal unsuitable for further processing. The SNR limits for reliable QRS detection and full ECG waveform analysis are 5 and 18dB respectively. The method was developed and tested using synthetic data and validated on real data from wearable device. The proposed solution is a robust, accurate and computationally efficient algorithm for annotation of ECG signal quality that will facilitate the subsequent tailored analysis of ECG signals recorded in free-living conditions. The field of long-term ECG signals self-monitoring by wearable devices is swiftly developing. The analysis of massive amount of collected data is time consuming. It is advantageous to characterize data quality in advance and thereby limit consequent analysis to useable signals.

Two Simple Multi-lead ECG Quality Assessment Algorithms

The purpose of ECG signal quality assessment is to eliminate the poor-quality ECG signal, to increase the accuracy of ECG feature point detection and reduce the misjudgements of cardiac arrhythmia. At present, the main problem of ECG quality assessment is that it adopts R-wave related features. But what we hope is that the R wave shouldn’t be detected until the signal quality is determined. We present two ECG quality assessment schemes based on AR model and SVD decomposition from different perspectives. The SVD method has higher sensitivity and accuracy. In practice, we can choose whether to use it alone or to fuse two methods according to different needs.

Comparing the Performance of Random Forest, SVM and Their Variants for ECG Quality Assessment Combined with Nonlinear Features

For evaluating performance of nonlinear features and iterative and non-iterative classification algorithms (i.e. kernel support vector machine (KSVM), random forest (RaF), least squares SVM (LS-SVM) and multi-surface proximal SVM based oblique RaF (ORaF) for ECG quality assessment we compared the four algorithms on 7 feature schemes yielded from 27 linear and nonlinear features including four features derived from a new encoding Lempel–Ziv complexity (ELZC) and the other 26 features. Seven feature schemes include the first scheme consisting of 7 waveform features, the second consisting of 15 waveform and frequency features, the third consisting of 19 waveform, frequency and approximate entropy (ApEn) features, the fourth consisting of 19 waveform, frequency and permutation entropy (PE) features, the fifth consisting of 19 waveform, frequency and ELZC features, the sixth consisting of 23 waveform, frequency, PE and ELZC features, and the last consisting of all 27 features. Up to 1500 mobile ECG recordings from the Physionet/Computing in Cardiology Challenge 2011 were employed in this study. Three indices i.e., sensitivity (Se), specificity (Sp) and accuracy (Acc), were used for evaluating performances of the classifiers on the seven feature schemes, respectively. The experiment results indicated PE and ELZC can help to improve performance of the aforementioned four classifiers for assessing ECG quality. Using all features except ApEn features obtained the best performances for each classifier. For this sixth scheme, the LS-SVM yielded the highest Acc of 92.20% on hidden test data, as well as a relatively high Acc of 93.60% on training data. Compared with the other classifiers, the LS-SVM classifier also demonstrated the superior generalization ability.

Perceptual Image Processing Based Ecg Quality Assessment

Perceptual Image Processing Based Ecg Quality Assessment

ECG quality assessment based on a kernel support vector machine and genetic algorithm with a feature matrix

We propose a systematic ECG quality classification method based on a kernel support vector machine (KSVM) and genetic algorithm (GA) to determine whether ECGs collected via mobile phone are acceptable or not. This method includes mainly three modules, i.e., lead-fall detection, feature extraction, and intelligent classification. First, lead-fall detection is executed to make the initial classification. Then the power spectrum, baseline drifts, amplitude difference, and other time-domain features for ECGs are analyzed and quantified to form the feature matrix. Finally, the feature matrix is assessed using KSVM and GA to determine the ECG quality classification results. A Gaussian radial basis function (GRBF) is employed as the kernel function of KSVM and its performance is compared with that of the Mexican hat wavelet function (MHWF). GA is used to determine the optimal parameters of the KSVM classifier and its performance is compared with that of the grid search (GS) method. The performance of the proposed method was tested on a database from PhysioNet/Computing in Cardiology Challenge 2011, which includes 1500 12-lead ECG recordings. True positive (TP), false positive (FP), and classification accuracy were used as the assessment indices. For training database set A (1000 recordings), the optimal results were obtained using the combination of lead-fall, GA, and GRBF methods, and the corresponding results were: TP 92.89%, FP 5.68%, and classification accuracy 94.00%. For test database set B (500 recordings), the optimal results were also obtained using the combination of lead-fall, GA, and GRBF methods, and the classification accuracy was 91.80%.

QRS detection based ECG quality assessment

Although immediate feedback concerning ECG signal quality during recording is useful, up to now not much literature describing quality measures is available. We have implemented and evaluated four ECG quality measures. Empty lead criterion (A), spike detection criterion (B) and lead crossing point criterion (C) were calculated from basic signal properties. Measure D quantified the robustness of QRS detection when applied to the signal. An advanced Matlab-based algorithm combining all four measures and a simplified algorithm for Android platforms, excluding measure D, were developed. Both algorithms were evaluated by taking part in the Computing in Cardiology Challenge 2011. Each measure's accuracy and computing time was evaluated separately. During the challenge, the advanced algorithm correctly classified 93.3% of the ECGs in the training-set and 91.6 % in the test-set. Scores for the simplified algorithm were 0.834 in event 2 and 0.873 in event 3. Computing time for measure D was almost five times higher than for other measures. Required accuracy levels depend on the application and are related to computing time. While our simplified algorithm may be accurate for real-time feedback during ECG self-recordings, QRS detection based measures can further increase the performance if sufficient computing power is available.