Han Liu1, Zhengbo Zhao2, Xiao Chen3, Rong Yu3, Qiang She4. 1. Department of Neurology, Jiulongpo District Peoples Hospital, Chongqing, 400050, China. Electronic address: lhan12345@hotmail.com. 2. Department of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Chongqing, 400010, China. Electronic address: evabobo80@163.com. 3. Department of Neurology, Jiulongpo District Peoples Hospital, Chongqing, 400050, China. 4. Department of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Chongqing, 400010, China. Electronic address: qshe98@cqmu.edu.cn.
Abstract
BACKGROUND AND OBJECTIVE: Morphological 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. METHODS: We 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. RESULTS: Relative 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. CONCLUSIONS: Our 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.
BACKGROUND AND OBJECTIVE: Morphological 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. METHODS: We 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. RESULTS: Relative 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. CONCLUSIONS: Our 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.
Authors: Georgios Petmezas; Leandros Stefanopoulos; Vassilis Kilintzis; Andreas Tzavelis; John A Rogers; Aggelos K Katsaggelos; Nicos Maglaveras Journal: JMIR Med Inform Date: 2022-08-15