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. 2022 Apr 25;39(2):285-292.
doi: 10.7507/1001-5515.202109046.

[Automatic detection model of hypertrophic cardiomyopathy based on deep convolutional neural network]

[Article in Chinese]
Affiliations

[Automatic detection model of hypertrophic cardiomyopathy based on deep convolutional neural network]

[Article in Chinese]
Yuxiang Bu et al. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. .

Abstract

The diagnosis of hypertrophic cardiomyopathy (HCM) is of great significance for the early risk classification of sudden cardiac death and the screening of family genetic diseases. This research proposed a HCM automatic detection method based on convolution neural network (CNN) model, using single-lead electrocardiogram (ECG) signal as the research object. Firstly, the R-wave peak locations of single-lead ECG signal were determined, followed by the ECG signal segmentation and resample in units of heart beats, then a CNN model was built to automatically extract the deep features in the ECG signal and perform automatic classification and HCM detection. The experimental data is derived from 108 ECG records extracted from three public databases provided by PhysioNet, the database established in this research consists of 14,459 heartbeats, and each heartbeat contains 128 sampling points. The results revealed that the optimized CNN model could effectively detect HCM, the accuracy, sensitivity and specificity were 95.98%, 98.03% and 95.79% respectively. In this research, the deep learning method was introduced for the analysis of single-lead ECG of HCM patients, which could not only overcome the technical limitations of conventional detection methods based on multi-lead ECG, but also has important application value for assisting doctor in fast and convenient large-scale HCM preliminary screening.

肥厚型心肌病(HCM)的早期诊断,对于心源性猝死的早期风险分级、家族遗传病的筛查具有重要意义。本文以单导联心电(ECG)信号为研究对象,提出了一种基于卷积神经网络(CNN)模型的HCM自动检测方法。首先定位单导联ECG信号的R波峰值位置,再以心拍为单位对ECG信号进行分段和重采样,然后搭建CNN模型自动提取ECG信号中的深层特征并进行自动分类和HCM检测。本文实验数据来源于PhysioNet提供的三个公开数据库中提取的108条ECG记录,所建立的HCM心电数据库由14 459个心拍构成,每个心拍包含128个采样点。实验结果显示,优化后的CNN模型能够有效地对HCM进行自动检测,其准确率、灵敏度和特异度分别为95.98%、98.03%和95.79%。本文通过将深度学习方法引入HCM单导联心电分析中,对于克服常规多导联心电检测方法的技术限制和协助临床医生进行快速、便捷的大范围HCM初筛都具有重要的应用价值。.

Keywords: Convolutional neural network; Deep learning; Hypertrophic cardiomyopathy; Single-lead electrocardiogram.

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Conflict of interest statement

利益冲突声明:本文全体作者均声明不存在利益冲突。

Figures

图 1
图 1
Schematic diagram of the proposed HCM automatic detection algorithm based on convolution neural network (CNN) by using single-lead electrocardiogram (ECG) signal 基于单导联ECG的HCM自动检测算法的方法流程框图
图 2
图 2
Demonstration of database building 本文数据库建库样本示例
图 3
图 3
Structure and parameters of the CNN model after optimization 模型优化后的卷积神经网络结构及参数

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