论文标题
Holter ECG记录的噪声自动解释
Noise-Resilient Automatic Interpretation of Holter ECG Recordings
论文作者
论文摘要
Holter Monitoring是长期的心电图记录(24小时及以上),包含有关患者的大量有价值的诊断信息。对于分析它们的医生来说,它的解释成为一项艰巨且耗时的任务,因为每个心跳都需要分类,因此需要高度准确的方法来自动解释。在本文中,我们提出了一个三阶段的过程,用于分析具有稳健性的噪音信号的录音。第一阶段是一个带有编码器架构的分割神经网络(NN),可检测心跳位置。第二阶段是一个分类NN,它将将心跳分类为宽或狭窄。在NN功能的基础上,梯度增强决策树(GBDT)的第三阶段,这些功能融合了患者的特征并进一步提高了我们方法的性能。作为这项工作的一部分,我们获得了由经验丰富的心脏病专家注释的患者的5095个Holter记录。由三个心脏病专家组成的委员会是测试集中291个例子的基础真相注释者。我们表明,所提出的方法的表现优于选定的基准,包括两个商业级软件包以及先前在文献中发表的一些方法。
Holter monitoring, a long-term ECG recording (24-hours and more), contains a large amount of valuable diagnostic information about the patient. Its interpretation becomes a difficult and time-consuming task for the doctor who analyzes them because every heartbeat needs to be classified, thus requiring highly accurate methods for automatic interpretation. In this paper, we present a three-stage process for analysing Holter recordings with robustness to noisy signal. First stage is a segmentation neural network (NN) with encoderdecoder architecture which detects positions of heartbeats. Second stage is a classification NN which will classify heartbeats as wide or narrow. Third stage in gradient boosting decision trees (GBDT) on top of NN features that incorporates patient-wise features and further increases performance of our approach. As a part of this work we acquired 5095 Holter recordings of patients annotated by an experienced cardiologist. A committee of three cardiologists served as a ground truth annotators for the 291 examples in the test set. We show that the proposed method outperforms the selected baselines, including two commercial-grade software packages and some methods previously published in the literature.