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Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
Characterization of Heart Diseases per Single Lead Using ECG Images and CNN-2D
Lerina Aversano1, Mario Luca Bernardi2, Marta Cimitile3
1Department of Agricultural Science, Food, Natural Resources and Engineering, University of Foggia, 71122 Foggia, FG, Italy.
Insights
This study uses a custom Convolutional Neural Network (CNN) to analyze electrocardiograms (ECGs) for accurate heart disease detection. The model achieves high recall rates, aiding in early diagnosis and improved patient outcomes.
Area of Science:
- Cardiology and Artificial Intelligence
- Medical Diagnostics
- Biomedical Signal Processing
Background:
- Cardiopathy is a leading global cause of mortality, necessitating early and accurate diagnosis.
- Electrocardiograms (ECGs) are a primary, cost-effective tool for initial cardiac assessment.
- Automated methods for cardiopathy identification are crucial for timely intervention.
Purpose of the Study:
- To develop and validate a customized Convolutional Neural Network (CNN) for automated heart disease detection using ECG data.
- To analyze the diagnostic contribution of different ECG electrode configurations (bands and single electrodes).
- To assess the performance and interpretability of the CNN model in classifying cardiac conditions.
Main Methods:
- A customized Convolutional Neural Network (CNN) architecture was designed for ECG image analysis.
- The model processed ECG data from four patient categories: three distinct heart conditions and healthy controls.
- Analysis included both multi-lead ECG signals and individual electrode data for feature extraction.
Main Results:
- The CNN model demonstrated high performance, with recall rates exceeding 80% for most analyzed heart diseases, reaching 100% in some cases.
- The study provided insights into the importance of specific electrode bands and individual electrodes for detecting particular pathologies.
- The developed model offers a degree of interpretability regarding the diagnostic significance of ECG components.
Conclusions:
- The customized CNN model effectively forecasts heart diseases from ECG images, offering a promising automated diagnostic tool.
- The findings highlight the potential of AI in enhancing the accuracy and efficiency of cardiopathy identification.
- This approach contributes to reducing mortality risk and improving treatment efficacy through early disease detection.
Abstract:
Cardiopathy has become one of the predominant global causes of death. The timely identification of different types of heart diseases significantly diminishes mortality risk and enhances the efficacy of treatment. However, fast and efficient recognition necessitates continuous monitoring, encompassing not only specific clinical conditions but also diverse lifestyles. Consequently, an increasing number of studies are striving to automate and progress in the identification of different cardiopathies. Notably, the assessment of electrocardiograms (ECGs) is crucial, given that it serves as the initial diagnostic test for patients, proving to be both the simplest and the most cost-effective tool. This research employs a customized architecture of Convolutional Neural Network (CNN) to forecast heart diseases by analyzing the images of both three bands of electrodes and of each single electrode signal of the ECG derived from four distinct patient categories, representing three heart-related conditions as well as a spectrum of healthy controls. The analyses are conducted on a real dataset, providing noteworthy performance (recall greater than 80% for the majority of the considered diseases and sometimes even equal to 100%) as well as a certain degree of interpretability thanks to the understanding of the importance a band of electrodes or even a single ECG electrode can have in detecting a specific heart-related pathology.
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