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A Cross-Stage Partial Network and a Cross-Attention-Based Transformer for an Electrocardiogram-Based Cardiovascular
Chien-Ching Lee1,2, Chia-Chun Chuang1,2, Chia-Hong Yeng3
1Department of Anesthesia, An Nan Hospital, China Medical University, Tainan City 709, Taiwan.
Insights
A new deep neural network system accurately diagnoses cardiovascular disease (CVD) using electrocardiograms (ECG). This AI-powered tool aids healthcare professionals by providing reliable preliminary CVD diagnostic results from ECG data.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Medicine
- Cardiology
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality.
- Electrocardiograms (ECG) are primary diagnostic tools for CVD, but require expert interpretation.
- Accurate ECG analysis is crucial for timely CVD diagnosis and patient outcomes.
Purpose of the Study:
- To develop an automated system for cardiovascular disease (CVD) diagnosis using electrocardiogram (ECG) data.
- To enhance the accuracy and efficiency of CVD diagnosis, reducing healthcare professional workload.
- To leverage advanced deep learning techniques for improved ECG interpretation.
Main Methods:
- Utilized a deep neural network integrating a cross-stage partial network for ECG feature extraction.
- Employed a cross-attention-based transformer model to distill embedding features from ECG data.
- Developed an ECG-based cardiovascular disease decision system.
Main Results:
- The proposed deep learning model achieved a challenge scoring metric of 0.6112.
- The system demonstrated superior performance compared to existing methods in ECG-based CVD diagnosis.
- The cross-stage partial network effectively captured ECG characteristics, and the transformer model enhanced feature distillation.
Conclusions:
- The developed ECG-based CVD decision system shows significant potential for clinical application.
- The AI system can assist healthcare professionals in preliminary CVD diagnosis, improving accuracy and efficiency.
- This approach offers a scalable and effective method for analyzing complex ECG data for disease detection.
Abstract:
Cardiovascular disease (CVD) is one of the leading causes of death globally. Currently, clinical diagnosis of CVD primarily relies on electrocardiograms (ECG), which are relatively easier to identify compared to other diagnostic methods. However, ensuring the accuracy of ECG readings requires specialized training for healthcare professionals. Therefore, developing a CVD diagnostic system based on ECGs can provide preliminary diagnostic results, effectively reducing the workload of healthcare staff and enhancing the accuracy of CVD diagnosis. In this study, a deep neural network with a cross-stage partial network and a cross-attention-based transformer is used to develop an ECG-based CVD decision system. To accurately represent the characteristics of ECG, the cross-stage partial network is employed to extract embedding features. This network can effectively capture and leverage partial information from different stages, enhancing the feature extraction process. To effectively distill the embedding features, a cross-attention-based transformer model, known for its robust scalability that enables it to process data sequences with different lengths and complexities, is employed to extract meaningful embedding features, resulting in more accurate outcomes. The experimental results showed that the challenge scoring metric of the proposed approach is 0.6112, which outperforms others. Therefore, the proposed ECG-based CVD decision system is useful for clinical diagnosis.
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