An error-bounded median filter for correcting ECG baseline wander.

The baseline wander (BLW) in electrocardiogram (ECG) is a common disturbance that has a significant influence on the ECG wave pattern recognition. Many methods, such as IIR filter, mean filter, etc., can be used to correct BLW; However, most of them work on the original ECG signals. Compressed ECG data are economic for data storage and transmission, and if the baseline correction can be processed on them, it will be more efficient than we decompress them first and then do such correction. In this paper, we propose a new type of median filter CM_Filter, which works on the synopses of straight lines achieved from ECG by piecewise linear approximation (PLA) under maximum error bound. In CM_Filter, a heuristic strategy "Quick-Finding" is deduced by a property of straight lines in order to get the quality-assured median values from the synopses. The extended experimental tests demonstrate that the proposed filter is very efficient in execution time, and effective for correcting both slow and abrupt ECG baseline wander.

A Multimodel Fusion Method for Cardiovascular Disease Detection Using ECG.

Objective. Electrocardiogram (ECG) is an important diagnostic tool that has been the subject of much research in recent years. Owing to a lack of well-labeled ECG record databases, most of this work has focused on heartbeat arrhythmia detection based on ECG signal quality. Approach. A record quality filter was designed to judge ECG signal quality, and a random forest method, a multilayer perceptron, and a residual neural network (RESNET)-based convolutional neural network were implemented to provide baselines for ECG record classification according to three different principles. A new multimodel method was constructed by fusing the random forest and RESNET approaches. Main Results. Owing to its ability to combine discriminative human-crafted features with RESNET deep features, the proposed new method showed over 88% classification accuracy and yielded the best results in comparison with alternative methods. Significance. A new multimodel fusion method was presented for abnormal cardiovascular detection based on ECG data. The experimental results show that separable convolution and multiscale convolution are vital for ECG record classification and are effective for use with one-dimensional ECG sequences.

A cascaded classifier for multi-lead ECG based on feature fusion.

BACKGROUND AND OBJECTIVE: Electrocardiogram (ECG) is an important diagnostic tool for the diagnosis of heart disorders. Useful features and well-designed classification method are crucial for automatic diagnosis. However, most of the contributions were in single lead or two-lead ECG signal and only features from single lead were used to classify the ECG beats. In this paper, a cascaded classification system is proposed to extract features and classify heartbeats in order to improve the performance of ECG beat classification via multi-lead ECG. METHODS: In contrast with most of the literatures, ten signal features were chosen and run on each of the 12 leads separately. Based on these features, we developed a novel feature fusion method combining information from all available leads, and then implemented a cascaded classifier utilizing random forest (RF) and multilayer perceptron (MLP). Besides, in order to reduce the feature space dimension, principal component analysis (PCA) was applied in the method. MATERIALS: Four open source databases including MIT-BIH Arrythmia Database, QT Database, MIT-BIH Supraventricular Arrhythmia Database and St. Petersburg Institute of Cardiological Technics 12-lead Arrhythmia Database (INCART Database) were used in this work. These four databases are different in classes of beats, volume of dataset, number of individual volunteers. Except INCART database, in which the recording format is 12-lead, the other three databases consist of 2-lead recordings. Above all, they all have annotations for every single beat including the type of each beat. CONCLUSIONS: Extensive experimental results shown that the average accuracy achieved 99.3%, 99.8%, 97.6% and 99.6% on four databases respectively. Compared with most state-of-the-art methods, our work has better performance and strong generalization capability.

Medical image enhancement in F-shift transformation domain.

Image enhancement technology plays an important role in the diagnosis and treatment of medical diseases. In this paper, we propose a method to automatically enhance medical images. The proposed method could be used to support clinical medical diagnosis, adjuvant therapy and curative effect diagnosis. This scheme uses contrast limited adaptive histogram equalization (CLAHE) method in F-shift transformation domain. Firstly, we adjust the overall brightness of the underexposed or overexposed image. Secondly, we perform CLAHE to enhance the low-frequency components obtained by one-level two-dimensional F-shift transformation (TDFS) on the adjusted images. At this stage, most of the coefficients in the high-frequency component can be changed to zero through properly setting the error bound. We then use inverse transformation to reconstruct image which is further enhanced with CLAHE. Compared to previous work, this approach takes into account not only the image enhancement, but also the data compression. Experimental results and comparison with state-of-the-art methods show that our proposed method has a better enhancement performance. Moreover, it has a certain data compression ability.

Identification of pulmonary nodules via CT images with hierarchical fully convolutional networks.

Lung cancer is one of the most diagnosable forms of cancer worldwide. The early diagnoses of pulmonary nodules in computed tomography (CT) chest scans are crucial for potential patients. Recent researches have showed that the methods based on deep learning have made a significant progress for the medical diagnoses. However, the achievements on identification of pulmonary nodules are not yet satisfactory enough to be adopted in clinical practice. It is largely caused by either the existence of many false positives or the heavy time of processing. With the development of fully convolutional networks (FCNs), in this study, we proposed a new method of identifying the pulmonary nodules. The method segments the suspected nodules from their environments and then removes the false positives. Especially, it optimizes the network architecture for the identification of nodules rapidly and accurately. In order to remove the false positives, the suspected nodules are reduced using the 2D models. Furthermore, according to the significant differences between nodules and non-nodules in 3D shapes, the false positives are eliminated by integrating into the 3D models and classified via 3D CNNs. The experiments on 1000 patients indicate that our proposed method achieved 97.78% sensitivity rate for segmentation and 90.1% accuracy rate for detection. The maximum response time was less than 30 s and the average time was about 15 s. Graphical Abstract This paper has proposed a new method of identifying the pulmonary nodules. The method segments the suspected nodules from CT images and removes the false positives. As shown in the above, the proposed approach consists of three stages. In stage I, raw data are filtered and normalized. The clean normalized data are then segmented in stage II to extract the suspected nodular lesions through 2D FCNs. Stage III is to remove some false positives generated at stage II via 3D CNNs and outputs the final results. The experiments on 1000 patients indicate that our proposed method has achieved 97.78% sensitivity rate for segmentation and 90.1% accuracy rate for detection. The maximum response time was less than 30 s and the average time was about 15 s.

Acute ischaemic stroke prediction from physiological time series patterns.

BACKGROUND: Stroke is one of the major diseases with human mortality. Recent clinical research has indicated that early changes in common physiological variables represent a potential therapeutic target, thus the manipulation of these variables may eventually yield an effective way to optimise stroke recovery. AIMS: We examined correlations between physiological parameters of patients during the first 48 hours after a stroke, and their stroke outcomes after three months. We wanted to discover physiological determinants that could be used to improve health outcomes by supporting the medical decisions that need to be made early on a patient's stroke experience. METHOD: We applied regression-based machine learning techniques to build a prediction algorithm that can forecast threemonth outcomes from initial physiological time series data during the first 48 hours after stroke. In our method, not only did we use statistical characteristics as traditional prediction features, but we also adopted trend patterns of time series data as new key features. RESULTS: We tested our prediction method on a real physiological data set of stroke patients. The experiment results revealed an average high precision rate: 90%. We also tested prediction methods only considering statistical characteristics of physiological data, and concluded an average precision rate: 71%. CONCLUSION: We demonstrated that using trend pattern features in prediction methods improved the accuracy of stroke outcome prediction. Therefore, trend patterns of physiological time series data have an important role in the early treatment of patients with acute ischaemic stroke.

EEG data compression to monitor DoA in telemedicine.

Data compression techniques have been widely used to process and transmit huge amount of EEG data in real-time and remote EEG signal processing systems. In this paper we propose a lossy compression technique, F-shift, to compress EEG signals for remote depth of Anaesthesia (DoA) monitoring. Compared with traditional wavelet compression techniques, our method not only preserves valuable clinical information with high compression ratios, but also reduces high frequency noises in EEG signals. Moreover, our method has negligible compression overheads (less than 0.1 seconds), which can greatly benefit real-time EEG signal monitoring systems. Our extensive experiments demonstrate the efficiency and effectiveness of the proposed compression method.