Generalization Studies of Neural Network Models for Cardiac Disease Detection Using Limited Channel ECG

Acceleration of machine learning research in healthcare is challenged by lack of large annotated and balanced datasets. Furthermore, dealing with measurement inaccuracies and exploiting unsupervised data are considered to be central to improving existing solutions. In particular, a primary objective in predictive modeling is to generalize well to both unseen variations within the observed classes, and unseen classes. In this work, we consider such a challenging problem in machine learning driven diagnosis detecting a gamut of cardiovascular conditions (e.g. infarction, dysrhythmia etc.) from limited channel ECG measurements. Though deep neural networks have achieved unprecedented success in predictive modeling, they rely solely on discriminative models that can generalize poorly to unseen classes. We argue that unsupervised learning can be utilized to construct effective latent spaces that facilitate better generalization. This work extensively compares the generalization of our proposed approach against a state-of-the-art deep learning solution. Our results show significant improvements in F1-scores.

[1]  D. Dubin Rapid Interpretation of EKG's , 1977 .

[2]  Walter F. Stewart,et al.  Doctor AI: Predicting Clinical Events via Recurrent Neural Networks , 2015, MLHC.

[3]  Andrew Y. Ng,et al.  Cardiologist-Level Arrhythmia Detection with Convolutional Neural Networks , 2017, ArXiv.

[4]  Vladlen Koltun,et al.  An Empirical Evaluation of Generic Convolutional and Recurrent Networks for Sequence Modeling , 2018, ArXiv.

[5]  Paul J. Wang,et al.  Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association , 2017, Circulation.

[6]  Deepta Rajan,et al.  A Generative Modeling Approach to Limited Channel ECG Classification , 2018, 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[7]  Andreas Spanias,et al.  Attend and Diagnose: Clinical Time Series Analysis using Attention Models , 2017, AAAI.

[8]  Z. Goldberger,et al.  A Review of Automated Methods for Detection of Myocardial Ischemia and Infarction Using Electrocardiogram and Electronic Health Records , 2017, IEEE Reviews in Biomedical Engineering.

[9]  L. Edenbrandt,et al.  Acute myocardial infarction detected in the 12-lead ECG by artificial neural networks. , 1997, Circulation.

[10]  H. Kennedy,et al.  The evolution of ambulatory ECG monitoring. , 2013, Progress in cardiovascular diseases.

[11]  Celia Shahnaz,et al.  Detection of inferior myocardial infarction using shallow convolutional neural networks , 2017, 2017 IEEE Region 10 Humanitarian Technology Conference (R10-HTC).

[12]  Quoc V. Le,et al.  Sequence to Sequence Learning with Neural Networks , 2014, NIPS.

[13]  Paul Rubel,et al.  A Novel Neural-Network Model for Deriving Standard 12-Lead ECGs From Serial Three-Lead ECGs: Application to Self-Care , 2010, IEEE Transactions on Information Technology in Biomedicine.

[14]  R. Hall Rapid Interpretation of EKG's. , 1971 .

[15]  Jeffrey M. Hausdorff,et al.  Physionet: Components of a New Research Resource for Complex Physiologic Signals". Circu-lation Vol , 2000 .

[16]  Ralf Bousseljot,et al.  Nutzung der EKG-Signaldatenbank CARDIODAT der PTB über das Internet , 2009 .