VT and VF classification using trajectory analysis

Abstract Visual classification of Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT) patterns is a hard task for cardiologists. VT and VF signals are apparently similar in the time domain but their underlying information is totally different. In this paper, an image-based technique is presented which extracts discriminative information from the trajectories of VT and VF signals in the state space. In this way, first, signals are sketched in the state space by the delay time method. Then, the state space is considered as an image and trajectories of VT and VF signals are considered as two different images. The purpose is to design some masks, apply them on the images, and finally classify these masked images by a box counting method. These masks are designed to remove the common information between the two patterns and just discriminative pixels are flagged. After applying the masks, flagged pixels are counted and a threshold is determined through the cross validation phase under the receiver operator curve (ROC) criterion to classify the VT and VF trajectory images. The signals are selected from two different data sets include MIT/BIH and CCU of the Royal Infirmary of Edinburgh. Our experiments show brilliant results which provide 100% classification rate on the training and testing phases. Even, through the cross validation phase, the results remained the same also, so the p value is determined as less than 0.0001, that experimentally shows no over-fitting is occurred.

[1]  H. Nakajima,et al.  Real-time discrimination of ventricular tachyarrhythmia with Fourier-transform neural network , 1999, IEEE Transactions on Biomedical Engineering.

[2]  F.M. Ham,et al.  Classification of cardiac arrhythmias using fuzzy ARTMAP , 1996, IEEE Transactions on Biomedical Engineering.

[3]  N. Thakor,et al.  Ventricular tachycardia and fibrillation detection by a sequential hypothesis testing algorithm , 1990, IEEE Transactions on Biomedical Engineering.

[4]  B. Blakeman,et al.  Autoregressive modeling of epicardial electrograms during ventricular fibrillation , 1993, IEEE Transactions on Biomedical Engineering.

[5]  Michael Small,et al.  Automatic identification and recording of cardiac arrhythmia , 2000, Computers in Cardiology 2000. Vol.27 (Cat. 00CH37163).

[6]  G.G. Cano,et al.  An approach to cardiac arrhythmia analysis using hidden Markov models , 1990, IEEE Transactions on Biomedical Engineering.

[7]  Karl Unterkofler,et al.  Detecting Ventricular Fibrillation by Time-Delay Methods , 2007, IEEE Transactions on Biomedical Engineering.

[8]  Xu-Sheng Zhang,et al.  Detecting ventricular tachycardia and fibrillation by complexity measure , 1999, IEEE Transactions on Biomedical Engineering.

[9]  L.P. Caloba,et al.  Arrhythmia analysis using artificial neural network and decimated electrocardiographic data , 2000, Computers in Cardiology 2000. Vol.27 (Cat. 00CH37163).

[10]  M. Hernandez-Silveira,et al.  Multi-thread implementation of a fuzzy neural network for automatic ECG arrhythmia detection , 2001, Computers in Cardiology 2001. Vol.28 (Cat. No.01CH37287).

[11]  Rosaria Silipo,et al.  Artificial neural networks for automatic ECG analysis , 1998, IEEE Trans. Signal Process..

[12]  J. Millet-Roig,et al.  Time-frequency analysis of a single ECG: to discriminate between ventricular tachycardia and ventricular fibrillation , 1999, Computers in Cardiology 1999. Vol.26 (Cat. No.99CH37004).

[13]  M. Small,et al.  Uncovering non-linear structure in human ECG recordings , 2002 .

[14]  A. Lazkano,et al.  Distinction of ventricular fibrillation and ventricular tachycardia using cross correlation , 2003, Computers in Cardiology, 2003.

[15]  M. J. Goldman Principles of Clinical Electrocardiography , 1973 .

[16]  J.M. Jenkins,et al.  Pattern recognition of cardiac arrhythmias using two intracardiac channels , 1993, Proceedings of Computers in Cardiology Conference.

[17]  S Barro,et al.  Algorithmic sequential decision-making in the frequency domain for life threatening ventricular arrhythmias and imitative artefacts: a diagnostic system. , 1989, Journal of biomedical engineering.

[18]  P. M. Clarkson,et al.  A robust sequential detection algorithm for cardiac arrhythmia classification , 1996 .

[19]  Szi-Wen Chen,et al.  A two-stage discrimination of cardiac arrhythmias using a total least squares-based Prony modeling algorithm , 2000, IEEE Trans. Biomed. Eng..

[20]  B. H. Blott,et al.  Review of neural network applications in medical imaging and signal processing , 1992, Medical and Biological Engineering and Computing.

[21]  P. Rautaharju,et al.  Selection of a reduced set of parameters for classification of ventricular conduction defects by cluster analysis , 1993, Proceedings of Computers in Cardiology Conference.

[22]  C. Finelli,et al.  The time-sequenced adaptive filter for analysis of cardiac arrhythmias in intraventricular electrograms , 1996, IEEE Transactions on Biomedical Engineering.

[23]  Alan Murray,et al.  Comparison of techniques for time-frequency analysis of the ECG during human ventricular fibrillation , 1998 .

[24]  W. J. Tompkins,et al.  Detecting ventricular fibrillation , 1995 .

[25]  C. Harris,et al.  OPTIMAL AUTOREGRESSIVE MODELLING OF A MEASURED NOISY DETERMINISTIC SIGNAL USING SINGULAR-VALUE DECOMPOSITION , 2003 .

[26]  X Ning,et al.  Nonlinear dynamic characteristics analysis of synchronous 12-lead ECG signals. , 2000, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[27]  Gregory W. Barsness,et al.  Mayo Clinic Cardiology , 2006 .

[28]  W.M. Smith,et al.  Predicting patterns of epicardial potentials during ventricular fibrillation , 1995, IEEE Transactions on Biomedical Engineering.