A Biomedical System Based on Artificial Neural Network and Principal Component Analysis for Diagnosis of the Heart Valve Diseases

Listening via stethoscope is a primary method, being used by physicians for distinguishing normally and abnormal cardiac systems. Listening to the voices, coming from the cardiac valves via stethoscope, upon the flow of the blood running in the heart, physicians examine whether there is any abnormality with regard to the heart. However, listening via stethoscope has got a number of limitations, for interpreting different heart sounds depends on hearing ability, experience, and respective skill of the physician. Such limitations may be reduced by developing biomedical based decision support systems. In this study, a biomedical-based decision support system was developed for the classification of heart sound signals, obtained from 120 subjects with normal, pulmonary and mitral stenosis heart valve diseases via stethoscope. Developed system was mainly comprised of three stages, namely as being feature extraction, dimension reduction, and classification. At feature extraction stage, applying Discrete Fourier Transform (DFT) and Burg autoregressive (AR) spectrum analysis method, features, representing heart sounds in frequency domain, were obtained. Obtained features were reduced in lower dimensions via Principal Component Analysis (PCA), being used as a dimension reduction technique. Heart sounds were classified by having the features applied as input to Artificial Neural Network (ANN). Classification results have shown that, dimension reduction, being conducted via PCA, has got positive effects on the classification of the heart sounds.

[1]  Omer Deperlioglu,et al.  Classification of the heart sounds via artificial neural network , 2010, Int. J. Reason. based Intell. Syst..

[2]  M S Beksaç,et al.  A computerized diagnostic system for the interpretation of umbilical artery blood flow velocity waveforms. , 1996, European journal of obstetrics, gynecology, and reproductive biology.

[3]  Kuldip K. Paliwal,et al.  Feature extraction and dimensionality reduction algorithms and their applications in vowel recognition , 2003, Pattern Recognit..

[4]  E. L. Hines,et al.  Classifying coronary dysfunction using neural networks through cardiovascular auscultation , 2002, Medical and Biological Engineering and Computing.

[5]  L. Ferré Selection of components in principal component analysis: a comparison of methods , 1995 .

[6]  S. Qin,et al.  Selection of the Number of Principal Components: The Variance of the Reconstruction Error Criterion with a Comparison to Other Methods† , 1999 .

[7]  R. Centor Signal Detectability , 1991, Medical decision making : an international journal of the Society for Medical Decision Making.

[8]  John G. Proakis,et al.  Digital signal processing (3rd ed.): principles, algorithms, and applications , 1996 .

[9]  Ya Xiong Zhang,et al.  Artificial neural networks based on principal component analysis input selection for clinical pattern recognition analysis. , 2007, Talanta.

[10]  Sadik Kara,et al.  Classification of mitral stenosis from Doppler signals using short time Fourier transform and artificial neural networks , 2007, Expert Syst. Appl..

[11]  John G. Proakis,et al.  Digital Signal Processing: Principles, Algorithms, and Applications , 1992 .

[12]  Tamer Ölmez,et al.  Classification of heart sounds using an artificial neural network , 2003, Pattern Recognit. Lett..

[13]  Nancy E. Reed,et al.  Heart sound analysis for symptom detection and computer-aided diagnosis , 2004, Simul. Model. Pract. Theory.

[14]  Zhongwei Jiang,et al.  A cardiac sound characteristic waveform method for in-home heart disorder monitoring with electric stethoscope , 2006, Expert Syst. Appl..

[15]  M. Kemal Kiymik,et al.  Application of Periodogram and AR Spectral Analysis to EEG Signals , 2000, Journal of Medical Systems.

[16]  Paul R. White,et al.  Classification of heart sounds using time-frequency method and artificial neural networks , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[17]  Curt DeGroff,et al.  A classifier based on the artificial neural network approach for cardiologic auscultation in pediatrics , 2005, Artif. Intell. Medicine.

[18]  R. Sepponen,et al.  Computer-Based Detection and Analysis of Heart Sound and Murmur , 2005, Annals of Biomedical Engineering.

[19]  N. Malmurugan,et al.  Neural classification of lung sounds using wavelet coefficients , 2004, Comput. Biol. Medicine.

[20]  Steven Kay,et al.  Modern Spectral Estimation: Theory and Application , 1988 .

[21]  I A Basheer,et al.  Artificial neural networks: fundamentals, computing, design, and application. , 2000, Journal of microbiological methods.

[22]  Andreas Voss,et al.  Diagnosing Aortic Valve Stenosis by Parameter Extraction of Heart Sound Signals , 2005, Annals of Biomedical Engineering.

[23]  I. Jolliffe Principal Component Analysis , 2002 .

[24]  I V Tetko,et al.  Applications of neural networks in structure-activity relationships of a small number of molecules. , 1993, Journal of medicinal chemistry.

[25]  Christer Ahlström,et al.  Processing of the Phonocardiographic Signal : methods for the intelligent stethoscope , 2006 .

[26]  H. Akaike A new look at the statistical model identification , 1974 .

[27]  Girijesh Prasad,et al.  Statistical and computational intelligence techniques for inferential model development: a comparative evaluation and a novel proposition for fusion , 2004, Eng. Appl. Artif. Intell..

[28]  B. Kowalski,et al.  The parsimony principle applied to multivariate calibration , 1993 .

[29]  Simon Haykin,et al.  Neural Networks: A Comprehensive Foundation , 1998 .

[30]  S. Pavlopoulos,et al.  A decision tree – based method for the differential diagnosis of Aortic Stenosis from Mitral Regurgitation using heart sounds , 2004, Biomedical engineering online.

[31]  Ian T. Jolliffe,et al.  Principal Component Analysis , 2002, International Encyclopedia of Statistical Science.

[32]  R. K. Sinha Artificial neural network detects changes in electro-encephalogram power spectrum of different sleep-wake states in an animal model of heat stress , 2003, Medical and Biological Engineering and Computing.

[33]  R. Acharya,et al.  Analysis of EEG signals during epileptic and alcoholic states using AR modeling techniques , 2008 .

[34]  Joe M. Moody,et al.  Cardiovascular disease: Foreword , 2000 .

[35]  Michael H. Crawford Current Diagnosis & Treatment in Cardiology , 2002 .

[36]  Rakesh Kumar Sinha,et al.  Backpropagation Artificial Neural Network Classifier to Detect Changes in Heart Sound due to Mitral Valve Regurgitation , 2007, Journal of Medical Systems.

[37]  Peter D. Welch,et al.  Fast Fourier Transform , 2011, Starting Digital Signal Processing in Telecommunication Engineering.

[38]  M.S. Zainal,et al.  Analysis and classification of heart sounds and murmurs based on the instantaneous energy and frequency estimations , 2000, 2000 TENCON Proceedings. Intelligent Systems and Technologies for the New Millennium (Cat. No.00CH37119).