Synthesis of Electrocardiogram V-Lead Signals From Limb-Lead Measurement Using R-Peak Aligned Generative Adversarial Network

Recently, portable electrocardiogram (ECG) hardware devices have been developed using limb-lead measurements. However, portable ECGs provide insufficient ECG information because of limitations in the number of leads and measurement positions. Therefore, in this study, V-lead ECG signals were synthesized from limb leads using an R-peak aligned generative adversarial network (GAN). The data used the Physikalisch-Technische Bundesanstalt (PTB) dataset provided by PhysioNet. First, R-peak alignment was performed to maintain the physiological information of the ECG. Second, time domain ECG was converted to bi-dimensional space by ordered time-sequence embedding. Finally, the GAN was learned through the pairs between the modified limb II (MLII) lead and each chest (V) lead. The result showed that the mean structural similarity index (SSIM) was 0.92, and the mean error rate of the percent mean square difference (PRD) of the chest leads was 7.21%.

[1]  Li Fei-Fei,et al.  Perceptual Losses for Real-Time Style Transfer and Super-Resolution , 2016, ECCV.

[2]  Chris D. Nugent,et al.  Transformation of the Mason-Likar 12-lead electrocardiogram to the Frank vectorcardiogram , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[3]  Tullia Todros,et al.  Fetal electrocardiography ST analysis for intrapartum monitoring: a critical appraisal of conflicting evidence and a way forward. , 2019, American journal of obstetrics and gynecology.

[4]  Rui Li,et al.  Automated Dynamic Electrocardiogram Noise Reduction Using Multilayer LSTM Network , 2018, MobiQuitous.

[5]  J. Francis ECG monitoring leads and special leads , 2016, Indian pacing and electrophysiology journal.

[6]  Rik Vullings,et al.  Bayesian Approach to Patient-Tailored Vectorcardiography , 2010, IEEE Transactions on Biomedical Engineering.

[7]  Zhou Wang,et al.  Structural Similarity Based Image Quality Assessment , 2017 .

[8]  Li Liu,et al.  Adversarial de-noising of electrocardiogram , 2019, Neurocomputing.

[9]  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).

[10]  Martin Cerný,et al.  Methods for derivation of orthogonal leads from 12-lead electrocardiogram: A review , 2015, Biomed. Signal Process. Control..

[11]  Ljupco Hadzievski,et al.  A novel mobile transtelephonic system with synthesized 12-lead ECG , 2004, IEEE Transactions on Information Technology in Biomedicine.

[12]  Yoshua Bengio,et al.  Generative Adversarial Nets , 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]  Hui Yang,et al.  Linear affine transformations between 3-lead (Frank XYZ leads) vectorcardiogram and 12-lead electrocardiogram signals. , 2009, Journal of electrocardiology.

[15]  Pachamuthu Rajalakshmi,et al.  Accurate and reliable 3-lead to 12-lead ECG reconstruction methodology for remote health monitoring applications , 2013, 2013 IEEE 15th International Conference on e-Health Networking, Applications and Services (Healthcom 2013).

[16]  Ali Borji,et al.  Pros and Cons of GAN Evaluation Measures , 2018, Comput. Vis. Image Underst..

[17]  Jian Sun,et al.  Deep Residual Learning for Image Recognition , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[18]  Amit Acharyya,et al.  Frank vectorcardiographic system from standard 12 lead ECG: An effort to enhance cardiovascular diagnosis. , 2016, Journal of electrocardiology.

[19]  拓海 杉山,et al.  “Unpaired Image-to-Image Translation using Cycle-Consistent Adversarial Networks”の学習報告 , 2017 .

[20]  Willis J. Tompkins,et al.  A Real-Time QRS Detection Algorithm , 1985, IEEE Transactions on Biomedical Engineering.

[21]  H. Kafalı,et al.  A rare association: first degree AV block and long QT syndrome , 2019, Cardiology in the Young.

[22]  Kira Radinsky,et al.  PGANs: Personalized Generative Adversarial Networks for ECG Synthesis to Improve Patient-Specific Deep ECG Classification , 2019, AAAI.

[23]  Alexei A. Efros,et al.  Image-to-Image Translation with Conditional Adversarial Networks , 2016, 2017 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[24]  Alexei A. Efros,et al.  Unpaired Image-to-Image Translation Using Cycle-Consistent Adversarial Networks , 2017, 2017 IEEE International Conference on Computer Vision (ICCV).

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

[26]  David M Schreck,et al.  Derivation of the 12-lead electrocardiogram and 3-lead vectorcardiogram. , 2013, The American journal of emergency medicine.

[27]  Amandeep Kaur,et al.  A Review of ECG Data Compression Techniques , 2015 .

[28]  Tomas E. Ward,et al.  Quick and Easy Time Series Generation with Established Image-based GANs , 2019, ArXiv.

[29]  Ming Liu,et al.  ECG signal enhancement based on improved denoising auto-encoder , 2016, Eng. Appl. Artif. Intell..