Key result
The improved multiscale entropy technique robustly estimated signal complexity compared to Shannon entropy, discriminated normal sinus rhythm from atrial fibrillation, and identified rotor pivot points.
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An improved multiscale entropy technique enhances the complexity analysis of short-time biomedical signals, successfully discriminating AF from normal sinus rhythm and identifying rotor pivot points in ex vivo models.
Analysis of biomedical signals can yield invaluable information for prognosis, diagnosis, therapy evaluation, risk assessment, and disease prevention which is often recorded as short time series data that challenges existing complexity classification algorithms such as Shannon entropy (SE) and other techniques. The purpose of this study was to improve previously developed multiscale entropy (MSE) technique by incorporating nearest-neighbor moving-average kernel, which can be used for analysis of nonlinear and non-stationary short time series physiological data. The approach was tested for robustness with respect to noise analysis using simulated sinusoidal and ECG waveforms. Feasibility of MSE to discriminate between normal sinus rhythm (NSR) and atrial fibrillation (AF) was tested on a single-lead ECG. In addition, the MSE algorithm was applied to identify pivot points of rotors that were induced in ex vivo isolated rabbit hearts. The improved MSE technique robustly estimated the complexity of the signal compared to that of SE with various noises, discriminated NSR and AF on single-lead ECG, and precisely identified the pivot points of ex vivo rotors by providing better contrast between the rotor core and the peripheral region. The improved MSE technique can provide efficient complexity analysis of variety of nonlinear and nonstationary short-time biomedical signals.
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Arunachalam et al. (2018) studied Atrial fibrillation and normal sinus rhythm. Improved multiscale entropy (MSE) technique with nearest-neighbor moving-average kernel vs. Shannon entropy (SE) was evaluated on Robustness to noise, discrimination between NSR and AF, and identification of pivot points of rotors. The improved multiscale entropy technique robustly estimated signal complexity compared to Shannon entropy, discriminated normal sinus rhythm from atrial fibrillation, and identified rotor pivot points.
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