Key result
A noninvasive ECG-based deep learning algorithm predicted atrial fibrillation recurrence with an accuracy of 93.14%, sensitivity of 83.5%, and specificity of 95.99%.
Why the study?
Does a deep learning algorithm based on preoperative ECG signals accurately predict atrial fibrillation recurrence in patients undergoing radiofrequency ablation?
Observational (n=14)
Does a deep learning algorithm based on preoperative ECG signals accurately predict atrial fibrillation recurrence in patients undergoing radiofrequency ablation?
A deep learning algorithm using preoperative ECG signals demonstrated high accuracy, sensitivity, and specificity in predicting atrial fibrillation recurrence.
Atrial fibrillation (AF) is an abnormal heart rhythm. The goal of radiofrequency ablation for AF is to regain a normal heart rhythm. Presently, the commonly used algorithms for prediction of AF recurrence face constraints such as no flexible feature selection and optimization. Deep learning algorithm, such as convolutional neural networks (CNN), can overcome these drawbacks by calculating features automatically. This study presents a noninvasive ECG-based approach with deep learning algorithm to predict AF recurrence according to preoperative AF signals of 14 patients. The features of cardiac activity can be extracted from the convolution neural network and then fed to multilayer perceptron (MLP) for classification. We have evaluated the result by measuring accuracy (ACC), sensitivity (SE) and specificity (SP). In the meantime, the optimal CNN combination of parameters are showed in a table. Our proposed method has shown good merits with ACC of 93.14%, SE of 83.5% and SP of 95.99%. It can be concluded that BSPM would contain more potential information because of its wide range of spatial coverage compared with traditional signal acquisition system, and the deep learning algorithm of CNN has more advantages in feature extraction for prediction of AF recurrence.
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Li et al. (2018) conducted an observational in Atrial fibrillation (n=14). Deep learning algorithm (CNN and MLP) based on noninvasive ECG (BSPM) was evaluated on Prediction of atrial fibrillation recurrence (Accuracy). A noninvasive ECG-based deep learning algorithm predicted atrial fibrillation recurrence with an accuracy of 93.14%, sensitivity of 83.5%, and specificity of 95.99%.
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