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February 1, 2020IEEE Journal of Biomedical and Health Informatics153 citations

MFB-CBRNN: A Hybrid Network for MI Detection Using 12-Lead ECGs

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WLWenhan LiuFWFei WangQHQijun Huang

Key Result

The MFB-CBRNN hybrid network achieved an overall accuracy of 99.90% in class-based experiments and 93.08% in subject-based experiments for myocardial infarction detection using 12-lead ECGs.

Structured PICO

Does the MFB-CBRNN hybrid network accurately detect myocardial infarction using 12-lead ECGs?

P
Population
200 subjects (148 with myocardial infarction and 52 healthy controls) from the Physikalisch-Technische Bundesanstalt diagnostic database
I
Intervention
Multiple-feature-branch convolutional bidirectional recurrent neural network (MFB-CBRNN) with lead random mask (LRM) optimization for 12-lead ECG analysis
O
Outcome
Accuracy of myocardial infarction detectionsurrogate

The proposed MFB-CBRNN hybrid network demonstrates high accuracy in detecting myocardial infarction from 12-lead ECGs, highlighting its potential as a diagnostic aid.

Abstract

This paper proposes a novel hybrid network named multiple-feature-branch convolutional bidirectional recurrent neural network (MFB-CBRNN) for myocardial infarction (MI) detection using 12-lead ECGs. The model efficiently combines convolutional neural network-based and recurrent neural network-based structures. Each feature branch consists of several one-dimensional convolutional and pooling layers, corresponding to a certain lead. All the feature branches are independent from each other, which are utilized to learn the diverse features from different leads. Moreover, a bidirectional long short term memory network is employed to summarize all the feature branches. Its good ability of feature aggregation has been proved by the experiments. Furthermore, the paper develops a novel optimization method, lead random mask (LRM), to alleviate overfitting and implement an implicit ensemble like dropout. The model with LRM can achieve a more accurate MI detection. Class-based and subject-based fivefold cross validations are both carried out using Physikalisch-Technische Bundesanstalt diagnostic database. Totally, there are 148 MI and 52 healthy control subjects involved in the experiments. The MFB-CBRNN achieves an overall accuracy of 99.90% in class-based experiments, and an overall accuracy of 93.08% in subject-based experiments. Compared with other related studies, our algorithm achieves a comparable or even better result on MI detection. Therefore, the MFB-CBRNN has a good generalization capacity and is suitable for MI detection using 12-lead ECGs. It has a potential to assist the real-world MI diagnostics and reduce the burden of cardiologists.

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Cite This Study

Liu et al. (2020) studied Myocardial infarction (n=200). MFB-CBRNN (multiple-feature-branch convolutional bidirectional recurrent neural network) vs. Healthy controls / other algorithms was evaluated on Overall accuracy of MI detection. The MFB-CBRNN hybrid network achieved an overall accuracy of 99.90% in class-based experiments and 93.08% in subject-based experiments for myocardial infarction detection using 12-lead ECGs.

synapsesocial.com/papers/6a1d55d7ba65f5ee325e38aehttps://doi.org/10.1109/jbhi.2019.2910082
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