Key result
Novel multiscale ResNet model detects AF from single-lead ECGs with ~99% F1 score.
Why the study?
Does a multiscale signal encoding scheme with ResNet improve atrial fibrillation detection performance compared to existing deep learning methods?
Does a multiscale signal encoding scheme with ResNet improve atrial fibrillation detection performance compared to existing deep learning methods?
A novel multiscale encoding scheme using ResNet provides highly accurate (F1 score 98.54%) and computationally efficient detection of atrial fibrillation from 1D ECG signals.
May support refined AI tools for single-lead AF detection; leaves open prospective clinical validation before practice change.
Atrial fibrillation (AF) is one of the most common cardiac arrhythmias, and it is an indication of high-risk factors for stroke, myocardial ischemia, and other malignant cardiovascular diseases. Most of the existing AF detection methods typically convert one-dimensional time-series electrocardiogram (ECG) signals into two-dimensional representations to train a deep and complex AF detection system, which results in heavy training computation and high implementation costs. In this paper, a multiscale signal encoding scheme is proposed to improve feature representation and detection performance without the need for using any transformation or handcrafted feature engineering techniques. The proposed scheme uses different kernel sizes to produce the encoded signal by using multiple streams that are passed into a one-dimensional sequence of blocks of a residual convolutional neural network (ResNet) to extract representative features from the input ECG signal. This also allows networks to grow in breadth rather than in depth, thus reducing the computing time by using the parallel processing capability of deep learning networks. We investigated the effects of the use of a different number of streams with different kernel sizes on the performance. Experiments were carried out for a performance evaluation using the publicly available PhysioNet CinC Challenge 2017 dataset. The proposed multiscale encoding scheme outperformed existing deep learning-based methods with an average F1 score of 98.54%, but with a lower network complexity.
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Alsaleem et al. (2022) studied Atrial Fibrillation (n=8,528). Multiscale residual network (MsRes) encoding scheme vs. Single-scale networks and existing deep learning methods was evaluated on F1 score for atrial fibrillation detection. The proposed multiscale residual network (MsRes) encoding scheme achieved an average F1 score of 98.54% for detecting atrial fibrillation from short single-lead ECG signals.
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