Key result
Multimodal ECG fusion frameworks achieve ~100% accuracy for detecting arrhythmia and myocardial infarction.
Why the study?
Current ECG machine learning techniques depend on manual feature extraction or complex deep networks using only 1D signals, prompting the need for efficient multimodal fusion frameworks.
Does a multimodal image and feature fusion deep learning framework improve the classification accuracy of ECG heartbeats for arrhythmia and myocardial infarction?
Does a multimodal image and feature fusion deep learning framework improve the classification accuracy of ECG heartbeats for arrhythmia and myocardial infarction?
Converting 1D ECG signals into multiple 2D image representations and combining them through advanced deep learning fusion networks yields highly accurate automated detection of arrhythmias and myocardial infarction.
Answers are grounded in this paper and cite their sources.
May support automated ECG diagnosis of arrhythmias and MI; extends multimodal fusion methods but requires prospective clinical validation.
Electrocardiogram (ECG) is an authoritative source to diagnose and counter critical cardiovascular syndromes such as arrhythmia and myocardial infarction (MI). Current machine learning techniques either depend on manually extracted features or large and complex deep learning networks which merely utilize the 1D ECG signal directly. Since intelligent multimodal fusion can perform at the state-of-the-art level with an efficient deep network, therefore, in this paper, we propose two computationally efficient multimodal fusion frameworks for ECG heart beat classification called Multimodal Image Fusion (MIF) and Multimodal Feature Fusion (MFF). At the input of these frameworks, we convert the raw ECG data into three different images using Gramian Angular Field (GAF), Recurrence Plot (RP) and Markov Transition Field (MTF). In MIF, we first perform image fusion by combining three imaging modalities to create a single image modality which serves as input to the Convolutional Neural Network (CNN). In MFF, we extracted features from penultimate layer of CNNs and fused them to get unique and interdependent information necessary for better performance of classifier. These informational features are finally used to train a Support Vector Machine (SVM) classifier for ECG heart-beat classification. We demonstrate the superiority of the proposed fusion models by performing experiments on PhysioNet's MIT-BIH dataset for five distinct conditions of arrhythmias which are consistent with the AAMI EC57 protocols and on PTB diagnostics dataset for Myocardial Infarction (MI) classification. We achieved classification accuracy of 99.7% and 99.2% on arrhythmia and MI classification, respectively. Source code at https://github.com/zaamad/ECG-Heartbeat-Classification-Using-Multimodal-Fusion.
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Ahmad et al. (2021) studied Arrhythmia and Myocardial Infarction (n=337). Multimodal Image Fusion (MIF) and Multimodal Feature Fusion (MFF) vs. Single imaging modalities and conventional deep learning methods was evaluated on Classification accuracy for arrhythmia and myocardial infarction. The proposed multimodal fusion frameworks achieved classification accuracies of 99.7% for arrhythmia detection on the MIT-BIH dataset and 99.2% for myocardial infarction detection on the PTB dataset.
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