Key result
DASTNet-X achieves ~98% accuracy for arrhythmia classification with improved explainable AI interpretability.
Why the study?
DL models for ECG arrhythmia classification often lack transparency in sample selection criteria and explainability of prediction rationales, limiting their clinical acceptance.
Does DASTNet-X improve ECG arrhythmia classification accuracy and interpretability compared to baseline deep learning models?
Does DASTNet-X improve ECG arrhythmia classification accuracy and interpretability compared to baseline deep learning models?
DASTNet-X achieves 97.8% accuracy in ECG arrhythmia classification while providing explainability through attention heatmaps, potentially enhancing clinical trust in AI models.
Deep learning (DL) models have demonstrated strong performance in electrocardiography (ECG) arrhythmia classification. However, the criteria and processes for selecting ECG samples for analysis are often unclear. This lack of transparency, together with the challenge of interpreting the rationale behind model predictions, may limit clinical acceptance. This work proposes Dual Attention-based Spatiotemporal Network (DASTNet-X), an explainable spatio- temporal dual attention network to identify discriminative information in both spatial and temporal dimensions of ECG signals. This network employs a multi-domain optimization strategy, progressively refining temporal block objectives to stabilize representation across time, frequency and attention domains. This proposed model integrates dual multi-head attention; a dot product based fusion mechanism and a multi-context feature learning to prioritize representation of salient ECG characteristics. Explainability is demonstrated via attention heatmaps that highlight physiologically significant regions, such as QRS complex. Qualitative evaluations confirm that temporal-domain objectives yield coherent, stable representations, enhancing feature learning and model transparency. Extensive experiments are conducted using incremental dataset partitions ranging from 10% to 90% to evaluate robustness under varying data availability. The proposed work achieves a maximum classification 97.8% while maintain stable performance across all data scales. Performance improvements over baseline models are statistically validated by non-parametric Wilcoxon signed-rank and Friedman tests. The results indicate that the proposed network attains high classification accuracy and improves model interpretability by employing attention-based feature weighting. This approach offers enhanced insight into the decision-making process and demonstrates strong statistical reliability.
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Choudhury et al. (2026) studied Arrhythmia (n=47). DASTNet-X vs. Baseline deep learning models (Model 1 and Model 2) was evaluated on Classification accuracy. The DASTNet-X model achieved a maximum classification accuracy of 97.8% for arrhythmia detection while improving interpretability via attention heatmaps.
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