Key result
The proposed HR-WPD and time-attention CNN algorithm achieved high QRS detection accuracy, with F1-scores of 97.25% on TELEDB, 97.76% on NSTDB, and 99.89% on ARRDB.
Why the study?
ECG collected by wearable devices requires a robust QRS detection algorithm that maintains high accuracy despite severe noise and abnormal QRS morphologies.
Does a QRS detection algorithm using HR-WPD and time-attention CNN improve detection accuracy in noisy ECGs compared to existing methods?
Does a QRS detection algorithm using HR-WPD and time-attention CNN improve detection accuracy in noisy ECGs compared to existing methods?
The proposed HR-WPD and time-attention CNN algorithm provides highly accurate and robust QRS detection, making it suitable for analyzing noisy ECG data from wearable devices.
Supports wearable QRS detection in noise; extends CNN methods but leaves open clinical validation.
QRS detection is a crucial step in analyzing the electrocardiogram (ECG). For ECG collected by wearable devices, a robust QRS detection algorithm that yields high accuracy in spite of abnormal QRS morphologies and severe noise is needed. In this paper, we propose a QRS detection method based on high-resolution wavelet packet decomposition (HR-WPD) and convolutional neural network (CNN). Firstly, we design the HR-WPD that decomposes the ECG into multiple signals with different frequency bands to provide detailed QRS features. Secondly, all the decomposed signals are forwarded to a CNN for comprehensive morphology analysis and QRS prediction. To further improve the robustness, a time-attention module acting on the input signals is added to the CNN. Finally, a variable threshold is imposed to locate the QRS. The proposed method is validated by using two noisy databases (i.e., Telehealth Database (TELEDB) and MIT-BIH Noise Stress Test Database (NSTDB)) and one database with multiple ECG morphologies (i.e., MIT-BIH Arrhythmia Database (ARRDB)). The experiment results show that the proposed method achieves a comparable or even better performance compared with state-of-art methods on the TELEDB (SE 98.99%, P+ 95.57%, ER 5.61%, F1 97.25%), NSTDB (SE 99.25%, P+ 96.31%, ER 4.55%, F1 97.76%) and ARRDB (SE 99.89%, P+ 99.90%, ER 0.21%, F1 99.89%), suggesting that it is highly applicable to the QRS detection for ECG collected by wearable devices.
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Jia et al. (2020) studied Electrocardiogram (ECG) QRS detection (n=313). High-resolution wavelet packet decomposition and time-attention convolutional neural network vs. State-of-the-art QRS detection methods was evaluated on QRS detection performance (F1-score). The proposed HR-WPD and time-attention CNN algorithm achieved high QRS detection accuracy, with F1-scores of 97.25% on TELEDB, 97.76% on NSTDB, and 99.89% on ARRDB.
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