Key result
Multimodal image fusion CNN detects ECG heartbeats with ~100% accuracy.
Why the study?
Early and accurate arrhythmia diagnosis requires improved automated heartbeat detection methods using ECG signals.
Does a CNN model using three-channel transformed images improve heartbeat detection accuracy in ECG signals?
Does a CNN model using three-channel transformed images improve heartbeat detection accuracy in ECG signals?
A novel deep learning algorithm using a CNN and multimodal image fusion of ECG signals achieved over 99% accuracy in heartbeat classification, offering a potential tool for automated arrhythmia detection.
Promising benchmark accuracy merits prospective clinical validation; leaves open utility for automated arrhythmia detection in practice.
Cardiovascular diseases remain a leading cause of death worldwide, which results in important requirements for early and accurate arrhythmia diagnosis. This work proposes a novel design of automated heartbeat detection, which consists of a convolutional neural network and three-channel images using the electrocardiogram (ECG) signals. A combination of various preprocessing is applied for the elimination of interferences of the ECG signals such as band-pass filtering and wavelet transform for R-peak identification using a sliding window. Multimodal image fusion method is used to construct three-channel images from different grayscale images, which are transformed from the heartbeats by three transformation techniques namely Gramian angular field, Markov transition field, and Recurrence plot. Grid-search based optimization method in combination with 5-fold cross validation procedure are implemented for selection of the optimal hyper-parameters of the CNN models using the input three-channel images. The proposed algorithm including CNN models and MIF images is estimated the detection performance using 5-fold cross validation, which produces average accuracy of 99.63%, precision of 99.41%, recall of 99.52%, and F1-score of 99.64%. The relatively high performance of the proposed algorithm confirms the effectiveness for the arrhythmia recognition on the ECG signals.
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Nguyen et al. (2025) studied Arrhythmia (n=47). Convolutional neural network with multimodal image fusion vs. LSTM, RNN, and existing methods was evaluated on Heartbeat detection accuracy. The proposed convolutional neural network with multimodal image fusion achieved an average accuracy of 99.62% for heartbeat detection on the MIT-BIH dataset.
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