Stationary wavelet transform based ECG signal denoising method

A portable household detection system based on the combination of bidirectional LSTM and residual block for automatical arrhythmia detection

OBJECTIVES

Arrhythmia is an important component of cardiovascular disease, and electrocardiogram (ECG) is a method to detect arrhythmia. Arrhythmia detection is often paroxysmal, and ECG signal analysis is time-consuming and expensive. We propose a model and device for convenient monitoring of arrhythmia at any time.

METHODS

This work proposes a model combining residual block and bidirectional long-term short-term memory network (BiLSTM) to detect and classify ECG signals. Residual blocks can extract deep features and avoid performance degradation caused by convolutional networks. Combined with the feature of BiLSTM to strengthen the connection relationship of the local window, it can achieve a better classification and prediction effect.

RESULTS

Model optimization experiments were performed on the MIT-BIH Atrial Fibrillation Database (AFDB) and MIT-BIH Arrhythmia Database (MITDB). The accuracy simulation results on both long and short signal was higher than 99 %. To further demonstrate the applicability of the model, validation experiments were conducted on MIT-BIH Normal Sinus Rhythm Database (NSRDB) and the Long-Term AF Database (LTAFDB) datasets, and the related recognition accuracy were 99.830 and 91.252 %, respectively. Additionally, we proposed a portable household detection system including an ECG and a blood pressure detection module. The detection accuracy was higher than 98 % using the collected data as testing set.

CONCLUSIONS

Hence, we thought our system can be used for practical application.

A novel approach for denoising electrocardiogram signals to detect cardiovascular diseases using an efficient hybrid scheme

Background

Electrocardiogram (ECG) signals are inevitably contaminated with various kinds of noises during acquisition and transmission. The presence of noises may produce the inappropriate information on cardiac health, thereby preventing specialists from making correct analysis.

Methods

In this paper, an efficient strategy is proposed to denoise ECG signals, which employs a time-frequency framework based on S-transform (ST) and combines bi-dimensional empirical mode decomposition (BEMD) and non-local means (NLM). In the method, the ST maps an ECG signal into a subspace in the time frequency domain, then the BEMD decomposes the ST-based time-frequency representation (TFR) into a series of sub-TFRs at different scales, finally the NLM removes noise and restores ECG signal characteristics based on structural self-similarity.

Results

The proposed method is validated using numerous ECG signals from the MIT-BIH arrhythmia database, and several different types of noises with varying signal-to-noise (SNR) are taken into account. The experimental results show that the proposed technique is superior to the existing wavelet based approach and NLM filtering, with the higher SNR and structure similarity index measure (SSIM), the lower root mean squared error (RMSE) and percent root mean square difference (PRD).

Conclusions

The proposed method not only significantly suppresses the noise presented in ECG signals, but also preserves the characteristics of ECG signals better, thus, it is more suitable for ECG signals processing.

Biocompatible Electronic Skins for Cardiovascular Health Monitoring

Cardiovascular diseases represent a significant threat to the overall well-being of the global population. Continuous monitoring of vital signs related to cardiovascular health is essential for improving daily health management. Currently, there has been remarkable proliferation of technology focused on collecting data related to cardiovascular diseases through daily electronic skin monitoring. However, concerns have arisen regarding potential skin irritation and inflammation due to the necessity for prolonged wear of wearable devices. To ensure comfortable and uninterrupted cardiovascular health monitoring, the concept of biocompatible electronic skin has gained substantial attention. In this review, biocompatible electronic skins for cardiovascular health monitoring are comprehensively summarized and discussed. The recent achievements of biocompatible electronic skin in cardiovascular health monitoring are introduced. Their working principles, fabrication processes, and performances in sensing technologies, materials, and integration systems are highlighted, and comparisons are made with other electronic skins used for cardiovascular monitoring. In addition, the significance of integrating sensing systems and the updating wireless communication for the development of the smart medical field is explored. Finally, the opportunities and challenges for wearable electronic skin are also examined.

AI-based preeclampsia detection and prediction with electrocardiogram data

Introduction

More than 76,000 women die yearly from preeclampsia and hypertensive disorders of pregnancy. Early diagnosis and management of preeclampsia can improve outcomes for both mother and baby. In this study, we developed artificial intelligence models to detect and predict preeclampsia from electrocardiograms (ECGs) in point-of-care settings.

Methods

Ten-second 12-lead ECG data was obtained from two large health care settings: University of Tennessee Health Science Center (UTHSC) and Atrium Health Wake Forest Baptist (AHWFB). UTHSC data was split into 80% training and 20% holdout data. The model used a modified ResNet convolutional neural network, taking one-dimensional raw ECG signals comprising 12 channels as an input, to predict risk of preeclampsia. Sub-analyses were performed to assess the predictive accuracy for preeclampsia prediction within 30, 60, or 90 days before diagnosis.

Results

The UTHSC cohort included 904 ECGs from 759 females (78.8% African American) with a mean ± sd age of 27.3 ± 5.0 years. The AHWFB cohort included 817 ECGs from 141 females (45.4 African American) with a mean ± sd age of 27.4 ± 5.9 years. The cross-validated ECG-AI model yielded an AUC (95% CI) of 0.85 (0.77-0.93) on UTHSC holdout data, and an AUC (95% CI) of 0.81 (0.77-0.84) on AHWFB data. The sub-analysis of different time windows before preeclampsia prediction resulted in AUCs (95% CI) of 0.92 (0.84-1.00), 0.89 (0.81-0.98) and 0.90 (0.81-0.98) when tested on ECGs 30 days, 60 days and 90 days, respectively, before diagnosis. When assessed on early onset preeclampsia (preeclampsia diagnosed at <34 weeks of pregnancy), the model's AUC (95% CI) was 0.98 (0.89-1.00).

Discussion

We conclude that preeclampsia can be identified with high accuracy via application of AI models to ECG data.

Noise reduction and QRS detection in ECG signal using EEMD with modified sigmoid thresholding

OBJECTIVES

Novel noise reduction and QRS detection algorithms in Electrocardiogram (ECG) signal based on Empirical Mode Decomposition (EMD), Ensemble Empirical Mode Decomposition (EEMD) and the Modified Sigmoid Thresholding Function (MSTF) are proposed in this paper.

METHODS

EMD and EEMD algorithms are used to decompose the noisy ECG signal into series of Intrinsic Mode Functions (IMFs). Then, these IMFs are thresholded by the MSTF for reduction of noises and preservation of QRS complexes. After that, the thresholded IMFs are used to obtain the clean ECG signal. The characteristic points P, Q, R, S and T peaks are detected using peak detection algorithm.

RESULTS

The proposed methods are validated through experiments on the MIT-BIH arrhythmia database and Additive White Gaussian Noise (AWGN) is added to the clean ECG signal at different input SNR (SNR in). Standard performance parameters output SNR (SNR out), mean square error (MSE), root mean square error (RMSE), SNR improvement (SNR imp) and percentage root mean square difference (PRD) are employed for evaluation of the efficacy of the proposed methods. The results showed that the proposed methods provide significant quantitative and qualitative improvements in denoising performance, compared with existing state-of-the-art methods such as wavelet denoising, conventional EMD (EMD-Conv), conventional EEMD (EEMD-Conv, Stockwell Transform (ST) and Complete EEMD with Adaptative Noise with hybrid interval thresholding and higher order statistic to select relevant modes (CEEMDAN-HIT).

CONCLUSIONS

A detail quantitative analysis demonstrate that for abnormal ECG records 207 m and 214 m at input SNR of -2 dB the SNR imp value is 12.22 and 11.58 dB respectively, which indicates that the proposed algorithm can be used as an effective tool for denoising of ECG signals.

Accurate wavelet thresholding method for ECG signals

Current wavelet thresholding methods for cardiogram signals captured by flexible wearable sensors face a challenge in achieving both accurate thresholding and real-time signal denoising. This paper proposes a real-time accurate thresholding method based on signal estimation, specifically the normalized ACF, as an alternative to traditional noise estimation without the need for parameter fine-tuning and extensive data training. This method is experimentally validated using a variety of electrocardiogram (ECG) signals from different databases, each containing specific types of noise such as additive white Gaussian (AWG) noise, baseline wander noise, electrode motion noise, and muscle artifact noise. Although this method only slightly outperforms other methods in removing AWG noise in ECG signals, it far outperforms conventional methods in removing other real noise. This is attributed to the method's ability to accurately distinguish not only AWG noise that is significantly different spectrum of the ECG signal, but also real noise with similar spectra. In contrast, the conventional methods are effective only for AWG noise. In additional, this method improves the denoising visualization of the measured ECG signals and can be used to optimize other parameters of other wavelet methods to enhancing the denoised periodic signals, thereby improving diagnostic accuracy.

A quality detection method of corn based on spectral technology and deep learning model

Corn is an important food crop in the world. With economic development and population growth, the nutritional quality of corn is of great significance to high-quality breeding, scientific cultivation and fine management. Aiming at the problems of cumbersome steps, time-consuming and laborious, and low accuracy in the current research on corn quality detection. This paper proposes to combine near-infrared (NIR) spectroscopy technology with deep learning technology to build a corn quality detection model based on convolutional neural network (LeNet-5). The original spectral data were preprocessed by wavelet transform (WT) and multivariate scattering correction (MSC) to remove noise interference and spectral scattering information. The Competitive Adaptive Reweighted Sampling Algorithm (CARS) was applied to optimize the characteristic wavenumber and reduce redundant data. According to the optimized characteristic wave number, it was input into the constructed corn quality detection model for simulation test, and the average detection accuracy rate of the test set was 96.46%, the average precision rate was 95.42%, the average recall rate was 97.92%, the average F1score was 96.64%, and the average recognition time was 51.95 s. Compared with traditional machine learning models such as BP neural network, K Nearest Neighbor (KNN), Support Vector Machine (SVM), Generalized Linear Model (GLM), Linear Discriminant Analysis (LDA), and Naive Bayesian (NB), the deep learning LeNet-5 network model constructed in this paper has an average accuracy increase of 39.32%, and has a higher detection accuracy.

A pooling convolution model for multi-classification of ECG and PCG signals

Electrocardiogram (ECG) and phonocardiogram (PCG) signals are physiological signals generated throughout the cardiac cycle. The application of deep learning techniques to recognize ECG and PCG signals can greatly enhance the efficiency of cardiovascular disease detection. Therefore, we propose a series of straightforward and effective pooling convolutional models for the multi-classification of ECG and PCG signals. Initially, these signals undergo preprocessing. Subsequently, we design various structural blocks, including a stacked block (MCM) comprising convolutional layer and max-pooling layers, along with its variations, as well as a residual block (REC). By adjusting the number of structural blocks, these models can handle ECG and PCG data with different sampling rates. In the final tests, the models utilizing the MCM structural block achieved accuracies of 98.70 and 92.58% on the ECG and PCG fusion datasets, respectively. These accuracies surpass those of all networks utilizing its variations. Moreover, compared to the models employing the REC structural block, the accuracies are improved by 0.02 and 4.30%, respectively. Furthermore, this research has been validated through tests conducted on multiple ECG and PCG datasets, along with comparisons to other published literature. To further validate the generalizability of the model, an additional experiment involving the classification of a synchronized ECG-PCG dataset was conducted. This dataset is divided into seven different levels of fatigue based on the amount of exercise performed by each healthy subject during the testing process. The results indicate that the model using the MCM block also achieved the highest accuracy.

SEResUTer: a deep learning approach for accurate ECG signal delineation and atrial fibrillation detection

Objective.Accurate detection of electrocardiogram (ECG) waveforms is crucial for computer-aided diagnosis of cardiac abnormalities. This study introduces SEResUTer, an enhanced deep learning model designed for ECG delineation and atrial fibrillation (AF) detection.Approach. Built upon a U-Net architecture, SEResUTer incorporates ResNet modules and Transformer encoders to replace convolution blocks, resulting in improved optimization and encoding capabilities. A novel masking strategy is proposed to handle incomplete expert annotations. The model is trained on the QT database (QTDB) and evaluated on the Lobachevsky University Electrocardiography Database (LUDB) to assess its generalization performance. Additionally, the model's scope is extended to AF detection using the the China Physiological Signal Challenge 2021 (CPSC2021) and the China Physiological Signal Challenge 2018 (CPSC2018) datasets.Main results.The proposed model surpasses existing traditional and deep learning approaches in ECG waveform delineation on the QTDB. It achieves remarkable average F1 scores of 99.14%, 98.48%, and 98.46% for P wave, QRS wave, and T wave delineation, respectively. Moreover, the model demonstrates exceptional generalization ability on the LUDB, achieving average SE, positive prediction rate, and F1 scores of 99.05%, 94.59%, and 94.62%, respectively. By analyzing RR interval differences and the existence of P waves, our method achieves AF identification with 99.20% accuracy on the CPSC2021 test set and demonstrates strong generalization on CPSC2018 dataset.Significance.The proposed approach enables highly accurate ECG waveform delineation and AF detection, facilitating automated analysis of large-scale ECG recordings and improving the diagnosis of cardiac abnormalities.

Heartbeat detection from high-density EMG electrodes on the upper arm at different EMG intensity levels using Zephlet

BACKGROUND AND OBJECTIVES

A significant number of global deaths caused by cardiac arrhythmias can be prevented with accurate and immediate identification. Wearable devices can play a critical role in such identification by continuously monitoring cardiac activity using electrocardiogram (ECG). The existing body of research has focused on extracting cardiac information from the body surface by investigating various electrode locations and algorithm development for ECG interpretation. The present study was designed for heartbeat detection using the signals recorded from the upper arm.

METHODS

Firstly, optimal electrode locations on the upper arm were identified for Rest and elbow flexion (EF) conditions. Next, a synthesized ECG was generated using the selected electrodes with generalized weights over subjects and trials, and then zero-phase wavelet (Zephlet) was applied for feature extraction. Heartbeat detection was finally performed using the extracted detail coefficients incorporated with a multiagent detection scheme (MDS).

RESULTS

The F1-score for heartbeat detection was 0.94  ±  0.16, 0.86  ±  0.22, 0.79  ±  0.26, and 0.67  ±  0.31 for Rest and EF with three different levels of muscle contraction (C1 to C3), respectively. Changing the acceptable distance between the detected and actual heartbeats from 50 ms to 20 ms, the F1-score changed to 0.81  ±  0.20, 0.66  ±  0.26, 0.57  ±  0.26,  and 0.44  ±  0.26 for Rest and C1 to C3, respectively.

CONCLUSION

These findings make several contributions to the current literature, summarized as precise and consistent electrode localization for various muscle contraction levels and accurate heartbeat detection method development for each of these conditions.

Electrocardiogram-Based Biometric Identification Using Mixed Feature Extraction and Sparse Representation

(1) Background: The ability to recognize identities is an essential component of security. Electrocardiogram (ECG) signals have gained popularity for identity recognition because of their universal, unique, stable, and measurable characteristics. To ensure accurate identification of ECG signals, this paper proposes an approach which involves mixed feature sampling, sparse representation, and recognition. (2) Methods: This paper introduces a new method of identifying individuals through their ECG signals. This technique combines the extraction of fixed ECG features and specific frequency features to improve accuracy in ECG identity recognition. This approach uses the wavelet transform to extract frequency bands which contain personal information features from the ECG signals. These bands are reconstructed, and the single R-peak localization determines the ECG window. The signals are segmented and standardized based on the located windows. A sparse dictionary is created using the standardized ECG signals, and the KSVD (K-Orthogonal Matching Pursuit) algorithm is employed to project ECG target signals into a sparse vector-matrix representation. To extract the final representation of the target signals for identification, the sparse coefficient vectors in the signals are maximally pooled. For recognition, the co-dimensional bundle search method is used in this paper. (3) Results: This paper utilizes the publicly available European ST-T database for our study. Specifically, this paper selects ECG signals from 20, 50 and 70 subjects, each with 30 testing segments. The method proposed in this paper achieved recognition rates of 99.14%, 99.09%, and 99.05%, respectively. (4) Conclusion: The experiments indicate that the method proposed in this paper can accurately capture, represent and identify ECG signals.

Power-line interference and baseline wander elimination in ECG using VMD and EWT

Electrocardiogram (ECG) is a critical biomedical signal and plays an imperative role in diagnosing cardiovascular disorders. During ECG data acquisition in clinical environment, noise is frequently present. Various noises such as powerline interference (PLI) and baseline wandering (BLW) distort the ECG signal which may lead to incorrect interpretation. Consequently, substantial emphasis has been dedicated to ECG denoising for reliable diagnosis and analysis. In this study, a novel hybrid ECG denoising method based on variational mode decomposition (VMD) and the empirical wavelet transform (EWT) is presented. For effective denoising using the VMD and EWT approach, the noisy ECG signal is decomposed within narrow-band variational mode functions (VMFs). The aim is to remove noise from these narrow-band VMFs. In current approach, the centre frequency of each VMF was computed and utilized to design an adaptive wavelet filter bank using EWT. This leads to effective removal of noise components from the signal. The proposed approach was applied to ECG signals obtained from the MIT-BIH Arrhythmia database. To evaluate the denoising performance, noise sources from the MIT-BIH Noise Stress Test Database (NSTDB) are used for simulation. The assessment of denoising performance in based on two key metrics: the percentage-root-mean-square difference (PRD) and the signal-to-noise ratio (SNR). The findings of the simulation experiment demonstrate that the suggested method has lower percentage root mean square difference and higher signal-to-noise ratio as compared to existing state of the art denoising methods. An average output SNR of 24.03 was achieved, along with a 5% reduction in PRD.

Adaptive Signal-to-Noise Ratio Indicator for Wearable Bioimpedance Monitoring

Bioimpedance monitoring is an increasingly important non-invasive technique for assessing physiological parameters such as body composition, hydration levels, heart rate, and breathing. However, sensor signals obtained from real-world experimental conditions invariably contain noise, which can significantly degrade the reliability of the derived quantities. Therefore, it is crucial to evaluate the quality of measured signals to ensure accurate physiological parameter values. In this study, we present a novel wrist-worn wearable device for bioimpedance monitoring, and propose a method for estimating signal quality for sensor signals obtained on the device. The method is based on the continuous wavelet transform of the measured signal, identification of wavelet ridges, and assessment of their energy weighted by the ridge duration. We validate the algorithm using a small-scale experimental study with the wearable device, and explore the effects of variables such as window size and different skin/electrode coupling agents on signal quality and repeatability. In comparison with traditional wavelet-based signal denoising, the proposed method is more adaptive and achieves a comparable signal-to-noise ratio.

A vital sign signal noise suppression method for wearable piezoelectric devices

This paper tackles the problem of noise suppression during vital sign signal monitoring. Physiological signal monitoring is a significant and promising medical monitoring method, and wearable medical monitoring devices based on piezoelectric polymer sensors are a trending way for their advantages of being flexible in the shape, portable to use, and comfortable to wear. However, this raises the question that the measured signal contains much more noise components. To avoid the following shortcoming of low signal to noise ratio (SNR), a noise suppression method based on improved wavelet threshold and empirical mode decomposition combined with singular value decomposition (SVD) screening the intrinsic mode function (IMF) components is proposed. A wavelet transform is first used under the combination of hard and soft thresholds to focus the target range in the low-frequency region where the energy of the physiological signal is concentrated. Then, a complete ensemble empirical mode decomposition is used to decompose the signal effectively, which can resist the influence of random noises. Meanwhile, a SVD decomposition procedure was used to filter out the lower correlated IMF components to retain the validity of the original signal. We verified the effectiveness of the proposed method through simulated and measured experiments as well as the advantages and disadvantages of the algorithm compared with other physiological signal denoising algorithms through SNR filtering results, power spectrum distribution, and other perspectives. The results proved that the proposed method could effectively remove more detailed noise and improve the SNR of the signal efficiently, which is more conducive to the demand for auxiliary medical diagnosis in the future.

Health warning based on 3R ECG Sample's combined features and LSTM

Most researches use the fixed-length sample to identify ECG abnormalities based on MIT ECG dataset, which leads to information loss. To address this problem, this paper proposes a method for ECG abnormality detection and health warning based on ECG Holter of PHIA and 3R-TSH-L method. The 3R-TSH-L method is implemented by:(1) getting 3R ECG samples using Pan-Tompkins method and using volatility to obtain high-quality raw ECG data; (2) extracting combination features including time-domain features, frequency domain features and time-frequency domain features; (3) using LSTM for classification, training and testing the algorithm based on the MIT-BIH dataset, and obtaining relatively optimal features as spliced normalized fusion features including kurtosis, skewness and RR interval time domain features, STFT-based sub-band spectrum features, and harmonic ratio features. The ECG data were collected using the self-developed ECG Holter (PHIA) on 14 subjects, aged between 24 and 75 including both male and female, to build the ECG dataset (ECG-H). The algorithm was transferred to the ECG-H dataset, and a health warning assessment model based on abnormal ECG rate and heart rate variability weighting was proposed. Experiments show that 3R-TSH-L method proposed in the paper has a high accuracy of 98.28% for the detection of ECG abnormalities of MIT-BIH dataset and a good transfer learning ability of 95.66% accuracy for ECG-H. The health warning model was also testified to be reasonable. The key technique of the ECG Holter of PHIA and the method 3R-TSH-L proposed in this paper is expected to be widely used in family-oriented healthcare.

Optimized Solutions of Electrocardiogram Lead and Segment Selection for Cardiovascular Disease Diagnostics

Most of the existing multi-lead electrocardiogram (ECG) detection methods are based on all 12 leads, which undoubtedly results in a large amount of calculation and is not suitable for the application in portable ECG detection systems. Moreover, the influence of different lead and heartbeat segment lengths on the detection is not clear. In this paper, a novel Genetic Algorithm-based ECG Leads and Segment Length Optimization (GA-LSLO) framework is proposed, aiming to automatically select the appropriate leads and input ECG length to achieve optimized cardiovascular disease detection. GA-LSLO extracts the features of each lead under different heartbeat segment lengths through the convolutional neural network and uses the genetic algorithm to automatically select the optimal combination of ECG leads and segment length. In addition, the lead attention module (LAM) is proposed to weight the features of the selected leads, which improves the accuracy of cardiac disease detection. The algorithm is validated on the ECG data from the Huangpu Branch of Shanghai Ninth People's Hospital (defined as the SH database) and the open-source Physikalisch-Technische Bundesanstalt diagnostic ECG database (PTB database). The accuracy for detection of arrhythmia and myocardial infarction under the inter-patient paradigm is 99.65% (95% confidence interval: 99.20-99.76%) and 97.62% (95% confidence interval: 96.80-98.16%), respectively. In addition, ECG detection devices are designed using Raspberry Pi, which verifies the convenience of hardware implementation of the algorithm. In conclusion, the proposed method achieves good cardiovascular disease detection performance. It selects the ECG leads and heartbeat segment length with the lowest algorithm complexity while ensuring classification accuracy, which is suitable for portable ECG detection devices.

A Review on the Applications of Time-Frequency Methods in ECG Analysis

The joint time-frequency analysis method represents a signal in both time and frequency. Thus, it provides more information compared to other one-dimensional methods. Several researchers recently used time-frequency methods such as the wavelet transform, short-time Fourier transform, empirical mode decomposition and reported impressive results in various electrophysiological studies. The current review provides comprehensive knowledge about different time-frequency methods and their applications in various ECG-based analyses. Typical applications include ECG signal denoising, arrhythmia detection, sleep apnea detection, biometric identification, emotion detection, and driver drowsiness detection. The paper also discusses the limitations of these methods. The review will form a reference for future researchers willing to conduct research in the same field.

The Diagnosis of Congestive Heart Failure Based on Generalized Multiscale Entropy-Wavelet Leaders

Congestive heart failure (CHF) is a chronic heart condition associated with debilitating symptoms that can lead to mortality. The electrocardiogram (ECG) is a noninvasive and simple diagnostic method that can show detectable changes in CHF. However, manual diagnosis of ECG signals is often erroneous due to the small amplitude and duration of the ECG signals. This paper presents a CHF diagnosis method based on generalized multiscale entropy (MSE)-wavelet leaders (WL) and extreme learning machine (ELM). Firstly, ECG signals from normal sinus rhythm (NSR) and congestive heart failure (CHF) patients are pre-processed. Then, parameters such as segmentation time and scale factor are chosen, and the multifractal spectrum features and number of ELM hidden layer nodes are determined. Two different data sets (A, B) were used for training and testing. In both sets, the balanced data set (B) had the highest accuracy of 99.72%, precision, sensitivity, specificity, and F1 score of 99.46%, 100%, 99.44%, and 99.73%, respectively. The unbalanced data set (A) attained an accuracy of 99.56%, precision of 99.44%, sensitivity of 99.81%, specificity of 99.17%, and F1 score of 99.62%. Finally, increasing the number of ECG segments and different algorithms validated the probability of detection of the unbalanced data set. The results indicate that our proposed method requires a lower number of ECG segments and does not require the detection of R waves. Moreover, the method can improve the probability of detection of unbalanced data sets and provide diagnostic assistance to cardiologists by providing a more objective and faster interpretation of ECG signals.

New Metal-Plastic Hybrid Additive Manufacturing for Precise Fabrication of Arbitrary Metal Patterns on External and Even Internal Surfaces of 3D Plastic Structures

Constructing precise metal patterns on complex three-dimensional (3D) plastic parts allows the fabrication of functional devices for advanced applications. However, it is currently expensive and requires complex processes. This study demonstrates a process for the fabrication of 3D metal-plastic composite structures with arbitrarily complex shapes. A light-cured resin is modified to prepare the active precursor allowing subsequent electroless plating (ELP). A multimaterial digital light processing 3D printer was newly developed to fabricate the parts containing regions made of either standard resin or active precursor nested within each other. Selective 3D ELP processing of such parts provided various metal-plastic composite parts having complicated hollow structures with specific topological relationships with the resolution of 40 μm. Using this technique, 3D devices that cannot be manufactured by traditional methods are possible, and metal patterns can be produced inside plastic parts as a means of further miniaturizing electronics. The proposed method can also generate metal coatings exhibiting improved adhesion of metal to substrate. Finally, several sensors composed of different functional materials and specific metal patterns were designed and fabricated. The present results demonstrate the viability of the proposed method and suggest potential applications in the fields of 3D electronics, wearable devices, and sensors.

Detection of Breast Cancer Lump and BRCA1/2 Genetic Mutation under Deep Learning

To diagnose and cure breast cancer early, thus reducing the mortality of patients with breast cancer, a method was provided to judge threshold of image segmentation by wavelet transform (WT). It was used to obtain information about the general area of breast lumps by making a rough segmentation of the suspected area of the lump on mammogram. The boundary signal of the lump was obtained by region growth calculation or contour model of local activity. Meanwhile, multiplex polymerase chain reaction (mPCR) and mPCR-next-generation sequencing (mPCR-NGS) were used to detect BRCA1/2 genome. Sanger test was used for newly high virulent mutations to verify the correctness of mutagenic sites. The results were compared with the information marked by experts in the database. According to Daubechies wavelet coefficients, the average measurement accuracy was 92.9% and the average false positive rate of each image was 86%. According to mPCR-NGS, there was no pathogenic mutation in the 7 patients with high-risk BRCA1/2 genetic mutations. Single nucleotide polymorphism (SNP) in nonsynonymous coding region was detected, which was consistent with the Sanger test results. This method effectively isolated the lump area of human mammogram, and mPCR-NGS had high specificity and sensitivity in detecting BRCA1/2 genetic mutation sites. Compared with traditional Sanger test and target sequence capture test, it also had such advantages as easy operation, short duration, and low cost of consumables, which was worthy of further promotion and adoption.

QRS complex detection using stationary wavelet transform and adaptive thresholding

Purpose- Electrocardiogram (ECG) signal is a record of the electrical activity of the heart and contains important clinical data about cardiovascular-related misfunctioning. The goal of the present work is to develop an improved QRS detection algorithm for the detection of heart abnormalities. Methods- In this present work stationary wavelet transforms (SWT) based method has been proposed for precise detection of QRS complex with 'sym2' mother wavelet. The stationary wavelet transform is a systematic mathematical tool to decompose the signal without downsampling using scale analysis and provides high detection of QRS complex and accurate localization of signal components. In the proposed method four level of decomposition is applied and the initial thresholding value is computed by the maximum amplitude of scale one at level four in SWT coefficients without the zero-crossing amplitude detection method. The multi-layered dynamic thresholding method has been applied to detect the true R-peak values and locate the QRS complex in the ECG signal. Results- For evaluation of results, the presented methodology is assessed on MIT-BIH, QTDB, and Noise stress test databases. In MIT-BIH, the sensitivity = 99.88%, positive predictivity = 99.93%, accuracy = 99.80% and detection error rate = 0.18% is achieved. In NSTD database, sensitivity = 97.46%, positive predictivity = 94.20%, accuracy = 91.95% and detection error rate = 8.47% and in QTDB, sensitivity = 99.95%, positive predictivity = 99.90%, accuracy = 99.71% and detection error rate = 0.16% is executed. Conclusion- In the presented proposed methodology, the computation complexity is low and exhibits a simple technique rather than an empirical approach. The proposed technique corroborates the performance for the detection of QRS complex with improved accuracy.

Wavelet Based Filters for Artifact Elimination in Electroencephalography Signal: A Review

Electroencephalography (EEG) is a diagnostic test that records and measures the electrical activity of the human brain. Research investigating human behaviors and conditions using EEG has increased from year to year. Therefore, an efficient approach is vital to process the EEG dataset to improve the output signal quality. The wavelet is one of the well-known approaches for processing the EEG signal in time-frequency domain analysis. The wavelet is better than the traditional Fourier Transform because it has good time-frequency localized properties and multi-resolution analysis where the transient information of an EEG signal can be extracted efficiently. Thus, this review article aims to comprehensively describe the application of the wavelet method in denoising the EEG signal based on recent research. This review begins with a brief overview of the basic theory and characteristics of EEG and the wavelet transform method. Then, several wavelet-based methods commonly applied in EEG dataset denoising are described and a considerable number of the latest published EEG research works with wavelet applications are reviewed. Besides, the challenges that exist in current EEG-based wavelet method research are discussed. Finally, alternative solutions to mitigate the issues are recommended.

Heart Rate Estimation in Sports Based on Multi-Sensor Data for Sports Intensity Prediction

The heart rate (HR) is the most common measurement of the cardiovascular system. It reflects not only the cardiovascular function, but also the degree of recovery, and has high reliability. The heart rate monitoring can be used in athlete selection, sports training, medical supervision, and fitness to avoid the blindness of exercise intensity arrangement, provide an objective quantitative standard for scientific fitness, and improve the sports performance through monitoring sports intensity. In order to accurately predict the sports intensity, this paper adopts ECG signals and pulse wave to learn an ordinal regression model that can utilize the order relation between different sports intensity level. The experimental results have demonstrated the effectiveness of the proposed sports intensity method.

Intelligent Extraction of Salient Feature From Electroencephalogram Using Redundant Discrete Wavelet Transform

At present, electroencephalogram (EEG) signals play an irreplaceable role in the diagnosis and treatment of human diseases and medical research. EEG signals need to be processed in order to reduce the adverse effects of irrelevant physiological process interference and measurement noise. Wavelet transform (WT) can provide a time-frequency representation of a dynamic process, and it has been widely utilized in salient feature analysis of EEG. In this paper, we investigate the problem of translation variability (TV) in discrete wavelet transform (DWT), which causes degradation of time-frequency localization. It will be verified through numerical simulations that TV is caused by downsampling operations in decomposition process of DWT. The presence of TV may cause severe distortions of features in wavelet subspaces. However, this phenomenon has not attracted much attention in the scientific community. Redundant discrete wavelet transform (RDWT) is derived by eliminating the downsampling operation. RDWT enjoys the attractive merit of translation invariance. RDWT shares the same time-frequency pattern with that of DWT. The discrete delta impulse function is used to test the time-frequency response of DWT and RDWT in wavelet subspaces. The results show that DWT is very sensitive to the translation of delta impulse function, while RDWT keeps the decomposition results unchanged. This conclusion has also been verified again in decomposition of actual EEG signals. In conclusion, to avoid possible distortions of features caused by translation sensitivity in DWT, we recommend the use of RDWT with more stable performance in BCI research and clinical applications.

Reliable Detection of Myocardial Ischemia Using Machine Learning Based on Temporal-Spatial Characteristics of Electrocardiogram and Vectorcardiogram

Background: Myocardial ischemia is a common early symptom of cardiovascular disease (CVD). Reliable detection of myocardial ischemia using computer-aided analysis of electrocardiograms (ECG) provides an important reference for early diagnosis of CVD. The vectorcardiogram (VCG) could improve the performance of ECG-based myocardial ischemia detection by affording temporal-spatial characteristics related to myocardial ischemia and capturing subtle changes in ST-T segment in continuous cardiac cycles. We aim to investigate if the combination of ECG and VCG could improve the performance of machine learning algorithms in automatic myocardial ischemia detection.

Methods: The ST-T segments of 20-second, 12-lead ECGs, and VCGs were extracted from 377 patients with myocardial ischemia and 52 healthy controls. Then, sample entropy (SampEn, of 12 ECG leads and of three VCG leads), spatial heterogeneity index (SHI, of VCG) and temporal heterogeneity index (THI, of VCG) are calculated. Using a grid search, four SampEn and two features are selected as input signal features for ECG-only and VCG-only models based on support vector machine (SVM), respectively. Similarly, three features (S_I, THI, and SHI, where S_I is the SampEn of lead I) are further selected for the ECG + VCG model. 5-fold cross validation was used to assess the performance of ECG-only, VCG-only, and ECG + VCG models. To fully evaluate the algorithmic generalization ability, the model with the best performance was selected and tested on a third independent dataset of 148 patients with myocardial ischemia and 52 healthy controls.

Results: The ECG + VCG model with three features (S_I,THI, and SHI) yields better classifying results than ECG-only and VCG-only models with the average accuracy of 0.903, sensitivity of 0.903, specificity of 0.905, F1 score of 0.942, and AUC of 0.904, which shows better performance with fewer features compared with existing works. On the third independent dataset, the testing showed an AUC of 0.814.

Conclusion: The SVM algorithm based on the ECG + VCG model could reliably detect myocardial ischemia, providing a potential tool to assist cardiologists in the early diagnosis of CVD in routine screening during primary care services.

Uterine Ultrasound Doppler Hemodynamics of Magnesium Sulfate Combined with Labetalol in the Treatment of Pregnancy-Induced Hypertension Using Empirical Wavelet Transform Algorithm

The aim of this study was to explore the hemodynamic changes of magnesium sulfate combined with labetalol in the treatment of pregnancy-induced hypertension (PIH) under Doppler uterine ultrasound based on the empirical wavelet transform (EWT) algorithm. 500 patients with PIH in the hospital were selected and randomly divided into the control group (n = 250) and the observation group (n = 250). The control group was treated with conventional magnesium sulfate; the observation group was given labetalol based on magnesium sulfate drip in the control group. The uterine artery blood flow simulation model was established based on the EWT algorithm and compared with a short-time Fourier transform (STFT). The normalized root mean square error (NRMSE) of the STFT method was 0.19, and the NRMSE extracted by the EWT method was 0.13. After treatment, the blood pressure index, 24-hour urinary protein, and incidence of adverse birth outcomes in the observation group were lower than those in the control group; the effective rate of the control group (90.4%) was lower than that of the observation group (97.6%); the hemodynamic indexes of the uterine artery in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). The estimation accuracy of the EWT method was higher than that of the traditional STFT method; the combined treatment of magnesium sulfate and labetalol in patients with PIH had a remarkable effect, which could control the blood pressure index and reduce the 24-hour urinary protein; the uterine artery Doppler ultrasound examination could change hemodynamics and improve the adverse outcomes of mothers and infants.

Fetal Electrocardiogram Signal Extraction Based on Fast Independent Component Analysis and Singular Value Decomposition

Fetal electrocardiograms (FECGs) provide important clinical information for early diagnosis and intervention. However, FECG signals are extremely weak and are greatly influenced by noises. FECG signal extraction and detection are still challenging. In this work, we combined the fast independent component analysis (FastICA) algorithm with singular value decomposition (SVD) to extract FECG signals. The improved wavelet mode maximum method was applied to detect QRS waves and ST segments of FECG signals. We used the abdominal and direct fetal ECG database (ADFECGDB) and the Cardiology Challenge Database (PhysioNet2013) to verify the proposed algorithm. The signal-to-noise ratio of the best channel signal reached 45.028 dB and the issue of missing waveforms was addressed. The sensitivity, positive predictive value and F1 score of fetal QRS wave detection were 96.90%, 98.23%, and 95.24%, respectively. The proposed algorithm may be used as a new method for FECG signal extraction and detection.

A Vital Signs Fast Detection and Extraction Method of UWB Impulse Radar Based on SVD

The identification of weak vital signs has always been one of the difficulties in the field of life detection. In this paper, a novel vital sign detection and extraction method with high efficiency, high precision, high sensitivity and high signal-to-noise ratio is proposed. Based on the NVA6100 pulse radar system, the radar matrix which contains several radar pulse detection signals is received. According to the characteristics of vital signs and radar matrices, the Singular Value Decomposition (SVD) is adopted to perform signal denoising and decomposition after preprocessing, and the temporal and spatial eigenvectors of each principal component are obtained. Through the energy proportion screening, the Wavelet Transform decomposition and linear trend suppression, relatively pure vital signs in each principal component, are obtained. The human location is detected by the Energy Entropy of spatial eigenvectors, and the respiratory signal and heartbeat signal are restored through a Butterworth Filter and an MTI harmonic canceller. Finally, through an analysis of the performance of the algorithm, it is proved to have the properties of efficiency and accuracy.

Pollution index of waterfowl farm assessment and prediction based on temporal convoluted network

Environmental quality is a major factor that directly impacts waterfowl productivity. Accurate prediction of pollution index (PI) is the key to improving environmental management and pollution control. This study applied a new neural network model called temporal convolutional network and a denoising algorithm called wavelet transform (WT) for predicting future 12-, 24-, and 48-hour PI values at a waterfowl farm in Shanwei, China. The temporal convoluted network (TCN) model performance was compared with that of recurrent architectures with the same capacity, long-short time memory neural network (LSTM), and gated recurrent unit (GRU). Denoised environmental data, including ammonia, temperature, relative humidity, carbon dioxide (CO2), and total suspended particles (TSP), were used to construct the forecasting model. The simulation results showed that the TCN model in general produced a more precise PI prediction and provided the highest prediction accuracy for all phases (MAE = 0.0842, 0.0859, and 0.1115; RMSE = 0.0154, 0.0167, and 0.0273; R2 = 0.9789, 0.9791, and 0.9635). The PI assessment prediction model based on TCN exhibited the best prediction accuracy and general performance compared with other parallel forecasting models and is a suitable and useful tool for predicting PI in waterfowl farms.

Identification of Pilots' Fatigue Status Based on Electrocardiogram Signals

Fatigue is an important factor affecting modern flight safety. It can easily lead to a decline in pilots’ operational ability, misjudgments, and flight illusions. Moreover, it can even trigger serious flight accidents. In this paper, a wearable wireless physiological device was used to obtain pilots’ electrocardiogram (ECG) data in a simulated flight experiment, and 1440 effective samples were determined. The Friedman test was adopted to select the characteristic indexes that reflect the fatigue state of the pilot from the time domain, frequency domain, and non-linear characteristics of the effective samples. Furthermore, the variation rules of the characteristic indexes were analyzed. Principal component analysis (PCA) was utilized to extract the features of the selected feature indexes, and the feature parameter set representing the fatigue state of the pilot was established. For the study on pilots’ fatigue state identification, the feature parameter set was used as the input of the learning vector quantization (LVQ) algorithm to train the pilots’ fatigue state identification model. Results show that the recognition accuracy of the LVQ model reached 81.94%, which is 12.84% and 9.02% higher than that of traditional back propagation neural network (BPNN) and support vector machine (SVM) model, respectively. The identification model based on the LVQ established in this paper is suitable for identifying pilots’ fatigue states. This is of great practical significance to reduce flight accidents caused by pilot fatigue, thus providing a theoretical foundation for pilot fatigue risk management and the development of intelligent aircraft autopilot systems.