Self-supervised inter-intra period-aware ECG representation learning for detecting atrial fibrillation

Fuente: arXiv
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Main Authors: Zhu, Xiangqian, Shi, Mengnan, Yu, Xuexin, Liu, Chang, Lian, Xiaocong, Fei, Jintao, Luo, Jiangying, Jin, Xin, Zhang, Ping, Ji, Xiangyang
Format: Preprint
Published: 2024
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author Zhu, Xiangqian
Shi, Mengnan
Yu, Xuexin
Liu, Chang
Lian, Xiaocong
Fei, Jintao
Luo, Jiangying
Jin, Xin
Zhang, Ping
Ji, Xiangyang
author_facet Zhu, Xiangqian
Shi, Mengnan
Yu, Xuexin
Liu, Chang
Lian, Xiaocong
Fei, Jintao
Luo, Jiangying
Jin, Xin
Zhang, Ping
Ji, Xiangyang
contents Atrial fibrillation is a commonly encountered clinical arrhythmia associated with stroke and increased mortality. Since professional medical knowledge is required for annotation, exploiting a large corpus of ECGs to develop accurate supervised learning-based atrial fibrillation algorithms remains challenging. Self-supervised learning (SSL) is a promising recipe for generalized ECG representation learning, eliminating the dependence on expensive labeling. However, without well-designed incorporations of knowledge related to atrial fibrillation, existing SSL approaches typically suffer from unsatisfactory capture of robust ECG representations. In this paper, we propose an inter-intra period-aware ECG representation learning approach. Considering ECGs of atrial fibrillation patients exhibit the irregularity in RR intervals and the absence of P-waves, we develop specific pre-training tasks for interperiod and intraperiod representations, aiming to learn the single-period stable morphology representation while retaining crucial interperiod features. After further fine-tuning, our approach demonstrates remarkable AUC performances on the BTCH dataset, \textit{i.e.}, 0.953/0.996 for paroxysmal/persistent atrial fibrillation detection. On commonly used benchmarks of CinC2017 and CPSC2021, the generalization capability and effectiveness of our methodology are substantiated with competitive results.
format Preprint
id arxiv_https___arxiv_org_abs_2410_18094
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Self-supervised inter-intra period-aware ECG representation learning for detecting atrial fibrillation
Zhu, Xiangqian
Shi, Mengnan
Yu, Xuexin
Liu, Chang
Lian, Xiaocong
Fei, Jintao
Luo, Jiangying
Jin, Xin
Zhang, Ping
Ji, Xiangyang
Quantitative Methods
Artificial Intelligence
Machine Learning
Signal Processing
Atrial fibrillation is a commonly encountered clinical arrhythmia associated with stroke and increased mortality. Since professional medical knowledge is required for annotation, exploiting a large corpus of ECGs to develop accurate supervised learning-based atrial fibrillation algorithms remains challenging. Self-supervised learning (SSL) is a promising recipe for generalized ECG representation learning, eliminating the dependence on expensive labeling. However, without well-designed incorporations of knowledge related to atrial fibrillation, existing SSL approaches typically suffer from unsatisfactory capture of robust ECG representations. In this paper, we propose an inter-intra period-aware ECG representation learning approach. Considering ECGs of atrial fibrillation patients exhibit the irregularity in RR intervals and the absence of P-waves, we develop specific pre-training tasks for interperiod and intraperiod representations, aiming to learn the single-period stable morphology representation while retaining crucial interperiod features. After further fine-tuning, our approach demonstrates remarkable AUC performances on the BTCH dataset, \textit{i.e.}, 0.953/0.996 for paroxysmal/persistent atrial fibrillation detection. On commonly used benchmarks of CinC2017 and CPSC2021, the generalization capability and effectiveness of our methodology are substantiated with competitive results.
title Self-supervised inter-intra period-aware ECG representation learning for detecting atrial fibrillation
topic Quantitative Methods
Artificial Intelligence
Machine Learning
Signal Processing
url https://arxiv.org/abs/2410.18094