Are ECGs enough? Deep learning classification of pulmonary embolism using electrocardiograms

Fuente: arXiv
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Auteurs principaux: Marques, Joao D. S., Oliveira, Arlindo L.
Format: Preprint
Publié: 2025
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author Marques, Joao D. S.
Oliveira, Arlindo L.
author_facet Marques, Joao D. S.
Oliveira, Arlindo L.
contents Pulmonary embolism is a leading cause of out of hospital cardiac arrest that requires fast diagnosis. While computed tomography pulmonary angiography is the standard diagnostic tool, it is not always accessible. Electrocardiography is an essential tool for diagnosing multiple cardiac anomalies, as it is affordable, fast and available in many settings. However, the availability of public ECG datasets, specially for PE, is limited and, in practice, these datasets tend to be small, making it essential to optimize learning strategies. In this study, we investigate the performance of multiple neural networks in order to assess the impact of various approaches. Moreover, we check whether these practices enhance model generalization when transfer learning is used to translate information learned in larger ECG datasets, such as PTB-XL, CPSC18 and MedalCare-XL, to a smaller, more challenging dataset for PE. By leveraging transfer learning, we analyze the extent to which we can improve learning efficiency and predictive performance on limited data. Code available at https://github.com/joaodsmarques/Are-ECGs-enough-Deep-Learning-Classifiers .
format Preprint
id arxiv_https___arxiv_org_abs_2503_08960
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Are ECGs enough? Deep learning classification of pulmonary embolism using electrocardiograms
Marques, Joao D. S.
Oliveira, Arlindo L.
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
I.2
Pulmonary embolism is a leading cause of out of hospital cardiac arrest that requires fast diagnosis. While computed tomography pulmonary angiography is the standard diagnostic tool, it is not always accessible. Electrocardiography is an essential tool for diagnosing multiple cardiac anomalies, as it is affordable, fast and available in many settings. However, the availability of public ECG datasets, specially for PE, is limited and, in practice, these datasets tend to be small, making it essential to optimize learning strategies. In this study, we investigate the performance of multiple neural networks in order to assess the impact of various approaches. Moreover, we check whether these practices enhance model generalization when transfer learning is used to translate information learned in larger ECG datasets, such as PTB-XL, CPSC18 and MedalCare-XL, to a smaller, more challenging dataset for PE. By leveraging transfer learning, we analyze the extent to which we can improve learning efficiency and predictive performance on limited data. Code available at https://github.com/joaodsmarques/Are-ECGs-enough-Deep-Learning-Classifiers .
title Are ECGs enough? Deep learning classification of pulmonary embolism using electrocardiograms
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
I.2
url https://arxiv.org/abs/2503.08960