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Auteurs principaux: Stenhede, Elias, Bjørnstad, Agnar Martin, Ranjbar, Arian
Format: Preprint
Publié: 2025
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Accès en ligne:https://arxiv.org/abs/2510.19590
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author Stenhede, Elias
Bjørnstad, Agnar Martin
Ranjbar, Arian
author_facet Stenhede, Elias
Bjørnstad, Agnar Martin
Ranjbar, Arian
contents Millions of clinical ECGs exist only as paper scans, making them unusable for modern automated diagnostics. We introduce a fully automated, modular framework that converts scanned or photographed ECGs into digital signals, suitable for both clinical and research applications. The framework is validated on 37,191 ECG images with 1,596 collected at Akershus University Hospital, where the algorithm obtains a mean signal-to-noise ratio of 19.65 dB on scanned papers with common artifacts. It is further evaluated on the Emory Paper Digitization ECG Dataset, comprising 35,595 images, including images with perspective distortion, wrinkles, and stains. The model improves on the state-of-the-art in all subcategories. The full software is released as open-source, promoting reproducibility and further development. We hope the software will contribute to unlocking retrospective ECG archives and democratize access to AI-driven diagnostics.
format Preprint
id arxiv_https___arxiv_org_abs_2510_19590
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Digitizing Paper ECGs at Scale: An Open-Source Algorithm for Clinical Research
Stenhede, Elias
Bjørnstad, Agnar Martin
Ranjbar, Arian
Computer Vision and Pattern Recognition
Millions of clinical ECGs exist only as paper scans, making them unusable for modern automated diagnostics. We introduce a fully automated, modular framework that converts scanned or photographed ECGs into digital signals, suitable for both clinical and research applications. The framework is validated on 37,191 ECG images with 1,596 collected at Akershus University Hospital, where the algorithm obtains a mean signal-to-noise ratio of 19.65 dB on scanned papers with common artifacts. It is further evaluated on the Emory Paper Digitization ECG Dataset, comprising 35,595 images, including images with perspective distortion, wrinkles, and stains. The model improves on the state-of-the-art in all subcategories. The full software is released as open-source, promoting reproducibility and further development. We hope the software will contribute to unlocking retrospective ECG archives and democratize access to AI-driven diagnostics.
title Digitizing Paper ECGs at Scale: An Open-Source Algorithm for Clinical Research
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2510.19590