Abstract: Capacitive electrocardiogram (ECG) measurement is an attractive approach for long-term health monitoring. However, there is little literature available on its implementation, especially for multichannel system in standard ECG leads. This paper begins from the design criteria for capacitive ECG measurement and presents a multichannel limb-lead capacitive ECG system with conductive fabric tapes pasted on a double layer PCB as the capacitive sensors. The proposed prototype system incorporates a capacitive driven-body (CDB) circuit to reduce the common-mode power-line interference (PLI). The presented prototype system has been verified to be stable by theoretic analysis and practical long-term experiments. The signal quality is competitive to that acquired by commercial ECG machines. The feasible size and distance of capacitive sensor have also been evaluated by a series of tests. From the test results, it is suggested to be greater than 60 cm2 in sensor size and be smaller than 1.5 mm in distance for capacitive ECG measurement.
Abstract: TELMES project aims to develop a securized
multimedia system devoted to medical consultation teleservices. It
will be finalized with a pilot system for a regional telecenters
network that connects local telecenters, having as support
multimedia platforms. This network will enable the implementation
of complex medical teleservices (teleconsulations, telemonitoring,
homecare, urgency medicine, etc.) for a broader range of patients
and medical professionals, mainly for family doctors and those
people living in rural or isolated regions. Thus, a multimedia,
scalable network, based on modern IT&C paradigms, will result. It
will gather two inter-connected regional telecenters, in Iaşi and
Piteşti, Romania, each of them also permitting local connections of
hospitals, diagnostic and treatment centers, as well as local networks
of family doctors, patients, even educational entities. As
communications infrastructure, we aim to develop a combined fixmobile-
internet (broadband) links. Other possible communication
environments will be GSM/GPRS/3G and radio waves. The
electrocardiogram (ECG) acquisition, internet transmission and
local analysis, using embedded technologies, was already
successfully done for patients- telemonitoring.
Abstract: Diabetes mellitus (DM) is frequently characterized by
autonomic nervous dysfunction. Analysis of heart rate variability
(HRV) has become a popular noninvasive tool for assessing the
activities of autonomic nervous system (ANS). In this paper, changes
in ANS activity are quantified by means of frequency and time
domain analysis of R-R interval variability. Electrocardiograms
(ECG) of 16 patients suffering from DM and of 16 healthy volunteers
were recorded. Frequency domain analysis of extracted normal to
normal interval (NN interval) data indicates significant difference in
very low frequency (VLF) power, low frequency (LF) power and
high frequency (HF) power, between the DM patients and control
group. Time domain measures, standard deviation of NN interval
(SDNN), root mean square of successive NN interval differences
(RMSSD), successive NN intervals differing more than 50 ms (NN50
Count), percentage value of NN50 count (pNN50), HRV triangular
index and triangular interpolation of NN intervals (TINN) also show
significant difference between the DM patients and control group.
Abstract: This paper describes a new supervised fusion (hybrid)
electrocardiogram (ECG) classification solution consisting of a new
QRS complex geometrical feature extraction as well as a new version
of the learning vector quantization (LVQ) classification algorithm
aimed for overcoming the stability-plasticity dilemma. Toward this
objective, after detection and delineation of the major events of ECG
signal via an appropriate algorithm, each QRS region and also its
corresponding discrete wavelet transform (DWT) are supposed as
virtual images and each of them is divided into eight polar sectors.
Then, the curve length of each excerpted segment is calculated
and is used as the element of the feature space. To increase the
robustness of the proposed classification algorithm versus noise,
artifacts and arrhythmic outliers, a fusion structure consisting of
five different classifiers namely as Support Vector Machine (SVM),
Modified Learning Vector Quantization (MLVQ) and three Multi
Layer Perceptron-Back Propagation (MLP–BP) neural networks with
different topologies were designed and implemented. The new proposed
algorithm was applied to all 48 MIT–BIH Arrhythmia Database
records (within–record analysis) and the discrimination power of the
classifier in isolation of different beat types of each record was
assessed and as the result, the average accuracy value Acc=98.51%
was obtained. Also, the proposed method was applied to 6 number
of arrhythmias (Normal, LBBB, RBBB, PVC, APB, PB) belonging
to 20 different records of the aforementioned database (between–
record analysis) and the average value of Acc=95.6% was achieved.
To evaluate performance quality of the new proposed hybrid learning
machine, the obtained results were compared with similar peer–
reviewed studies in this area.
Abstract: Atrial Fibrillation is the most common sustained
arrhythmia encountered by clinicians. Because of the invisible
waveform of atrial fibrillation in atrial activation for human, it is
necessary to develop an automatic diagnosis system. 12-Lead ECG
now is available in hospital and is appropriate for using Independent
Component Analysis to estimate the AA period. In this research, we
also adopt a second-order blind identification approach to transform
the sources extracted by ICA to more precise signal and then we use
frequency domain algorithm to do the classification. In experiment,
we gather a significant result of clinical data.
Abstract: Electrocardiogram (ECG) data compression algorithm
is needed that will reduce the amount of data to be transmitted, stored
and analyzed, but without losing the clinical information content. A
wavelet ECG data codec based on the Set Partitioning In Hierarchical
Trees (SPIHT) compression algorithm is proposed in this paper. The
SPIHT algorithm has achieved notable success in still image coding.
We modified the algorithm for the one-dimensional (1-D) case and
applied it to compression of ECG data.
By this compression method, small percent root mean square
difference (PRD) and high compression ratio with low
implementation complexity are achieved. Experiments on selected
records from the MIT-BIH arrhythmia database revealed that the
proposed codec is significantly more efficient in compression and in
computation than previously proposed ECG compression schemes.
Compression ratios of up to 48:1 for ECG signals lead to acceptable
results for visual inspection.
Abstract: ECG analysis method was developed using ROC
analysis of PVC detecting algorithm. ECG signal of MIT-BIH
arrhythmia database was analyzed by MATLAB. First of all, the
baseline was removed by median filter to preprocess the ECG signal.
R peaks were detected for ECG analysis method, and normal VCG
was extracted for VCG analysis method. Four PVC detecting
algorithm was analyzed by ROC curve, which parameters are
maximum amplitude of QRS complex, width of QRS complex, r-r
interval and geometric mean of VCG. To set cut-off value of
parameters, ROC curve was estimated by true-positive rate
(sensitivity) and false-positive rate. sensitivity and false negative rate
(specificity) of ROC curve calculated, and ECG was analyzed using
cut-off value which was estimated from ROC curve. As a result, PVC
detecting algorithm of VCG geometric mean have high availability,
and PVC could be detected more accurately with amplitude and width
of QRS complex.
Abstract: The application of Neural Network for disease
diagnosis has made great progress and is widely used by physicians.
An Electrocardiogram carries vital information about heart activity and physicians use this signal for cardiac disease diagnosis which
was the great motivation towards our study. In our work, tachycardia
features obtained are used for the training and testing of a Neural
Network. In this study we are using Fuzzy Probabilistic Neural
Networks as an automatic technique for ECG signal analysis. As
every real signal recorded by the equipment can have different
artifacts, we needed to do some preprocessing steps before feeding it
to our system. Wavelet transform is used for extracting the
morphological parameters of the ECG signal. The outcome of the
approach for the variety of arrhythmias shows the represented
approach is superior than prior presented algorithms with an average
accuracy of about %95 for more than 7 tachy arrhythmias.
Abstract: In this paper, we propose a method to reduce the
various kinds of noise while gathering and recording the
electrocardiogram (ECG) signal. Because of the defects of former
method in the noise elimination of ECG signal, we use translation
invariant (TI) multiwavelet denoising method to the noise elimination.
The advantage of the proposed method is that it may not only remain
the geometrical characteristics of the original ECG signal and keep the
amplitudes of various ECG waveforms efficiently, but also suppress
impulsive noise to some extent. The simulation results indicate that the
proposed method are better than former removing noise method in
aspects of remaining geometrical characteristics of ECG signal and the
signal-to-noise ratio (SNR).
Abstract: This paper illustrates the use of a combined neural
network model for classification of electrocardiogram (ECG) beats.
We present a trainable neural network ensemble approach to develop
customized electrocardiogram beat classifier in an effort to further
improve the performance of ECG processing and to offer
individualized health care.
We process a three stage technique for detection of premature
ventricular contraction (PVC) from normal beats and other heart
diseases. This method includes a denoising, a feature extraction and a
classification. At first we investigate the application of stationary
wavelet transform (SWT) for noise reduction of the
electrocardiogram (ECG) signals. Then feature extraction module
extracts 10 ECG morphological features and one timing interval
feature. Then a number of multilayer perceptrons (MLPs) neural
networks with different topologies are designed.
The performance of the different combination methods as well as
the efficiency of the whole system is presented. Among them,
Stacked Generalization as a proposed trainable combined neural
network model possesses the highest recognition rate of around 95%.
Therefore, this network proves to be a suitable candidate in ECG
signal diagnosis systems. ECG samples attributing to the different
ECG beat types were extracted from the MIT-BIH arrhythmia
database for the study.
Abstract: Heart failure is the most common reason of death
nowadays, but if the medical help is given directly, the patient-s life
may be saved in many cases. Numerous heart diseases can be
detected by means of analyzing electrocardiograms (ECG). Artificial
Neural Networks (ANN) are computer-based expert systems that
have proved to be useful in pattern recognition tasks. ANN can be
used in different phases of the decision-making process, from
classification to diagnostic procedures. This work concentrates on a
review followed by a novel method.
The purpose of the review is to assess the evidence of healthcare
benefits involving the application of artificial neural networks to the
clinical functions of diagnosis, prognosis and survival analysis, in
ECG signals. The developed method is based on a compound neural
network (CNN), to classify ECGs as normal or carrying an
AtrioVentricular heart Block (AVB). This method uses three
different feed forward multilayer neural networks. A single output
unit encodes the probability of AVB occurrences. A value between 0
and 0.1 is the desired output for a normal ECG; a value between 0.1
and 1 would infer an occurrence of an AVB. The results show that
this compound network has a good performance in detecting AVBs,
with a sensitivity of 90.7% and a specificity of 86.05%. The accuracy
value is 87.9%.
Abstract: The aim of this paper is to present a new method
which can be used for progressive transmission of electrocardiogram
(ECG). The idea consists in transforming any ECG signal to an
image, containing one beat in each row. In the first step, the beats are
synchronized in order to reduce the high frequencies due to inter-beat
transitions. The obtained image is then transformed using a discrete
version of Radon Transform (DRT). Hence, transmitting the ECG,
leads to transmit the most significant energy of the transformed
image in Radon domain. For decoding purpose, the receptor needs to
use the inverse Radon Transform as well as the two synchronization
frames.
The presented protocol can be adapted for lossy to lossless
compression systems. In lossy mode we show that the compression
ratio can be multiplied by an average factor of 2 for an acceptable
quality of reconstructed signal. These results have been obtained on
real signals from MIT database.
Abstract: Electrocardiogram (ECG) is considered to be the
backbone of cardiology. ECG is composed of P, QRS & T waves and
information related to cardiac diseases can be extracted from the
intervals and amplitudes of these waves. The first step in extracting
ECG features starts from the accurate detection of R peaks in the
QRS complex. We have developed a robust R wave detector using
wavelets. The wavelets used for detection are Daubechies and
Symmetric. The method does not require any preprocessing therefore,
only needs the ECG correct recordings while implementing the
detection. The database has been collected from MIT-BIH arrhythmia
database and the signals from Lead-II have been analyzed. MatLab
7.0 has been used to develop the algorithm. The ECG signal under
test has been decomposed to the required level using the selected
wavelet and the selection of detail coefficient d4 has been done based
on energy, frequency and cross-correlation analysis of decomposition
structure of ECG signal. The robustness of the method is apparent
from the obtained results.
Abstract: This paper presents the design related to the
electronic system design of the respiratory signal, including phases
for processing, followed by the transmission and reception of this
signal and finally display. The processing of this signal is added to
the ECG and temperature sign, put up last year. Under this scheme is
proposed that in future also be conditioned blood pressure signal
under the same final printed circuit and worked.