论文标题

教机器诊断心脏病;从数字化扫描的心电图开始到检测Brugada综合征(BRS)

Teaching a Machine to Diagnose a Heart Disease; Beginning from digitizing scanned ECGs to detecting the Brugada Syndrome (BrS)

论文作者

Jaxy, Simon

论文摘要

医学诊断可以彻底塑造和改变一个人的生活。因此,始终建议我们收集尽可能多的证据以确定诊断。不幸的是,就Brugada综合征(BRS)而言,一种罕见和遗传性的心脏病,仅存在一个诊断标准,即心电图(ECG)中的典型模式。在以下论文中,我们质疑通过机器学习方法对ECG条进行的调查是否可以改善BRS阳性病例的检测,从而改善诊断过程。我们提出了一条管道,该管道在经过扫描的ECG图像中读取,并在多个处理步骤后将加密信号转换为数字时间电压数据。然后,我们提出了一个长期的短期记忆(LSTM)分类器,该分类器是根据先前提取的数据构建的,并构建了诊断。所提出的管道区分了三种主要类型的心电图图像,并重新创建每个记录的铅信号。在数据数字化过程中保留了功能和质量,尽管某些遇到的问题尚未完全删除(第一部分)。然而,上述计划的结果适合通过诸如拟议的分类器之类的计算方法进一步研究ECG,该计算方法证明了该概念,可能是未来研究的建筑基础(第二部分)。该论文分为两个部分,因为它们是同一过程的一部分,但在概念上是不同的。希望这项工作为BRS及其诊断而建立了一个新的计算调查基础。

Medical diagnoses can shape and change the life of a person drastically. Therefore, it is always best advised to collect as much evidence as possible to be certain about the diagnosis. Unfortunately, in the case of the Brugada Syndrome (BrS), a rare and inherited heart disease, only one diagnostic criterion exists, namely, a typical pattern in the Electrocardiogram (ECG). In the following treatise, we question whether the investigation of ECG strips by the means of machine learning methods improves the detection of BrS positive cases and hence, the diagnostic process. We propose a pipeline that reads in scanned images of ECGs, and transforms the encaptured signals to digital time-voltage data after several processing steps. Then, we present a long short-term memory (LSTM) classifier that is built based on the previously extracted data and that makes the diagnosis. The proposed pipeline distinguishes between three major types of ECG images and recreates each recorded lead signal. Features and quality are retained during the digitization of the data, albeit some encountered issues are not fully removed (Part I). Nevertheless, the results of the aforesaid program are suitable for further investigation of the ECG by a computational method such as the proposed classifier which proves the concept and could be the architectural basis for future research (Part II). This thesis is divided into two parts as they are part of the same process but conceptually different. It is hoped that this work builds a new foundation for computational investigations in the case of the BrS and its diagnosis.

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