Integrating ECG Monitoring and Classification via IoT and Deep Neural Networks.

Journal: Biosensors
Published Date:

Abstract

Anesthesia assessment is most important during surgery. Anesthesiologists use electrocardiogram (ECG) signals to assess the patient's condition and give appropriate medications. However, it is not easy to interpret the ECG signals. Even physicians with more than 10 years of clinical experience may still misjudge. Therefore, this study uses convolutional neural networks to classify ECG image types to assist in anesthesia assessment. The research uses Internet of Things (IoT) technology to develop ECG signal measurement prototypes. At the same time, it classifies signal types through deep neural networks, divided into QRS widening, sinus rhythm, ST depression, and ST elevation. Three models, ResNet, AlexNet, and SqueezeNet, are developed with 50% of the training set and test set. Finally, the accuracy and kappa statistics of ResNet, AlexNet, and SqueezeNet in ECG waveform classification were (0.97, 0.96), (0.96, 0.95), and (0.75, 0.67), respectively. This research shows that it is feasible to measure ECG in real time through IoT and then distinguish four types through deep neural network models. In the future, more types of ECG images will be added, which can improve the real-time classification practicality of the deep model.

Authors

  • Li-Ren Yeh
    Department of Anesthesiology, E-DA Cancer Hospital, I-Shou University, No. 65, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City 82445, Taiwan.
  • Wei-Chin Chen
    Department of Anesthesiology, E-DA Hospital, I-Shou University, No. 1, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City 82445, Taiwan.
  • Hua-Yan Chan
    Department of Medical Radiology, E-DA Cancer Hospital, I-Shou University, No. 1, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City 82445, Taiwan.
  • Nan-Han Lu
    Department of Pharmacy, Tajen University, No. 20, Weixin Road, Yanpu Township, Pingtung County 90741, Taiwan.
  • Chi-Yuan Wang
    Department of Medical Imaging and Radiological Science, I-Shou University, No. 8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung 82445, Taiwan.
  • Wen-Hung Twan
    Department of Life Sciences, National Taitung University, No. 369, Sec. 2, University Road, Taitung 95092, Taiwan.
  • Wei-Chang Du
    Department of Information Engineering, I-Shou University, No.1, Sec. 1, Syuecheng Rd., Dashu District, Kaohsiung City 84001, Taiwan. wcdu@isu.edu.tw.
  • Yung-Hui Huang
    Department of Medical Imaging and Radiological Science, I-Shou University, No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan. yhhuang@isu.edu.tw.
  • Shih-Yen Hsu
    Department of Information Engineering, I-Shou University, No.1, Sec. 1, Syuecheng Rd., Dashu District, Kaohsiung City 84001, Taiwan. h.shihyen@gmail.com.
  • Tai-Been Chen
    Department of Medical Imaging and Radiological Science, I-Shou University, No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan. ctb@isu.edu.tw.