Benchmarking the Impact of Noise on Deep Learning-Based Classification of Atrial Fibrillation in 12-Lead ECG.

Journal: Studies in health technology and informatics
Published Date:

Abstract

Electrocardiography analysis is widely used in various clinical applications and Deep Learning models for classification tasks are currently in the focus of research. Due to their data-driven character, they bear the potential to handle signal noise efficiently, but its influence on the accuracy of these methods is still unclear. Therefore, we benchmark the influence of four types of noise on the accuracy of a Deep Learning-based method for atrial fibrillation detection in 12-lead electrocardiograms. We use a subset of a publicly available dataset (PTB-XL) and use the metadata provided by human experts regarding noise for assigning a signal quality to each electrocardiogram. Furthermore, we compute a quantitative signal-to-noise ratio for each electrocardiogram. We analyze the accuracy of the Deep Learning model with respect to both metrics and observe that the method can robustly identify atrial fibrillation, even in cases signals are labelled by human experts as being noisy on multiple leads. False positive and false negative rates are slightly worse for data being labelled as noisy. Interestingly, data annotated as showing baseline drift noise results in an accuracy very similar to data without. We conclude that the issue of processing noisy electrocardiography data can be addressed successfully by Deep Learning methods that might not need preprocessing as many conventional methods do.

Authors

  • Theresa Bender
    Department of Medical Informatics, University Medical Center Göttingen, Germany.
  • Philip Gemke
    Department of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.
  • Ennio Idrobo-Avila
    Department of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.
  • Henning Dathe
    Department of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.
  • Dagmar Krefting
    Department of Medical Informatics, University Medical Center Göttingen, Göttingen 37075, Germany.
  • Nicolai Spicher
    Department of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.