System and method for machine-learning-based atrial fibrillation detection
A system and method for machine-learning based atrial fibrillation detection are provided. A database is maintained that is operable to maintain a plurality of ECG features and annotated patterns of the features. At least one server is configured to: train a classifier based on the annotated patterns in the database; receive a representation of an ECG signal recorded by an ambulatory monitor recorder during a plurality of temporal windows; detect a plurality of the ECG features in at least some of the portions of the representation falling within each of the temporal windows; use the trained classifier to identify patterns of the ECG features within one or more of the portions of the ECG signal; for each of the portions, calculate a score indicative of whether the portion of the representation within that ECG signal is associated the patient experiencing atrial fibrillation; and take an action based on the score.
1. A system for machine-learning-based atrial fibrillation detection with the aid of a digital computer, comprising:
a database operable to maintain a plurality of electrocardiography (ECG) features and annotated patterns of the features, at least some of the patterns associated with atrial fibrillation;
at least one server interconnected to the database, the at least one server configured to:
train a classifier based on the annotated patterns in the database;
receive a representation of an ECG signal recorded by an ambulatory monitor recorder during a plurality of temporal windows;
detect a plurality of the ECG features in at least some of the portions of the representation falling within each of the temporal windows;
use the trained classifier to identify patterns of the ECG features within one or more of the portions of the ECG signal;
for each of the portions, calculate a value indicative of whether the portion of the representation within that ECG signal is associated the patient experiencing atrial fibrillation;
calculate a further value indicative of whether the portion of the representation within that ECG signal is associated with the patient not experiencing atrial fibrillation;
compare the further value to the value;
determine that the portion of the ECG signal is associated with the patient experiencing atrial fibrillation based on the comparison; and
take an action based on the determination that the portion of the ECG signal is associated with the patient experiencing atrial fibrillation.
2. A system for machine-learning-based atrial fibrillation detection according to claim 1 , the at least one server further configured to:
obtain training data comprising a plurality of the ECG features and a plurality of patterns of the ECG features; and
obtain annotations of patterns of the ECG features in the training data, wherein the training of the classifier is based on the annotations.
3. A system for machine-learning-based atrial fibrillation detection according to claim 1 , the at least one server further configured to:
test an accuracy of the trained classifier and perform further training based on a result of the test.
4. A system for machine-learning-based atrial fibrillation detection according to claim 1 , wherein the determination is made upon the value exceeding the further value.
5. A system for machine-learning-based atrial fibrillation detection according to claim 1 , wherein the action comprises sending an alert regarding the determination.
6. A system for machine-learning-based atrial fibrillation detection according to claim 1 , the at least one server further configured to:
generate a matrix with the identified features and the patterns; and
generate at least one matrix with weights for the identified features and patterns, wherein the value and the further value are calculated using the weight matrix.
7. A system for machine-learning-based atrial fibrillation detection according to claim 1 , wherein each of the temporal windows is between 2 and 60 seconds.
8. A system for machine-learning-based atrial fibrillation detection according to claim 1 , wherein the database comprises 32 of the ECG features.
9. A system for machine-learning-based atrial fibrillation detection according to claim 1 , the at least one server further configured to:
perform a noise filtering of at least some of the portions of the ECG signal prior to identification of the ECG features.
10. A method for machine-learning-based atrial fibrillation detection with the aid of a digital computer, comprising:
maintaining in a database a plurality of electrocardiography (ECG) features and annotated patterns of the features, at least some of the patterns associated with atrial fibrillation;
training by an at least one server connected to the database a classifier based on the annotated patterns in the database;
receiving by the at least one server a representation of an ECG signal recorded by an ambulatory monitor recorder during a plurality of temporal windows;
detecting by the at least one server a plurality of the ECG features in at least some of the portions of the representation falling within each of the temporal windows;
using by the at least one server the trained classifier to identify patterns of the ECG features within one or more of the portions of the ECG signal;
for each of the portions, calculating by the at least one server a value indicative of whether the portion of the representation within that ECG signal is associated the patient experiencing atrial fibrillation;
calculating by the at least one server a further value indicative of whether the portion of the representation within that ECG signal is associated with the patient not experiencing atrial fibrillation;
comparing the further value to the score;
determining that the portion of the ECG signal is associated with the patient experiencing atrial fibrillation based on the comparison;
taking by the at least one server an action based on the determination that the portion of the ECG signal is associated with the patient experiencing atrial fibrillation.
11. A method for machine-learning-based atrial fibrillation detection according to claim 10 , further comprising:
obtaining training data comprising a plurality of the ECG features and a plurality of patterns of the ECG features; and
obtaining annotations of patterns of the ECG features in the training data, wherein the training of the classifier is based on the annotations.
12. A method for machine-learning-based atrial fibrillation detection according to claim 10 , further comprising:
test an accuracy of the trained classifier and performing further training based on a result of the test.
13. A method for machine-learning-based atrial fibrillation detection according to claim 10 , wherein the determination is made upon the value exceeding the further value.
14. A method for machine-learning-based atrial fibrillation detection according to claim 10 , wherein the action comprises sending an alert of the regarding the determination.
15. A method for machine-learning-based atrial fibrillation detection according to claim 10 , further comprising:
generating a matrix with the identified features and the patterns; and
generating at least one matrix with weights for the identified features and patterns, wherein the value and the further value are calculated using the weight matrix.
16. A method for machine-learning-based atrial fibrillation detection according to claim 10 , wherein each of the temporal windows is between 2 and 60 seconds.
17. A method for machine-learning-based atrial fibrillation detection according to claim 10 , wherein the database comprises 32 of the ECG features.
18. A method for machine-learning-based atrial fibrillation detection according to claim 10 , further comprising:
performing a noise filtering of at least some of the portions of the ECG signal prior to identification of the ECG features.