基于单通道PPG信号的房颤检测深度学习模型
Deep Learning Model for Atrial Fibrillation Detection Based on Single-Channel PPG Signal
DOI: 10.12677/mos.2025.145428, PDF,   
作者: 刘凯华, 潘晨阳, 赵文栋:上海理工大学光电信息与计算机工程学院,上海
关键词: 光电容积脉搏波(PPG)心律失常房颤(AF)ResGNetPhotoplethysmography (PPG) Arrhythmia Atrial Fibrillation (AF) ResGNet
摘要: 心血管疾病早期诊断具有重要意义,PPG信号结合深度学习技术为早期筛查提供了新途径。文章介绍了一种基于单通道光电容积脉搏波(PPG)信号的心血管疾病分类深度学习模型——ResGNet。ResGNet模型由数据预输入层、并行特征提取层和分类决策层三个核心模块构成。在特征提取阶段,采用了改进型ResNet与双向门控循环单元(BiGRU)的并行架构,分别用于捕捉PPG信号的空间和时间特征。通过挤压–激励(SE)注意力机制增强关键特征表示,并使用多层感知机(MLP)进行非线性映射,最终采用softmax函数输出分类结果。实验表明,在MIMIC III、MIMIC PERform AF及Arrhythmia Detection三个数据集上,ResGNet模型的准确率分别达到99.34%、98.91%和96.51%,显示出卓越的分类性能。特别是在复杂的心律失常分类中,相较于经典深度学习模型实现了更高的精确度和灵敏度。
Abstract: Early diagnosis of cardiovascular diseases is of great significance, and PPG signals combined with deep learning technology provide a new way for early screening. This paper introduces a deep learning model for cardiovascular disease classification based on single-channel photoplethysmography (PPG) signals—ResGNet. The ResGNet model consists of three core modules: the data pre-input layer, the parallel feature extraction layer, and the classification decision layer. In the feature extraction stage, the parallel architecture of improved ResNet and Bidirectional Gated Recurrent Unit (BiGRU) was used to capture the spatial and temporal features of PPG signals, respectively. The key feature representation is enhanced by the extrusion-excitation (SE) attention mechanism, the multilayer perceptron (MLP) is used for nonlinear mapping, and finally, the softmax function is used to output the classification results. Experiments show that the accuracy of the ResGNet model reaches 99.34%, 98.91%, and 96.51% on the three datasets of MIMIC III, MIMIC PERform AF, and Arrhythmia Detection, respectively, showing excellent classification performance. Especially in the classification of complex arrhythmias, it has shown higher accuracy and sensitivity than classical deep learning models.
文章引用:刘凯华, 潘晨阳, 赵文栋. 基于单通道PPG信号的房颤检测深度学习模型[J]. 建模与仿真, 2025, 14(5): 715-726. https://doi.org/10.12677/mos.2025.145428

参考文献

[1] 刘明波, 何新叶, 杨晓红, 等. 《中国心血管健康与疾病报告2023》概要(心血管疾病流行及介入诊疗状况) [J]. 中国介入心脏病学杂志, 2024, 32(10): 541-550.
[2] Saber, M. and Abotaleb, M. (2022) Arrhythmia Modern Classification Techniques: A Review. Journal of Artificial Intelligence and Metaheuristics, 1, 42-53. [Google Scholar] [CrossRef
[3] Gaztañaga, L., Marchlinski, F.E. and Betensky, B.P. (2012) Mechanisms of Cardiac Arrhythmias. Revista Española de Cardiología (English Edition), 65, 174-185. [Google Scholar] [CrossRef] [PubMed]
[4] 李庚山, 李莉, 任自文, 等. 心脏猝死的防治建议[J]. 中国心脏起搏与心电生理杂志, 2002(6): 4-19.
[5] Wijesurendra, R.S. and Casadei, B. (2019) Mechanisms of Atrial Fibrillation. Heart, 105, 1860-1867. [Google Scholar] [CrossRef] [PubMed]
[6] Petrutiu, S., Ng, J., Nijm, G.M., Al-Angari, H., Swiryn, S. and Sahakian, A.V. (2006) Atrial Fibrillation and Waveform Characterization. IEEE Engineering in Medicine and Biology Magazine, 25, 24-30. [Google Scholar] [CrossRef] [PubMed]
[7] Darby, A.E. and DiMarco, J.P. (2012) Management of Atrial Fibrillation in Patients with Structural Heart Disease. Circulation, 125, 945-957. [Google Scholar] [CrossRef] [PubMed]
[8] Gahungu, N., Trueick, R., Coopes, M. and Gabbay, E. (2021) Paroxysmal Atrial Fibrillation. BMJ, 375, e058568. [Google Scholar] [CrossRef] [PubMed]
[9] Pereira, T., Tran, N., Gadhoumi, K., Pelter, M.M., Do, D.H., Lee, R.J., et al. (2020) Photoplethysmography Based Atrial Fibrillation Detection: A Review. NPJ Digital Medicine, 3, Article No. 3. [Google Scholar] [CrossRef] [PubMed]
[10] Salvi, M., Acharya, M.R., Seoni, S., Faust, O., Tan, R., Barua, P.D., et al. (2024) Artificial Intelligence for Atrial Fibrillation Detection, Prediction, and Treatment: A Systematic Review of the Last Decade (2013-2023). WIREs Data Mining and Knowledge Discovery, 14, e1530. [Google Scholar] [CrossRef
[11] Ding, E.Y., Albuquerque, D., Winter, M., Binici, S., Piche, J., Bashar, S.K., et al. (2019) Novel Method of Atrial Fibrillation Case Identification and Burden Estimation Using the MIMIC-III Electronic Health Data Set. Journal of Intensive Care Medicine, 34, 851-857. [Google Scholar] [CrossRef] [PubMed]
[12] Charlton, P.H., Kotzen, K., Mejía-Mejía, E., Aston, P.J., Budidha, K., Mant, J., et al. (2022) Detecting Beats in the Photoplethysmogram: Benchmarking Open-Source Algorithms. Physiological Measurement, 43, Article ID: 085007. [Google Scholar] [CrossRef] [PubMed]
[13] Liu, Z., Zhou, B., Jiang, Z., Chen, X., Li, Y., Tang, M., et al. (2022) Multiclass Arrhythmia Detection and Classification from Photoplethysmography Signals Using a Deep Convolutional Neural Network. Journal of the American Heart Association, 11, e023555. [Google Scholar] [CrossRef] [PubMed]
[14] Robertson, D.G.E. and Dowling, J.J. (2003) Design and Responses of Butterworth and Critically Damped Digital Filters. Journal of Electromyography and Kinesiology, 13, 569-573. [Google Scholar] [CrossRef] [PubMed]
[15] He, K., Zhang, X., Ren, S. and Sun, J. (2016) Deep Residual Learning for Image Recognition. 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR), Las Vegas, 27-30 June 2016, 770-778. [Google Scholar] [CrossRef
[16] Dey, R. and Salem, F.M. (2017) Gate-Variants of Gated Recurrent Unit (GRU) Neural Networks. 2017 IEEE 60th International Midwest Symposium on Circuits and Systems (MWSCAS), Boston, 6-9 August 2017, 1597-1600. [Google Scholar] [CrossRef
[17] Mim, T.R., Amatullah, M., Afreen, S., Yousuf, M.A., Uddin, S., Alyami, S.A., et al. (2023) GRU-INC: An Inception-Attention Based Approach Using GRU for Human Activity Recognition. Expert Systems with Applications, 216, Article ID: 119419. [Google Scholar] [CrossRef
[18] Niu, D., Yu, M., Sun, L., Gao, T. and Wang, K. (2022) Short-Term Multi-Energy Load Forecasting for Integrated Energy Systems Based on CNN-BiGRU Optimized by Attention Mechanism. Applied Energy, 313, Article ID: 118801. [Google Scholar] [CrossRef
[19] Hu, J., Shen, L. and Sun, G. (2018) Squeeze-and-Excitation Networks. 2018 IEEE/CVF Conference on Computer Vision and Pattern Recognition, Salt Lake City, 18-23 June 2018, 7132-7141. [Google Scholar] [CrossRef
[20] Sreedharan, R., Prajapati, J., Engineer, P. and Prajapati, D. (2023) Leave-One-Out Cross-Validation in Machine Learning. In: Pathak, Y.V., et al., Eds., Ethical Issues in AI for Bioinformatics and Chemoinformatics, CRC Press, 56-71. [Google Scholar] [CrossRef