Evidence map›Paper›PMID 34261486›Full record

ArticleBMC medical informatics and decision making2021

AFibNet: an implementation of atrial fibrillation detection with convolutional neural network.

Bambang Tutuko, Siti Nurmaini, Alexander Edo Tondas, Muhammad Naufal Rachmatullah, Annisa Darmawahyuni, Ria Esafri, Firdaus Firdaus, Ade Iriani Sapitri

Abstract read
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Article in BMC medical informatics and decision making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bambang TutukoIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Siti NurmainiIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia. sitinurmaini@gmail.com.
Alexander Edo TondasDepartment of Cardiology and Vascular Medicine, Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.
Muhammad Naufal RachmatullahIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Annisa DarmawahyuniIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Ria EsafriIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Firdaus FirdausIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.
Ade Iriani SapitriIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneralization model capacity of deep learning (DL) approach for atrial fibrillation (AF) detection remains lacking. It can be seen from previous researches, the DL model formation used only a single frequency sampling of the specific device. Besides, each electrocardiogram (ECG) acquisition dataset produces a different length and sampling frequency to ensure sufficient precision of the R-R intervals to determine the heart rate variability (HRV). An accurate HRV is the gold standard for predicting the AF condition; therefore, a current challenge is to determine whether a DL approach can be used to analyze raw ECG data in a broad range of devices. This paper demonstrates powerful results for end-to-end implementation of AF detection based on a convolutional neural network (AFibNet). The method used a single learning system without considering the variety of signal lengths and frequency samplings. For implementation, the AFibNet is processed with a computational cloud-based DL approach. This study utilized a one-dimension convolutional neural networks (1D-CNNs) model for 11,842 subjects. It was trained and validated with 8232 records based on three datasets and tested with 3610 records based on eight datasets. The predicted results, when compared with the diagnosis results indicated by human practitioners, showed a 99.80% accuracy, sensitivity, and specificity.

resultMeanwhile, when tested using unseen data, the AF detection reaches 98.94% accuracy, 98.97% sensitivity, and 98.97% specificity at a sample period of 0.02 seconds using the DL Cloud System. To improve the confidence of the AFibNet model, it also validated with 18 arrhythmias condition defined as Non-AF-class. Thus, the data is increased from 11,842 to 26,349 instances for three-class, i.e., Normal sinus (N), AF and Non-AF. The result found 96.36% accuracy, 93.65% sensitivity, and 96.92% specificity.

conclusionThese findings demonstrate that the proposed approach can use unknown data to derive feature maps and reliably detect the AF periods. We have found that our cloud-DL system is suitable for practical deployment.

Indexed as

Atrial FibrillationAlgorithmsElectrocardiographyHeart RateHumansNeural Networks, Computer1D-convolutional neural networkAtrial fibrillationCloud deep learning

Identifiers

PMID34261486
PMCPMC8281594

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.