QRS Detector Performance Evaluation Aware of Temporal Accuracy and Presence of Noise.

Algorithms for QRS detection are fundamental in the ECG interpretive processing chain. They must meet several challenges, such as high reliability, high temporal accuracy, high immunity to noise, and low computational complexity. Unfortunately, the accuracy expressed by missed or redundant events statistics is often the only parameter used to evaluate the detector's performance. In this paper, we first notice that statistics of true positive detections rely on researchers' arbitrary selection of time tolerance between QRS detector output and the database reference. Next, we propose a multidimensional algorithm evaluation method and present its use on four example QRS detectors. The dimensions are (a) influence of detection temporal tolerance, tested for values between 8.33 and 164 ms; (b) noise immunity, tested with an ECG signal with an added muscular noise pattern and signal-to-noise ratio to the effect of "no added noise", 15, 7, 3 dB; and (c) influence of QRS morphology, tested on the six most frequently represented morphology types in the MIT-BIH Arrhythmia Database. The multidimensional evaluation, as proposed in this paper, allows an in-depth comparison of QRS detection algorithms removing the limitations of existing one-dimensional methods. The method enables the assessment of the QRS detection algorithms according to the medical device application area and corresponding requirements of temporal accuracy, immunity to noise, and QRS morphology types. The analysis shows also that, for some algorithms, adding muscular noise to the ECG signal improves algorithm accuracy results.