Document Detail


An automatic system for the analysis and classification of human atrial fibrillation patterns from intracardiac electrograms.
MedLine Citation:
PMID:  18713697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper presents an automatic system for the analysis and classification of atrial fibrillation (AF) patterns from bipolar intracardiac signals. The system is made up of: 1) a feature-extraction module that defines and extracts a set of measures potentially useful for characterizing AF types on the basis of their degree of organization; 2) a feature-selection module (based on the Jeffries-Matusita distance and a branch and bound search algorithm) identifying the best subset of features for discriminating different AF types; and 3) a support vector machine technique-based classification module that automatically discriminates the AF types according to the Wells' criteria. The automatic system was applied on 100 intracardiac AF signal strips and on a selection of 11 representative features, demonstrating: a) the possibility to properly identify the most significant features for the discrimination of AF types; b) higher accuracy (97.7% using the seven most informative features) than the traditional maximum likelihood classifier; and c) effectiveness in AF classification also with few training samples (accuracy = 88.3% with only five training signals). Finally, the system identifies a combination of indices characterizing changes of morphology of atrial activation waves and perturbation of the isoelectric line as the most effective in separating the AF types.
Authors:
Giandomenico Nollo; Mattia Marconcini; Luca Faes; Francesca Bovolo; Flavia Ravelli; Lorenzo Bruzzone
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  IEEE transactions on bio-medical engineering     Volume:  55     ISSN:  1558-2531     ISO Abbreviation:  IEEE Trans Biomed Eng     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-20     Completed Date:  2008-10-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0012737     Medline TA:  IEEE Trans Biomed Eng     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2275-85     Citation Subset:  IM    
Affiliation:
Biophysics and Biosignals Laboratory, Department of Physics, University of Trento, 38050 Trento, Italy. nollo@science.unitn.it
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Artificial Intelligence*
Atrial Fibrillation / diagnosis*
Diagnosis, Computer-Assisted / methods*
Humans
Pattern Recognition, Automated / methods*
Reproducibility of Results
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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