Surface electrocardiogram reconstruction from intracardiac electrograms using a dynamic time delay artificial neural network.

Fabienne Porée 1, * Amar Kachenoura 2 Guy Carrault 1 Renzo Dal Molin 3 Philippe Mabo 4 Alfredo Hernandez 1
* Corresponding author
1 SEPIA
LTSI - Laboratoire Traitement du Signal et de l'Image
2 SESAME - SEPIA - METRIQ - IMPACT
LTSI - Laboratoire Traitement du Signal et de l'Image
4 SEPIA
Service de cardiologie et maladies vasculaires, CIC-IT - Dispositifs Diagnostic et Thérapeutiques, LTSI - Laboratoire Traitement du Signal et de l'Image
Abstract : This study proposes a method to facilitate the remote follow up of patients suffering from cardiac pathologies and treated with an implantable device, by synthesizing a 12-lead surface ECG from the intracardiac electrograms (EGM) recorded by the device. Two methods (direct and indirect), based on dynamic time-delay artificial neural networks (TDNNs) are proposed and compared with classical linear approaches. The direct method aims to estimate 12 different transfer functions between the EGM and each surface ECG signal. The indirect method is based on a preliminary orthogonalization phase of the available EGM and ECG signals, and the application of the TDNN between these orthogonalized signals, using only three transfer functions. These methods are evaluated on a dataset issued from 15 patients. Correlation coefficients calculated between the synthesized and the real ECG show that the proposed TDNN methods represent an efficient way to synthesize 12-lead ECG, from two or four EGM and perform better than the linear ones. We also evaluate the results as a function of the EGM configuration. Results are also supported by the comparison of extracted features and a qualitative analysis performed by a cardiologist.
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Journal articles
IEEE Transactions on Biomedical Engineering, Institute of Electrical and Electronics Engineers (IEEE), 2013, 60 (1), pp.106-14. <10.1109/TBME.2012.2225428>


http://www.hal.inserm.fr/inserm-00747058
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Submitted on : Wednesday, November 7, 2012 - 9:00:33 AM
Last modification on : Monday, October 13, 2014 - 3:00:43 PM

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Fabienne Porée, Amar Kachenoura, Guy Carrault, Renzo Dal Molin, Philippe Mabo, et al.. Surface electrocardiogram reconstruction from intracardiac electrograms using a dynamic time delay artificial neural network.. IEEE Transactions on Biomedical Engineering, Institute of Electrical and Electronics Engineers (IEEE), 2013, 60 (1), pp.106-14. <10.1109/TBME.2012.2225428>. <inserm-00747058>

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