Deep Learning Based Prediction of Atrial Fibrillation Disease Progression with Endocardial Electrograms in a Canine Model.

Deep Learning Based Prediction of Atrial Fibrillation Disease Progression with Endocardial Electrograms in a Canine Model.
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DOI:
10.22489/cinc.2020.291
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发表时间:
2020-09
期刊:
Computing in cardiology
影响因子:
--
通讯作者:
Ranjan R
Ranjan R
中科院分区:
其他
文献类型:
--
作者:
Hunt B;Kwan E;McMillan M;Dosdall D;MacLeod R;Ranjan R

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我们试图确定心内膜波阵面的电模式是否含有房颤(AF)疾病进展特有的成分。犬持续性房颤模型7只,雌性,体重29±2 kg,植入刺激器后1个月、3个月、6个月用电极篮导管心内膜标测。然后训练一个50层的残差网络,将半秒的电信号样本映射到它们的源时间点。训练后的网络最终验证准确率为51.6%,测试准确率为48.5%。从测试数据集输入的1个月、3个月和6个月的F1分数分别为24%、59%和53%。采用深度学习的方法,根据房颤的时间序列进行房颤的区分是可行的。这对于根据疾病进展来区分治疗是有希望的,尽管早期时间点的低准确率可能是识别新生房颤的障碍。
We sought to determine whether electrical patterns in endocardial wavefronts contained elements specific to atrial fibrillation (AF) disease progression. A canine paced model (n=7, female mongrel, 29±2 kg) of persistent AF was endocardially mapped with a 64-electrode basket catheter during periods of AF at 1 month, 3 month, and 6 months post-implant of stimulator. A 50-layer residual network was then trained to map half-second electrogram samples to their source timepoint. The trained network achieved final validation and testing accuracies of 51.6 and 48.5% respectively. Per class F1 scores were 24%, 59%, and 53% for 1 month, 3 month, and 6 month inputs from the testing dataset. Differentiation of AF based on its time progression was shown to be feasible with a deep learning method. This is promising for differentiating treatment based on disease progression though low accuracy with earlier timepoints may be an obstacle to identifying nascent AF.
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