Objective: Heartbeat detection remains central to cardiac disease diagnosis and management, and is traditionally performed based on electrocardiogram (ECG). To improve robustness and accuracy of detection, especially, in certain critical-care scenarios, the use of additional physiological signals such as arterial blood pressure (BP) has recently been suggested. Therefore, estimation of heartbeat location requires information fusion from multiple signals. However, reported efforts in this direction often obtain multimodal estimates somewhat indirectly, by voting among separately obtained signal-specific intermediate estimates. In contrast, we propose to directly fuse information from multiple signals without requiring intermediate estimates, and thence estimate heartbeat location in a robust manner.
Method: We propose as a heartbeat detector, a convolutional neural network (CNN) that learns fused features from multiple physiological signals. This method eliminates the need for hand-picked signal-specific features and ad hoc fusion schemes. Furthermore, being data-driven, the same algorithm learns suitable features from arbitrary set of signals.
Results: Using ECG and BP signals of PhysioNet 2014 Challenge database, we obtained a score of 94%. Furthermore, using two ECG channels of MIT-BIH arrhythmia database, we scored 99.92%. Both those scores compare favorably with previously reported database-specific results. Also, our detector achieved high accuracy in a variety of clinical conditions.
Conclusion: The proposed CNN-based information fusion (CIF) algorithm is generalizable, robust and efficient in detecting heartbeat location from multiple signals.
Significance: In medical signal monitoring systems, our technique would accurately estimate heartbeat locations even when only a subset of channels are reliable.