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      Deep Learning in Physiological Signal Data: A Survey

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          Abstract

          Deep Learning (DL), a successful promising approach for discriminative and generative tasks, has recently proved its high potential in 2D medical imaging analysis; however, physiological data in the form of 1D signals have yet to be beneficially exploited from this novel approach to fulfil the desired medical tasks. Therefore, in this paper we survey the latest scientific research on deep learning in physiological signal data such as electromyogram (EMG), electrocardiogram (ECG), electroencephalogram (EEG), and electrooculogram (EOG). We found 147 papers published between January 2018 and October 2019 inclusive from various journals and publishers. The objective of this paper is to conduct a detailed study to comprehend, categorize, and compare the key parameters of the deep-learning approaches that have been used in physiological signal analysis for various medical applications. The key parameters of deep-learning approach that we review are the input data type, deep-learning task, deep-learning model, training architecture, and dataset sources. Those are the main key parameters that affect system performance. We taxonomize the research works using deep-learning method in physiological signal analysis based on: (1) physiological signal data perspective, such as data modality and medical application; and (2) deep-learning concept perspective such as training architecture and dataset sources.

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          Cardiologist-level arrhythmia detection and classification in ambulatory electrocardiograms using a deep neural network

          Computerized electrocardiogram (ECG) interpretation plays a critical role in the clinical ECG workflow1. Widely available digital ECG data and the algorithmic paradigm of deep learning2 present an opportunity to substantially improve the accuracy and scalability of automated ECG analysis. However, a comprehensive evaluation of an end-to-end deep learning approach for ECG analysis across a wide variety of diagnostic classes has not been previously reported. Here, we develop a deep neural network (DNN) to classify 12 rhythm classes using 91,232 single-lead ECGs from 53,549 patients who used a single-lead ambulatory ECG monitoring device. When validated against an independent test dataset annotated by a consensus committee of board-certified practicing cardiologists, the DNN achieved an average area under the receiver operating characteristic curve (ROC) of 0.97. The average F1 score, which is the harmonic mean of the positive predictive value and sensitivity, for the DNN (0.837) exceeded that of average cardiologists (0.780). With specificity fixed at the average specificity achieved by cardiologists, the sensitivity of the DNN exceeded the average cardiologist sensitivity for all rhythm classes. These findings demonstrate that an end-to-end deep learning approach can classify a broad range of distinct arrhythmias from single-lead ECGs with high diagnostic performance similar to that of cardiologists. If confirmed in clinical settings, this approach could reduce the rate of misdiagnosed computerized ECG interpretations and improve the efficiency of expert human ECG interpretation by accurately triaging or prioritizing the most urgent conditions.
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            Deep convolutional neural network for the automated detection and diagnosis of seizure using EEG signals.

            An encephalogram (EEG) is a commonly used ancillary test to aide in the diagnosis of epilepsy. The EEG signal contains information about the electrical activity of the brain. Traditionally, neurologists employ direct visual inspection to identify epileptiform abnormalities. This technique can be time-consuming, limited by technical artifact, provides variable results secondary to reader expertise level, and is limited in identifying abnormalities. Therefore, it is essential to develop a computer-aided diagnosis (CAD) system to automatically distinguish the class of these EEG signals using machine learning techniques. This is the first study to employ the convolutional neural network (CNN) for analysis of EEG signals. In this work, a 13-layer deep convolutional neural network (CNN) algorithm is implemented to detect normal, preictal, and seizure classes. The proposed technique achieved an accuracy, specificity, and sensitivity of 88.67%, 90.00% and 95.00%, respectively.
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              Deep learning for healthcare applications based on physiological signals: A review

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                Author and article information

                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                11 February 2020
                February 2020
                : 20
                : 4
                : 969
                Affiliations
                [1 ]Department of Computer Science, Soonchunhyang University, Asan 31538, Korea
                [2 ]Department of Medical IT Engineering, Soonchunhyang University, Asan 31538, Korea
                [3 ]Department of Computer Software Engineering, Soonchunhyang University, Asan 31538, Korea
                Author notes
                [* ]Correspondence: mhong@ 123456sch.ac.kr
                Author information
                https://orcid.org/0000-0003-1232-0610
                Article
                sensors-20-00969
                10.3390/s20040969
                7071412
                32054042
                9fd32bd1-97fc-4a65-82d7-cb2172e6d188
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 07 January 2020
                : 09 February 2020
                Categories
                Review

                Biomedical engineering
                deep-learning,machine learning,physiological signals,1d signal data analysis

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