Abstract
Purpose
T-wave in electrocardiogram (ECG) is a vital wave component and has potential of diagnosing various cardiac disorders. The present work proposes a novel technique for T-wave peak detection using minimal pre-processing and simple root mean square based decision rule.
Methods
The technique uses a two-stage median filter and a Savitzky–Golay smoothing filter for pre-processing. P-QRS-complex is removed from the filtered ECG, and T-wave is left as the most prominent wave segment, which can be detected using a root mean square based adaptive threshold. An RR-interval based T-wave peak correction strategy has been proposed which can handle the challenges of morphological variations in the T-wave, thus increases the detection accuracy.
Results
The proposed technique has been substantiated on a standard QT-database. The detection sensitivity = 97.01%, positive predictivity = 99.61%, detection error rate = 3.36%, and accuracy = 96.66% have been achieved.
Conclusions
A T-wave detection technique requiring minimal pre-processing and with simple decision rule has been designed. The noticeably high positive predictivity rate of the proposed technique shows its efficiency to detect T-wave peak.
Similar content being viewed by others
References
Albrecht, P. ST segment characterization for long term automated ECG analysis, Ph.D. thesis, Massachusetts Institute of Technology, Department of Electrical Engineering, 1983.
Arif, M., I. A. Malagore, and F. A. Afsar. Detection and localization of myocardial infarction using k-nearest neighbor classifier. J. Med. Syst. 36(1):279–289, 2012.
Cesari, M., J. Mehlsen, A.-B. Mehlsen, and H. B. D. Sorensen. A new wavelet-based ECG delineator for the evaluation of the ventricular innervation. IEEE J. Transl. Eng. Health Med. 5:1–15, 2017.
Chen, P.-C., S. Lee, and C.-D. Kuo. Delineation of T-wave in ECG by wavelet transform using multiscale differential operator. IEEE Trans. Biomed. Eng. 53(7):1429–1433, 2006.
Deepu, C. and Y. Lian. A joint QRS detection and data compression scheme for wearable sensors. IEEE Trans. Biomed. Eng. 62:165–175, 2014.
do Vale Madeiro, J. P., E. M. B. E. dos Santos, P. C. Cortez, J. H. da Silva Felix, and F. S. Schlindwein. Evaluating gaussian and rayleigh-based mathematical models for T and P-waves in ECG. IEEE Latin Am. Trans. 15(5):843–853, 2017.
Dohare, A. K., V. Kumar, and R. Kumar. An efficient new method for the detection of QRS in electrocardiogram. Comput. Electr. Eng. 40(5):1717–1730, 2014.
Elgendi, M., B. Eskofier, D. Abbott. Fast T wave detection calibrated by clinical knowledge with annotation of P and T waves. Sensors 15(7):17693–17714, 2015.
Goldberger A., L. Amaral, L. Glass, J. Hausdorff, P. Ivanov, R. Mark, J. Mietus, G. Moody, C. K. Peng, and H. Stanley. PhysioBank, PhysioToolkit, PhysioNet, components of a new research resource for complex physiologic signals. Circulation 101(23):e215–e220, 2000.
Goya-Esteban, R., O. Barquero-Perez, M. Blanco-Velasco, A. Caamano-Fernandez, A. Garcia-Alberola, and J. L. Rojo-Alvarez. Nonparametric signal processing validation in T-wave alternans detection and estimation. IEEE Trans. Biomed. Eng. 61(4):1328–1338, 2014.
Greenwald, S. D. The development and analysis of a ventricular fibrillation detector, Ph.D. thesis, Massachusetts Institute of Technology, 1986.
Greenwald, S. D., R. S. Patil, and R. G. Mark. Improved detection and classification of arrhythmias in noise-corrupted electrocardiograms using contextual information. In: Proceedings of the Computers in Cardiology. IEEE, pp. 461–464, 1990.
Khaled, A., and B. Abdelhak. Sigmoidal radial basis function ANN for QRS complex detection. Neurocomputing 145:438–450, 2014.
Laguna, P., R. G. Mark, A. Goldberg, and G. B. Moody. A database for evaluation of algorithms for measurement of QT and other waveform intervals in the ECG. In: Proceedings of the Computers in Cardiology, IEEE, pp. 673–676, 1997.
Leutheuser, H., S. Gradl, L. Anneken, M. Arnold, N. Lang, S. Achenbach, and B. M. Eskofier. Instantaneous P-and T-wave detection: assessment of three ECG fuducial points detection algorithms, In: 13th International Conference on Wearable and Implantable Body Sensor Networks (BSN). IEEE, pp. 329–334, 2016.
Lin, C., G. Kail, A. Giremus, C. Mailhes, J.-Y. Tourneret, and F. Hlawatsch. Sequential beat-to-beat P and T wave delineation and waveform estimation in ECG signals: Block gibbs sampler and marginalized particle filter. Signal Process. 104:174–187, 2014.
Lin, C., C. Mailhes, and J.-Y. Tourneret. P-and T-wave delineation in ECG signals using a bayesian approach and a partially collapsed gibbs sampler. IEEE Trans. Biomed. Eng. 57(12):2840–2849, 2010.
Li, C., C. Zheng, and C. Tai. Detection of ecg characteristic points using wavelet transforms. IEEE Trans. Biomed. Eng. 42(1):21–28, 1995.
Madeiro, J. P., W. B. Nicolson, P. C. Cortez, J. A. Marques, C. R. Vazquez-Seisdedos, N. Elangovan, G. A. Ng, and F. S. Schlindwein. New approach for T-wave peak detection and T-wave end location in 12-lead paced ECG signals based on a mathematical model. Med. Eng. Phys. 35(8):1105–1115, 2013.
Manikandan, M. S., and K. Soman. A novel method for detecting R-peaks in electrocardiogram ECG signal. Biomed. Signal Process. Control 7(2):118–128, 2012.
Martinez, J. P., R. Almeida, S. Olmos, A. P. Rocha, and P. Laguna. A wavelet-based ECG delineator: evaluation on standard databases. IEEE Trans. Biomed. Eng. 51(4):570–581, 2004.
Mehta, S. S., and N. S. Lingayat. Application of support vector machine for the detection of P-and T-waves in 12-lead electrocardiogram. Comput. Methods Prog. Biomed. 93(1):46–60, 2009.
Merino, M., I. M. Gomez, and A. J. Molina. Envelopment filter and K-means for the detection of QRS waveforms in electrocardiogram. Med. Eng. Phys. 37(6):605–609, 2015.
Mitra, S., M. Mitra, and B. B. Chaudhuri. A rough-set-based inference engine for ECG classification. IEEE Trans. Instrum. Meas. 55(6):2198–2206, 2006.
Moody, G. B. , and R. G. Mark. The MIT-BIH arrhythmia database on CD-ROM and software for use with it. In: Proceedings of the Computers in Cardiology. IEEE, pp. 185–188, 1990.
Nemati, S., O. Abdala, V. Monasterio, S. Yim-Yeh, A. Malhotra, and G. D. Clifford. A nonparametric surrogate-based test of significance for T-wave alternans detection. IEEE Trans. Biomed. Eng. 58(5):1356–1364, 2011.
Ning, X., and I. W. Selesnick. ECG enhancement and QRS detection based on sparse derivatives. Biomed. Signal Process. Control 8(6):713–723, 2013.
Orini, M., B. Hanson, V. Monasterio, J. P. Martinez, M. Hayward, P. Taggart, and P. Lambiase. Comparative evaluation of methodologies for T-wave alternans mapping in electrograms. IEEE Trans. Biomed. Eng. 61(2):308–316, 2014.
Pillarisetti, J., and K. Gupta. Giant inverted T waves in the emergency department: case report and review of differential diagnoses. J. Electrocardiol. 43(1):40–42, 2010.
Saini, I., D. Singh, and A. Khosla. K-nearest neighbour-based algorithm for P-and T-waves detection and delineation. J. Med. Eng. Technol. 38(3):115–124, 2014.
Shafait, F., D. Keysers, and T. M. Breuel. Efficient implementation of local adaptive thresholding techniques using integral images. In: Proceedings of the Electronic Imaging 2008, International Society for Optics and Photonics, pp. 681510–681510, 2008.
Sharma, L. D., and R. K. Sunkaria. A robust QRS detection using novel pre-processing techniques and kurtosis based enhanced efficiency. Measurement 87:194–204, 2016.
Sharma, L. D., and R. K. Sunkaria. Inferior myocardial infarction detection using stationary wavelet transform and machine learning approach. Signal Image Video Process. 12(2):199–206, 2018.
Sharma, L. D. and R. K. Sunkaria. Stationary wavelet transform based technique for automated external defibrillator using optimally selected classifiers. Measurement 125:29–36, 2018.
Shenthar, J., S. Deora, M. Rai, and C. N. Manjunath. Prolonged T peak-end and T peak- end/QT ratio as predictors of malignant ventricular arrhythmias in the acute phase of ST- segment elevation myocardial infarction: a prospective case-control study. Heart Rhythm 12(3):484–489, 2015.
Taddei, A., A. Biagini, G. Distante, M. Emdin, M. Mazzei, P. Pisani, N. Roggero, M. Varanini, R. Mark, and G. Moody, et al. The european ST-T database: development, distribution and use. In: Proceedings Computers in Cardiology. IEEE, pp. 177–180, 1990.
ThalerM. S. The Only EKG Book You’ll Ever Need. Philadelphia: Lippincott Williams and Wilkins, 2010.
Verma, N., V. M. Figueredo, A. M. Greenspan, and G. S. Pressman. Giant U waves: an important clinical clue. Res. Rep. Clin. Cardiol. 2:51–55, 2011.
Wan, X., Y. Li, C. Xia, M. Wu, J. Liang, and N. Wang. A T-wave alternans assessment method based on least squares curve fitting technique. Measurement 86:93–100, 2016.
Yochum, M., C. Renaud, and S. Jacquir. Automatic detection of P, QRS and T patterns in 12 leads ECG signal based on CWT. Biomed. Signal Process. Control 25:46–52, 2016.
Zidelmal, Z., A. Amirou, M. Adnane, and A. Belouchrani. Qrs detection based on wavelet coefficients. Comput. Methods Prog. Biomed. 107(3):490–496, 2012.
Zidelmal, Z., A. Amirou, D. Ould-Abdeslam, A. Moukadem, and A. Dieterlen. QRS detection using S-transform and shannon energy. Comput. Methods Prog. Biomed. 116(1):1–9, 2014.
Acknowledgments
Authors are thankful to the Ministry of Human Resource Development, Government of India for providing the financial assistance. This work has been done at Medical Imaging and Computational Modeling of Physiological System Research Laboratory at Department of Electronics and Communication Engineering of Dr. B. R. Ambedkar National Institute of Technology, Jalandhar, India.
Conflict of interest
Authors declare that they have no conflict of interest.
Human Studies/Informed Consent
This work uses freely available standard QT-Database for validation of the proposed technique. No human studies were carried out by the authors for this article.
Research Involving Animal Rights
No animal studies were carried out by the authors for this article.
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Ajit P. Yoganathan oversaw the review of this article.
Rights and permissions
About this article
Cite this article
Sharma, L.D., Sunkaria, R.K. Novel T-wave Detection Technique with Minimal Processing and RR-Interval Based Enhanced Efficiency. Cardiovasc Eng Tech 10, 367–379 (2019). https://doi.org/10.1007/s13239-019-00415-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13239-019-00415-4