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Novel T-wave Detection Technique with Minimal Processing and RR-Interval Based Enhanced Efficiency

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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.

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References

  1. Albrecht, P. ST segment characterization for long term automated ECG analysis, Ph.D. thesis, Massachusetts Institute of Technology, Department of Electrical Engineering, 1983.

  2. 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.

    Article  Google Scholar 

  3. 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.

    Article  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. Deepu, C. and Y. Lian. A joint QRS detection and data compression scheme for wearable sensors. IEEE Trans. Biomed. Eng. 62:165–175, 2014.

    Article  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. 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.

    Article  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. 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.

    Article  Google Scholar 

  11. Greenwald, S. D. The development and analysis of a ventricular fibrillation detector, Ph.D. thesis, Massachusetts Institute of Technology, 1986.

  12. 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.

  13. Khaled, A., and B. Abdelhak. Sigmoidal radial basis function ANN for QRS complex detection. Neurocomputing 145:438–450, 2014.

    Article  Google Scholar 

  14. 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.

  15. 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.

  16. 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.

    Article  Google Scholar 

  17. 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.

    Article  Google Scholar 

  18. Li, C., C. Zheng, and C. Tai. Detection of ecg characteristic points using wavelet transforms. IEEE Trans. Biomed. Eng. 42(1):21–28, 1995.

    Article  Google Scholar 

  19. 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.

    Article  Google Scholar 

  20. 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.

    Article  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. 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.

    Article  Google Scholar 

  23. 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.

    Article  Google Scholar 

  24. 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.

    Article  MATH  Google Scholar 

  25. 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.

  26. 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.

    Article  Google Scholar 

  27. Ning, X., and I. W. Selesnick. ECG enhancement and QRS detection based on sparse derivatives. Biomed. Signal Process. Control 8(6):713–723, 2013.

    Article  Google Scholar 

  28. 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.

    Article  Google Scholar 

  29. 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.

    Article  Google Scholar 

  30. 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.

    Article  Google Scholar 

  31. 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.

  32. 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.

    Article  Google Scholar 

  33. 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.

    Article  Google Scholar 

  34. 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.

    Article  Google Scholar 

  35. 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.

    Article  Google Scholar 

  36. 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.

  37. ThalerM. S. The Only EKG Book You’ll Ever Need. Philadelphia: Lippincott Williams and Wilkins, 2010.

    Google Scholar 

  38. 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.

    Google Scholar 

  39. 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.

    Article  Google Scholar 

  40. 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.

    Article  Google Scholar 

  41. Zidelmal, Z., A. Amirou, M. Adnane, and A. Belouchrani. Qrs detection based on wavelet coefficients. Comput. Methods Prog. Biomed. 107(3):490–496, 2012.

    Article  Google Scholar 

  42. 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.

    Article  Google Scholar 

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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.

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Correspondence to Lakhan Dev Sharma.

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Associate Editor Ajit P. Yoganathan oversaw the review of this article.

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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

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