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Robust Algorithm for Digitization of Degraded Electrocardiogram Paper Records


Affiliations
1 Department of Electronics and Telecommunication Engineering, Rajiv Gandhi Institute of Technology, Mumbai, India
2 Department of Electronics and Telecommunication Engineering, K.J. Somaiya College of Engineering, India
     

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Electrocardiogram (ECG) paper records are used commonly for diagnosing heart abnormalities. The stored ECG paper records are recorded on thermal paper and may face ink evaporation problem over the time. Generally, to overcome this problem ECG paper record is scanned and stored as an image. However, the addition of noise during scanning such as low resolution scan, blurring, folding of paper, non-uniform lighting, orientation etc. can create difficulty in information retrieval. Current work robustly handles various degradation problems encountered in ECG paper scanning using modified k-fill algorithm. The proposed algorithm is tested with 836 ECG paper recordings with different types of degradations like aging effect, folding effect, ink evaporation effect, blurring effect and low resolution effect. We extracted clinically important parameters such as heart rate etc. with accuracy of 97.33% and abnormalities such as bradycardia, tachycardia, and atrial flutter from the ECG paper records using perceptual spectral centroid method. Overall accuracy of our prediction algorithm was found out to be 98.6%. We assume our work would be low cost, preliminary expert mechanism at rural places in the absence of expert cardiologist.

Keywords

Degraded ECG Records, ECG Prediction, Signal Retrieval and Analysis, Perceptual Spectral Centroid Method, Vertical Scanning Signal Extraction.
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  • A.D. Jeyarani and T. Jaya Singh, “Analysis of Noise Reduction Techniques on QRS ECG Waveform-by applying Different Filters”, Proceedings of IEEE Recent Advances in Space Technology Services and Climate Change, 2010.
  • Guy A. Story et al., “The Right Pages Image-based Electronic Library for Alerting and Browsing”, Computer, Vol. 25, No. 9, pp. 17-26, 1992.
  • Nucharee Premchaiswadi, Sukanya Yimgnagm and Wichian Premchaiswadi, “A Scheme for Salt and Pepper Noise Reduction and its Application for OCR Systems”, WSEAS Transactions on Computers, Vol. 9, No. 4, pp. 351-360, 2010.
  • Atena Farahmand, Abdolhossein Sarrafzadeh and Jamshid Shanbehzadeh, “Noise Removal and Binarization of Scanned Document Images Using Clustering of Features”, Proceedings of International Multi Conference of Engineers and Computer Scientists, Vol. 1, pp. 1-5, 2017.
  • Atena Farahmand, Abdolhossein Sarrafzadeh and Jamshid Shanbehzadeh, “Document Image Noises and Removal Methods”, Proceedings of International Multi Conference of Engineers and Computer Scientists, Vol. 1, pp. 101-105, 2013.
  • William T. Baxter et al., “Technical Features of a CCD Video Camera System to Record Cardiac Fluorescence Data”, Annals of Biomedical Engineering, Vol. 25, No. 4, pp. 713-725, 1997.
  • Joseph N. Said, Mohamed Cheriet and Ching Y. Suen, “Dynamical Morphological Processing: A Fast Method for Base Line Extraction”, Proceedings of 13th International Conference on Pattern Recognition, Vol. 2, pp. 15-20, 1996.
  • Lei Xu, Erkki Oja and Pekka Kultanen, “A New Curve Detection Method: Randomized Hough Transform (RHT)”, Pattern Recognition Letters, Vol. 11, No. 5, pp. 331-338, 1990.
  • Huaigu Cao, Rohit Prasad and Prem Natarajan, “A Stroke Regeneration method for Cleaning Rule-Lines in Handwritten Document Images”, Proceedings of International Workshop on Multilingual OCR, pp. 10-16, 2009.
  • Zhixin Shi, Srirangaraj Setlur and Venu Govindaraju, “Removing Rule-Lines from Binary Handwritten Arabic Document Images using Directional Local Profile”, Proceedings of 20th International Conference on Pattern Recognition, pp. 1916-1919, 2010.
  • T.W. Shen and T.F. Laio, “Image Processing on ECG Chart for ECG Signal Recovery”, Proceedings of IEEE Computers in Cardiology, pp. 20-24, 2009.
  • Fabio Badilini et al., “ECGScan: A Method for Conversion of Paper Electrocardiographic Printouts to Digital Electrocardiographic Files”, Journal of Electrocardiology, Vol. 38, No. 4, pp. 310-318, 2005.
  • Guojie Shi, Gang Zheng and Min Dai, “ECG Waveform Data Extraction from Paper ECG Recordings by K-means Method”, Proceedings of IEEE Computing in Cardiology, pp. 1-5, 2011.
  • Lakshminarayan Ravichandran et al., “Novel Tool for Complete Digitization of Paper Electrocardiography Data”, IEEE Journal of Translational Engineering in Health and Medicine, Vol. 1, pp. 1-7, 2013.
  • W.T. Lawson et al., “New Method for Digitization and Computerized Analysis of Paper Recordings of Standard 12-Lead Electrocardiograms”, Proceedings of IEEE Computers in Cardiology, pp. 340-347, 1995.
  • Kirsten Hermes, Tim Brookes and Christopher Hummersone, “The Influence of Dumping Bias on Timbral Clarity Ratings”, Audio Engineering Society, pp. 1-139, 2015.
  • George S.Waits and Elsayed Z. Soliman, “Digitizing Paper Electrocardiograms: Status and Challenges”, Journal of Electrocardiology, Vol. 50, No. 1, pp.123-130, 2017.
  • A. Rajani, “Digitization of Electrocardiography Data Sheet Through Image Processing Techniques”, IUP Journal of Electrical and Electronics Engineering, Vol. 9, No. 2, pp. 116-120, 2016.
  • Fernando Lozano-Fernandez et al., “Auto-Cropping of Phone Camera Color Images to Segment Cardiac Signals in ECG Printouts”, Proceedings of IEEE Computing in Cardiology Conference, pp. 1-4, 2016.
  • Philip de Chazal, M. O’Dwyer and R.B. Reilly, “Automatic Classification of Heartbeats using ECG Morphology and Heartbeat Interval Features”, IEEE Transactions on Biomedical Engineering, Vol. 51, No. 7, pp. 1196-1206, 2004.
  • H. L. Lu, K. Ong and P. Chia, “An Automated ECG Classification System based on a Neuro-Fuzzy System”, Proceedings of IEEE Computers in Cardiology, pp. 387-390, 2000.
  • Bo Heden et al., “Acute Myocardial Infarction Detected in the 12-lead ECG by Artificial Neural Networks”, Circulation, Vol. 96, No. 6, pp. 1798-1802, 1997.

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  • Robust Algorithm for Digitization of Degraded Electrocardiogram Paper Records

Abstract Views: 260  |  PDF Views: 2

Authors

Rupali Patil
Department of Electronics and Telecommunication Engineering, Rajiv Gandhi Institute of Technology, Mumbai, India
R. G. Karandikar
Department of Electronics and Telecommunication Engineering, K.J. Somaiya College of Engineering, India

Abstract


Electrocardiogram (ECG) paper records are used commonly for diagnosing heart abnormalities. The stored ECG paper records are recorded on thermal paper and may face ink evaporation problem over the time. Generally, to overcome this problem ECG paper record is scanned and stored as an image. However, the addition of noise during scanning such as low resolution scan, blurring, folding of paper, non-uniform lighting, orientation etc. can create difficulty in information retrieval. Current work robustly handles various degradation problems encountered in ECG paper scanning using modified k-fill algorithm. The proposed algorithm is tested with 836 ECG paper recordings with different types of degradations like aging effect, folding effect, ink evaporation effect, blurring effect and low resolution effect. We extracted clinically important parameters such as heart rate etc. with accuracy of 97.33% and abnormalities such as bradycardia, tachycardia, and atrial flutter from the ECG paper records using perceptual spectral centroid method. Overall accuracy of our prediction algorithm was found out to be 98.6%. We assume our work would be low cost, preliminary expert mechanism at rural places in the absence of expert cardiologist.

Keywords


Degraded ECG Records, ECG Prediction, Signal Retrieval and Analysis, Perceptual Spectral Centroid Method, Vertical Scanning Signal Extraction.

References