Search

Short QT syndrome (SQTS) is an inherited cardiac ion-channel disease related to an increased risk of sudden cardiac death (SCD) in young and otherwise healthy individuals. SCD is often the first clinical presentation in patients with SQTS. However, arrhythmia risk stratification is presently unsatisfactory in asymptomatic patients. In this context, artificial intelligence-based electrocardiogram (ECG) analysis has never been applied to refine risk stratification in patients with SQTS. The purpose of this study was to analyze ECGs from SQTS patients with the aid of different AI algorithms to evaluate their ability to discriminate between subjects with and without documented life-threatening arrhythmic events. The study group included 104 SQTS patients, 37 of whom had a documented major arrhythmic event at presentation and/or during follow-up. Thirteen ECG features were measured independently by three expert cardiologists; then, the dataset was randomly divided into three subsets (training, validation, and testing). Five shallow neural networks were trained, validated, and tested to predict subject-specific class (non-event/event) using different subsets of ECG features. Additionally, several deep learning and machine learning algorithms, such as Vision Transformer, Swin Transformer, MobileNetV3, EfficientNetV2, ConvNextTiny, Capsule Networks, and logistic regression were trained, validated, and tested directly on the scanned ECG images, without any manual feature extraction. Furthermore, a shallow neural network, a 1-D transformer classifier, and a 1-D CNN were trained, validated, and tested on ECG signals extracted from the aforementioned scanned images. Classification metrics were evaluated by means of sensitivity, specificity, positive and negative predictive values, accuracy, and area under the curve. Results prove that artificial intelligence can help clinicians in better stratifying risk of arrhythmia in patients with SQTS. In particular, shallow neural networks' processing features showed the best performance in identifying patients that will not suffer from a potentially lethal event. This could pave the way for refined ECG-based risk stratification in this group of patients, potentially helping in saving the lives of young and otherwise healthy individuals. [ABSTRACT FROM AUTHOR]

This paper presents a neural network model to estimate arterial blood pressure (ABP) waveforms using electrocardiogram (ECG) and photoplethysmography (PPG) signals and its first two order mathematical derivatives (PPG ′ , PPG ″ ). In order to achieve this objective, a lightweight and optimized neural network architecture has been proposed, made of Conv1D and BiLSTM layers. To train the network, the UCI Database "Cuff-Less Blood Pressure Estimation Data Set" has been used, which contains ECG and PPG signals together with the corresponding ABP waveform data; then the first two PPG derivatives have been computed. Four different configurations and parameter sets have been tested to choose the best structure and set of parameters. Additionally, various batch sizes, numbers of BiLSTM layers, and the presence of a maximum pooling layer have been tested. The best performing model achieves a mean absolute error of around 2.97, which is comparable to the state-of-the-art methods. Results prove deep learning techniques can be effectively used for non-invasive cuffless arterial blood pressure estimation. The lightweight and optimized model can be effectively used for continuous monitoring of blood pressure, which has significant clinical implications. Further research can focus on integrating the proposed model with wearable devices for real-time blood pressure monitoring in daily life. [ABSTRACT FROM AUTHOR]

The electrocardiogram (ECG) signal describes the heart's electrical activity, allowing it to detect several health conditions, including cardiac system abnormalities and dysfunctions. Nowadays, most patient medical records are still paper-based, especially those made in past decades. The importance of collecting digitized ECGs is twofold: firstly, all medical applications can be easily implemented with an engineering approach if the ECGs are treated as signals; secondly, paper ECGs can deteriorate over time, therefore a correct evaluation of the patient's clinical evolution is not always guaranteed. The goal of this paper is the realization of an automatic conversion algorithm from paper-based ECGs (images) to digital ECG signals. The algorithm involves a digitization process tested on an image set of 16 subjects, also with pathologies. The quantitative analysis of the digitization method is carried out by evaluating the repeatability and reproducibility of the algorithm. The digitization accuracy is evaluated both on the entire signal and on six ECG time parameters (R-R peak distance, QRS complex duration, QT interval, PQ interval, P-wave duration, and heart rate). Results demonstrate the algorithm efficiency has an average Pearson correlation coefficient of 0.94 and measurement errors of the ECG time parameters are always less than 1 mm. Due to the promising experimental results, the algorithm could be embedded into a graphical interface, becoming a measurement and collection tool for cardiologists. [ABSTRACT FROM AUTHOR]

Every year cardiovascular diseases kill the highest number of people worldwide. Among these, pathologies characterized by sporadic symptoms, such as atrial fibrillation, are difficult to be detected as state-of-the-art solutions, e.g., 12-leads electrocardiogram (ECG) or Holter devices, often fail to tackle these kinds of pathologies. Many portable devices have already been proposed, both in literature and in the market. Unfortunately, they all miss relevant features: they are either not wearable or wireless and their usage over a long-term period is often unsuitable. In addition, the quality of recordings is another key factor to perform reliable diagnosis. The ECG WATCH is a device designed for targeting all these issues. It is inexpensive, wearable (size of a watch), and can be used without the need for any medical expertise about positioning or usage. It is non-invasive, it records single-lead ECG in just 10 s, anytime, anywhere, without the need to physically travel to hospitals or cardiologists. It can acquire any of the three peripheral leads; results can be shared with physicians by simply tapping a smartphone app. The ECG WATCH quality has been tested on 30 people and has successfully compared with an electrocardiograph and an ECG simulator, both certified. The app embeds an algorithm for automatically detecting atrial fibrillation, which has been successfully tested with an official ECG simulator on different severity of atrial fibrillation. In this sense, the ECG WATCH is a promising device for anytime cardiac health monitoring. [ABSTRACT FROM AUTHOR]

Characterization of dynamics inside clouds remains a challenging task for weather forecasting and climate modeling as cloud properties depend on interdependent natural processes at micro- and macro-scales. Turbulence plays an important role in particle dynamics inside clouds; however, turbulence mechanisms are not yet fully understood partly due to the difficulty of measuring clouds at the smallest scales. To address these knowledge gaps, an experimental method for measuring the influence of small-scale turbulence in cloud formation in situ and producing an in-field cloud Lagrangian dataset is being developed by means of innovative ultralight radioprobes. This paper presents the electronic system design along with the obtained results from laboratory and field experiments regarding these compact (diameter ≈30 cm), lightweight (≈20 g), and expendable devices designed to passively float and track small-scale turbulence fluctuations inside warm clouds. The fully customized mini-radioprobe board (5 cm × 5 cm) embeds sensors to measure local fluctuations and transmit data to the ground in near real time. The tests confirm that the newly developed probes perform well, providing accurate information about atmospheric turbulence as referenced in space. The integration of multiple radioprobes allows for a systematic and accurate monitoring of atmospheric turbulence and its impact on cloud formation. [ABSTRACT FROM AUTHOR]

Smart devices are more and more present in every aspect of everyday life. From smartphones, which are now like mini-computers, through systems for monitoring sleep or fatigue, to specific sensors for the recording of vital parameters. A particular class of the latter regards health monitoring. Indeed, through the use of such devices, several vital parameters can be acquired and automatically monitored, even remotely. This paper presents the second generation of VITAL-ECG, a smart device designed to monitor the most important vital parameters as a "one touch" device, anywhere, at low cost. It is a wearable device that coupled with a mobile app can track bio-parameters such as: electrocardiogram, SpO2, skin temperature, and physical activity of the patient. Even if it not yet a medical device, a comprehensive comparison with a golden standard electrocardiograph is presented to demonstrate the quality of the recorded signals and the validity of the proposed approach. [ABSTRACT FROM AUTHOR]

Melanoma is a malignant cancer type which develops when DNA damage occurs (mainly due to environmental factors such as ultraviolet rays). Often, melanoma results in intense and aggressive cell growth that, if not caught in time, can bring one toward death. Thus, early identification at the initial stage is fundamental to stopping the spread of cancer. In this paper, a ViT-based architecture able to classify melanoma versus non-cancerous lesions is presented. The proposed predictive model is trained and tested on public skin cancer data from the ISIC challenge, and the obtained results are highly promising. Different classifier configurations are considered and analyzed in order to find the most discriminating one. The best one reached an accuracy of 0.948, sensitivity of 0.928, specificity of 0.967, and AUROC of 0.948.