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title abstract year volume publisher series software layout issn id month tex_title firstpage lastpage page order cycles bibtex_author author date address container-title genre issued pdf extras
SQUWA: Signal Quality Aware DNN Architecture for Enhanced Accuracy in Atrial Fibrillation Detection from Noisy PPG Signals
Atrial fibrillation (AF), a common cardiac arrhythmia, significantly increases the risk of stroke, heart disease, and mortality. Photoplethysmography (PPG) offers a promising solution for continuous AF monitoring, due to its cost efficiency and integration into wearable devices. Nonetheless, PPG signals are susceptible to corruption from motion artifacts and other factors often encountered in ambulatory settings. Conventional approaches typically discard corrupted segments or attempt to reconstruct original signals, allowing for the use of standard machine learning techniques. However, this reduces dataset size and introduces biases, compromising prediction accuracy and the effectiveness of continuous monitoring. We propose a novel deep learning model, \textbf{\underline{S}}ignal \textbf{\underline{Qu}}ality \textbf{\underline{W}}eighted Fusion of \textbf{\underline{A}}ttentional Convolution and Recurrent Neural Network (SQUWA), designed to learn how to retain accurate predictions from partially corrupted PPG. Specifically, SQUWA innovatively integrates an attention mechanism that directly considers signal quality during the learning process, dynamically adjusting the weights of time series segments based on their quality. This approach enhances the influence of higher-quality segments while reducing that of lower-quality ones, effectively utilizing partially corrupted segments. This approach represents a departure from the conventional methods that exclude such segments, enabling the utilization of a broader range of data, which has great implications for less disruption when monitoring of AF risks and more accurate estimation of AF burdens. Moreover, SQUWA utilizes variable-sized convolutional kernels to capture complex PPG signal patterns across different resolutions for enhanced learning. Our extensive experiments show that SQUWA outperform existing PPG-based models, achieving the highest AUCPR of 0.89 with label noise mitigation. This also exceeds the 0.86 AUCPR of models trained with using both electrocardiogram (ECG) and PPG data.
2024
248
PMLR
Proceedings of Machine Learning Research
inproceedings
2640-3498
yan24a
0
SQUWA: Signal Quality Aware DNN Architecture for Enhanced Accuracy in Atrial Fibrillation Detection from Noisy PPG Signals
105
119
105-119
105
false
Yan, Runze and Ding, Cheng and Xiao, Ran and Fedorov, Alex and Lee, Randall J and Nahab, Fadi and Hu, Xiao
given family
Runze
Yan
given family
Cheng
Ding
given family
Ran
Xiao
given family
Alex
Fedorov
given family
Randall J
Lee
given family
Fadi
Nahab
given family
Xiao
Hu
2024-07-24
Proceedings of the fifth Conference on Health, Inference, and Learning
inproceedings
date-parts
2024
7
24