Early prediction of sepsis can help to identify potential risks in time and help take necessary measures to prevent more dangerous situations from occurring. In PhysioNet/Computing in Cardiology Challenge 2019, we integrate Long Short Term Memory (LSTM) recurrent neural network and ensemble learning to achieve early sepsis prediction. Specifically, we tackle the problem of class imbalance and data missing firstly, and then we manually extract features according to the prior knowledge from the medical field. In addition, we regard the prediction of sepsis as a time series prediction problem and pre-train LSTM-based models as feature extractors to obtain the "deep" features on time series that might be related to the onset of sepsis. Manual features and "deep" features are then used to train prediction models under the framework of ensemble learning, including Extreme Gradient Boosting (XGBoost) and Gradient Boosting Decision Tree (GBDT) regressor. The final normalized utility score our team (UCAS_DataMiner) have obtained was 0.313 on full hidden test set.
Objective. The ECG is a standard diagnostic tool for identifying many arrhythmias. Accurate diagnosis and early intervention for arrhythmias are of great significance to the prevention and treatment of cardiovascular disease. Our objective is to develop an algorithm that can automatically identify 30 arrhythmias by using varying-dimensional ECG signals. Approach. In this paper, we firstly proposed a novel multi-scale 2D CNN that can effectively capture pathological information from small-scale to large-scale from ECG signals to identify 30 arrhythmias from 12-lead, 6-lead, 4-lead, 3-lead, and 2-lead ECGs. Secondly, we explored the effects of varying convolution kernels sizes and branch subnetworks on the model’s performance for each arrhythmia. Thirdly, we introduced the weighted focal loss to alleviate the positive-negative class imbalance problem in the multi-label arrhythmias classification. Fourthly, we explored the utility of reduced-lead ECGs in detecting arrhythmias by comparing the performances of models on varying-dimensional ECGs. Main results. As a follow-up entry after the PhysioNet/Computing in Cardiology Challenge (2021), our proposed approach achieved the official test scores of 0.52, 0.47, 0.53, 0.51, and 0.50 for the 12-lead, 6-lead, 4-lead, 3-lead, and 2-lead ECGs on the hidden test set (comparable to that of 6th, 11th, 4th, 5th, and 7th out of 39 teams in the Challenge). Significance. A multi-scale framework capable of detecting 30 arrhythmias from varying-dimensional ECGs was proposed in our work. We preliminarily verified that the multi-scale perception fields may be necessary to capture more comprehensive pathological information for arrhythmias detection. Besides, we also verified that the weighted focal loss may alleviate the positive–negative class imbalance and improve the model’s generalization performance on the cross-dataset. In addition, we observed that some reduced-lead models, such as the 4-lead and 3-lead models, can even achieve performance that is almost comparable to that of the 12-lead model. The excellent performance of our proposed framework demonstrates its great potential in detecting a wide range of arrhythmias.
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