Each ECG recording was originally 10 seconds with a sampling rate of 500Hz.

Weexploit suchprototypes forboththe clustering and retrieval of unlabelled cardiac signals based on multiple patient attributes.

The process of manually searching for relevant instances in, and extracting information from, clinical databases underpin a multitude of clinical tasks. Such tasks include disease diagnosis, clinical trial recruitment, and continuing medical education. This manual search-and-extract process, however, has been hampered by the growth of large-scale clinical databases and the increased prevalence of unlabelled instances. To address this challenge, we propose a supervised contrastive learning framework, CROCS, where representations of cardiac signals associated with a set of patient-specific attributes (e.g., disease class, sex, age) are attracted to learnable embeddings entitled clinical prototypes. We exploit such prototypes for both the clustering and retrieval of unlabelled cardiac signals based on multiple patient attributes. We show that CROCS outperforms the state-of-the-art method, DTC, when clustering and also retrieves relevant cardiac signals from a large database. We also show that clinical prototypes adopt a semantically meaningful arrangement based on patient attributes and thus confer a high degree of interpretability.

The process of manually searching for relevant instances in, and extracting information from, clinical databases underpin a multitude of clinical tasks.

Wearable sensing devices, such as Holter monitors, will play a crucial role in the future of digital health. Unsupervised learning frameworks such as Self-Supervised Learning (SSL) are essential to map these single-lead electrocardiogram (ECG) signals with their anticipated clinical outcomes. These signals are characterized by a tempo-variant component whose patterns evolve through the recording and an invariant component with patterns that remain unchanged. However, existing SSL methods only drive the model to encode the invariant attributes, leading the model to neglect tempo-variant information which reflects subject-state changes through time. In this paper, we present Parallel-Learning of Invariant and Tempo-variant Attributes (PLITA), a novel SSL method designed for capturing both invariant and tempo-variant ECG attributes. The latter are captured by mandating closer representations in space for closer inputs on time. We evaluate both the capability of the method to learn the attributes of these two distinct kinds, as well as PLITA's performance compared to existing SSL methods for ECG analysis. PLITA performs significantly better in the set-ups where tempo-variant attributes play a major role.

The process of manually searching for relevant instances in, and extracting information from, clinical databases underpin a multitude of clinical tasks. Such tasks include disease diagnosis, clinical trial recruitment, and continuing medical education. This manual search-and-extract process, however, has been hampered by the growth of large-scale clinical databases and the increased prevalence of unlabelled instances. To address this challenge, we propose a supervised contrastive learning framework, CROCS, where representations of cardiac signals associated with a set of patient-specific attributes (e.g., disease class, sex, age) are attracted to learnable embeddings entitled clinical prototypes. We exploit such prototypes for both the clustering and retrieval of unlabelled cardiac signals based on multiple patient attributes.

Australian and Iraqi engineers have designed a system to remotely measure blood pressure by filming a person's forehead and extracting cardiac signals using artificial intelligence algorithms. Using the same remote-health technology they pioneered to monitor vital health signs from a distance, engineers from the University of South Australia and Baghdad's Middle Technical University have designed a non-contact system to accurately measure systolic and diastolic pressure. It could replace the existing uncomfortable and cumbersome method of strapping an inflatable cuff to a patient's arm or wrist, the researchers claim. In a new paper published in Inventions, the researchers describe the technique, which involves filming a person from a short distance for 10 seconds and extracting cardiac signals from two regions in the forehead, using artificial intelligence algorithms. The systolic and diastolic readings were around 90 per cent accurate, compared to the existing instrument (a digital sphygmomanometer) used to measure blood pressure, that is itself subject to errors.

Learning information-rich and generalizable representations effectively from unlabeled multivariate cardiac signals to identify abnormal heart rhythms (cardiac arrhythmias) is valuable in real-world clinical settings but often challenging due to its complex temporal dynamics. Cardiac arrhythmias can vary significantly in temporal patterns even for the same patient ($i.e.$, intra subject difference). Meanwhile, the same type of cardiac arrhythmia can show different temporal patterns among different patients due to different cardiac structures ($i.e.$, inter subject difference). In this paper, we address the challenges by proposing an Intra-inter Subject self-supervised Learning (ISL) model that is customized for multivariate cardiac signals. Our proposed ISL model integrates medical knowledge into self-supervision to effectively learn from intra-inter subject differences. In intra subject self-supervision, ISL model first extracts heartbeat-level features from each subject using a channel-wise attentional CNN-RNN encoder. Then a stationarity test module is employed to capture the temporal dependencies between heartbeats. In inter subject self-supervision, we design a set of data augmentations according to the clinical characteristics of cardiac signals and perform contrastive learning among subjects to learn distinctive representations for various types of patients. Extensive experiments on three real-world datasets were conducted. In a semi-supervised transfer learning scenario, our pre-trained ISL model leads about 10% improvement over supervised training when only 1% labeled data is available, suggesting strong generalizability and robustness of the model.

Cardiac signals, such as the electrocardiogram, convey a significant amount of information about the health status of a patient which is typically summarized by a clinician in the form of a clinical report, a cumbersome process that is prone to errors. To streamline this routine process, we propose a deep neural network capable of captioning cardiac signals; it receives a cardiac signal as input and generates a clinical report as output. We extend this further to generate multilingual reports. To that end, we create and make publicly available a multilingual clinical report dataset. In the absence of sufficient labelled data, deep neural networks can benefit from a'warmstart', or pre-training, procedure in which parameters are first learned in an arbitrary task. We propose such a task in the form of discriminative multilingual pre-training where tokens from clinical reports are randomly replaced with those from other languages and the network is tasked with predicting the language of all tokens. We show that our method performs on par with state-of-the-art pre-training methods such as MLM, ELECTRA, and MARGE, while simultaneously generating diverse and plausible clinical reports. We also demonstrate that multilingual models can outperform their monolingual counterparts, informally terming this beneficial phenomenon as the'blessing of multilinguality'.