computer methods and programs in biomedicine 95 ( 2 0 0 9 ) 270–279
journal homepage: www.intl.elsevierhealth.com/journals/cmpb
Discrimination of myocardial infarction stages
by subjective feature extraction
Dingfei Ge
a,*
, Lihui Sun
a
, Jiayin Zhou
b
, Yuquan Shao
c
a
School of Information and Electronic Engineering, Zhejiang University of Science and Technology, Hangzhou 310023, China
b
Biomedical Engineering Research Centre, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore
c
Sir Run Run Shaw Hospital, Affiliated Hospital of Medical College, Zhejiang University, Hangzhou 310016, China
article info
Article history:
Received 12 July 2008
Received in revised form
6 December 2008
Accepted 22 March 2009
Keywords:
Myocardial infarction
ECG
Feature extraction
Subjective-classification
Hyper-dimensional time-series
abstract
Lots of studies on myocardial infarction (MI) computer assisted diagnosis are based on cer-
tain important ECG components which only account for local information. 12-Lead ECG
signals which were regarded as hyper-dimensional time-series data were utilized to extract
features from global information in this study. Existing feature extraction techniques for
classification attempt to classify all the classes included. However sometimes it is more
important to better recognize certain specific classes rather than to discriminate all the
classes. A feature extraction method based on subjective-classification was proposed to
discriminate the specific classes, which the classification priority was given subjectively,
and each of the other classes was separated at the same time. The method includes data
reduction by principal component analysis (PCA), data normalization by whitening transfor-
mation and derivation of projecting vectors for subjective-classification, etc. The data in the
analysis were collected from PTB diagnostic ECG database. The results show that the pro-
posed method can obtain a small number of effective features from 12-lead ECGs to better
classify classes with priority, and the other classes can be classified at the same time.
© 2009 Elsevier Ireland Ltd. All rights reserved.
1. Introduction
Automatic detection and classification of abnormalities in
electrocardiogram (ECG) will be of great help in medical exam-
inations or monitoring of critical ill patients. Lots of existing
studies on myocardial infarction (MI) computer assisted diag-
nosis are based on certain important ECG components which
only account for local information, such as VCG and ECG
based MI detection [1], Neural Network aided MI diagno-
sis [2], time-domain threshold methods for MI classification
[3], detecting MI using ECG parameters [4], Hermite expan-
sions [5], multiple logistic regression method [6]. Actually,
clinical physicians diagnose patient’s diseases are usually
based on 12-lead ECG and entire ECG cycle. In order to
∗
Corresponding author. Tel.: +86 13186950314.
E-mail address: gedingfei@hotmail.com (D. Ge).
obtain global information, 12-lead ECG and its entire ECG
cycle were used for the analysis in current study. The key
problem of the classification is how to obtain essential
information from the hyper-dimensional data. Feature selec-
tion and feature extraction are two major approaches to
dimensionality reduction. Feature selection seems to lose
some of significant information for the classification due
to selecting a subset of the original input variables in the
measurement space, while feature extraction involves a
transformation of the original variables and the features pro-
vided are a set of new variables in the transformed space.
Generally, feature extraction provides more efficient represen-
tation of patterns [7]. Thus, feature extraction technique for
dimensionality reduction is adopted in this study. The ECG
0169-2607/$ – see front matter © 2009 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.cmpb.2009.03.008