Sudden cardiac death events and fatal cardiac problems are a field of vital importance for physicians working with elite athletes. For this reason, it is common to periodically perform cardiac monitoring with professional ECG devices to detect certain risk markers. As these doctors often work with many athletes (as is the case with professional football teams), an artificial intelligence-based system would help mass screening and allow these exams to be carried out more regularly. Because physicians often evaluate the printed reports generated by ECG devices, few manufacturers provide powerful and configurable software tools. Moreover, for teaching purposes, a simulation tool that would allow working with previously collected ECG files would be very useful. In this paper, we present a software tool to be used with General Electric CardioSoft 12SL electrocardiograph. This tool allows importing the XML files generated by this device, perform a manual or automatic signal filtering process and PQRST peak detection, and finally generate a customisable report as a CSV file containing the features obtained after signal analysis. This pre-processed information can be used as input of ECG simulators and in artificial intelligence systems to develop diagnostic support systems.
Glaucoma is a degenerative disease that affects vision, causing damage to the optic nerve that ends in vision loss. The classic techniques to detect it have undergone a great change since the intrusion of machine learning techniques into the processing of eye fundus images. Several works focus on training a convolutional neural network (CNN) by brute force, while others use segmentation and feature extraction techniques to detect glaucoma. In this work, a diagnostic aid tool to detect glaucoma using eye fundus images is developed, trained and tested. It consists of two subsystems that are independently trained and tested, combining their results to improve glaucoma detection. The first subsystem applies machine learning and segmentation techniques to detect optic disc and cup independently, combine them and extract their physical and positional features. The second one applies transfer learning techniques to a pre-trained CNN to detect glaucoma through the analysis of the complete eye fundus images. The results of both systems are combined to discriminate positive cases of glaucoma and improve final detection. The results show that this system achieves a higher classification rate than previous works. The system also provides information on the basis for the proposed diagnosis suggestion that can help the ophthalmologist to accept or modify it.
BackgroundFootball player's health is important, and preventing sudden cardiac arrest may be a critical issue. Professional football players have different ECG signals than the average population, yet there are considerable gaps in study whereas the general population has been extensively studied.Objectives(a) Generate a reference and innovative resting 12-lead ECG database from 54 UEFA PRO level male football players from La Liga. This is a novel approach to cope the ECG and possible arrythmias in athletes. (b) Manage each XML athlete ECG data and develop a free-use program to visualize, denoise and filter the signal with the capacity to automate the labelling of the waves and save the reports. (c) Study the ECG wave shape and generate models through ML to analyse its utility to automate basic diagnosis.MethodsThe dataset collection is based on a prospective observational cohort and includes 10 s, 12-lead ECGs and rhythm and condition labels for each athlete. Physiological sport arrhythmias, T-Wave shape and other findings were studied and labelled. ECG Visualizer was developed and used for 3 machine learning (ML) methods to automate sinus bradycardia arrhythmia diagnosis.ResultsA dataset with 163 ECGs in XML format was collected comprising the Pro Football 12-lead Resting Electrocardiogram Database (PF12RED). "ECG Visualizer" software was developed, and ML was shown to be useful in detecting sinus bradycardia.ConclusionsThe study demonstrates that AI and machine learning can detect simple arrhythmias with accuracy, also it provides a valuable dataset and a free software application.
In competitive sports, teams are increasingly relying on advanced systems for improved performance and results. This study reviews the literature on the role of artificial intelligence (AI) in managing these complexities and encouraging a system thinking shift. It found various AI applications, including performance enhancement, healthcare, technical and tactical support, talent identification, game prediction, business growth, and AI testing innovations. The main goal of the study was to assess research supporting performance and healthcare.
This paper aims to provide a comprehensive and innovative 12-lead electrocardiogram (ECG) dataset tailored to understand the unique needs of professional football players. Other ECG datasets are available but collected from common people, normally with diseases confirmed, while it is well known that ECG characteristics change in athletes and elite players as a result of their intense long-term physical training. This initiative is part of a broader research project employing machine learning (ML) to analyse ECG data in this athlete population and explore them according to the International criteria for ECG interpretation in athletes. The dataset is generated through the establishment of a prospective observational cohort consisting of 54 male football players from La Liga, representing a UEFA Pro-level team. Named the Pro-Football 12-lead Resting Electrocardiogram Database (PF12RED), it comprises 163 10-s ECG recordings, offering a detailed examination of the at-rest heart activity of professional football athletes. Data collection spans five phases over multiple seasons, including the 2018-2019 postseason, the 2019-20 preseason, the 2020-21 preseason, and the 2021-22 preseason. Athletes undergo medical evaluations that include a 10-s resting 12-lead ECG performed with General Electric's USB-CAM 14 module (https://co.services.gehealthcare.com/gehcstorefront/p/900995-002), with data saved using General Electric's CardioSoft V6.73 12SL V21 ECG Software. (https://www.gehealthcare.es/products/cardiosoft-v7) The data collection adheres to ethical principles, with clearance granted by the Autonomous Community of Andalusia Ethics Committee (Spain) under protocol number 1573-N-19 in December 2019. Participants provide informed consent, and data sharing is permitted following anonymization. The study aligns with the Declaration of Helsinki and adheres to the recommendations of the International Committee of Medical Journal Editors (ICMJE). The generated dataset serves as a valuable resource for research in sports cardiology and cardiac health. Its potential for reuse encompasses:1.International Comparison: Enabling cross-regional comparisons of cardiac characteristics among elite football players, enriching international studies.2.ML Model Development: Facilitating the development and refinement of machine learning models for arrhythmia detection, serving as a benchmark dataset.3.Validation of Diagnostic Methods: Allowing the validation of automatic diagnostic methods, contributing to enhanced accuracy in detecting cardiac conditions.4.Research in Sports Cardiology: Supporting future investigations into specific cardiac adaptations in elite athletes and their relation to cardiovascular health.5.Reference for Athlete Protection Policies: Influencing athlete protection policies by providing data on cardiac health and suggesting guidelines for medical assessments.6.Health Professionals Training: Serving as a training resource for health professionals interested in interpreting ECGs in sports contexts.7.Tool and Application Development: Facilitating the development of tools and applications related to the visualization, simulation and analysis of ECG signals in athletes.
Image processing in digital computer systems usually considers the visual information as a sequence of frames. These frames are from cameras that capture reality for a short period of time. They are renewed and transmitted at a rate of 25-30 frames per second, in a typical real-time scenario. Digital video processing has to process each frame in order to obtain a filter result or detect a feature on the input. This processing is usually based on very complex and expensive (in resources) operations for an efficient real-time application. Brain can perform very complex visual processing in real-time using relatively simple cells, called neurons, which codify the information into spikes. Spike-based processing is a relatively new approach that implements the processing by manipulating spikes one by one at the time they are transmitted, like a human brain. The spike-based philosophy for visual information processing based on the neuro-inspired Address Event Representation (AER) is achieving nowadays very high performances. In this work we study the low level performance for real-time scenarios of a spike-based co-processor connected to a conventional PC and implemented through a PCI board. These low level lacks are focused both in the software conversion of static frames into AER format and in the bottleneck of the PCI interface.
This paper aims to provide a comprehensive and innovative 12-lead electrocardiogram (ECG) dataset tailored to understand the unique needs of professional football players. Other ECG datasets are available but collected from common people, normally with diseases confirmed [1–5], while it is well known that ECG characteristics change in athletes and elite players as a result of their intense long-term physical training [6]. This initiative is part of a broader research project employing machine learning (ML) to analyse ECG data in this athlete population and explore them according to the International Criteria for ECG Screening [7]. The dataset is generated through the establishment of a prospective observational cohort consisting of 54 male football players from La Liga, representing a UEFA Pro level team.Named the Pro Football 12-lead Resting Electrocardiogram Database (PF12RED)[8], it comprises 163 10-second ECG recordings, offering a detailed examination of the at-rest heart activity of professional football athletes. Data collection spans five phases over multiple seasons, including the 2018-2019 postseason, the 2019-20 preseason, the 2020-21 preseason, and the 2021-22 preseason. Athletes undergo medical evaluations that include a 10-second resting 12-lead ECG performed with General Electric's USB-CAM 14 module (https://co.services.gehealthcare.com/gehcstorefront/p/900995-002), with data saved using General Electric's CardioSoft V6.73 12SL V21 ECG Software. (https://www.gehealthcare.es/products/cardiosoft-v7)The data collection adheres to ethical principles, with clearance granted by the Autonomous Community of Andalusia Ethics Committee (Spain) under protocol number 1573-N-19 in December 2019. Participants provide informed consent, and data sharing is permitted following anonymization. The study aligns with the Declaration of Helsinki and adheres to the recommendations of the International Committee of Medical Journal Editors (ICMJE).Findings from the dataset, featuring examples based on the International Criteria for ECG Interpretation in athletes [7], reveal prevalent sport-related sinus bradycardia (SB) in 64.81% of cases, incomplete right bundle branch block (iRBBB) in 66.67%, right T-wave inversions (RTWI) in 66.87%, and Mobitz Type I–2º degree AV block (MTI) in 1.85% of cases. Additionally, one player (1.85%) exhibited T-wave inversions in the left leads V4, V5, and V6, requiring further cardiologist evaluation.The generated dataset, featuring ECG signals from professional football players, serves as a valuable resource for research in sports cardiology and cardiac health. Its potential for reuse encompasses:International Comparison: Enabling cross-regional comparisons of cardiac characteristics among elite football players, enriching international studies.ML Model Development: Facilitating the development and refinement of machine learning models for arrhythmia detection, serving as a benchmark dataset.Validation of Diagnostic Methods: Allowing the validation of automatic diagnostic methods, contributing to enhanced accuracy in detecting cardiac conditions.Research in Sports Cardiology: Supporting future investigations into specific cardiac adaptations in elite athletes and their relation to cardiovascular health.Reference for Athlete Protection Policies: Influencing athlete protection policies by providing data on cardiac health and suggesting guidelines for medical assessments.Health Professionals Training: Serving as a tra
Auscultation is one of the most used techniques for detecting cardiovascular diseases, which is one of the main causes of death in the world. Heart murmurs are the most common abnormal finding when a patient visits the physician for auscultation. These heart sounds can either be innocent, which are harmless, or abnormal, which may be a sign of a more serious heart condition. However, the accuracy rate of primary care physicians and expert cardiologists when auscultating is not good enough to avoid most of both type-I (healthy patients are sent for echocardiogram) and type-II (pathological patients are sent home without medication or treatment) errors made. In this paper, the authors present a novel convolutional neural network based tool for classifying between healthy people and pathological patients using a neuromorphic auditory sensor for FPGA that is able to decompose the audio into frequency bands in real time. For this purpose, different networks have been trained with the heart murmur information contained in heart sound recordings obtained from nine different heart sound databases sourced from multiple research groups. These samples are segmented and preprocessed using the neuromorphic auditory sensor to decompose their audio information into frequency bands and, after that, sonogram images with the same size are generated. These images have been used to train and test different convolutional neural network architectures. The best results have been obtained with a modified version of the AlexNet model, achieving 97% accuracy (specificity: 95.12%, sensitivity: 93.20%, PhysioNet/CinC Challenge 2016 score: 0.9416). This tool could aid cardiologists and primary care physicians in the auscultation process, improving the decision making task and reducing type-I and type-II errors.