Arrhythmias & electrophysiology

Automatic detection of cardiac conditions from photos of electrocardiogram captured by smartphones

HeartPublished Diagnostic accuracy study

Authors' conclusion

Object detection and image segmentation models allow automatic extraction of ECG signals from photos for downstream diagnostics.

Study context

Population
ECGs (scanned and photographed) for automatic waveform extraction and AF diagnosis
Participants
40,516 vs 444
Comparison
Smartphone-photo ECG waveform extraction pipeline
  • Scanned ECGsn = 40,516
  • Photographed ECGsn = 444
Outcome
Automatic ECG waveform extraction

Performance

As reported in the abstract

Test or modelCorrectly cropped and labelledSuccessful voltage-time signal extractionAF algorithm sensitivityAF algorithm specificityAF algorithm PPVAF algorithm NPVAF algorithm F1 score
Scanned12 828 of 13 258 (96.8%)11 604 of 12 735 (91.1%)
Photographed5399 of 5743 (94.0%)5062 of 5752 (88.0%)91.3%94.2%95.6%88.6%93.4%

Correctly cropped and labelled

Scanned12 828 of 13 258 (96.8%)
Photographed5399 of 5743 (94.0%)

Successful voltage-time signal extraction

Scanned11 604 of 12 735 (91.1%)
Photographed5062 of 5752 (88.0%)

AF algorithm sensitivity

Scanned— not stated in the abstract
Photographed91.3%

AF algorithm specificity

Scanned— not stated in the abstract
Photographed94.2%

AF algorithm PPV

Scanned— not stated in the abstract
Photographed95.6%

AF algorithm NPV

Scanned— not stated in the abstract
Photographed88.6%

AF algorithm F1 score

Scanned— not stated in the abstract
Photographed93.4%

Original publication

Automatic detection of cardiac conditions from photos of electrocardiogram captured by smartphones. Heart. Published 20 May 2024. doi:10.1136/heartjnl-2023-323822

Composed by AI from the published abstract and checked against it. How Briefs are made →

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