Polyphonic sonification of electrocardiography signals for diagnosis of cardiac pathologies

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Jakob Nikolas Kather - , Heidelberg University  (Author)
  • Thomas Hermann - , Bielefeld University (Author)
  • Yannick Bukschat - , Heidelberg University  (Author)
  • Tilmann Kramer - , University of Cologne (Author)
  • Lothar R. Schad - , Heidelberg University  (Author)
  • Frank Gerrit Zöllner - , Heidelberg University  (Author)

Abstract

Electrocardiography (ECG) data are multidimensional temporal data with ubiquitous applications in the clinic. Conventionally, these data are presented visually. It is presently unclear to what degree data sonification (auditory display), can enable the detection of clinically relevant cardiac pathologies in ECG data. In this study, we introduce a method for polyphonic sonification of ECG data, whereby different ECG channels are simultaneously represented by sound of different pitch. We retrospectively applied this method to 12 samples from a publicly available ECG database. We and colleagues from our professional environment then analyzed these data in a blinded way. Based on these analyses, we found that the sonification technique can be intuitively understood after a short training session. On average, the correct classification rate for observers trained in cardiology was 78%, compared to 68% and 50% for observers not trained in cardiology or not trained in medicine at all, respectively. These values compare to an expected random guessing performance of 25%. Strikingly, 27% of all observers had a classification accuracy over 90%, indicating that sonification can be very successfully used by talented individuals. These findings can serve as a baseline for potential clinical applications of ECG sonification.

Details

Original languageEnglish
Article number44549
JournalScientific reports
Volume7
Publication statusPublished - 20 Mar 2017
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 28317848

Keywords

ASJC Scopus subject areas