Prashar 2021
Prashar 2021
A R T I C L E I N F O A B S T R A C T
Keywords: The key deliverable for any health monitoring system that offers telecardiology services is the recovery of the
Dual-tree complex wavelet transform ECG signal related to cardiac diagnostics. Accurate analysis and diagnosis of heart diseases become difficult due
Threshold functions to noises and artifacts. Therefore, a need for noise removal which is an inverse problem arises that leads to
Threshold values
reliable signal recovery tasks. In this paper, authors have provided a detailed evaluation of the effect of the
Distribution function
Electrocardiogram
choice of the threshold value, threshold algorithm, and distribution function to evaluate the ECG signal de-
noising performance employing Dual tree complex wavelet transform (DTCWT). In this research work, eight
different sets of threshold value selection rules along with six distinct threshold functions are implemented and
evaluated on MIT-BIH arrhythmia database. Authors have proposed an estimator that yields efficient results than
a conventional estimator using Gaussian distribution function and extended the work to Normal distribution. The
results show that the Universal modified threshold level-dependent threshold value selection with Non -Negative
Garrote threshold function delivers higher performance in terms of SNR, lower values of MSE and PRD. The
proposed approach accomplished good performance evaluation results as 58.23 dB, SNR and 9.63e-08, MSE in
comparison with the 48.65 dB, SNR and 8.75e-07, MSE using conventional method for the normal distribution
function. The novelty of this work also lies in an exhaustive empirical comparative analysis with the existing
research work using the same database with the proposed normal distribution technique.
1. Introduction coefficients that are stronger than the noise. The threshold algorithm is
known for its high-speed computation and minimized memory storage.
The automatic electrocardiogram (ECG) analysis algorithm plays an Various pre-processing methods have been proposed prior to evac
important role in accomplishing quick and accurate Cardiovascular uate distinctive artifacts and to extricate correct morphological char
(CVD) disease. CVD has been the largest threat to human life for de acteristics of the ECG signal [5–9]. FIR based notch filter has been
cades, and millions of people die due to delayed diagnosis and treat introduced to remove Power Line Interference (PLI) noise from an ECG
ment. ECG signal shows the graphical portrayal of cardiovascular signal that resulted in a prerequisite of large filter order which assists
movement and its application for the discovery of different heart disease increments the computational complexity [10]. Numerous analysts have
and abnormalities [1,2]. ECG has novel morphological characteristics utilized high order infinite Impulse Response (IIR) filter to take out the
P-QRS-T and on analyzing the variation in these features many cardiac impact of PLI and baseline wander from ECG signal [11]. However, it
diseases can be diagnosed. However, the presence of different noises in has some shortcomings such as large filtering time, a memory that re
ECG signals has an acute influence on accurate feature extraction [3,4]. sults in inappropriate non- linear filtering. To have faster filtering
The signal denoising comprises expelling the noise from the contami response adaptive filtering methods have been used for the elimination
nated signal without changing its characteristics. In this context, the of various noises from ECG signal with smaller residual errors [12].
Thresholding method based on nonlinear multi-resolution analysis is a Authors in [13] proposed a fixed sub-band decomposition approach
viable approach to obtain denoised signal by computing the threshold using a wavelet-based wiener filter that has been introduced to expel
value and comparing each coefficient against a threshold to recover the EMG noise while authors in [14] proposed a Bionic adaptive wavelet
* Corresponding author.
E-mail address: [email protected] (N. Prashar).
https://doi.org/10.1016/j.bspc.2020.102212
Received 23 May 2019; Received in revised form 16 July 2020; Accepted 1 September 2020
Available online 14 September 2020
1746-8094/© 2020 Elsevier Ltd. All rights reserved.
N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
contingent upon whether the threshold value was excessively large or 2.6. Performance parameter evaluation
too little. Different types of threshold values selection are tabulated in
Table 2. [25] The performance metrics Signal to Noise Ratio (SNR), Mean Square
These threshold value selections are dependent on the estimation of Error (MSE), and Percent Root Mean Square Difference (PRD) [42] are
noise level ‘σ ’ that assumed to be proportional to the standard deviation computed to examine the efficiency of an output signal. The most
of the coefficients. Conventional estimator ‘σ ’ is expressed by Eq. (4) effective results are achieved once the recovered signal has the highest
( ⃒ ⃒) SNR, smallest PRD and has the lowest MSE.
α = z × median⃒xjk ⃒ (4)
Percent Root Deviation (PRD) is defined by Eq. (6)
√̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅̅
where xjk represent the detail coefficients at the finest level and z is the √∑N
√ [x(n) − y(n)]2
constant whose value depends on the different distribution function. For PRD = √ n=1 N (6)
√ ∑
the conventional problems, the Gaussian distribution function is x(n)2
considered and the value of z is assumed as 1.4826.
n=1
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
3.1. Results of MIT-BIH 100 record data using the conventional estimator
technique
Fig. 5. Detailed coefficients using DTCWT at different levels up to the fourth level.
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Table 4
SNR evaluation for conventional estimator.
S.No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 5
MSE evaluation for conventional estimator.
S.No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 6
PRD evaluation for conventional estimator.
S.No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
estimator has a piecewise linear solution path and is a scaled version of threshold tuning. Moreover, the non-negative garrotte thresholding is
the least square estimate. This estimator is consistent, flexible and eases propelled with characteristics that with probability tending to one, the
of computation. Aliasing in signal processing is an effect that causes solution path having an estimate that correctly identifies the set of prime
diverse signals to become indistinguishable when sampled, that resulted variables and is reliable for the coefficients of the prime variables.
to the distortion in the reconstructed signal from original signal. The Later, comparative table of performance metrics with conventional
proposed technique successively overcomes this effect that make it and proposed estimator techniques using Gaussian distribution function
vigorous to artifacts than other existing techniques. for the efficient results is tabulated in Table 10 which shows a remark
able performance. The result shows that Non-negative Garrote function
with universal modified threshold level-dependent value selection yields
3.2. Results of MIT-BIH 100 record data with the proposed estimator
more desirable results in terms of SNR, MSE and PRD using the proposed
technique
estimation technique (σ*) than conventional estimator (σ ).
The existing techniques such as DWT lacks in shift-invariance and
Real datasets usually contain a fraction of outliers and other con
directional selectivity which leads to much less redundancy of transform
taminations. The conventional estimator often gives misleading results
coefficients. These issues have been overcome by utilizing proposed
and is much affected by the outliers. Robust methods are designed to
method confining no oscillations in the transform magnitude near dis
consider the majority of the data rather than all the data. Therefore,
continuities of a signal. Fig. 8 shows the ECG reconstructed signal that is
robust methods give reasonable results even when data contain a frac
obtained by Non-Negative Garrote function with universal modified
tion of outliers. To achieve robustness and computational efficiency, a
threshold level-dependent value selection using the proposed estimation
new estimator has been proposed. The conventional estimator uses a
technique.
non-robust estimator as the building blocks. The proposed signal esti
mator is applied to the detail coefficients. Performance evaluation pa
rameters are evaluated for the different threshold functions and
3.3. Effect of distribution functions
threshold values. Tables 7–9, results in the SNR, MSE and PRD values
respectively using the proposed estimator technique.
In statistics, a probability distribution gives either the probability of
Computational assessment in terms of SNR, MSE and PRD for pro
each estimation of an irregular variable (when the variable is discrete),
posed estimator using Gaussian distribution for all combination of
or the probability of the value falling inside a specific interim (when the
threshold functions and threshold value selection are depicted in
variable is continuous). The probability distribution portrays the scope
Tables 7–9 respectively. The result shows that Non-negative Garrotte
of conceivable qualities that an arbitrary variable can accomplish and
function with universal modified threshold level-dependent value se
the probability that the estimation of the irregular variable is inside any
lection outperforms among all combination of threshold functions and
subset of that range. A probability distribution gives vital information
threshold value selection using proposed estimator delivering high SNR
about the data, how the values are changing, regardless of whether they
(54.98 dB), low MSE (2.03e-07) and small PRD (0.003). This combina
are grouped together or spread out and whether they are symmetrically
tion of threshold value selection and threshold function using proposed
arranged on the X-axis or not.
estimator encapsulate the noise distributed in the signal by removing the − (x− b)2
redundant wavelet coefficients at every sub-band level to provide fine A Gaussian distribution function is represented as f(x) = ae 2c2 ,
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
Fig. 7. ECG signal best combinations of threshold values and functions using the Proposed methodology.
Table 7
SNR evaluation for proposed estimator.
S. No Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 8
MSE Evaluation for proposed estimator.
S. No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
where a is the height of the peak curve, b is the centre of the peak normally distributed random variable with expected value μ = b and
(position) and c is the standard deviation that controls the Gaussian RMS variance σ 2 = c2. Normal Distribution is symmetric about its mean, and
/
width/width of the bell. The parameter a is set equal to 1 σ ( √̅̅̅̅̅ is non-zero over the entire real line.
2π so that
̅)
The normal distribution function for evaluating SNR, MSE and PRD is
the total area under the curve is equal to 1.
used in Tables 11–13 tabulates the SNR, MSE and PRD values respec
A normalized Gaussian function is the probability density function
tively using different th applied on fn for the proposed estimator.
(pdf) of a Gaussian distribution. The integral of Gaussian function is 1 if
/ From Tables 11–13, it has been observed that the proposed estimator
and only if a = 1 c( √̅̅̅̅̅
2π and in this case the Gaussian is the pdf of a
̅)
using Normal distribution has better performance in terms of SNR, MSE,
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Table 9
PRD evaluation for proposed estimator.
S.No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 10
.Comparative table of performance metrics with the conventional and proposed estimator.
SNR (dB) MSE PRD
Non-negative Garrote with universal modified threshold level using Gaussian distribution 45.67 54.98 1.73e-6 2.03e-7 0.005 0.003
function
Table 11
SNR evaluation for proposed estimator using Normal distribution.
S.No Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 12
MSE evaluation for proposed estimator using Normal distribution.
S. No. Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
Table 13
PRD evaluation for proposed estimator using Normal distribution.
S.No Threshold Function Thu Thuld Thumld Thexpld Thmini Thmou Thadp Heur
Table 14
Comparison Table of performance metrics using different distribution functions.
Non-negative Garrote with a universal modified threshold level dependent SNR MSE PRD
Fig. 9. SNR and PRD evaluation for different distributions using conventional and proposed estimator.
is efficient for performing denoising of ECG signal using both Normal Electromyogram and White Gaussian noise [43], Wavelet transform
and Gaussian distribution functions. The results further depicts that with Genetic Algorithm (GA + WT) [44], Fourier decomposition method
average value of SNR obtained using proposed estimator is (57.69 dB) (FDM) to separate both BW and PLI simultaneously from the recorded
for Normal distribution and (54.58 dB) for Gaussian distribution while ECG signal and obtain clean ECG data [45], Eigen value decomposition
average value of SNR obtained using conventional estimator is (EVD) to remove Baseline and Power line interference [46], Empirical
(46.23 dB). mode decomposition Wavelet transform based on extended Kalman fil
ter (EMD-WT-EKF) to filter noisy ECG signal [47]. Powerline interfer
ence has been removed by using a hybrid approach of empirical mode
3.4. Comparison with existing work decomposition method (EMD) and wavelet analysis [48]. An improved
eigen value decomposition of Hankel matrix and Hilbert transform
The proposed technique is implemented for distinctive database of (IEVDHM-HT)-based method has been applied to detect the presence of
MIT-BIH arrhythmia. The results obtained by our proposed technique coronary artery disease (CAD) using electrocardiogram (ECG) signals
are compared with the existing research techniques for ECG signal [49]. A gradient descent algorithm is used to supervise the training of
denoising as tabulated in Table 16. The result shows a significant in the network, which can learn and preserve the small waveform features
crease in SNR using the proposed technique using Gaussian and Normal in the ECG signal [50]. The performance evaluation parameters clearly
distribution functions. The percentage SNR improvement of proposed indicate that our proposed technique outperforms in elimination of
technique using Normal distribution over DT-WT is shown in Table 17 to noise content from the signal as shown in Table 18.
draw a better interpretation. Comparison Table18 further strengthen that our proposed technique
To validate the efficiency of proposed technique, the technique is yields effective results in terms of SNR, PRD, and MSE as compared with
compared with the latest state of art work such as Modified Garrote other state of the art research papers inferable from its high efficiency
Threshold Shrinkage Function for removal of high frequency noise [34], and accuracy.
Mallet tree Decomposition (MTD) using mother wavelets to remove high
frequency noise [42], A hybrid of the -hill climbing metaheuristic al
gorithm and wavelet transform (WT) to remove Power line noise,
9
N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
Table 15
Performance Evaluation for MIT-BIH Arrhythmia Database for Normal and Gaussian distribution functions using proposed estimator.
Record Lead Normal Distribution Gaussian Distribution
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N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
Table 15 (continued )
Record Lead Normal Distribution Gaussian Distribution
4. Conclusion and future work in the processing of the ECG signals. In future, a novel feature selection
optimization technique will be developed to select the optimal features
Elimination of noise from ECG signals is a challenging problem as form larger feature pool that will be further utilized for assisting the
noise causes serious issues in the inspection of the signal and its analysis. clinicians to detect the heart diseases.
This paper proposes a robust estimator utilizing different optimal dis
tribution functions for ECG signal denoising by employing DTCWT.
Evaluations were performed on the standard benchmark data of MIT-
BIH arrhythmia database. The proposed approach accomplished good
performance evaluation resulting 58.23 dB, SNR and 9.63e-08, MSE in
comparison with the 48.65 dB, SNR and 8.75e-07, MSE using conven Table 17
tional method for the normal distribution function for 100 record. The Percentage improvement in SNR using proposed Technique over DT-WT.
obtained results show an overall improvement in SNR by 19% by using Record Charri et al. Proposed Technique DTCWT Percentage
the proposed estimator. In this paper author has also considered the (2017) DT-WT (Normal distribution) improvement (%)
effect of different distribution functions on proposed technique which 100 45.83 58.23 27.06
shows 54.98 dB, SNR and 2.03e-07, MSE using Gaussian function and 101 49.39 61.33 24.17
53.12 dB, SNR, and 3.12e-07, MSE using an exponential function. The 102 49.87 59.34 18.99
novelty of this work also lies in an exhaustive empirical comparative 103 55.41 65.69 18.55
104 57.51 65.92 14.62
analysis with the existing research work using the same database with 105 66.18 70.02 6.07
the proposed normal distribution technique. The percentage improve 106 51.89 54.27 4.59
ment in SNR for 100–109 records employing proposed technique over 107 55.52 57.11 2.86
the existing research technique [25] which shows a considerable 108 48.16 59.61 22.20
109 53.76 56.30 4.72
amount of improvement validating the proposed methodology. The
obtained results show that the proposed estimator is more suitable for
ECG denoising than Donoho’s threshold and can be successfully applied Table 18
Comparison of Performance metrics of various techniques with Proposed
Techniques.
Table 16
S. Technique SNR MSE PRD
Comparison of the SNR (dB) using 100 to 109 records for MIT-BIH arrhythmia.
No. (dB)
Record Charri Charri Proposed Technique Proposed
1. DWT + Garrote [34] 41.79 – –
et al. et al. DTCWT (Gaussian Technique DTCWT
2. MTD [42] 26.53 1.41e- 0.0471
(2017) (2017) DT- distribution) (Normal
04
DWT WT distribution)
3. Hybridizing β-hill climbing + wavelet 16.7
100 42.65 45.83 54.98 58.23 transform [43]
101 48.41 49.39 58.22 61.33 4. GA + WT [44] 19.3
102 45.49 49.87 55.43 59.34 5. FDM [45] 23.3 – –
103 52.20 55.41 58.73 65.69 6. EVD Method [46] 12.42 – –
104 54.13 57.51 62.09 65.92 7. EMD-WT-EKF Method [47] 10.3 – –
105 62.82 66.18 69.77 70.02 8. Deep Factor Analysis [50] 22.62 0.029 –
106 47.45 51.89 52.23 54.27 9. Proposed Technique (Normal) 58.23 9.63e- 0.001
107 54.57 55.52 55.92 57.11 08
108 43.32 48.16 59.70 62.85 10. Proposed Technique (Gaussian) 54.98 2.03e- 0.003
109 51.25 53.76 53.82 56.30 07
11
N. Prashar et al. Biomedical Signal Processing and Control 63 (2021) 102212
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