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Enregistrement W4414027213 · doi:10.3389/fphys.2025.1687592

Editorial: Advances in artificial intelligence-enhanced electrocardiography: a pathway towards improved diagnosis and patient care

2025· editorial· en· W4414027213 sur OpenAlexaff
Vijay S. Chauhan, Rémi Dubois, Domenico L. Gatti, Jichao Zhao

Notice bibliographique

RevueFrontiers in Physiology · 2025
Typeeditorial
Langueen
DomaineMedicine
ThématiqueECG Monitoring and Analysis
Établissements canadiensUniversity Health Network
Organismes subventionnairesnon disponible
Mots-clésElectrocardiographyMedicineIntensive care medicineArtificial intelligenceComputer scienceCardiology

Résumé

récupéré en direct d'OpenAlex

proposing a camera-based approach to ECG electrode localization. Using 2D and 3D computer vision algorithms, the authors demonstrate sub-centimeter accuracy in reconstructing electrode positions on the human torso. The study's reliance on off-the-shelf cameras and open-source algorithms makes it a scalable solution for BSPM expansion. Kim et al. [7] focus on scanned or imaged ECG paper strips, which are still widely used in many healthcare settings. Their two-stage deep learning system combines a Faster R-CNN for detecting ST-segment elevation with an ensemble model for infarction territory classification. This paper underscores a growing priority in AI research: meeting clinicians where they are. By enabling analysis of ECG images (rather than raw digital signals), the model is inherently compatible with a wide array of existing workflows, including those in resource-constrained environments, and is particularly attractive for frontline decision support. Neural network performance depends critically on the quality and relevance of input data. Ramirez et al. [8] explore this issue by applying a mutual information analysis to ECG leads, identifying redundant information across the 12 standard leads and testing various reduced-lead configurations. Their results reveal that a well-selected 6-lead subset, and vectorcardiographic transformations, can match or exceed full 12-lead performance, and preserve classification accuracy while reducing computational load. This has significant implications for wearable devices and mobile health, where data acquisition may be limited. By optimizing for both informativeness and parsimony, this work advances the efficiency and scalability of AI-driven ECG diagnostics. QRS detection is a fundamental building block in any ECG analysis pipeline. Zhao et al. [9] contribute a compact, yet highly accurate DNN model based on feature pyramid networks and dual-channel input. The model's minimal size (∼27k parameters) and fast inference make it ideal for edge computing applications, such as smartwatches, fitness trackers, or implantable devices. Zhao et al.'s work reinforces the emerging consensus that the future of AI-enhanced ECG lies in small, explainable, and highly optimized models tailored to specific tasks within broader clinical systems. Extending the reach of AI-enhanced ECG into maternal-fetal medicine, Wahbah et al. [10] present a bi-directional LSTM-based framework for extracting fetal ECG (fECG) signals from abdominal recordings. Their model achieves high accuracy and demonstrates resilience even during stages where the fetal signal is physiologically obscured. As fetal and neonatal ECGs pose unique signal processing challenges, this study opens new avenues for AI-assisted perinatal care, remote monitoring, and early detection of congenital abnormalities. Looking Forward: A Field Poised for Impact The contributions to this Research Topic highlight a discipline on the cusp of transformation. From novel signal processing and intelligent hardware to regulatory-aware, interpretable algorithms, the field of AI-enhanced ECG analysis is advancing rapidly toward real-world impact. However, critical challenges remain. Generalizability across diverse populations, integration with electronic health records (EHRs), and validation in prospective trials are essential next steps. Ethical considerations, especially around algorithmic bias, data privacy, and clinical accountability, must be integrated into development from the outset. We are beginning to see new frontiers: multimodal integration (combining ECG with imaging, labs, or genomics), personalized risk prediction, and AI-guided therapeutic interventions. As Editors of this Research Topic, we are inspired by the diversity, creativity, and clinical awareness shown by the authors in this issue. The articles not only advance the science of AI in ECG analysis but also illuminate the path to meaningful clinical translation. Together, their work illustrates a maturing ecosystem of tools, methods, and philosophies ready to shape the next era of cardiovascular care.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,000
score de la tête « metaresearch » (Gemma)0,001
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesMéta-épidémiologie (sens strict), Intégrité de la recherche
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Éditorial · Signal consensuel: Éditorial
Score de désaccord entre enseignants0,425
Score d'incertitude au seuil1,000

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0000,001
Méta-épidémiologie (sens strict)0,0010,000
Méta-épidémiologie (sens large)0,0020,000
Bibliométrie0,0010,001
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0010,002
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,005
Tête enseignante GPT0,263
Écart entre enseignants0,258 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Devis d'étudeSans objet
Domainenon disponible
GenreÉditorial

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2025
Routes d'admission1
Résumé présentoui

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