Artificial Intelligence System for Detection and Screening of Cardiac Abnormalities using Electrocardiogram Images

The artificial intelligence (AI) system has achieved expert-level performance in electrocardiogram (ECG) signal analysis. However, in underdeveloped countries or regions where the healthcare information system is imperfect, only paper ECGs can be provided. Analysis of real-world ECG images (photos or scans of paper ECGs) remains challenging due to complex environments or interference. In this study, we present an AI system developed to detect and screen cardiac abnormalities (CAs) from real-world ECG images. The system was evaluated on a large dataset of 52,357 patients from multiple regions and populations across the world. On the detection task, the AI system obtained area under the receiver operating curve (AUC) of 0.996 (hold-out test), 0.994 (external test 1), 0.984 (external test 2), and 0.979 (external test 3), respectively. Meanwhile, the detection results of AI system showed a strong correlation with the diagnosis of cardiologists (cardiologist 1 (R=0.794, p<1e-3), cardiologist 2 (R=0.812, p<1e-3)). On the screening task, the AI system achieved AUCs of 0.894 (hold-out test) and 0.850 (external test). The screening performance of the AI system was better than that of the cardiologists (AI system (0.846) vs. cardiologist 1 (0.520) vs. cardiologist 2 (0.480)). Our study demonstrates the feasibility of an accurate, objective, easy-to-use, fast, and low-cost AI system for CA detection and screening. The system has the potential to be used by healthcare professionals, caregivers, and general users to assess CAs based on real-world ECG images.

UFO: Unified Feature Optimization

This paper proposes a novel Unified Feature Optimization (UFO) paradigm for training and deploying deep models under real-world and large-scale scenarios, which requires a collection of multiple AI functions. UFO aims to benefit each single task with a large-scale pretraining on all tasks. Compared with the well known foundation model, UFO has two different points of emphasis, i.e., relatively smaller model size and NO adaptation cost: 1) UFO squeezes a wide range of tasks into a moderate-sized unified model in a multi-task learning manner and further trims the model size when transferred to down-stream tasks. 2) UFO does not emphasize transfer to novel tasks. Instead, it aims to make the trimmed model dedicated for one or more already-seen task. With these two characteristics, UFO provides great convenience for flexible deployment, while maintaining the benefits of large-scale pretraining. A key merit of UFO is that the trimming process not only reduces the model size and inference consumption, but also even improves the accuracy on certain tasks. Specifically, UFO considers the multi-task training and brings two-fold impact on the unified model: some closely related tasks have mutual benefits, while some tasks have conflicts against each other. UFO manages to reduce the conflicts and to preserve the mutual benefits through a novel Network Architecture Search (NAS) method. Experiments on a wide range of deep representation learning tasks (i.e., face recognition, person re-identification, vehicle re-identification and product retrieval) show that the model trimmed from UFO achieves higher accuracy than its single-task-trained counterpart and yet has smaller model size, validating the concept of UFO. Besides, UFO also supported the release of 17 billion parameters computer vision (CV) foundation model which is the largest CV model in the industry.