Technical tests of the hardware and software complex for electrocardiogram recording and processing
https://doi.org/10.25881/18110193_2022_1_50
Abstract
In this study we evaluated operability of a multicomponent system consisting of ECG recorders (made by different manufacturers), signal conversion drivers (matching layers) provided by ECG equipment vendors according to a single technical task, an ECG signal processing and visualization program. Such system registers and processes ECG signal by means of the software unit integrated into the regional medical information system (RMIS).
System performance evaluation was carried out to confirm the same reproduction of known waveforms in the original manufacturer’s software and in a unified environment of the RMIS. Test signals and synthetic ECG generated with functional generators were used. Technical specialist used built-in measuring instruments to compare amplitude-time parameters of the signals recorded in proprietary software and RMIS software. This allowed identifying an incorrectly working driver of one of the vendors. The error correction led to the driver processing of the ECG signal adequately, which was confirmed by the check method.
The proposed technical solution makes it possible to perform comparative assessment of the ECG quality registration in the manufacturer’s proprietary software and in the RMIS software, to identify incorrect operation of the matching layers at the stage of preclinical studies, and promptly make changes to the software.
About the Authors
D. V. Shutov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Shutov D.V., Dr. Sci. (Medicine)
Moscow
A. A. Popov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Popov A.A.
Moscow
I. M. Shulkin
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Shulkin I.M.
Moscow
R. N. Akhmetov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Akhmetov R.N.
Moscow
D. V. Drozdov
Laboratory of Medical Engineering, Moscow Institute of Physics and Technology
Russian Federation
Russian Federation
Drozdov D.V., PhD
Moscow
S. P. Morozov
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Healthcare Department
Russian Federation
Russian Federation
Morozov S.P., Dr. Sci. (Medicine), Professor
Moscow
References
1. Gazashvili TM, SHkoda AS, Morozov SP, et al. Naibolee rasprostranennye elektrokardiograficheskie fenomeny IT-centra otdeleniya funkcional’noj diagnostiki. Rossijskij kardiologicheskij zhurnal. 2020; 25(S2): 38-39. (In Russ).
2. Levanov VM, Pereslegina IA, Bezrukova VK, ZHidkov IM. Opyt primeneniya telemedicinskih tekhnologij na fel’dshersko-akusherskih punktah sel’skogo rajona s nizkoj plotnost’yu naseleniya. ZHurnal telemediciny i elektronnogo zdravoohraneniya. 2020; 1:26-35. (In Russ).
3. YUj ND, Malyutina NN, CHernikova DA. Prakticheskaya znachimost’ distancionnyh metodov funkcional’noj diagnostiki v sisteme «RZHD MEDICINA» Sverdlovskoj zheleznoj dorogi. Permskij medicinskij zhurnal. 2020; XXXVII(5) 90–94. (In Russ). doi: 10.178l6/pmj37590-94.
4. Karpov O.E., Zamyatin M.N., Vahromeeva M.N., Sivohina N.YU., Subbotin S.A. Cifrovaya EKG: perspektivy razvitiya, preimushchestva i nedostatki. CHast’ 2. Vrach i informacionnye tekhnologii. 2021; 2: 20-27. (In Russ). doi: 1025881/18110193_2021_2_20.
5. YAkushin M, Gorenkov R, Dvorina O, YArockij S. Perspektivy distancionnogo monitoringa serdechno-sosudistoj sistemy v reshenii zadach federal’nogo proekta «Starshee pokolenie». Cardiometry. 2020; 17: 39-48. (In Russ). doi: 10.12710/cardiometry.2020.17.3948.
6. Fayn J, Rubel P. An ECG web services portal for standard and serial ECG analysis with enhanced 3D graphical capabilities. Computing in Cardiology. 2017: 1-4. doi: 10.22489/CinC.2017.299-222.
7. Kam KL, Yew HT, Hau YW. (2020) Introduction of Telecardiology and Challenges in Developing Countries. In: Cardiovascular Engineering. Series in BioEngineering. Springer, Singapore. doi: 10.1007/978-981-10-8405-8_5.
8. Wagner P, Strodthoff N Bousseljot RD, et al. PTB-XL, a large publicly available electrocardiography dataset. 2020; 7: 154. doi: 10.1038/s41597-020-0495-6.
9. PTB Diagnostic ECG Database. https://physionet.org/content/ptbdb/1.0.0/
10. Badilini F, Young B, Brown B, Vaglio M. Archiving and exchange of digital ECGs: A review of existing data formats. Journal of Electrocardiology. 2018; 51(6): S113-S115. doi: 10.1016/j.jelectrocard.2018.07.028.
11. AAMI TIR24 1999 Acquisition and use of physiologic waveform databases for testing of medical devices (rev. 2019).
12. Rubel P, Fayn J, Macfarlane PW, et al. The History and Challenges of SCP-ECG: The Standard Communication Protocol for Computer-Assisted Electrocardiography. Hearts. 2021; 2(3): 384-409. doi: 3390/hearts2030031.
13. GOST R MEK 60601-2-51-2011. Izdeliya medicinskie elektricheskie. Chast’ 2-51. Chastnye trebovaniya bezopasnosti s uchetom osnovnyh funkcional’nyh harakteristik k registriruyushchim i analiziruyushchim odnokanal’nym i mnogokanal’nym elektrokardiografam. (In Russ).
14. IEC 60601-2-51:2003 Medical electrical equipment. Part 2-51: Particular requirements for safety, including essential performance, of recording and analysing single channel and multichannel electrocardiographs.
15. GOST R MEK 60601-2-25-2016. Izdeliya medicinskie elektricheskie. CHast’ 2-25. CHastnye trebovaniya bezopasnosti s uchetom osnovnyh funkcional’nyh harakteristik k elektrokardiografam. (In Russ).
16. IEC 60601-2-25:2011 Medical electrical equipment. Part 2-25: Particular requirements for the basic safety and essential performance of electrocardiographs.
17. Rekomendacii po metrologii R 50.2.009-2011. Gosudarstvennaya sistema obespecheniya edinstva izmerenij. Elektrokardiografy, elektrokardioskopy i elektrokardioanalizatory. Metodika poverki. (In Russ).
Review
For citations:
Shutov D.V., Popov A.A., Shulkin I.M., Akhmetov R.N., Drozdov D.V., Morozov S.P. Technical tests of the hardware and software complex for electrocardiogram recording and processing. Medical Doctor and Information Technologies. 2022;(1):50-61. (In Russ.) https://doi.org/10.25881/18110193_2022_1_50
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