用心电图识别恰加斯病,帮医生筛出需进一步检测的患者。
Detection of Chagas Disease from the ECG: The George B. Moody PhysioNet Challenge 2025
- 结合弱标签与强标签数据,构建多源心电图训练集。
- 通过数据增强提升模型在不同数据源上的泛化能力。
- 以本地检测能力为评估标准,突出临床实用价值。
目标:恰加斯病是一种主要通过昆虫传播的寄生虫感染,广泛流行于南美洲、中美洲及近年扩散至美国,慢性期可引发心血管与消化系统疾病。血清学检测能力有限,但恰加斯性心肌病常在心电图(ECG)中显现,为优先筛查提供可能。方法:乔治·B·莫迪物理网挑战赛2025邀请团队开发从心电图中识别恰加斯病的算法。主要成果:本挑战赛实现多项创新。首先,整合多个带标签数据集,来源包括患者报告和血清学检测,包含大规模弱标签数据集与小规模强标签数据集;其次,通过数据增强提升模型对未见数据源的鲁棒性与泛化能力;第三,采用反映局部血清学检测能力的评估指标,将机器学习任务定位为分诊场景。意义:共有来自111支团队的630余名参与者提交超过1300份参赛作品,涵盖全球学术界与产业界的多样化解决方案。
原文摘要 · Abstract (English)
Objective: Chagas disease is a parasitic infection that is endemic to South America, Central America, and, more recently, the U.S., primarily transmitted by insects. Chronic Chagas disease can cause cardiovascular diseases and digestive problems. Serological testing capacities for Chagas disease are limited, but Chagas cardiomyopathy often manifests in ECGs, providing an opportunity to prioritize patients for testing and treatment. Approach: The George B. Moody PhysioNet Challenge 2025 invites teams to develop algorithmic approaches for identifying Chagas disease from electrocardiograms (ECGs). Main results: This Challenge provides multiple innovations. First, we leveraged several datasets with labels from patient reports and serological testing, provided a large dataset with weak labels and smaller datasets with strong labels. Second, we augmented the data to support model robustness and generalizability to unseen data sources. Third, we applied an evaluation metric that captured the local serological testing capacity for Chagas disease to frame the machine learning problem as a triage task. Significance: Over 630 participants from 111 teams submitted over 1300 entries during the Challenge, representing diverse approaches from academia and industry worldwide.
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