title: Knowledge-based and data-driven models in arrhythmia fuzzy classification.
abstract: OBJECTIVE
  Fuzzy rules automatically derived from a set of training examples quite often produce better classification results than fuzzy rules translated from medical knowledge. This study aims to investigate the difference in domain representation between a knowledge-based and a data-driven fuzzy system applied to an electrocardiography classification problem.
  
  
  METHODS
  For a three-class electrocardiographic arrhythmia classification task a set of fifteen fuzzy rules is derived from medical expertise on the basis of twelve electrocardiographic measures. A second set of fuzzy rules is automatically constructed on thirty-nine MIT-BIH database's records. The performances of the two classifiers on thirteen different records are comparable and up to a certain extent complementary. The two fuzzy models are then analyzed, by using the concept of information gain to estimate the impact of each ECG measure on each fuzzy decision process.
  
  
  RESULTS
  Both systems rely on the beat prematurity degree and the QRS complex width and neglect the P wave existence and the ST segment features. The PR interval is not well characterized across the fuzzy medical rules while it plays an important role in the data-driven fuzzy system. The T wave area shows a higher information gain in the knowledge based decision process, and is not very much exploited by the data-driven system.
  
  
  CONCLUSIONS
  The main difference between a human designed and a data driven ECG arrhythmia classifier is found about the PR interval and the T wave.
authors.affiliation: International Computer Science Institute, Berkeley, USA. rosaria@nuance.com
authors.forename: R
authors.initials: R
authors.lastname: Silipo
authors.forename: R
authors.initials: R
authors.lastname: Vergassola
authors.forename: W
authors.initials: W
authors.lastname: Zong
authors.forename: M R
authors.initials: MR
authors.lastname: Berthold
mesh_terms: D001145:Arrhythmias, Cardiac / Q000145:classification* / Q000175:diagnosis; D001185:Artificial Intelligence; D016208:Databases, Factual; D003658:Decision Making, Computer-Assisted; D004562:Electrocardiography; D017143:Fuzzy Logic; D006801:Humans; D010363:Pattern Recognition, Automated; D012815:Signal Processing, Computer-Assisted