Accurate segmentation of biomedical time-series, such as intracardiac electrograms, is vital for understanding physiological states and supporting clinical interventions. Traditional rule-based and feature engineering approaches often struggle with complex clinical patterns and noise. Recent deep learning advancements offer solutions, showing various benefits and drawbacks in segmentation tasks. This study evaluates five segmentation algorithms, from traditional rule-based methods to advanced deep learning models, using a unique clinical dataset of intracardiac signals from 100 patients. We compared a rule-based method, a support vector machine (SVM), fully convolutional semantic neural network (UNet), region proposal network (Faster R-CNN), and recurrent neural network for electrocardiographic signals (DENS-ECG). Notably, Faster R-CNN has never been applied to 1D signals segmentation before. Each model underwent Bayesian optimization to minimize hyperparameter bias. Results indicated that deep learning models outperformed traditional methods, with UNet achieving the highest segmentation score of 88.9 % (root mean square errors for onset and offset of 8.43 ms and 7.49 ms), closely followed by DENS-ECG at 87.8 %. Faster R-CNN and SVM showed moderate performance, while the rule-based method had the lowest accuracy (77.7 %). UNet and DENS-ECG excelled in capturing detailed features and handling noise, highlighting their potential for clinical application. Despite greater computational demands, their superior performance and diagnostic potential support further exploration in biomedical time-series analysis.

• Klíčová slova
• DENS-ECG, Electrophysiology Study, Faster R-CNN, Rule-based Delineation, Support Vector Machines, Time-series Segmentation, U-Net,
• MeSH
• algoritmy MeSH
• Bayesova věta MeSH
• deep learning MeSH
• elektrokardiografie * metody   MeSH
• lidé MeSH
• neuronové sítě MeSH
• počítačové zpracování signálu * MeSH
• support vector machine MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Cardiovascular system and its functions under both physiological and pathophysiological conditions have been studied for centuries. One of the most important steps in the cardiovascular research was the possibility to record cardiac electrical activity. Since then, numerous modifications and improvements have been introduced; however, an electrocardiogram still represents a golden standard in this field. This paper overviews possibilities of ECG recordings in research and clinical practice, deals with advantages and disadvantages of various approaches, and summarizes possibilities of advanced data analysis. Special emphasis is given to state-of-the-art deep learning techniques intensely expanded in a wide range of clinical applications and offering promising prospects in experimental branches. Since, according to the World Health Organization, cardiovascular diseases are the main cause of death worldwide, studying electrical activity of the heart is still of high importance for both experimental and clinical cardiology.

• Klíčová slova
• ECG analysis, ECG recording, animal model, arrhythmia classification, artificial intelligence, deep learning, electrocardiogram, isolated heart,
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH