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Atrial fibrillation detection via contactless radio monitoring and knowledge transfer

Author

Listed:
  • Yuqin Yuan

    (University of Science and Technology of China
    University of Science and Technology of China)

  • Jinbo Chen

    (University of Science and Technology of China)

  • Dongheng Zhang

    (University of Science and Technology of China)

  • Ruixu Geng

    (University of Science and Technology of China)

  • Hanqin Gong

    (University of Science and Technology of China)

  • Guixin Xu

    (University of Science and Technology of China)

  • Yu Pu

    (University of Science and Technology of China)

  • Zhi Lu

    (University of Science and Technology of China)

  • Yang Hu

    (University of Science and Technology of China)

  • Dong Zhang

    (Ltd.)

  • Likun Ma

    (University of Science and Technology of China)

  • Qibin Sun

    (Ltd.)

  • Yan Chen

    (University of Science and Technology of China
    University of Science and Technology of China
    Ltd.)

Abstract

Atrial fibrillation (AF) has been a prevalent and serious arrhythmia associated with increased morbidity and mortality worldwide. The Electrocardiogram (ECG) is considered as the golden standard for AF diagnosis. However, current ECG is primarily used only when symptoms arise or for occasional checkups due to the necessity of contact-based measurements. This limitation results in difficulty of capturing early-stage AF episodes and missed opportunities for timely intervention. Here we introduce a contactless, operation-free, and device-free AF detection framework utilizing artificial intelligence (AI)-powered radio technology. Our approach analyzes the mechanical motion of the heart using radar sensing and leverages AI-powered knowledge transfer from established clinical ECG diagnostic practices to read AF-associated motion patterns precisely. Our system is evaluated on 6258 outpatient visitors, including 229 with AF, and achieves AF detection with a sensitivity of 0.844 (95% Confidence Interval (CI), 0.790-0.884) and a specificity of 0.995 (95% CI, 0.993-0.997), which is comparable to the performance of ECG-based methods. We also provide initial evidence that this system could be deployed in a practical daily life scenario, detecting AF before traditional clinical diagnosis routines. These results highlight its potential to support feasible lifelong proactive monitoring, covering the full spectrum of AF progression.

Suggested Citation

  • Yuqin Yuan & Jinbo Chen & Dongheng Zhang & Ruixu Geng & Hanqin Gong & Guixin Xu & Yu Pu & Zhi Lu & Yang Hu & Dong Zhang & Likun Ma & Qibin Sun & Yan Chen, 2025. "Atrial fibrillation detection via contactless radio monitoring and knowledge transfer," Nature Communications, Nature, vol. 16(1), pages 1-11, December.
    • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-59482-y
    DOI: 10.1038/s41467-025-59482-y
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    References listed on IDEAS

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    1. Louis Guttman, 1945. "A basis for analyzing test-retest reliability," Psychometrika, Springer;The Psychometric Society, vol. 10(4), pages 255-282, December.
    2. Jiewei Lai & Huixin Tan & Jinliang Wang & Lei Ji & Jun Guo & Baoshi Han & Yajun Shi & Qianjin Feng & Wei Yang, 2023. "Practical intelligent diagnostic algorithm for wearable 12-lead ECG via self-supervised learning on large-scale dataset," Nature Communications, Nature, vol. 14(1), pages 1-13, December.
    3. Donald M. Bers, 2002. "Cardiac excitation–contraction coupling," Nature, Nature, vol. 415(6868), pages 198-205, January.
    4. Antônio H. Ribeiro & Manoel Horta Ribeiro & Gabriela M. M. Paixão & Derick M. Oliveira & Paulo R. Gomes & Jéssica A. Canazart & Milton P. S. Ferreira & Carl R. Andersson & Peter W. Macfarlane & Wagner, 2020. "Automatic diagnosis of the 12-lead ECG using a deep neural network," Nature Communications, Nature, vol. 11(1), pages 1-9, December.
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