Bo Hedén, Mattias Ohlsson, Holger Holst, Mattias Mjöman, Ralf Rittner, Olle Pahlm, Carsten Peterson and Lars Edenbrandt
Detection of Frequently Overlooked Electrocardiographic Lead Reversals Using Artificial Neural Networks
American Journal of Cardiology 78, 600-604 (1996)

Artificial neural networks can be used to recognize lead reversals in the 12-lead electrocardiogram at very high specificity, and the sensitivity is much higher than that of a conventional interpretation program. The neural networks developed in this and an earlier study for detection of lead reversals, in combination with an algorithm for the right arm/right foot lead reversal, would recognize approximately 75% of lead reversals encountered in clinical practice.

LU TP 95-27