一个模型搞定任意生命体征波形互转,临床应用更便捷。
MD-ViSCo: A Unified Model for Multi-Directional Vital Sign Waveform Conversion
- 用统一框架+AdaIN实现任意波形双向转换
- 平均MAE降低8.8%,相关性提升4.9%且满足AAMI/BHS标准
- 适合医疗监测中多模态波形生成场景
尽管深度学习在从源波形生成目标波形方面取得显著进展,但现有模型大多仅针对特定波形对设计,需独立架构、优化和预处理流程,导致多个模型并存,限制了临床可用性。为此,我们提出多方向生命体征转换器(MD-ViSCo),一种统一框架,能以单一模型实现任意输入波形到如心电图(ECG)、光电容积脉搏波(PPG)或动脉血压(ABP)等目标波形的生成。MD-ViSCo采用浅层1D U-Net结合Swin Transformer,并利用自适应实例归一化(AdaIN)捕捉不同波形风格。我们在两个公开数据集上评估其多方向波形生成能力,结果表明该框架在所有波形类型上均优于现有基准(NabNet & PPG2ABP),平均降低8.8%的平均绝对误差(MAE),提升4.9%的皮尔逊相关系数(PC)。此外,生成的ABP波形符合美国医疗仪器协会(AAMI)标准,达到英国高血压学会(BHS)B级,优于所有基线方法。本工作通过单模型处理任意生命体征波形转换,为医疗监测提供了统一解决方案。
原文摘要 · Abstract (English)
Despite the remarkable progress of deep-learning methods generating a target vital sign waveform from a source vital sign waveform, most existing models are designed exclusively for a specific source-to-target pair. This requires distinct model architectures, optimization procedures, and pre-processing pipelines, resulting in multiple models that hinder usability in clinical settings. To address this limitation, we propose the Multi-Directional Vital-Sign Converter (MD-ViSCo), a unified framework capable of generating any target waveform such as electrocardiogram (ECG), photoplethysmogram (PPG), or arterial blood pressure (ABP) from any single input waveform with a single model. MD-ViSCo employs a shallow 1-Dimensional U-Net integrated with a Swin Transformer that leverages Adaptive Instance Normalization (AdaIN) to capture distinct waveform styles. To evaluate the efficacy of MD-ViSCo, we conduct multi-directional waveform generation on two publicly available datasets. Our framework surpasses state-of-the-art baselines (NabNet & PPG2ABP) on average across all waveform types, lowering Mean absolute error (MAE) by 8.8% and improving Pearson correlation (PC) by 4.9% over two datasets. In addition, the generated ABP waveforms satisfy the Association for the Advancement of Medical Instrumentation (AAMI) criterion and achieve Grade B on the British Hypertension Society (BHS) standard, outperforming all baselines. By eliminating the need for developing a distinct model for each task, we believe that this work offers a unified framework that can deal with any kind of vital sign waveforms with a single model in healthcare monitoring.
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