arXiv:2506.22495eess.SPcs.AI2025-06

提出新方法缓解心电图分析中的简单偏好偏差,提升诊断准确性。

Masked Autoencoders that Feel the Heart: Unveiling Simplicity Bias for ECG Analyses

  • 用时频感知滤波与多粒度原型重建,增强对细微波形特征的捕捉
  • 在六大数据集上显著降低简单偏好偏差,实现领先性能
  • 适合关注心电图精细分析与自监督学习的临床与算法研究者

心电图的诊断价值源于其动态特性,包括节律波动和随时间、频率变化的微小波形变形。然而,监督学习模型易过拟合于主导且重复的模式,忽略对临床至关重要的细微线索,这种现象称为简单性偏差(Simplicity Bias, SB),即模型偏向易于学习的信号而非微妙但关键的信息。本文首次实证了SB在心电图分析中的存在及其对诊断性能的负面影响,同时发现自监督学习(SSL)可缓解该偏差,为解决此问题提供了新方向。基于SSL框架,我们提出新方法:1)时频感知滤波器,用于捕捉反映心电图动态特性的时频特征;2)多粒度原型重建,实现双域下的粗粒度与细粒度表示学习,进一步缓解SB。为推进心电图领域的自监督学习,我们构建了一个大规模多中心数据集,包含来自300多个临床中心的153万条心电图记录。在六个心电图数据集上的三个下游任务实验表明,所提方法有效降低SB并达到当前最优性能。

原文摘要 · Abstract (English)

The diagnostic value of electrocardiogram (ECG) lies in its dynamic characteristics, ranging from rhythm fluctuations to subtle waveform deformations that evolve across time and frequency domains. However, supervised ECG models tend to overfit dominant and repetitive patterns, overlooking fine-grained but clinically critical cues, a phenomenon known as Simplicity Bias (SB), where models favor easily learnable signals over subtle but informative ones. In this work, we first empirically demonstrate the presence of SB in ECG analyses and its negative impact on diagnostic performance, while simultaneously discovering that self-supervised learning (SSL) can alleviate it, providing a promising direction for tackling the bias. Following the SSL paradigm, we propose a novel method comprising two key components: 1) Temporal-Frequency aware Filters to capture temporal-frequency features reflecting the dynamic characteristics of ECG signals, and 2) building on this, Multi-Grained Prototype Reconstruction for coarse and fine representation learning across dual domains, further mitigating SB. To advance SSL in ECG analyses, we curate a large-scale multi-site ECG dataset with 1.53 million recordings from over 300 clinical centers. Experiments on three downstream tasks across six ECG datasets demonstrate that our method effectively reduces SB and achieves state-of-the-art performance.

心电图分析自监督学习简单性偏差时频特征

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