arXiv:2510.24740eess.SPcs.LG2025-10被引 3

STAR通过逐搏时间振幅重采样,提升心电图分类的准确性与泛化能力。

Comparative Analysis of Data Augmentation for Clinical ECG Classification with STAR

  • 在相邻R波间进行受控时间扭曲与幅度缩放,保持心电波形结构不变。
  • 在多中心数据上显著提升罕见类别的分类性能,减少过拟合。
  • 适用于主流1D心电模型,无需调参即可增强跨设备稳定性。

临床12导联心电图分类因记录条件多样、病灶重叠及标签严重不平衡而困难,且不受控的增强可能扭曲诊断关键波形。本文提出正弦时间-振幅重采样(STAR),在连续R波间逐搏实施受控的时间扭曲与幅度缩放,保持标准P-QRS-T顺序,同时保留波形首尾不变。STAR具有:(i) 保形变异性,扩大训练多样性而不破坏波峰或间隔;(ii) 源头鲁棒性,提升跨设备、站点与队列的训练稳定性,无需数据集特定调参;(iii) 与常见1D SE-ResNet型编码器兼容,模型无关集成;(iv) 通过逐搏增强,聚焦于信息丰富的心搏而非重复整条记录,改善罕见类别学习并降低过拟合。相比全局裁剪、大偏移或加性噪声,STAR避免抑制或错位临床关键点。完整Python实现与透明训练流程已发布,采用多机构12导联数据集的源感知分层五折协议,便于复现与检验。综合来看,STAR为心电图分类提供了一种可控制、可信保形、操作简便且跨源耐用的增强方法。

原文摘要 · Abstract (English)

Clinical 12-lead ECG classification remains difficult because of diverse recording conditions, overlapping pathologies, and pronounced label imbalance hinder generalization, while unconstrained augmentations risk distorting diagnostically critical morphology. In this study, Sinusoidal Time--Amplitude Resampling (STAR) is introduced as a beat-wise augmentation that operates strictly between successive R-peaks to apply controlled time warping and amplitude scaling to each R--R segment, preserving the canonical P--QRS--T order and leaving the head and tail of the trace unchanged. STAR is designed for practical pipelines and offers: (i) morphology-faithful variability that broadens training diversity without corrupting peaks or intervals; (ii) source-resilient training, improving stability across devices, sites, and cohorts without dataset-specific tuning; (iii) model-agnostic integration with common 1D SE--ResNet-style ECG encoders backbone; and (iv) better learning on rare classes via beat-level augmentation, reducing overfitting by resampling informative beats instead of duplicating whole records. In contrast to global crops, large shifts, or additive noise, STAR avoids transformations that suppress or misalign clinical landmarks. A complete Python implementation and a transparent training workflow are released, aligned with a source-aware, stratified five-fold protocol over a multi-institutional 12-lead corpus, thereby facilitating inspection and reuse. Taken together, STAR provides a simple and controllable augmentation for clinical ECG classification where trustworthy morphology, operational simplicity, and cross-source durability are essential.

心电图数据增强医疗AISTAR

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