用图结构统一处理多种心电图,提升异常检测灵敏度。
Versatile and Risk-Sensitive Cardiac Diagnosis via Graph-Based ECG Signal Representation
- 将心电图转为图结构,适配不同导联、采样率和时长。
- 在三个数据集上超越现有模型,尤其提升风险信号识别率。
- 可定位异常波形,辅助医生决策,适合临床部署。
尽管深度学习在心电图(ECG)信号诊断分析方面取得快速进展,但两大障碍仍限制其临床应用:对多样化配置心电图的泛化能力不足,以及因样本不平衡导致的风险信号检测不充分。为此,我们提出一种新型方法VARS(Versatile and Risk-Sensitive cardiac diagnosis),采用图基表示统一建模异构的ECG信号。VARS通过将心电图转化为通用图结构,捕捉关键诊断特征,不受导联数、采样频率和持续时间差异影响。该图中心范式还增强诊断敏感性,能精准定位并识别常规方法难以发现的异常模式。为实现表征转换,方法融合去噪重建与对比学习,在保留原始信息的同时凸显病理性特征。我们在三个具有结构差异的心电图数据集上严格评估,结果表明VARS不仅在所有数据集上持续优于现有最先进模型,且在风险信号识别上表现显著提升。此外,VARS可通过定位引发特定输出的波形提供可解释性,助力临床决策。这些发现表明VARS有望成为全面心脏健康评估的重要工具。
原文摘要 · Abstract (English)
Despite the rapid advancements of electrocardiogram (ECG) signal diagnosis and analysis methods through deep learning, two major hurdles still limit their clinical adoption: the lack of versatility in processing ECG signals with diverse configurations, and the inadequate detection of risk signals due to sample imbalances. Addressing these challenges, we introduce VersAtile and Risk-Sensitive cardiac diagnosis (VARS), an innovative approach that employs a graph-based representation to uniformly model heterogeneous ECG signals. VARS stands out by transforming ECG signals into versatile graph structures that capture critical diagnostic features, irrespective of signal diversity in the lead count, sampling frequency, and duration. This graph-centric formulation also enhances diagnostic sensitivity, enabling precise localization and identification of abnormal ECG patterns that often elude standard analysis methods. To facilitate representation transformation, our approach integrates denoising reconstruction with contrastive learning to preserve raw ECG information while highlighting pathognomonic patterns. We rigorously evaluate the efficacy of VARS on three distinct ECG datasets, encompassing a range of structural variations. The results demonstrate that VARS not only consistently surpasses existing state-of-the-art models across all these datasets but also exhibits substantial improvement in identifying risk signals. Additionally, VARS offers interpretability by pinpointing the exact waveforms that lead to specific model outputs, thereby assisting clinicians in making informed decisions. These findings suggest that our VARS will likely emerge as an invaluable tool for comprehensive cardiac health assessment.
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