arXiv:2603.20462eess.SPcs.AI2026-03

为心电图分析设计可解释的特征归因方法,让模型决策更符合医学现实。

Shift-Invariant Feature Attribution in the Application of Wireless Electrocardiograms

  • 提出具有生理意义的平移不变基线,提升归因结果的可解释性。
  • 高相关性特征集中在P波和T波,与运动状态判断高度吻合。
  • 适合心脏病学研究者、医疗AI开发者参考,助力可解释性建模。

为机器学习模型输入特征分配重要性得分,有助于衡量特征对正确结果的贡献,是实现可解释模型的重要手段。在生物医学领域,这能帮助医生理解模型决策依据。针对心电图(ECG)信号分析,明确哪些采样点或特征对特定判断贡献最大,相当于理解模型所解释的心脏周期或状态。计算重要性得分时,选择合适的基线至关重要,且得分分布应直观易懂,能对应心脏生理现实。本文旨在达成上述目标:提出一种具有生理意义的平移不变基线;并设计得分聚合方式,使其可映射至心脏周期阶段。通过残差网络从心电图推断身体活动水平进行验证,结果显示,贡献最高的相关性样本集中于P波和T波,表明这些波形对运动状态识别起关键作用。

原文摘要 · Abstract (English)

Assigning relevance scores to the input features of a machine learning model enables to measure the contributions of the features in achieving a correct outcome. It is regarded as one of the approaches towards developing explainable models. For biomedical assignments, this is very useful for medical experts to comprehend machine-based decisions. In the analysis of electro cardiogram (ECG) signals, in particular, understanding which of the electrocardiogram samples or features contributed most for a given decision amounts to understanding the underlying cardiac phases or conditions the machine tries to explain. For the computation of relevance scores, determining the proper baseline is important. Moreover, the scores should have a distribution which is at once intuitive to interpret and easy to associate with the underline cardiac reality. The purpose of this work is to achieve these goals. Specifically, we propose a shift-invariant baseline which has a physical significance in the analysis as well as interpretation of electrocardiogram measurements. Moreover, we aggregate significance scores in such a way that they can be mapped to cardiac phases. We demonstrate our approach by inferring physical exertion from cardiac exertion using a residual network. We show that the ECG samples which achieved the highest relevance scores (and, therefore, which contributed most to the accurate recognition of the physical exertion) are those associated with the P and T waves. Index Terms Attribution, baseline, cardiovascular diseases, electrocardiogram, activity recognition, machine learning

心电图可解释性特征归因机器学习

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