用患者背景信息生成描述文本,提升心电图病理分类准确率
CLIC: Contextual Language-Informed Cardiac Pathology Classification

- 将患者特征和采集上下文转化为自然语言描述,作为心电图分析的辅助输入
- 基于模板生成的临床描述使分类准确率稳定提升,优于大模型自动生成文本
- 适合需要融合临床背景信息的医疗AI系统开发者参考
心电图(ECG)是心血管疾病非侵入性诊断的金标准。近年来深度学习发展迅速,自动化分类器通过处理原始生理信号已达到高精度。然而,在临床实践中,诊断往往不仅依赖信号本身,还需结合患者特征与数据采集背景。目前大多数算法仍仅基于信号分析,未能整合技术元数据与人口统计学变量。本文提出一种多模态框架CLIC(Contextual Language-Informed Cardiac pathology classification),通过将患者层面的上下文信息编码为自然语言描述,显著提升诊断精度。实验表明,将上下文数据转化为描述性文本可帮助模型更好解析复杂生理模式。进一步研究发现,使用受控模板生成的临床描述在下游分类任务中表现更优,优于大型语言模型生成的文本。
原文摘要 · Abstract (English)
The electrocardiogram (ECG) is the gold standard for non-invasive diagnosis of cardiac pathologies and is a fundamental pillar of cardiovascular medicine. Recent progress in deep learning has led to the development of robust automated classifiers that achieve high performance by processing raw physiological signals. However, in clinical practice, diagnosis is rarely based solely on the signal. Cardiologists commonly support their interpretation with the patient's characteristics and the specific data-acquisition context. Despite this, most current algorithms remain restricted to signal-only analysis, failing to integrate technical metadata and demographic variables. This paper proposes Contextual Language-Informed Cardiac pathology classification (CLIC), a multimodal framework that significantly enhances diagnostic precision by encoding these variables through natural language. We demonstrate that translating patient-level contextual data into descriptive text provides an informative anchor that helps the model disambiguate complex physiological patterns. We further investigate the use of Large Language Models to synthesize richer clinical descriptions and observe that, while these generated texts remain competitive, controlled template-based contextual clinical text leads to consistent improvements in downstream classification performance.
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