在向量心电图空间学习心脏电活动的统一表征,减少冗余,提升模型泛化能力。
LVCG: Learning ECG Representations in the Latent Vectorcardiogram Space

- 在物理意义明确的向量心电图空间进行自监督表征学习
- 在跨域场景下性能优于传统心电图空间方法,鲁棒性显著提升
- 适合心脏病诊断与临床报告生成等需要强泛化的任务
心电图(ECG)是心脏评估的核心工具,学习有信息量的ECG表征对疾病诊断到临床报告生成等任务至关重要。然而现有方法几乎都局限于可观测的ECG信号空间。实际上,标准十二导联ECG是同一心脏电活动从不同空间视角的多投影,因此在ECG空间中进行表征学习必然引入大量冗余,可能导致虚假相关并增加过拟合风险。受弗兰克向量心电图(VCG)模型启发,我们提出在物理基础坚实的潜空间中直接学习心脏电活动的统一潜在表征。本文提出LVCG,首个专为该物理意义潜空间设计的通用自监督表征学习框架。通过学习视角不变的潜在VCG表征而非导联特异性伪影,LVCG有效降低冗余,提升泛化能力。实验表明,LVCG在各类任务中普遍优于传统ECG空间基线,尤其在域偏移场景下表现更优。
原文摘要 · Abstract (English)
Electrocardiography (ECG) is a cornerstone of cardiac assessment, making the learning of informative ECG representations fundamental to tasks ranging from disease diagnosis to clinical report generation. However, existing methods operate almost exclusively in the observable ECG signal space. In practice, the standard twelve-lead ECG represents multiple projections of the same underlying cardiac electrical activity from different spatial orientations. Therefore, representation learning in the ECG space inevitably introduces substantial redundancy, which may lead to spurious correlations and increased risk of overfitting. To address this and motivated by the Frank vectorcardiogram (VCG) model, we propose learning a unified latent representation of cardiac electrical activity directly in the VCG space. We introduce LVCG, the first general self-supervised representation learning framework designed to operate in this physically grounded latent space. By learning view-invariant latent VCG representations rather than lead-specific artifacts, VCG minimizes redundancy and improves generalization. LVCG generally outperforms ECG-space baselines across tasks, demonstrating enhanced robustness and generalization, especially in domain shift settings.
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