Beat-Synchronous Tokenization for ECG Transformers

📅 2026-08-31
📈 Citations: 0
Influential: 0
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🤖 AI Summary
研究通过心搏同步标记法解决ECG模型中固定时间片段分割心搏结构的问题,实验表明该方法在保持形态的同时提高了分类性能。
📝 Abstract
Transformer-based electrocardiogram (ECG) models commonly tokenize waveforms into fixed temporal patches. Though convenient, fixed patching can split heartbeat structures across token boundaries. We study beat-synchronous tokenization as a physiologically grounded alternative, comparing fixed patches with three beat-aligned strategies: resampled beats, adaptive pooled beats, and resampled beats augmented with R--R interval information. Experiments span two settings: 10-second 12-lead diagnostic classification on PTB-XL after MIMIC-IV-ECG masked pretraining, and 60-second single-lead rhythm classification on Icentia11k after patient-level contrastive pretraining. On PTB-XL, resampled beat tokens achieve the highest mean macro Area Under the ROC Curve (AUROC; 0.8945) and nearly match the best fixed-patch macro Area Under the Precision-Recall Curve (AUPRC; 0.7414), reducing average sequence length from 100 to 11.2 tokens. On Icentia11k, beat-synchronous tokenizers obtain comparable AUPRC to fixed patching with better stability across runs. These results suggest morphology-preserving beat tokenization is a compact, competitive alternative to fixed temporal patching.
Problem

Research questions and friction points this paper is trying to address.

Transformer
ECG
Tokenization
Heartbeat
Temporal Patching
Innovation

Methods, ideas, or system contributions that make the work stand out.

beat-synchronous tokenization
resampled beats
R--R interval information
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