Zongmin Wang

Wei Huang, Ning Wang, Panpan Feng et al.

Electrocardiograms (ECG), which record the electrophysiological activity of the heart, have become a crucial tool for diagnosing these diseases. In recent years, the application of deep learning techniques has significantly improved the performance of ECG signal classification. Multi-resolution feature analysis, which captures and processes information at different time scales, can extract subtle changes and overall trends in ECG signals, showing unique advantages. However, common multi-resolution analysis methods based on simple feature addition or concatenation may lead to the neglect of low-resolution features, affecting model performance. To address this issue, this paper proposes the Multi-Resolution Mutual Learning Network (MRM-Net). MRM-Net includes a dual-resolution attention architecture and a feature complementary mechanism. The dual-resolution attention architecture processes high-resolution and low-resolution features in parallel. Through the attention mechanism, the high-resolution and low-resolution branches can focus on subtle waveform changes and overall rhythm patterns, enhancing the ability to capture critical features in ECG signals. Meanwhile, the feature complementary mechanism introduces mutual feature learning after each layer of the feature extractor. This allows features at different resolutions to reinforce each other, thereby reducing information loss and improving model performance and robustness. Experiments on the PTB-XL and CPSC2018 datasets demonstrate that MRM-Net significantly outperforms existing methods in multi-label ECG classification performance. The code for our framework will be publicly available at https://github.com/wxhdf/MRM.

Xinran Liu, Yuwen Li, Hongxiang Gao et al.

Automated pediatric electrocardiogram (ECG) diagnosis remains challenging because models trained predominantly on adult data suffer from substantial cross-population mismatch, while pediatric labels are often scarce. We present PEACE (Pediatric-Adult ECG Alignment via Cross-modal Enhancement), a structured cross-modal alignment framework for adult-to-pediatric ECG transfer. PEACE integrates tri-axial clinical semantic decomposition, label-query feature extraction, and curriculum-gated optimization to align transferable adult ECG representations with pediatric diagnostic targets. Since ZZU-pECG provides no paired clinical reports, we generate label-conditioned semantic descriptors using Gemini with concise clinical prompts and use them only as auxiliary training supervision; inference remains ECG-only. On ZZU-pECG, PEACE achieves 59.39%, 79.03%, and 90.89% AUC under zero-shot, 50-shot, and full fine-tuning settings, respectively, and reaches 96.65% AUC on the shared PTB-XL label space. These results suggest that structured clinical semantic supervision can improve low-resource adult-to-pediatric ECG transfer, while prospective clinical validation and more explicit age-aware modeling remain necessary before real-world deployment.