Hongxiang Gao

Hongxiang Gao, Xiangyao Wang, Zhenghua Chen et al.

Automatic emotion recognition based on multichannel Electroencephalography (EEG) holds great potential in advancing human-computer interaction. However, several significant challenges persist in existing research on algorithmic emotion recognition. These challenges include the need for a robust model to effectively learn discriminative node attributes over long paths, the exploration of ambiguous topological information in EEG channels and effective frequency bands, and the mapping between intrinsic data qualities and provided labels. To address these challenges, this study introduces the distribution-based uncertainty method to represent spatial dependencies and temporal-spectral relativeness in EEG signals based on Graph Convolutional Network (GCN) architecture that adaptively assigns weights to functional aggregate node features, enabling effective long-path capturing while mitigating over-smoothing phenomena. Moreover, the graph mixup technique is employed to enhance latent connected edges and mitigate noisy label issues. Furthermore, we integrate the uncertainty learning method with deep GCN weights in a one-way learning fashion, termed Connectivity Uncertainty GCN (CU-GCN). We evaluate our approach on two widely used datasets, namely SEED and SEEDIV, for emotion recognition tasks. The experimental results demonstrate the superiority of our methodology over previous methods, yielding positive and significant improvements. Ablation studies confirm the substantial contributions of each component to the overall performance.

Hongxiang Gao, Xingyao Wang, Zhenghua Chen et al.

Electrocardiogram (ECG) monitoring is one of the most powerful technique of cardiovascular disease (CVD) early identification, and the introduction of intelligent wearable ECG devices has enabled daily monitoring. However, due to the need for professional expertise in the ECGs interpretation, general public access has once again been restricted, prompting the need for the development of advanced diagnostic algorithms. Classic rule-based algorithms are now completely outperformed by deep learning based methods. But the advancement of smart diagnostic algorithms is hampered by issues like small dataset, inconsistent data labeling, inefficient use of local and global ECG information, memory and inference time consuming deployment of multiple models, and lack of information transfer between tasks. We propose a multi-resolution model that can sustain high-resolution low-level semantic information throughout, with the help of the development of low-resolution high-level semantic information, by capitalizing on both local morphological information and global rhythm information. From the perspective of effective data leverage and inter-task knowledge transfer, we develop a parameter isolation based ECG continual learning (ECG-CL) approach. We evaluated our model's performance on four open-access datasets by designing segmentation-to-classification for cross-domain incremental learning, minority-to-majority class for category incremental learning, and small-to-large sample for task incremental learning. Our approach is shown to successfully extract informative morphological and rhythmic features from ECG segmentation, leading to higher quality classification results. From the perspective of intelligent wearable applications, the possibility of a comprehensive ECG interpretation algorithm based on single-lead ECGs is also confirmed.

Xingyao Wang, Yuwen Li, Hongxiang Gao et al.

Precise segmentation is a vital first step to analyze semantic information of cardiac cycle and capture anomaly with cardiovascular signals. However, in the field of deep semantic segmentation, inference is often unilaterally confounded by the individual attribute of data. Towards cardiovascular signals, quasi-periodicity is the essential characteristic to be learned, regarded as the synthesize of the attributes of morphology (Am) and rhythm (Ar). Our key insight is to suppress the over-dependence on Am or Ar while the generation process of deep representations. To address this issue, we establish a structural causal model as the foundation to customize the intervention approaches on Am and Ar, respectively. In this paper, we propose contrastive causal intervention (CCI) to form a novel training paradigm under a frame-level contrastive framework. The intervention can eliminate the implicit statistical bias brought by the single attribute and lead to more objective representations. We conduct comprehensive experiments with the controlled condition for QRS location and heart sound segmentation. The final results indicate that our approach can evidently improve the performance by up to 0.41% for QRS location and 2.73% for heart sound segmentation. The efficiency of the proposed method is generalized to multiple databases and noisy signals.

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.

He-Yang Xu, Hongxiang Gao, Yuwen Li et al.

The diagnostic value of electrocardiogram (ECG) lies in its dynamic characteristics, ranging from rhythm fluctuations to subtle waveform deformations that evolve across time and frequency domains. However, supervised ECG models tend to overfit dominant and repetitive patterns, overlooking fine-grained but clinically critical cues, a phenomenon known as Simplicity Bias (SB), where models favor easily learnable signals over subtle but informative ones. In this work, we first empirically demonstrate the presence of SB in ECG analyses and its negative impact on diagnostic performance, while simultaneously discovering that self-supervised learning (SSL) can alleviate it, providing a promising direction for tackling the bias. Following the SSL paradigm, we propose a novel method comprising two key components: 1) Temporal-Frequency aware Filters to capture temporal-frequency features reflecting the dynamic characteristics of ECG signals, and 2) building on this, Multi-Grained Prototype Reconstruction for coarse and fine representation learning across dual domains, further mitigating SB. To advance SSL in ECG analyses, we curate a large-scale multi-site ECG dataset with 1.53 million recordings from over 300 clinical centers. Experiments on three downstream tasks across six ECG datasets demonstrate that our method effectively reduces SB and achieves state-of-the-art performance.