Wanqing Wu

Jiarong Chen, Wanqing Wu, Tong Liu et al.

Electrocardiogram (ECG) has emerged as a widely accepted diagnostic instrument for cardiovascular diseases (CVD). The standard clinical 12-lead ECG configuration causes considerable inconvenience and discomfort, while wearable devices offers a more practical alternative. To reduce information gap between 12-lead ECG and single-lead ECG, this study proposes a multi-channel masked autoencoder (MCMA) for reconstructing 12-Lead ECG from arbitrary single-lead ECG, and a comprehensive evaluation benchmark, ECGGenEval, encompass the signal-level, feature-level, and diagnostic-level evaluations. MCMA can achieve the state-of-the-art performance. In the signal-level evaluation, the mean square errors of 0.0317 and 0.1034, Pearson correlation coefficients of 0.7885 and 0.7420. In the feature-level evaluation, the average standard deviation of the mean heart rate across the generated 12-lead ECG is 1.0481, the coefficient of variation is 1.58%, and the range is 3.2874. In the diagnostic-level evaluation, the average F1-score with two generated 12-lead ECG from different single-lead ECG are 0.8233 and 0.8410.

Zehui Zhan, Yaojun Hu, Jiajing Zhan et al.

Conventional multi-lead electrocardiogram (ECG) systems capture cardiac signals from a fixed set of anatomical viewpoints defined by lead placement. However, certain cardiac conditions (e.g., Brugada syndrome) require additional, non-standard viewpoints to reveal diagnostically critical patterns that may be absent in standard leads. To systematically overcome this limitation, Nef-Net was recently introduced to reconstruct a continuous electrocardiac field, enabling virtual observation of ECG signals from arbitrary views (termed Electrocardio Panorama). Despite its promise, Nef-Net operates under idealized assumptions and faces in-the-wild challenges, such as long-duration ECG modeling, robustness to device-specific signal artifacts, and suboptimal lead placement calibration. This paper presents NEF-NET+, an enhanced framework for realistic panoramic ECG synthesis that supports arbitrary-length signal synthesis from any desired view, generalizes across ECG devices, and compensates for operator-induced deviations in electrode placement. These capabilities are enabled by a newly designed model architecture that performs direct view transformation, incorporating a workflow comprising offline pretraining, device calibration tuning steps as well as an on-the-fly calibration step for patient-specific adaptation. To rigorously evaluate panoramic ECG synthesis, we construct a new Electrocardio Panorama benchmark, called Panobench, comprising 5367 recordings with 48-view per subject, capturing the full spatial variability of cardiac electrical activity. Experimental results show that NEF-NET+ delivers substantial improvements over Nef-Net, yielding an increase of around 6 dB in PSNR in real-world setting. The code and Panobench will be released in a subsequent publication.