Yuxuan Liu

Peihong Zhang, Zhixin Li, Rui Sang et al.

The coupling signal refers to a latent physiological signal that characterizes the transformation from cardiac electrical excitation, captured by the electrocardiogram (ECG), to mechanical contraction, recorded by the phonocardiogram (PCG). By encoding the temporal and functional interplay between electrophysiological and hemodynamic events, it serves as an intrinsic link between modalities and offers a unified representation of cardiac function, with strong potential to enhance multi-modal cardiovascular disease (CVD) detection. However, existing coupling signal estimation methods remain highly vulnerable to noise, particularly in real-world clinical and physiological settings, which undermines their robustness and limits practical value. In this study, we propose Noise-Robust Multi-Modal Coupling Signal Estimation (NMCSE), which reformulates coupling signal estimation as a distribution matching problem solved via optimal transport. By jointly aligning amplitude and timing, NMCSE avoids noise amplification and enables stable signal estimation. When integrated into a Temporal-Spatial Feature Extraction (TSFE) network, the estimated coupling signal effectively enhances multi-modal fusion for more accurate CVD detection. To evaluate robustness under real-world conditions, we design two complementary experiments targeting distinct sources of noise. The first uses the PhysioNet 2016 dataset with simulated hospital noise to assess the resilience of NMCSE to clinical interference. The second leverages the EPHNOGRAM dataset with motion-induced physiological noise to evaluate intra-state estimation stability across activity levels. Experimental results show that NMCSE consistently outperforms existing methods under both clinical and physiological noise, highlighting it as a noise-robust estimation approach that enables reliable multi-modal cardiac detection in real-world conditions.

Peihong Zhang, Zhixin Li, Yuxuan Liu et al.

Deep learning approaches for heart-sound (PCG) segmentation built on time--frequency features can be accurate but often rely on large expert-labeled datasets, limiting robustness and deployment. We present TopSeg, a topological representation-centric framework that encodes PCG dynamics with multi-scale topological features and decodes them using a lightweight temporal convolutional network (TCN) with an order- and duration-constrained inference step. To evaluate data efficiency and generalization, we train exclusively on PhysioNet 2016 dataset with subject-level subsampling and perform external validation on CirCor dataset. Under matched-capacity decoders, the topological features consistently outperform spectrogram and envelope inputs, with the largest margins at low data budgets; as a full system, TopSeg surpasses representative end-to-end baselines trained on their native inputs under the same budgets while remaining competitive at full data. Ablations at 10% training confirm that all scales contribute and that combining H_0 and H_1 yields more reliable S1/S2 localization and boundary stability. These results indicate that topology-aware representations provide a strong inductive bias for data-efficient, cross-dataset PCG segmentation, supporting practical use when labeled data are limited.