CardioPatternFormer: Pattern-Guided Attention for Interpretable ECG Classification with Transformer Architecture

Fuente: arXiv
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Autori principali: Uğraş, Berat Kutay, Gerek, Ömer Nezih, Saygı, İbrahim Talha
Natura: Preprint
Pubblicazione: 2025
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author Uğraş, Berat Kutay
Gerek, Ömer Nezih
Saygı, İbrahim Talha
author_facet Uğraş, Berat Kutay
Gerek, Ömer Nezih
Saygı, İbrahim Talha
contents Accurate ECG interpretation is vital, yet complex cardiac data and "black-box" AI models limit clinical utility. Inspired by Transformer architectures' success in NLP for understanding sequential data, we frame ECG as the heart's unique "language" of temporal patterns. We present CardioPatternFormer, a novel Transformer-based model for interpretable ECG classification. It employs a sophisticated attention mechanism to precisely identify and classify diverse cardiac patterns, excelling at discerning subtle anomalies and distinguishing multiple co-occurring conditions. This pattern-guided attention provides clear insights by highlighting influential signal regions, effectively allowing the "heart to talk" through transparent interpretations. CardioPatternFormer demonstrates robust performance on challenging ECGs, including complex multi-pathology cases. Its interpretability via attention maps enables clinicians to understand the model's rationale, fostering trust and aiding informed diagnostic decisions. This work offers a powerful, transparent solution for advanced ECG analysis, paving the way for more reliable and clinically actionable AI in cardiology.
format Preprint
id arxiv_https___arxiv_org_abs_2505_20481
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle CardioPatternFormer: Pattern-Guided Attention for Interpretable ECG Classification with Transformer Architecture
Uğraş, Berat Kutay
Gerek, Ömer Nezih
Saygı, İbrahim Talha
Signal Processing
Artificial Intelligence
Machine Learning
Accurate ECG interpretation is vital, yet complex cardiac data and "black-box" AI models limit clinical utility. Inspired by Transformer architectures' success in NLP for understanding sequential data, we frame ECG as the heart's unique "language" of temporal patterns. We present CardioPatternFormer, a novel Transformer-based model for interpretable ECG classification. It employs a sophisticated attention mechanism to precisely identify and classify diverse cardiac patterns, excelling at discerning subtle anomalies and distinguishing multiple co-occurring conditions. This pattern-guided attention provides clear insights by highlighting influential signal regions, effectively allowing the "heart to talk" through transparent interpretations. CardioPatternFormer demonstrates robust performance on challenging ECGs, including complex multi-pathology cases. Its interpretability via attention maps enables clinicians to understand the model's rationale, fostering trust and aiding informed diagnostic decisions. This work offers a powerful, transparent solution for advanced ECG analysis, paving the way for more reliable and clinically actionable AI in cardiology.
title CardioPatternFormer: Pattern-Guided Attention for Interpretable ECG Classification with Transformer Architecture
topic Signal Processing
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2505.20481