PPGFlowECG: Latent Rectified Flow with Cross-Modal Encoding for PPG-Guided ECG Generation and Cardiovascular Disease Detection

Fuente: arXiv
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Autori principali: Fang, Xiaocheng, Jin, Jiarui, Wang, Haoyu, Liu, Che, Cai, Jieyi, Xiao, Yujie, Nie, Guangkun, Liu, Bo, Huang, Shun, Li, Hongyan, Hong, Shenda
Natura: Preprint
Pubblicazione: 2025
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author Fang, Xiaocheng
Jin, Jiarui
Wang, Haoyu
Liu, Che
Cai, Jieyi
Xiao, Yujie
Nie, Guangkun
Liu, Bo
Huang, Shun
Li, Hongyan
Hong, Shenda
author_facet Fang, Xiaocheng
Jin, Jiarui
Wang, Haoyu
Liu, Che
Cai, Jieyi
Xiao, Yujie
Nie, Guangkun
Liu, Bo
Huang, Shun
Li, Hongyan
Hong, Shenda
contents Electrocardiography (ECG) is the clinical gold standard for cardiovascular disease (CVD) assessment, yet continuous monitoring is constrained by the need for dedicated hardware and trained personnel. Photoplethysmography (PPG) is ubiquitous in wearable devices and readily scalable, but it lacks electrophysiological specificity, limiting diagnostic reliability. While generative methods aim to translate PPG into clinically useful ECG signals, existing approaches are limited by the misalignment of physiological semantics in generative models and the complexity of modeling in high-dimensional signals. To address these limitations, we propose PPGFlowECG, a two-stage framework that aligns PPG and ECG in a shared latent space using the CardioAlign Encoder and then synthesizes ECGs with latent rectified flow. We further provide a formal analysis of this coupling, showing that the CardioAlign Encoder is necessary to guarantee stable and semantically consistent ECG synthesis under our formulation. Extensive experiments on four datasets demonstrate improved synthesis fidelity and downstream diagnostic utility. These results indicate that PPGFlowECG supports scalable, wearable-first CVD screening when standard ECG acquisition is unavailable.
format Preprint
id arxiv_https___arxiv_org_abs_2509_19774
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle PPGFlowECG: Latent Rectified Flow with Cross-Modal Encoding for PPG-Guided ECG Generation and Cardiovascular Disease Detection
Fang, Xiaocheng
Jin, Jiarui
Wang, Haoyu
Liu, Che
Cai, Jieyi
Xiao, Yujie
Nie, Guangkun
Liu, Bo
Huang, Shun
Li, Hongyan
Hong, Shenda
Machine Learning
Artificial Intelligence
Signal Processing
Electrocardiography (ECG) is the clinical gold standard for cardiovascular disease (CVD) assessment, yet continuous monitoring is constrained by the need for dedicated hardware and trained personnel. Photoplethysmography (PPG) is ubiquitous in wearable devices and readily scalable, but it lacks electrophysiological specificity, limiting diagnostic reliability. While generative methods aim to translate PPG into clinically useful ECG signals, existing approaches are limited by the misalignment of physiological semantics in generative models and the complexity of modeling in high-dimensional signals. To address these limitations, we propose PPGFlowECG, a two-stage framework that aligns PPG and ECG in a shared latent space using the CardioAlign Encoder and then synthesizes ECGs with latent rectified flow. We further provide a formal analysis of this coupling, showing that the CardioAlign Encoder is necessary to guarantee stable and semantically consistent ECG synthesis under our formulation. Extensive experiments on four datasets demonstrate improved synthesis fidelity and downstream diagnostic utility. These results indicate that PPGFlowECG supports scalable, wearable-first CVD screening when standard ECG acquisition is unavailable.
title PPGFlowECG: Latent Rectified Flow with Cross-Modal Encoding for PPG-Guided ECG Generation and Cardiovascular Disease Detection
topic Machine Learning
Artificial Intelligence
Signal Processing
url https://arxiv.org/abs/2509.19774