NEF-NET+: Adapting Electrocardio panorama in the wild

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Hauptverfasser: Zhan, Zehui, Hu, Yaojun, Zhan, Jiajing, Lian, Wanchen, Wu, Wanqing, Chen, Jintai
Format: Preprint
Veröffentlicht: 2025
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author Zhan, Zehui
Hu, Yaojun
Zhan, Jiajing
Lian, Wanchen
Wu, Wanqing
Chen, Jintai
author_facet Zhan, Zehui
Hu, Yaojun
Zhan, Jiajing
Lian, Wanchen
Wu, Wanqing
Chen, Jintai
contents 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.
format Preprint
id arxiv_https___arxiv_org_abs_2511_02880
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle NEF-NET+: Adapting Electrocardio panorama in the wild
Zhan, Zehui
Hu, Yaojun
Zhan, Jiajing
Lian, Wanchen
Wu, Wanqing
Chen, Jintai
Signal Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Image and Video Processing
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.
title NEF-NET+: Adapting Electrocardio panorama in the wild
topic Signal Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Image and Video Processing
url https://arxiv.org/abs/2511.02880