Physiology-Aware Masked Cross-Modal Reconstruction for Biosignal Representation Learning

Fuente: arXiv
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Hauptverfasser: Zhou, Hao, Lee, Simon A., Tanade, Cyrus, Chun, Keum San, Lee, Juhyeon, Gwak, Migyeong, Thukral, Megha, Sung, Justin, Hwang, Eugene, Morshed, Mehrab Bin, Zhu, Li, Nathan, Viswam, Rahman, Md Mahbubur, Venkatraman, Subramaniam, Desai, Sharanya Arcot
Format: Preprint
Veröffentlicht: 2026
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author Zhou, Hao
Lee, Simon A.
Tanade, Cyrus
Chun, Keum San
Lee, Juhyeon
Gwak, Migyeong
Thukral, Megha
Sung, Justin
Hwang, Eugene
Morshed, Mehrab Bin
Zhu, Li
Nathan, Viswam
Rahman, Md Mahbubur
Venkatraman, Subramaniam
Desai, Sharanya Arcot
author_facet Zhou, Hao
Lee, Simon A.
Tanade, Cyrus
Chun, Keum San
Lee, Juhyeon
Gwak, Migyeong
Thukral, Megha
Sung, Justin
Hwang, Eugene
Morshed, Mehrab Bin
Zhu, Li
Nathan, Viswam
Rahman, Md Mahbubur
Venkatraman, Subramaniam
Desai, Sharanya Arcot
contents Biosignals acquired from different locations on the body often provide temporally ordered views of the same underlying physiological process. However, most existing self supervised learning methods treat these signals as interchangeable views, overlooking the directional temporal dynamics that link them. A canonical example is the relationship between electrocardiography (ECG), which captures the electrical activation initiating each heartbeat, and photoplethysmography (PPG), which records the resulting peripheral pulse delayed by vascular dynamics. To capture this structured relationship, we introduce xMAE, a biosignal pretraining framework that leverages masked cross modal reconstruction across temporally ordered biosignals as a training time constraint to encourage physiologically meaningful timing structure in the learned representations. We show that pretraining with xMAE yields representations that outperform both unimodal and multimodal baselines on 15 of 19 downstream tasks, including cardiovascular outcome prediction, abnormal laboratory test detection, sleep staging, and demographic inference, while generalizing across devices, body locations, and acquisition settings. Further analysis suggests that the ECG PPG timing structure is reflected in the learned PPG representations. More broadly, xMAE demonstrates the effectiveness of incorporating temporal structure into multimodal pretraining when signals observe different stages of a shared underlying process. Code is available at https://github.com/hzhou3/xMAE.
format Preprint
id arxiv_https___arxiv_org_abs_2605_00973
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Physiology-Aware Masked Cross-Modal Reconstruction for Biosignal Representation Learning
Zhou, Hao
Lee, Simon A.
Tanade, Cyrus
Chun, Keum San
Lee, Juhyeon
Gwak, Migyeong
Thukral, Megha
Sung, Justin
Hwang, Eugene
Morshed, Mehrab Bin
Zhu, Li
Nathan, Viswam
Rahman, Md Mahbubur
Venkatraman, Subramaniam
Desai, Sharanya Arcot
Machine Learning
Artificial Intelligence
Signal Processing
Biosignals acquired from different locations on the body often provide temporally ordered views of the same underlying physiological process. However, most existing self supervised learning methods treat these signals as interchangeable views, overlooking the directional temporal dynamics that link them. A canonical example is the relationship between electrocardiography (ECG), which captures the electrical activation initiating each heartbeat, and photoplethysmography (PPG), which records the resulting peripheral pulse delayed by vascular dynamics. To capture this structured relationship, we introduce xMAE, a biosignal pretraining framework that leverages masked cross modal reconstruction across temporally ordered biosignals as a training time constraint to encourage physiologically meaningful timing structure in the learned representations. We show that pretraining with xMAE yields representations that outperform both unimodal and multimodal baselines on 15 of 19 downstream tasks, including cardiovascular outcome prediction, abnormal laboratory test detection, sleep staging, and demographic inference, while generalizing across devices, body locations, and acquisition settings. Further analysis suggests that the ECG PPG timing structure is reflected in the learned PPG representations. More broadly, xMAE demonstrates the effectiveness of incorporating temporal structure into multimodal pretraining when signals observe different stages of a shared underlying process. Code is available at https://github.com/hzhou3/xMAE.
title Physiology-Aware Masked Cross-Modal Reconstruction for Biosignal Representation Learning
topic Machine Learning
Artificial Intelligence
Signal Processing
url https://arxiv.org/abs/2605.00973