Beyond 1D: Vision Transformers and Multichannel Signal Images for PPG-to-ECG Reconstruction

Reconstructing ECG from PPG is a promising yet challenging task. While recent advancements in generative models have significantly improved ECG reconstruction, accurately capturing fine-grained waveform features remains a key challenge. To address this, we propose a novel PPG-to-ECG reconstruction method that leverages a Vision Transformer (ViT) as the core network. Unlike conventional approaches that rely on single-channel PPG, our method employs a four-channel signal image representation, incorporating the original PPG, its first-order difference, second-order difference, and area under the curve. This multi-channel design enriches feature extraction by preserving both temporal and physiological variations within the PPG. By leveraging the self-attention mechanism in ViT, our approach effectively captures both inter-beat and intra-beat dependencies, leading to more robust and accurate ECG reconstruction. Experimental results demonstrate that our method consistently outperforms existing 1D convolution-based approaches, achieving up to 29% reduction in PRD and 15% reduction in RMSE. The proposed approach also produces improvements in other evaluation metrics, highlighting its robustness and effectiveness in reconstructing ECG signals. Furthermore, to ensure a clinically relevant evaluation, we introduce new performance metrics, including QRS area error, PR interval error, RT interval error, and RT amplitude difference error. Our findings suggest that integrating a four-channel signal image representation with the self-attention mechanism of ViT enables more effective extraction of informative PPG features and improved modeling of beat-to-beat variations for PPG-to-ECG mapping. Beyond demonstrating the potential of PPG as a viable alternative for heart activity monitoring, our approach opens new avenues for cyclic signal analysis and prediction.

CLEP-GAN: An Innovative Approach to Subject-Independent ECG Reconstruction from PPG Signals

This study addresses the challenge of reconstructing unseen ECG signals from PPG signals, a critical task for non-invasive cardiac monitoring. While numerous public ECG-PPG datasets are available, they lack the diversity seen in image datasets, and data collection processes often introduce noise, complicating ECG reconstruction from PPG even with advanced machine learning models. To tackle these challenges, we first introduce a novel synthetic ECG-PPG data generation technique using an ODE model to enhance training diversity. Next, we develop a novel subject-independent PPG-to-ECG reconstruction model that integrates contrastive learning, adversarial learning, and attention gating, achieving results comparable to or even surpassing existing approaches for unseen ECG reconstruction. Finally, we examine factors such as sex and age that impact reconstruction accuracy, emphasizing the importance of considering demographic diversity during model training and dataset augmentation.