Learning geometry-dependent lead-field operators for forward ECG modeling

Modern forward electrocardiogram (ECG) computational models rely on an accurate representation of the torso domain. The lead-field method enables fast ECG simulations while preserving full geometric fidelity. Achieving high anatomical accuracy in torso representation is, however, challenging in clinical practice, as imaging protocols are typically focused on the heart and often do not include the entire torso. In addition, the computational cost of the lead-field method scales linearly with the number of electrodes, limiting its applicability in high-density recording settings. To date, no existing approach simultaneously achieves high anatomical fidelity, low data requirements and computational efficiency. In this work, we propose a shape-informed surrogate model of the lead-field operator that serves as a drop-in replacement for the full-order model in forward ECG simulations. The proposed framework consists of two components: a geometry-encoding module that maps anatomical shapes into a low-dimensional latent space, and a geometry-conditioned neural surrogate that predicts lead-field gradients from spatial coordinates, electrode positions and latent codes. The proposed method achieves high accuracy in approximating lead fields both within the torso (mean angular error 5°) and inside the heart, resulting in highly accurate ECG simulations (relative mean squared error <2.5%. The surrogate consistently outperforms the widely used pseudo lead-field approximation while preserving negligible inference cost. Owing to its compact latent representation, the method does not require a fully detailed torso segmentation and can therefore be deployed in data-limited settings while preserving high-fidelity ECG simulations.

Shape-informed cardiac mechanics surrogates in data-scarce regimes via geometric encoding and generative augmentation

High-fidelity computational models of cardiac mechanics provide mechanistic insight into the heart function but are computationally prohibitive for routine clinical use. Surrogate models can accelerate simulations, but generalization across diverse anatomies is challenging, particularly in data-scarce settings. We propose a two-step framework that decouples geometric representation from learning the physics response, to enable shape-informed surrogate modeling under data-scarce conditions. First, a shape model learns a compact latent representation of left ventricular geometries. The learned latent space effectively encodes anatomies and enables synthetic geometries generation for data augmentation. Second, a neural field-based surrogate model, conditioned on this geometric encoding, is trained to predict ventricular displacement under external loading. The proposed architecture performs positional encoding by using universal ventricular coordinates, which improves generalization across diverse anatomies. Geometric variability is encoded using two alternative strategies, which are systematically compared: a PCA-based approach suitable for working with point cloud representations of geometries, and a DeepSDF-based implicit neural representation learned directly from point clouds. Overall, our results, obtained on idealized and patient-specific datasets, show that the proposed approaches allow for accurate predictions and generalization to unseen geometries, and robustness to noisy or sparsely sampled inputs.