Enhancing Multilabel ECG Classification via Task-Guided Lead Correlations in Internet of Medical Things
Bibliographic record
Abstract
With the rise of the Internet of Things, wearable devices have enabled real-time health monitoring, particularly through physiological signals like electrocardiograms (ECG). The standard 12-lead ECG records the electrical activity of the heart from multiple perspectives, providing valuable insights into cardiac health. However, existing 12-lead ECG analysis methods often treat leads as channel-level arrangements or rely on spatial adjacency to predefine lead connections, limiting their ability to capture the complex spatial and functional relationships between leads fully. To address this limitation, we propose TGLLNet, a task-driven model that automatically learns interlead relationships to improve multilabel ECG classification. TGLLNet adaptively learns lead connectivity patterns and relational strengths, enhancing ECG representation and improving model generalizability across tasks. Specifically, TGLLNet employs a temporal graph construction module to convert ecg signals into temporal graphs and uses a residual pyramid graph convolution module for multilevel graph embeddings, utilizing a graph convolutional network with independently learnable adjacency matrices. Combined with a temporal context convolution module, TGLLNet captures spatio-temporal dependencies, significantly improving ECG representation. Experimental results on seven tasks from PTB-XL and CPSC2018 datasets demonstrate that TGLLNet outperforms existing methods, showing superior generalizability across different tasks. Our code is available at <uri xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">https://github.com/rosemary333/TGLLnet</uri>.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".