Dynamic Prototype Rehearsal for Continual Learning in ECG Arrhythmia Detection
Bibliographic record
Abstract
Continual Learning (CL) methods aim to learn from a sequence of tasks while avoiding the challenge of forgetting previous knowledge. We present DREAM-CL, a novel CL method for ECG arrhythmia detection that introduces dynamic prototype rehearsal memory. DREAM-CL selects representative prototypes by clustering data based on learning behavior during each training session. Within each cluster, we apply a smooth sorting operation that ranks samples by training difficulty, compressing extreme values and removing outliers. The more challenging samples are then chosen as prototypes for the rehearsal memory, ensuring effective knowledge retention across sessions. We evaluate our method on time-incremental, class-incremental, and lead-incremental scenarios using two widely used ECG arrhythmia datasets, Chapman and PTB-XL. The results demonstrate that DREAM-CL outperforms the state-of-the-art in CL for ECG arrhythmia detection. Detailed ablation and sensitivity studies are performed to validate the different design choices of our method.
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| 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".