Synthetic ECG Signal Generation using Probabilistic Diffusion Models
On the map: Diffusion models → Medical imaging and segmentation
Abstract (arXiv)
Deep learning image processing models have had remarkable success in recent years in generating high quality images. Particularly, the Improved Denoising Diffusion Probabilistic Models (DDPM) have shown superiority in image quality to the state-of-the-art generative models, which motivated us to investigate their capability in the generation of the synthetic electrocardiogram (ECG) signals. In this work, synthetic ECG signals are generated by the Improved DDPM and by the Wasserstein GAN with Gradient Penalty (WGAN-GP) models and then compared. To this end, we devise a pipeline to utilize DDPM in its original 2D form. First, the 1D ECG time series data are embedded into the 2D space, for which we employed the Gramian Angular Summation/Difference Fields (GASF/GADF) as well as Markov Transition Fields (MTF) to generate three 2D matrices from each ECG time series, which when put together, form a 3-channel 2D datum. Then 2D DDPM is used to generate 2D 3-channel synthetic ECG images. The 1D ECG signals are created by de-embedding the 2D generated image files back into the 1D space. This work focuses on unconditional models and the generation of Normal Sinus Beat ECG signals exclusively, where the Normal Sinus Beat class from the MIT-BIH Arrhythmia dataset is used in the training phase. The quality, distribution, and the authenticity of the generated ECG signals by each model are quantitatively evaluated and compared. Our results show that in the proposed pipeline and in the particular setting of this paper, the WGAN-GP model is consistently superior to DDPM in all the considered metrics.
Key facts. Cited by 22 papers in the map (data through 7 Oct 2026). Placed in Medical imaging and segmentation, one of 14 directions in Diffusion models. Builds on 22 of its 45 references that are in the map. First posted on arXiv 4 Mar 2023.
Builds on
22 of 45 references.
References · 22
- 2015Deep Residual Learning for Image Recognitioncited by 51,809
- 2020Denoising Diffusion Probabilistic Modelscited by 20,851
- 2021Diffusion Models Beat GANs on Image Synthesiscited by 8,185
- 2021Improved Denoising Diffusion Probabilistic Modelscited by 3,736
- 2017Improved Training of Wasserstein GANscited by 2,223
- 2019Generating Diverse High-Fidelity Images with VQ-VAE-2cited by 1,376
- 2019An Introduction to Variational Autoencoderscited by 997
- 2017Wasserstein GANcited by 635
- 2020Scaling Laws for Autoregressive Generative Modelingcited by 510
- 2016Tutorial on Variational Autoencoderscited by 404
- 2017Real-valued (Medical) Time Series Generation with Recurrent Conditional GANscited by 329
- 2018Synthetic Data Augmentation using GAN for Improved Liver Lesion Classificationcited by 136
10 more
- 2015Imaging Time-Series to Improve Classification and Imputationcited by 85
- 2023Diffusion-based Conditional ECG Generation with Structured State Space Modelscited by 35
- 2019Synthesis of Realistic ECG using Generative Adversarial Networkscited by 26
- 2018ECG arrhythmia classification using a 2-D convolutional neural networkcited by 17
- 2018LSTM-Based ECG Classification for Continuous Monitoring on Personal Wearable Devicescited by 13
- 2021Synthetic ECG Signal Generation Using Generative Neural Networkscited by 11
- 2021ECG Heartbeat Classification Using Multimodal Fusioncited by 10
- 2020Electrocardiogram Generation and Feature Extraction Using a Variational Autoencodercited by 8
- 2018ECG Arrhythmia Classification Using Transfer Learning from 2-Dimensional Deep CNN Featurescited by 7
- 2022Arrhythmia Classification using CGAN-augmented ECG Signalscited by 6
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Citing papers per year: 2023: 7; 2024: 4; 2025: 8; 2026: 3.
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- 2023GSURE-Based Diffusion Model Training with Corrupted Datacited by 40
- 2023Quantum-Noise-Driven Generative Diffusion Modelscited by 20
- 2023Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translationcited by 18
- 2025DiffuSETS: 12-lead ECG Generation Conditioned on Clinical Text Reports and Patient-Specific Informationcited by 15
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Surveycited by 11
- 2023DiffECG: A Versatile Probabilistic Diffusion Model for ECG Signals Synthesiscited by 9
- 2023Deep Generative Models for Physiological Signals: A Systematic Literature Reviewcited by 7
- 2024Diff-MTS: Temporal-Augmented Conditional Diffusion-based AIGC for Industrial Time Series Towards the Large Model Eracited by 5
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- 2024DiffFinger: Advancing Synthetic Fingerprint Generation through Denoising Diffusion Probabilistic Modelscited by 2
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- 2024SSSD-ECG-nle: New Label Embeddings with Structured State-Space Models for ECG generationcited by 0
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- 2026TransConv-DDPM: Enhanced Diffusion Model for Generating Time-Series Data in Healthcare3 Feb 2026
- 2025Phase-OTDR Event Detection Using Image-Based Data Transformation and Deep Learning5 Dec 2025
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- 2025Unsupervised Detection of Distribution Shift in Inverse Problems using Diffusion Models16 May 2025
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Survey4 May 2025
- 2025CLEP-GAN: An Innovative Approach to Subject-Independent ECG Reconstruction from PPG Signals24 Feb 2025
- 2025DiffuSETS: 12-lead ECG Generation Conditioned on Clinical Text Reports and Patient-Specific Information10 Jan 2025
- 2024Flexible framework for generating synthetic electrocardiograms and photoplethysmograms29 Aug 2024
10 more
- 2024Diff-MTS: Temporal-Augmented Conditional Diffusion-based AIGC for Industrial Time Series Towards the Large Model Era16 Jul 2024
- 2024SSSD-ECG-nle: New Label Embeddings with Structured State-Space Models for ECG generation15 Jul 2024
- 2024DiffFinger: Advancing Synthetic Fingerprint Generation through Denoising Diffusion Probabilistic Models15 Mar 2024
- 2023Bayesian ECG reconstruction using denoising diffusion generative models18 Dec 2023
- 2023Fully Embedded Time-Series Generative Adversarial Networks30 Aug 2023
- 2023Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translation25 Aug 2023
- 2023Quantum-Noise-Driven Generative Diffusion Models23 Aug 2023
- 2023Deep Generative Models for Physiological Signals: A Systematic Literature Review12 Jul 2023
- 2023DiffECG: A Versatile Probabilistic Diffusion Model for ECG Signals Synthesis2 Jun 2023
- 2023GSURE-Based Diffusion Model Training with Corrupted Data22 May 2023
- 2023GSURE-Based Diffusion Model Training with Corrupted Datacited by 40
- 2023Quantum-Noise-Driven Generative Diffusion Modelscited by 20
- 2023Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translationcited by 18
- 2023DiffECG: A Versatile Probabilistic Diffusion Model for ECG Signals Synthesiscited by 9
- 2024Diff-MTS: Temporal-Augmented Conditional Diffusion-based AIGC for Industrial Time Series Towards the Large Model Eracited by 5
- 2025Unsupervised Detection of Distribution Shift in Inverse Problems using Diffusion Modelscited by 4
- 2025EigenScore: OOD Detection using Covariance in Diffusion Modelscited by 4
- 2023Bayesian ECG reconstruction using denoising diffusion generative modelscited by 2
- 2024DiffFinger: Advancing Synthetic Fingerprint Generation through Denoising Diffusion Probabilistic Modelscited by 2
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulationcited by 2
- 2026TransConv-DDPM: Enhanced Diffusion Model for Generating Time-Series Data in Healthcarecited by 1
- 2024SSSD-ECG-nle: New Label Embeddings with Structured State-Space Models for ECG generationcited by 0
12 most cited of 13 All 13 (JSON)
- 2026Diffusion models for eye-gaze trajectory generation using position and velocity representations1 Sep 2026
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulation17 May 2026
- 2026TransConv-DDPM: Enhanced Diffusion Model for Generating Time-Series Data in Healthcare3 Feb 2026
- 2025EigenScore: OOD Detection using Covariance in Diffusion Models8 Oct 2025
- 2025Unsupervised Detection of Distribution Shift in Inverse Problems using Diffusion Models16 May 2025
- 2024Diff-MTS: Temporal-Augmented Conditional Diffusion-based AIGC for Industrial Time Series Towards the Large Model Era16 Jul 2024
- 2024SSSD-ECG-nle: New Label Embeddings with Structured State-Space Models for ECG generation15 Jul 2024
- 2024DiffFinger: Advancing Synthetic Fingerprint Generation through Denoising Diffusion Probabilistic Models15 Mar 2024
- 2023Bayesian ECG reconstruction using denoising diffusion generative models18 Dec 2023
- 2023Region-Disentangled Diffusion Model for High-Fidelity PPG-to-ECG Translation25 Aug 2023
- 2023Quantum-Noise-Driven Generative Diffusion Models23 Aug 2023
- 2023DiffECG: A Versatile Probabilistic Diffusion Model for ECG Signals Synthesis2 Jun 2023
12 newest of 13 All 13 (JSON)
- 2025DiffuSETS: 12-lead ECG Generation Conditioned on Clinical Text Reports and Patient-Specific Informationcited by 15
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Surveycited by 11
- 2023Deep Generative Models for Physiological Signals: A Systematic Literature Reviewcited by 7
- 2025CLEP-GAN: An Innovative Approach to Subject-Independent ECG Reconstruction from PPG Signalscited by 2
- 2023Fully Embedded Time-Series Generative Adversarial Networkscited by 1
- 2025How to Unlock Time Series Editing? Diffusion-Driven Approach with Multi-Grained Controlcited by 1
- 2024Flexible framework for generating synthetic electrocardiograms and photoplethysmogramscited by 0
- 2025Instruction-based Time Series Editingcited by 0
- 2025Phase-OTDR Event Detection Using Image-Based Data Transformation and Deep Learningcited by 0
- 2025Phase-OTDR Event Detection Using Image-Based Data Transformation and Deep Learning5 Dec 2025
- 2025Instruction-based Time Series Editing2 Aug 2025
- 2025How to Unlock Time Series Editing? Diffusion-Driven Approach with Multi-Grained Control5 Jun 2025
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Survey4 May 2025
- 2025CLEP-GAN: An Innovative Approach to Subject-Independent ECG Reconstruction from PPG Signals24 Feb 2025
- 2025DiffuSETS: 12-lead ECG Generation Conditioned on Clinical Text Reports and Patient-Specific Information10 Jan 2025
- 2024Flexible framework for generating synthetic electrocardiograms and photoplethysmograms29 Aug 2024
- 2023Fully Embedded Time-Series Generative Adversarial Networks30 Aug 2023
- 2023Deep Generative Models for Physiological Signals: A Systematic Literature Review12 Jul 2023
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