Contrast Everything: A Hierarchical Contrastive Framework for Medical Time-Series
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Abstract (arXiv)
Contrastive representation learning is crucial in medical time series analysis as it alleviates dependency on labor-intensive, domain-specific, and scarce expert annotations. However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series. To address this issue, we present COMET, an innovative hierarchical framework that leverages data consistencies at all inherent levels in medical time series. Our meticulously designed model systematically captures data consistency from four potential levels: observation, sample, trial, and patient levels. By developing contrastive loss at multiple levels, we can learn effective representations that preserve comprehensive data consistency, maximizing information utilization in a self-supervised manner. We conduct experiments in the challenging patient-independent setting. We compare COMET against six baselines using three diverse datasets, which include ECG signals for myocardial infarction and EEG signals for Alzheimer's and Parkinson's diseases. The results demonstrate that COMET consistently outperforms all baselines, particularly in setup with 10% and 1% labeled data fractions across all datasets. These results underscore the significant impact of our framework in advancing contrastive representation learning techniques for medical time series. The source code is available at https://github.com/DL4mHealth/COMET.
Key facts. Cited by 59 papers in the map (data through 7 Oct 2026). Builds on 25 of its 53 references that are in the map. First posted on arXiv 21 Oct 2023.
Builds on
25 of 53 references.
References · 25
- 2020A Simple Framework for Contrastive Learning of Visual Representationscited by 11,979
- 2018Representation Learning with Contrastive Predictive Codingcited by 7,662
- 2020Bootstrap your own latent: A new approach to self-supervised Learningcited by 4,712
- 2018An Empirical Evaluation of Generic Convolutional and Recurrent Networks for Sequence Modelingcited by 1,447
- 2016Colorful Image Colorizationcited by 1,113
- 2019Learning Representations by Maximizing Mutual Information Across Viewscited by 733
- 2021TS2Vec: Towards Universal Representation of Time Seriescited by 463
- 2021Time-Series Representation Learning via Temporal and Contextual Contrastingcited by 342
- 2019Unsupervised Scalable Representation Learning for Multivariate Time Seriescited by 267
- 2022Self-Supervised Contrastive Pre-Training For Time Series via Time-Frequency Consistencycited by 246
- 2021Unsupervised Representation Learning for Time Series with Temporal Neighborhood Codingcited by 223
- 2020CLOCS: Contrastive Learning of Cardiac Signals Across Space, Time, and Patientscited by 170
13 more
- 2022LIFT: Language-Interfaced Fine-Tuning for Non-Language Machine Learning Taskscited by 146
- 2022Unsupervised Time-Series Representation Learning with Iterative Bilinear Temporal-Spectral Fusioncited by 96
- 2021Self-Supervised Graph Neural Networks for Improved Electroencephalographic Seizure Analysiscited by 75
- 2020Exploring Contrastive Learning in Human Activity Recognition for Healthcarecited by 73
- 2022Mixing Up Contrastive Learning: Self-Supervised Representation Learning for Time Seriescited by 54
- 2022End-to-End Human-Gaze-Target Detection with Transformerscited by 47
- 2021Intra-Inter Subject Self-supervised Learning for Multivariate Cardiac Signalscited by 35
- 2021Neighborhood Contrastive Learning Applied to Online Patient Monitoringcited by 32
- 2023ManyDG: Many-domain Generalization for Healthcare Applicationscited by 23
- 2022Utilizing Expert Features for Contrastive Learning of Time-Series Representationscited by 17
- 2021Discovery of Single Independent Latent Variablecited by 3
- 2022Medusa: Universal Feature Learning via Attentional Multitaskingcited by 1
- 2022Contrastive Graph Few-Shot Learningcited by 1
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Citing papers per year: 2024: 27; 2025: 20; 2026: 12.
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- 2024Timer: Generative Pre-trained Transformers Are Large Time Series Modelscited by 198
- 2024UniTS: A Unified Multi-Task Time Series Modelcited by 93
- 2024Medformer: A Multi-Granularity Patching Transformer for Medical Time-Series Classificationcited by 53
- 2024Towards a General Time Series Forecasting Model with Unified Representation and Adaptive Transfercited by 31
- 2024Towards Neural Scaling Laws for Time Series Foundation Modelscited by 30
- 2024Universal Time-Series Representation Learning: A Surveycited by 28
- 2025LightGTS: A Lightweight General Time Series Forecasting Modelcited by 28
- 2025Aurora: Towards Universal Generative Multimodal Time Series Forecastingcited by 28
- 2025CrossLinear: Plug-and-Play Cross-Correlation Embedding for Time Series Forecasting with Exogenous Variablescited by 21
- 2024TimeSiam: A Pre-Training Framework for Siamese Time-Series Modelingcited by 20
- 2024Mamba4Cast: Efficient Zero-Shot Time Series Forecasting with State Space Modelscited by 17
- 2024Medical Multimodal Foundation Models in Clinical Diagnosis and Treatment: Applications, Challenges, and Future Directionscited by 17
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- 2025MedGNN: Towards Multi-resolution Spatiotemporal Graph Learning for Medical Time Series Classificationcited by 9
- 2024CREMA: A Contrastive Regularized Masked Autoencoder for Robust ECG Diagnostics across Clinical Domainscited by 8
- 2025LEAD: An EEG Foundation Model for Alzheimer's Disease Detectioncited by 8
- 2024ADAPT: Multimodal Learning for Detecting Physiological Changes under Missing Modalitiescited by 6
- 2024Toward Robust Early Detection of Alzheimer's Disease via an Integrated Multimodal Learning Approachcited by 6
- 2024Repurposing Foundation Model for Generalizable Medical Time Series Classificationcited by 6
- 2024UniCL: A Universal Contrastive Learning Framework for Large Time Series Modelscited by 5
- 2024Guidelines for Augmentation Selection in Contrastive Learning for Time Series Classificationcited by 5
- 2024EMIT- Event-Based Masked Auto Encoding for Irregular Time Seriescited by 5
- 2026Decentralized Attention Fails Centralized Signals: Rethinking Transformers for Medical Time Seriescited by 5
- 2025Fuzzy Cluster-Aware Contrastive Clustering for Time Seriescited by 4
- 2025Multi-View Contrastive Learning for Robust Domain Adaptation in Medical Time Series Analysiscited by 4
- 2024Scalable Transformer for High Dimensional Multivariate Time Series Forecastingcited by 3
- 2025FLAME: Flow Enhanced Legendre Memory Models for General Time Series Forecastingcited by 3
- 2026Cross-Subject Generalization for EEG Decoding: A Survey of Deep Learning Methodscited by 3
- 2024EEG-MACS: Manifold Attention and Confidence Stratification for EEG-based Cross-Center Brain Disease Diagnosis under Unreliable Annotationscited by 2
- 2024Nonlinear time-series embedding by monotone variational inequalitycited by 2
- 2024Channel-aware Contrastive Conditional Diffusion for Multivariate Probabilistic Time Series Forecastingcited by 2
- 2024StatioCL: Contrastive Learning for Time Series via Non-Stationary and Temporal Contrastcited by 2
- 2025EEG-ReMinD: Enhancing Neurodegenerative EEG Decoding through Self-Supervised State Reconstruction-Primed Riemannian Dynamicscited by 2
- 2025Beyond Fixed Variables: Expanding-variate Time Series Forecasting via Flat Scheme and Spatio-temporal Focal Learningcited by 2
- 2025Skin Lesion Phenotyping via Nested Multi-modal Contrastive Learningcited by 2
- 2024ADformer: A Multi-Granularity Spatial-Temporal Transformer for EEG-Based Alzheimer Detectioncited by 1
- 2025Smarter Together: Combining Large Language Models and Small Models for Physiological Signals Visual Inspectioncited by 1
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- 2025Efficient Hierarchical Contrastive Self-supervising Learning for Time Series Classification via Importance-aware Resolution Selectioncited by 1
- 2025Mitigating Data Scarcity in Time Series Analysis: A Foundation Model with Series-Symbol Data Generationcited by 1
- 2025Enhancing Contrastive Learning-based Electrocardiogram Pretrained Model with Patient Memory Queuecited by 1
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- 2025Domain Knowledge is Power: Leveraging Physiological Priors for Self Supervised Representation Learning in Electrocardiographycited by 1
- 2025MEASURE: Multi-scale Minimal Sufficient Representation Learning for Domain Generalization in Sleep Stagingcited by 1
- 2026Empowering Time Series Analysis with Large-Scale Multimodal Pretrainingcited by 1
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- 2024HCL-MTSAD: Hierarchical Contrastive Consistency Learning for Accurate Detection of Industrial Multivariate Time Series Anomaliescited by 0
- 2024MSSDA: Multi-Sub-Source Adaptation for Diabetic Foot Neuropathy Recognitioncited by 0
50 most cited of 59 All 59 (JSON)
- 2026Revitalizing Medical Time Series with Vision-Informed Retrieval: A Vision-Language Perspective28 Sep 2026
- 2026AI-based detection of worsening heart failure from low-resolution telemonitoring data24 Sep 2026
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026Rethinking EEG-Based Disease Diagnosis: Decoupling Instance Representation Learning from Subject-Level Supervision29 Jul 2026
- 2026SL-S4Wave: Self-Supervised Learning of Physiological Waveforms with Structured State Space Models18 Jun 2026
- 2026CLIC: Contextual Language-Informed Cardiac Pathology Classification18 May 2026
- 2026PAMod: Modeling Cyclical Shifts via Phase-Amplitude Modulation for Non-stationary Time Series Forecasting1 May 2026
- 2026Cross-Subject Generalization for EEG Decoding: A Survey of Deep Learning Methods29 Apr 2026
- 2026CoRe-ECG: Advancing Self-Supervised Representation Learning for 12-Lead ECG via Contrastive and Reconstructive Synergy13 Apr 2026
- 2026Orthogonalized Multimodal Contrastive Learning with Asymmetric Masking for Structured Representations16 Feb 2026
- 2026Decentralized Attention Fails Centralized Signals: Rethinking Transformers for Medical Time Series9 Feb 2026
- 2026Empowering Time Series Analysis with Large-Scale Multimodal Pretraining5 Feb 2026
38 more
- 2025FLAME: Flow Enhanced Legendre Memory Models for General Time Series Forecasting16 Dec 2025
- 2025MEASURE: Multi-scale Minimal Sufficient Representation Learning for Domain Generalization in Sleep Staging14 Oct 2025
- 2025Aurora: Towards Universal Generative Multimodal Time Series Forecasting26 Sep 2025
- 2025Domain Knowledge is Power: Leveraging Physiological Priors for Self Supervised Representation Learning in Electrocardiography9 Sep 2025
- 2025PTSM: Physiology-aware and Task-invariant Spatio-temporal Modeling for Cross-Subject EEG Decoding15 Aug 2025
- 2025Multi-View Contrastive Learning for Robust Domain Adaptation in Medical Time Series Analysis27 Jun 2025
- 2025LightGTS: A Lightweight General Time Series Forecasting Model6 Jun 2025
- 2025Skin Lesion Phenotyping via Nested Multi-modal Contrastive Learning29 May 2025
- 2025CrossLinear: Plug-and-Play Cross-Correlation Embedding for Time Series Forecasting with Exogenous Variables29 May 2025
- 2025PIPE: Physics-Informed Position Encoding for Alignment of Satellite Images and Time Series27 May 2025
- 2025Enhancing Contrastive Learning-based Electrocardiogram Pretrained Model with Patient Memory Queue26 May 2025
- 2025Fuzzy Cluster-Aware Contrastive Clustering for Time Series28 Mar 2025
- 2025Mitigating Data Scarcity in Time Series Analysis: A Foundation Model with Series-Symbol Data Generation21 Feb 2025
- 2025Beyond Fixed Variables: Expanding-variate Time Series Forecasting via Flat Scheme and Spatio-temporal Focal Learning21 Feb 2025
- 2025Efficient Hierarchical Contrastive Self-supervising Learning for Time Series Classification via Importance-aware Resolution Selection14 Feb 2025
- 2025Structure-preserving contrastive learning for spatial time series10 Feb 2025
- 2025MedGNN: Towards Multi-resolution Spatiotemporal Graph Learning for Medical Time Series Classification6 Feb 2025
- 2025LEAD: An EEG Foundation Model for Alzheimer's Disease Detection2 Feb 2025
- 2025Smarter Together: Combining Large Language Models and Small Models for Physiological Signals Visual Inspection27 Jan 2025
- 2025EEG-ReMinD: Enhancing Neurodegenerative EEG Decoding through Self-Supervised State Reconstruction-Primed Riemannian Dynamics14 Jan 2025
- 2024Frequency-Masked Embedding Inference: A Non-Contrastive Approach for Time Series Representation Learning30 Dec 2024
- 2024Medical Multimodal Foundation Models in Clinical Diagnosis and Treatment: Applications, Challenges, and Future Directions3 Dec 2024
- 2024Towards Neural Scaling Laws for Time Series Foundation Models16 Oct 2024
- 2024StatioCL: Contrastive Learning for Time Series via Non-Stationary and Temporal Contrast14 Oct 2024
- 2024Mamba4Cast: Efficient Zero-Shot Time Series Forecasting with State Space Models12 Oct 2024
- 2024Repurposing Foundation Model for Generalizable Medical Time Series Classification3 Oct 2024
- 2024Channel-aware Contrastive Conditional Diffusion for Multivariate Probabilistic Time Series Forecasting3 Oct 2024
- 2024EMIT- Event-Based Masked Auto Encoding for Irregular Time Series25 Sep 2024
- 2024MSSDA: Multi-Sub-Source Adaptation for Diabetic Foot Neuropathy Recognition21 Sep 2024
- 2024Toward Robust Early Detection of Alzheimer's Disease via an Integrated Multimodal Learning Approach29 Aug 2024
- 2024ADformer: A Multi-Granularity Spatial-Temporal Transformer for EEG-Based Alzheimer Detection17 Aug 2024
- 2024Scalable Transformer for High Dimensional Multivariate Time Series Forecasting8 Aug 2024
- 2024Guidelines for Augmentation Selection in Contrastive Learning for Time Series Classification12 Jul 2024
- 2024ADAPT: Multimodal Learning for Detecting Physiological Changes under Missing Modalities4 Jul 2024
- 2024CREMA: A Contrastive Regularized Masked Autoencoder for Robust ECG Diagnostics across Clinical Domains26 Jun 2024
- 2024Nonlinear time-series embedding by monotone variational inequality11 Jun 2024
- 2024An Open and Large-Scale Dataset for Multi-Modal Climate Change-aware Crop Yield Predictions10 Jun 2024
- 2024MedualTime: A Dual-Adapter Language Model for Medical Time Series-Text Multimodal Learning7 Jun 2024
50 newest of 59 All 59 (JSON)
- 2024Timer: Generative Pre-trained Transformers Are Large Time Series Modelscited by 198
- 2024UniTS: A Unified Multi-Task Time Series Modelcited by 93
- 2024Medformer: A Multi-Granularity Patching Transformer for Medical Time-Series Classificationcited by 53
- 2024Towards a General Time Series Forecasting Model with Unified Representation and Adaptive Transfercited by 31
- 2024Towards Neural Scaling Laws for Time Series Foundation Modelscited by 30
- 2024Universal Time-Series Representation Learning: A Surveycited by 28
- 2025LightGTS: A Lightweight General Time Series Forecasting Modelcited by 28
- 2025Aurora: Towards Universal Generative Multimodal Time Series Forecastingcited by 28
- 2025CrossLinear: Plug-and-Play Cross-Correlation Embedding for Time Series Forecasting with Exogenous Variablescited by 21
- 2024TimeSiam: A Pre-Training Framework for Siamese Time-Series Modelingcited by 20
- 2024Mamba4Cast: Efficient Zero-Shot Time Series Forecasting with State Space Modelscited by 17
- 2024Medical Multimodal Foundation Models in Clinical Diagnosis and Treatment: Applications, Challenges, and Future Directionscited by 17
12 most cited of 57 All 57 (JSON)
- 2026Revitalizing Medical Time Series with Vision-Informed Retrieval: A Vision-Language Perspective28 Sep 2026
- 2026AI-based detection of worsening heart failure from low-resolution telemonitoring data24 Sep 2026
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026Rethinking EEG-Based Disease Diagnosis: Decoupling Instance Representation Learning from Subject-Level Supervision29 Jul 2026
- 2026CLIC: Contextual Language-Informed Cardiac Pathology Classification18 May 2026
- 2026PAMod: Modeling Cyclical Shifts via Phase-Amplitude Modulation for Non-stationary Time Series Forecasting1 May 2026
- 2026Cross-Subject Generalization for EEG Decoding: A Survey of Deep Learning Methods29 Apr 2026
- 2026CoRe-ECG: Advancing Self-Supervised Representation Learning for 12-Lead ECG via Contrastive and Reconstructive Synergy13 Apr 2026
- 2026Orthogonalized Multimodal Contrastive Learning with Asymmetric Masking for Structured Representations16 Feb 2026
- 2026Decentralized Attention Fails Centralized Signals: Rethinking Transformers for Medical Time Series9 Feb 2026
- 2026Empowering Time Series Analysis with Large-Scale Multimodal Pretraining5 Feb 2026
- 2025FLAME: Flow Enhanced Legendre Memory Models for General Time Series Forecasting16 Dec 2025
12 newest of 57 All 57 (JSON)