DiffuSETS: 12-lead ECG Generation Conditioned on Clinical Text Reports and Patient-Specific Information
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Abstract (arXiv)
Heart disease remains a significant threat to human health. As a non-invasive diagnostic tool, the electrocardiogram (ECG) is one of the most widely used methods for cardiac screening. However, the scarcity of high-quality ECG data, driven by privacy concerns and limited medical resources, creates a pressing need for effective ECG signal generation. Existing approaches for generating ECG signals typically rely on small training datasets, lack comprehensive evaluation frameworks, and overlook potential applications beyond data augmentation. To address these challenges, we propose DiffuSETS, a novel framework capable of generating ECG signals with high semantic alignment and fidelity. DiffuSETS accepts various modalities of clinical text reports and patient-specific information as inputs, enabling the creation of clinically meaningful ECG signals. Additionally, to address the lack of standardized evaluation in ECG generation, we introduce a comprehensive benchmarking methodology to assess the effectiveness of generative models in this domain. Our model achieve excellent results in tests, proving its superiority in the task of ECG generation. Furthermore, we showcase its potential to mitigate data scarcity while exploring novel applications in cardiology education and medical knowledge discovery, highlighting the broader impact of our work.
Key facts. Cited by 15 papers in the map (data through 7 Oct 2026). Builds on 19 of its 52 references that are in the map. First posted on arXiv 10 Jan 2025.
Builds on
19 of 52 references.
References · 19
- 2017Attention Is All You Needcited by 59,932
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- 2021High-Resolution Image Synthesis with Latent Diffusion Modelscited by 18,694
- 2021CLIPScore: A Reference-free Evaluation Metric for Image Captioningcited by 2,388
- 2015Generating Sentences from a Continuous Spacecited by 607
- 2018Adversarial Audio Synthesiscited by 222
- 2020HOLMES: Health OnLine Model Ensemble Serving for Deep Learning Models in Intensive Care Unitscited by 45
- 2022TTS-GAN: A Transformer-based Time-Series Generative Adversarial Networkcited by 41
- 2023Diffusion-based Conditional ECG Generation with Structured State Space Modelscited by 35
- 2020SimGANs: Simulator-Based Generative Adversarial Networks for ECG Synthesis to Improve Deep ECG Classificationcited by 32
- 2019Synthesis of Realistic ECG using Generative Adversarial Networkscited by 26
- 2023Synthetic ECG Signal Generation using Probabilistic Diffusion Modelscited by 22
7 more
- 2022ME-GAN: Learning Panoptic Electrocardio Representations for Multi-view ECG Synthesis Conditioned on Heart Diseasescited by 14
- 2023Text-to-ECG: 12-Lead Electrocardiogram Synthesis conditioned on Clinical Text Reportscited by 13
- 2021ECG-Adv-GAN: Detecting ECG Adversarial Examples with Conditional Generative Adversarial Networkscited by 8
- 2024Personalized Heart Disease Detection via ECG Digital Twin Generationcited by 7
- 2021Synthesis of standard 12-lead electrocardiograms using two dimensional generative adversarial networkcited by 6
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Citing papers per year: 2025: 9; 2026: 6.
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- 2025T2S: High-resolution Time Series Generation with Text-to-Series Diffusion Modelscited by 19
- 2025TarDiff: Target-Oriented Diffusion Guidance for Synthetic Electronic Health Record Time Series Generationcited by 8
- 2025Simulator and Experience Enhanced Diffusion Model for Comprehensive ECG Generationcited by 8
- 2025Step-Aware Residual-Guided Diffusion for EEG Spatial Super-Resolutioncited by 5
- 2025UniECG: Understanding and Generating ECG in One Unified Modelcited by 4
- 2025MEETI: A Multimodal ECG Dataset from MIMIC-IV-ECG with Signals, Images, Features and Interpretationscited by 2
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulationcited by 2
- 2025ECGTwin: Personalized ECG Generation Using Controllable Diffusion Modelcited by 1
- 2025FoundationalECGNet: A Lightweight Foundational Model for ECG-based Multitask Cardiac Analysiscited by 1
- 2025High-Fidelity Synthetic ECG Generation via Mel-Spectrogram Informed Diffusion Trainingcited by 0
- 2026Signal or Noise? Understanding Generative Models for Real-World Sensor Time Seriescited by 0
- 2026Cross-Modal Generative Framework for Signal Translation from Fetal-Maternal Electrocardiograms to Fetal Doppler Waveformscited by 0
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026GALA: Generation-Aware Cross-Modal Alignment for Text-to-Time-Series Synthesis13 Aug 2026
- 2026Represent, Then Generate: Multimodal-Conditioned Time-Series Generation under Irregular Missingness12 Aug 2026
- 2026Cross-Modal Generative Framework for Signal Translation from Fetal-Maternal Electrocardiograms to Fetal Doppler Waveforms9 Jul 2026
- 2026Signal or Noise? Understanding Generative Models for Real-World Sensor Time Series5 Jul 2026
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulation17 May 2026
- 2025Simulator and Experience Enhanced Diffusion Model for Comprehensive ECG Generation13 Nov 2025
- 2025Step-Aware Residual-Guided Diffusion for EEG Spatial Super-Resolution22 Oct 2025
- 2025High-Fidelity Synthetic ECG Generation via Mel-Spectrogram Informed Diffusion Training7 Oct 2025
- 2025UniECG: Understanding and Generating ECG in One Unified Model23 Sep 2025
- 2025FoundationalECGNet: A Lightweight Foundational Model for ECG-based Multitask Cardiac Analysis10 Sep 2025
- 2025ECGTwin: Personalized ECG Generation Using Controllable Diffusion Model1 Aug 2025
3 more
- 2025MEETI: A Multimodal ECG Dataset from MIMIC-IV-ECG with Signals, Images, Features and Interpretations21 Jul 2025
- 2025T2S: High-resolution Time Series Generation with Text-to-Series Diffusion Models5 May 2025
- 2025TarDiff: Target-Oriented Diffusion Guidance for Synthetic Electronic Health Record Time Series Generation24 Apr 2025
- 2025T2S: High-resolution Time Series Generation with Text-to-Series Diffusion Modelscited by 19
- 2025Simulator and Experience Enhanced Diffusion Model for Comprehensive ECG Generationcited by 8
- 2025Step-Aware Residual-Guided Diffusion for EEG Spatial Super-Resolutioncited by 5
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulationcited by 2
- 2026ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulation17 May 2026
- 2025Simulator and Experience Enhanced Diffusion Model for Comprehensive ECG Generation13 Nov 2025
- 2025Step-Aware Residual-Guided Diffusion for EEG Spatial Super-Resolution22 Oct 2025
- 2025T2S: High-resolution Time Series Generation with Text-to-Series Diffusion Models5 May 2025
- 2025TarDiff: Target-Oriented Diffusion Guidance for Synthetic Electronic Health Record Time Series Generationcited by 8
- 2025UniECG: Understanding and Generating ECG in One Unified Modelcited by 4
- 2025MEETI: A Multimodal ECG Dataset from MIMIC-IV-ECG with Signals, Images, Features and Interpretationscited by 2
- 2025ECGTwin: Personalized ECG Generation Using Controllable Diffusion Modelcited by 1
- 2025FoundationalECGNet: A Lightweight Foundational Model for ECG-based Multitask Cardiac Analysiscited by 1
- 2025High-Fidelity Synthetic ECG Generation via Mel-Spectrogram Informed Diffusion Trainingcited by 0
- 2026Signal or Noise? Understanding Generative Models for Real-World Sensor Time Seriescited by 0
- 2026Cross-Modal Generative Framework for Signal Translation from Fetal-Maternal Electrocardiograms to Fetal Doppler Waveformscited by 0
- 2026Represent, Then Generate: Multimodal-Conditioned Time-Series Generation under Irregular Missingnesscited by 0
- 2026GALA: Generation-Aware Cross-Modal Alignment for Text-to-Time-Series Synthesiscited by 0
- 2026Large language models in medical time series analysiscited by 0
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026GALA: Generation-Aware Cross-Modal Alignment for Text-to-Time-Series Synthesis13 Aug 2026
- 2026Represent, Then Generate: Multimodal-Conditioned Time-Series Generation under Irregular Missingness12 Aug 2026
- 2026Cross-Modal Generative Framework for Signal Translation from Fetal-Maternal Electrocardiograms to Fetal Doppler Waveforms9 Jul 2026
- 2026Signal or Noise? Understanding Generative Models for Real-World Sensor Time Series5 Jul 2026
- 2025High-Fidelity Synthetic ECG Generation via Mel-Spectrogram Informed Diffusion Training7 Oct 2025
- 2025UniECG: Understanding and Generating ECG in One Unified Model23 Sep 2025
- 2025FoundationalECGNet: A Lightweight Foundational Model for ECG-based Multitask Cardiac Analysis10 Sep 2025
- 2025ECGTwin: Personalized ECG Generation Using Controllable Diffusion Model1 Aug 2025
- 2025MEETI: A Multimodal ECG Dataset from MIMIC-IV-ECG with Signals, Images, Features and Interpretations21 Jul 2025
- 2025TarDiff: Target-Oriented Diffusion Guidance for Synthetic Electronic Health Record Time Series Generation24 Apr 2025