# MD-ViSCo: A Unified Model for Multi-Directional Vital Sign Waveform Conversion

arXiv: https://arxiv.org/abs/2506.08357 · HTML: https://mlsanity.com/paper/2506.08357/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 52 references that are in the map.
- First posted on arXiv 10 Jun 2025.

## Builds on (most cited first, 15 of 15)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [DistilBERT, a distilled version of BERT: smaller, faster, cheaper and lighter](https://mlsanity.com/paper/1910.01108/) (2019)
- [A Time Series is Worth 64 Words: Long-term Forecasting with Transformers](https://mlsanity.com/paper/2211.14730/) (2022)
- [WaveNet: A Generative Model for Raw Audio](https://mlsanity.com/paper/1609.03499/) (2016)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [StarGAN v2: Diverse Image Synthesis for Multiple Domains](https://mlsanity.com/paper/1912.01865/) (2019)
- [TSMixer: Lightweight MLP-Mixer Model for Multivariate Time Series Forecasting](https://mlsanity.com/paper/2306.09364/) (2023)
- [GenHPF: General Healthcare Predictive Framework with Multi-task Multi-source Learning](https://mlsanity.com/paper/2207.09858/) (2022)
- [Beyond BatchNorm: Towards a Unified Understanding of Normalization in Deep Learning](https://mlsanity.com/paper/2106.05956/) (2021)
- [Unifying Heterogeneous Electronic Health Records Systems via Text-Based Code Embedding](https://mlsanity.com/paper/2108.03625/) (2021)
- [PPG2ABP: Translating Photoplethysmogram (PPG) Signals to Arterial Blood Pressure (ABP) Waveforms using Fully Convolutional Neural Networks](https://mlsanity.com/paper/2005.01669/) (2020)
- [ECG Reconstruction via PPG: A Pilot Study](https://mlsanity.com/paper/1904.10481/) (2019)
- [Cross-domain Joint Dictionary Learning for ECG Inference from PPG](https://mlsanity.com/paper/2101.02362/) (2021)
- [BP-Net: Efficient Deep Learning for Continuous Arterial Blood Pressure Estimation using Photoplethysmogram](https://mlsanity.com/paper/2111.14558/) (2021)
- [A Shallow U-Net Architecture for Reliably Predicting Blood Pressure (BP) from Photoplethysmogram (PPG) and Electrocardiogram (ECG) Signals](https://mlsanity.com/paper/2111.08480/) (2021)

## Abstract (arXiv)

Despite the remarkable progress of deep-learning methods generating a target vital sign waveform from a source vital sign waveform, most existing models are designed exclusively for a specific source-to-target pair. This requires distinct model architectures, optimization procedures, and pre-processing pipelines, resulting in multiple models that hinder usability in clinical settings. To address this limitation, we propose the Multi-Directional Vital-Sign Converter (MD-ViSCo), a unified framework capable of generating any target waveform such as electrocardiogram (ECG), photoplethysmogram (PPG), or arterial blood pressure (ABP) from any single input waveform with a single model. MD-ViSCo employs a shallow 1-Dimensional U-Net integrated with a Swin Transformer that leverages Adaptive Instance Normalization (AdaIN) to capture distinct waveform styles. To evaluate the efficacy of MD-ViSCo, we conduct multi-directional waveform generation on two publicly available datasets. Our framework surpasses state-of-the-art baselines (NabNet & PPG2ABP) on average across all waveform types, lowering Mean absolute error (MAE) by 8.8% and improving Pearson correlation (PC) by 4.9% over two datasets. In addition, the generated ABP waveforms satisfy the Association for the Advancement of Medical Instrumentation (AAMI) criterion and achieve Grade B on the British Hypertension Society (BHS) standard, outperforming all baselines. By eliminating the need for developing a distinct model for each task, we believe that this work offers a unified framework that can deal with any kind of vital sign waveforms with a single model in healthcare monitoring.