# Bidirectional Fusion Guided by Cardiac Patterns for Semi-Supervised ECG Segmentation

arXiv: https://arxiv.org/abs/2605.15722 · HTML: https://mlsanity.com/paper/2605.15722/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 14 of its 34 references that are in the map.
- First posted on arXiv 15 May 2026.

## Builds on (most cited first, 14 of 14)

- [SGDR: Stochastic Gradient Descent with Warm Restarts](https://mlsanity.com/paper/1608.03983/) (2016)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Training data-efficient image transformers & distillation through attention](https://mlsanity.com/paper/2012.12877/) (2020)
- [CutMix: Regularization Strategy to Train Strong Classifiers with Localizable Features](https://mlsanity.com/paper/1905.04899/) (2019)
- [RandAugment: Practical automated data augmentation with a reduced search space](https://mlsanity.com/paper/1909.13719/) (2019)
- [FixMatch: Simplifying Semi-Supervised Learning with Consistency and Confidence](https://mlsanity.com/paper/2001.07685/) (2020)
- [Semi-Supervised Semantic Segmentation with Cross Pseudo Supervision](https://mlsanity.com/paper/2106.01226/) (2021)
- [ST++: Make Self-training Work Better for Semi-supervised Semantic Segmentation](https://mlsanity.com/paper/2106.05095/) (2021)
- [Guiding Masked Representation Learning to Capture Spatio-Temporal Relationship of Electrocardiogram](https://mlsanity.com/paper/2402.09450/) (2024)
- [Bootstrapping Semantic Segmentation with Regional Contrast](https://mlsanity.com/paper/2104.04465/) (2021)
- [Augmentation Matters: A Simple-yet-Effective Approach to Semi-supervised Semantic Segmentation](https://mlsanity.com/paper/2212.04976/) (2022)
- [A Survey on Semi-Supervised Semantic Segmentation](https://mlsanity.com/paper/2302.09899/) (2023)
- [Deep learning based ECG segmentation for delineation of diverse arrhythmias](https://mlsanity.com/paper/2304.06237/) (2023)
- [SemiSegECG: A Multi-Dataset Benchmark for Semi-Supervised Semantic Segmentation in ECG Delineation](https://mlsanity.com/paper/2507.18323/) (2025)

## Abstract (arXiv)

Accurate delineation of electrocardiogram (ECG), the segmentation of meaningful waveform features, is crucial for cardiovascular diagnostics. However, the scarcity of annotated data poses a significant challenge for training deep learning models. Conventional semi-supervised semantic segmentation (SemiSeg) methods primarily focus on consistency from unlabeled data, underutilizing the information exchange possible between labeled and unlabeled sets. To address this, we introduce CardioMix, a framework built on a bidirectional CutMix strategy guided by cardiac patterns for ECG segmentation. This approach enriches the labeled set with realistic variations from unlabeled data while simultaneously applying stronger supervisory signals to the unlabeled set, as the cardiac pattern-guided mixing ensures all augmented samples remain physiologically meaningful. Our framework is designed as a plug-and-play module, demonstrating high compatibility with various SemiSeg algorithms. Extensive experiments on SemiSegECG, a public multi-dataset benchmark for ECG delineation, demonstrate that CardioMix consistently outperforms existing CutMix-based fusion strategies across diverse datasets and labeled ratios as a plug-and-play module compatible with various SemiSeg algorithms.