Evaluator-Dependent Patient-Adaptive ECG Lead-Channel Allocation
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Abstract (arXiv)
The diagnostic value of an ECG channel depends on the model that interprets it. We test whether adaptive acquisition retains its advantage over fixed protocols when that model changes. Two policies developed with a logistic evaluator are frozen and assessed with a masked waveform ResNet1D, using exhaustive, metric-matched fixed comparators. On PTB-XL, replacing the evaluator reverses the mean adaptive advantage in negative log-likelihood and Brier score across the tested budgets, while calibration responds less uniformly. The shift persists with common fixed references and broader training-mask exposure. Training a policy against the stronger evaluator partly recovers the lost advantage. These retrospective exploratory results show that acquisition quality cannot be assessed independently of the downstream evaluator and motivate validating adaptive policies with the model intended for diagnosis.
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References · 12
- 2017On Calibration of Modern Neural Networkscited by 4,960
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- 2020Deep Learning for ECG Analysis: Benchmarks and Insights from PTB-XLcited by 158
- 2018EDDI: Efficient Dynamic Discovery of High-Value Information with Partial VAEcited by 87
- 2023Learning to Maximize Mutual Information for Dynamic Feature Selectioncited by 56
- 2022Lead-agnostic Self-supervised Learning for Local and Global Representations of Electrocardiogramcited by 38
- 2017Classification with Costly Features using Deep Reinforcement Learningcited by 34
- 2019Flow Models for Arbitrary Conditional Likelihoodscited by 30
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- 2024Multi-Channel Masked Autoencoder and Comprehensive Evaluations for Reconstructing 12-Lead ECG from Arbitrary Single-Lead ECGcited by 9
- 2017Why Pay More When You Can Pay Less: A Joint Learning Framework for Active Feature Acquisition and Classificationcited by 3
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