arXiv Machine Learning By JinKook Kim

Transport What Shares the Conduction Pathway: Normal-Anchored SPD Geometric Transport for Source-Free Patient Adaptation of Holter and Patch ECG

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The paper introduces Normal-Anchored Geometric Transport (NAGT), a source‑free adaptation technique that uses label‑free normal beats from the first five minutes of ECG recordings to compute a symmetric positive‑definite congruence map. NAGT applies this map only to normal and supraventricular prototypes while keeping ventricular and fusion prototypes unchanged, achieving a macro‑F1 improvement from 34.5% to 48.7% on a large chest‑patch cohort. The method also reduces ventricular false alarms by 68% and maintains 98.3% of normal beats outside alarm classes, with adaptation taking only 5.8 ms per record.

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