Dynamic Prototype Rehearsal for Continual ECG Arrhythmia Detection
Sana Rahmani, Reetam Chatterjee, Ali Etemad, Javad Hashemi

TL;DR
DREAM-CL introduces a dynamic prototype rehearsal memory for continual ECG arrhythmia detection, effectively selecting challenging samples to retain knowledge across tasks and outperforming existing methods.
Contribution
The paper proposes DREAM-CL, a novel continual learning approach using dynamic prototype rehearsal with clustering and difficulty-based sample selection for ECG analysis.
Findings
DREAM-CL outperforms state-of-the-art CL methods on ECG datasets.
The method effectively retains knowledge across multiple incremental scenarios.
Ablation studies validate the importance of each component in DREAM-CL.
Abstract
Continual Learning (CL) methods aim to learn from a sequence of tasks while avoiding the challenge of forgetting previous knowledge. We present DREAM-CL, a novel CL method for ECG arrhythmia detection that introduces dynamic prototype rehearsal memory. DREAM-CL selects representative prototypes by clustering data based on learning behavior during each training session. Within each cluster, we apply a smooth sorting operation that ranks samples by training difficulty, compressing extreme values and removing outliers. The more challenging samples are then chosen as prototypes for the rehearsal memory, ensuring effective knowledge retention across sessions. We evaluate our method on time-incremental, class-incremental, and lead-incremental scenarios using two widely used ECG arrhythmia datasets, Chapman and PTB-XL. The results demonstrate that DREAM-CL outperforms the state-of-the-art in…
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