Convolutional Fourier Analysis Network (CFAN): A Unified Time-Frequency Approach for ECG Classification

Machine learning has transformed the classification of biomedical signals such as electrocardiograms (ECGs). Advances in deep learning, particularly convolutional neural networks (CNNs), enable automatic feature extraction, raising the question: Can combining time- and frequency-domain attributes enhance classification accuracy? To explore this, we evaluated three ECG classification tasks: (1) arrhythmia detection, (2) identity recognition, and (3) apnea detection. We initially tested three methods: (i) 2-D spectrogram-based frequency-time classification (SPECT), (ii) time-domain classification using a 1-D CNN (CNN1D), and (iii) frequency-domain classification using a Fourier transform-based CNN (FFT1D). Performance was validated using K-fold cross-validation. Among these, CNN1D (time only) performed best, followed by SPECT (time-frequency) and FFT1D (frequency only). Surprisingly, SPECT, which integrates time- and frequency-domain features, performed worse than CNN1D, suggesting a need for a more effective time and frequency fusion approach. To address this, we tested the recently proposed Fourier Analysis Network (FAN), which combines time- and frequency-domain features. However, FAN performed comparably to CNN1D, excelling in some tasks while underperforming in others. To enhance this approach, we developed the Convolutional Fourier Analysis Network (CFAN), which integrates FAN with CNN. CFAN outperformed all previous methods across all classification tasks. These findings underscore the advantages of combining time- and frequency-domain features, demonstrating CFAN's potential as a powerful and versatile solution for ECG classification and broader biomedical signal analysis