ECG Waveform Segmentation via Dual-Stream Network with Selective Context Fusion

Electrocardiogram (ECG) waveform delineation is fundamental to cardiac disease diagnosis. This task requires precise localization of key fiducial points, specifically the onset, peak, and offset positions of P-waves, QRS complexes, and T-waves. Current methods exhibit significant performance degradation in noisy clinical environments (baseline drift, electromyographic interference, powerline interference, etc.), compromising diagnostic reliability. To address this limitation, we introduce ECG-SCFNet: a novel dual-stream architecture employing selective context fusion. Our framework is further enhanced by a consistency training paradigm, enabling it to maintain robust waveform delineation accuracy under challenging noise conditions.The network employs a dual-stream architecture: (1) A temporal stream captures dynamic rhythmic features through sequential multi-branch convolution and temporal attention mechanisms; (2) A morphology stream combines parallel multi-scale convolution with feature pyramid integration to extract multi-scale waveform structural features through morphological attention; (3) The Selective Context Fusion (SCF) module adaptively integrates features from the temporal and morphology streams using a dual attention mechanism, which operates across both channel and spatial dimensions to selectively emphasize informative features from each stream, thereby enhancing the representation learning for accurate ECG segmentation. On the LUDB and QT datasets, ECG-SCFNet achieves high performance, with F1-scores of 97.83% and 97.80%, respectively. Crucially, it maintains robust performance under challenging noise conditions on these datasets, with 88.49% and 86.25% F1-scores, showing significantly improved noise robustness compared to other methods and demonstrating exceptional robustness and precise boundary localization for clinical ECG analysis.