Organizations: UNITES Lab, University of North Carolina at Chapel Hill
Abstract
Continuous physiological time series underpin modern clinical monitoring, yet many of the most informative signals are invasive, expensive, or simply unavailable for a given patient. Conditional generation offers a remedy: an absent signal can be synthesized from co-recorded signals and routine clinical variables. Existing generators, however, are built around a single conditioning modality and degrade when forced to handle the heterogeneous, irregularly missing mix of time-variant signals and static covariates seen in practice. We propose ReCoGen (Represent Conditions, then Generate), a two-stage framework that decouples multimodal condition representation from target generation. Stage I trains one masked autoencoder per modality, distilling each time-variant condition into a compact and missingness-tolerant token sequence. Stage II trains a flow-matching generator that fuses these tokens with static conditions to synthesize the target signal. Across three physiological benchmarks, including continuous glucose monitoring on AI-READI and arterial blood pressure generation on MIMIC-III and MIMIC-IV, ReCoGen attains the best downstream utility on all sixteen (dataset, task, metric) settings, surpassing six representative conditional generators; on thirteen of them its utility also reaches or exceeds the utility measured on the real signal, a reference we read as an approximate anchor rather than a ceiling. Ablations trace the gains to the conditioning path: learnable cross-attention over the frozen per-modality encoders, and a dual token-plus-AdaLN route for the static conditions. ReCoGen thus turns routinely collected signals into informative surrogates for invasive or unavailable ones, a step toward less invasive, lower-cost continuous clinical monitoring.
Synthetic medical time-series generation can alleviate data scarcity and support the development of reliable clinical prediction models. However, existing methods mainly focus on matching the overall distribution and temporal dynamics of real data, which does not necessarily ensure strong downstream utility on imbalanced medical datasets. Clinically informative patterns often occur at heterogeneous temporal scales, while rare minority-class characteristics can be obscured by dominant population patterns. To address these challenges, we propose MedFlow, a class-aware multi-scale flow matching framework for medical time-series synthesis. MedFlow employs a vector-quantized multi-scale tokenizer to represent medical sequences at complementary temporal resolutions, capturing both coarse clinical trends and fine-grained dynamics. We further introduce Token Marginal Guidance, which incorporates class-conditional token statistics directly into the flow matching process to steer generation toward class-specific regions of the learned tokens. This mechanism strengthens minority-class patterns, while preserving the global and tail distributions of real data. Experiments on four public datasets covering electronic health records, EEG, and ECG signals demonstrate that MedFlow consistently outperforms recent state-of-the-art diffusion-based baselines across downstream prediction tasks. On average, it improves AUPRC by 5.8%, reduces Context-FID by 88.6%, and achieves 3.8× higher sampling throughput.
Machine learning can be crucial to help scale complex signal processing applications in scenarios such as healthcare. However, these machine learning models need rich datasets to be trained and there are often cases where it is not possible to access representative datasets. In this paper, we propose a deep generative model based on conditional variational autoencoders with the objective of augmenting the vital signs of healthy individuals in a way that mimics the patterns of a certain clinical condition. More specifically, we use a publicly available ICU (Intensive Care Unit) dataset to train our model and then evaluate it using the vital data that we have collected from healthy individuals. Our results demonstrate that the proposed model can not only learn the underlying dynamics of the ICU data but, more importantly, can reshape our collected data from healthy individuals in a way that is aligned with the vital signs of a certain clinical condition. We propose a distance metric that shows how our model can generate samples that are more aligned with the intended clinical labels when compared to the tested baselines.
Training robust multivariate time series forecasting models requires large, diverse corpora, yet many real-world domains provide only a handful of observed sequences. Existing generators fail to resolve this mismatch: prior-based approaches (e.g., CauKer, TimePFN) produce domain-agnostic samples, while data-driven methods (e.g., TimeGAN) treat references as black-box supervision, forfeiting explicit control over periodic structure, local variability, and cross-variable dynamics. We propose ReGeN, a reference-guided generative pipeline that treats observed sequences not as examples to imitate, but as structural scaffolds for controllable synthesis. ReGeN decomposes each reference into three interpretable components: a phase-aligned periodic backbone capturing dominant domain morphology; per-variable stochastic residuals modeled with a deep-kernel Gaussian process; and lag-aware cross-variable dependencies injected through a structural causal model with fitted coupling coefficients. Sampling these components at controllable temperature broadens distributional coverage while preserving domain-grounded structure. We show that ReGeN-generated data consistently substitutes for real sibling data with minimal forecasting degradation, and in strongly periodic domains such as traffic, can outperform the real source itself. We further show that a foundation model pretrained on ReGeN corpora outperforms those pretrained on prior-based and data-driven synthetic alternatives. This suggests that in low-data regimes, how reference data is structurally exploited can matter as much as how much data is available.