TS-P$^2$CL: Plug-and-Play Dual Contrastive Learning for Vision-Guided Medical Time Series Classification

Abstract

Medical time series (MedTS) classification is pivotal for intelligent healthcare, yet its efficacy is severely limited by poor cross-subject generation due to the profound cross-individual heterogeneity. Despite advances in architectural innovations and transfer learning techniques, current methods remain constrained by modality-specific inductive biases that limit their ability to learn universally invariant representations. To overcome this, we propose TS-P$^2$CL, a novel plug-and-play framework that leverages the universal pattern recognition capabilities of pre-trained vision models. We introduce a vision-guided paradigm that transforms 1D physiological signals into 2D pseudo-images, establishing a bridge to the visual domain. This transformation enables implicit access to rich semantic priors learned from natural images. Within this unified space, we employ a dual-contrastive learning strategy: intra-modal consistency enforces temporal coherence, while cross-modal alignment aligns time-series dynamics with visual semantics, thereby mitigating individual-specific biases and learning robust, domain-invariant features. Extensive experiments on six MedTS datasets demonstrate that TS-P$^2$CL consistently outperforms fourteen methods in both subject-dependent and subject-independent settings.