Abstract
The real-time, precise monitoring of physiological signals such as intracranial pressure (ICP) and arterial blood pressure (BP) holds significant clinical importance. However, traditional methods like invasive ICP monitoring and invasive arterial blood pressure measurement present challenges including complex procedures, high infection risks, and difficulties in continuous measurement. Consequently, learning-based prediction utilizing observable signals (e.g., BP/pulse waves) has emerged as a crucial alternative approach. Existing models struggle to simultaneously capture multi-scale local features and long-range temporal dependencies, while their computational complexity remains prohibitively high for meeting real-time clinical demands. To address this, this paper proposes a physiological signal prediction method combining composite feature preprocessing with multiscale modeling. First, a seven-dimensional feature matrix is constructed based on physiological prior knowledge to enhance feature discriminative power and mitigate phase mismatch issues. Second, a network architecture CNN-LSTM-Attention (CBAnet), integrating multiscale convolutions, long short-term memory (LSTM), and attention mechanisms is designed to effectively capture both local waveform details and long-range temporal dependencies, thereby improving waveform prediction accuracy and temporal consistency. Experiments on GBIT-ABP, CHARIS, and our self-built PPG-HAF dataset show that CBAnet achieves competitive performance relative to bidirectional long short-term Memory (BiLSTM), convolutional neural network-long short-term memory network (CNN-LSTM), Transformer, and Wave-U-Net baselines across Root Mean Square Error (RMSE), Mean Absolute Error (MAE), and Coefficient of Determination (R(2)). This study provides a promising, efficient approach for non-invasive, continuous physiological parameter prediction.