CoMetaPNS: Continually Meta-learning Personalized Neural Surrogates for Cardiac Electrophysiology Simulations

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Personalized virtual heart simulations face challenges in model personalization and computational cost. While neural surrogates offer state-of-the-art solutions, they typically address either efficient personalization or training generalizable models. Recent work reframes this by learning the process of personalizing a surrogate using limited subject-specific context data, through few-shot generative modeling with set-conditioned surrogates and meta-learned amortized inference. These methods, however, assume a static and diverse training distribution with known task identifiers. When new data becomes available, they require costly retraining with all prior data to avoid catastrophic forgetting - a phenomena where the model forgets earlier tasks when trained on new ones. This is a major limitation in clinical settings where often unlabeled data arrives sequentially and full retraining is infeasible. This paper presents a new continual meta-learning framework to achieve personalized neural surrogates able to not only continually integrate information but also identify whether incoming data stems from a known or unknown dynamics source. By leveraging a continual Bayesian Gaussian Mixture Model over a memory buffer, our framework can infer the identifiers and relationships of data over time - required for effective meta-learning. Empirical results on synthetic cardiac data demonstrate superior simulation forecasting, computational scalability, and resilience to catastrophic forgetting compared to existing baselines.

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