The paper introduces RouteCert, a method for ensuring risk control in multimodal systems that acquire inputs adaptively. It shows that conditional calibration can remain valid even when the acquisition policy determines the calibration group, and provides two finite‑sample constructions: threshold‑free routing with terminal‑pattern calibration and simultaneous validation of policy‑pattern pairs. Experiments on a clinical ECG task and masked multimodal benchmarks demonstrate that RouteCert achieves low disagreement rates and competitive answered fractions while validating each acquisition stage separately.
By Melika Baghi
arXiv:2608. 15520v1 Announce Type: new Abstract: A multimodal system may begin inference holding only some of its inputs and may acquire the rest at a cost.
By Melika Baghi
arXiv:2608. 00058v1 Announce Type: cross Abstract: Accurate measurement of ECG intervals, including PR, QRS duration, and QT/QTc, is central to cardiac diagnosis, yet the published ECG delineation literature evaluates performance almost exclusively as fiducial-point timing errors on small curated databases, rather than as clinical interval accuracy on large unselected cohorts.
By Farhan Adam Mukadam, Harshit Mishra, Nachiket Makwana, Pradyot Tiwari, Subramani Kandasamy, KVS Hari
arXiv:2609.21755v1 Announce Type: new
Abstract: Emergency department (ED) decision-making relies on heterogeneous clinical information, including patient history, vital signs, laboratory results, and...
By Jinning Liang, Mingcheng Zhu, Tingting Zhu
arXiv:2607. 27404v1 Announce Type: new Abstract: Existing benchmarks for electrocardiogram foundation models primarily evaluate downstream predictive performance, providing limited insight into whether their internal representations can be faithfully decomposed, clinically interpreted, or reproduced across independent analyses.
By Yixuan Duan, Wei Qiu
The paper introduces a framework that distinguishes two causes of saturation in clinical prediction: a learner gap, where the model fails to use available information, and a measurement‑channel ceiling, where the recorded variables limit performance. It provides theoretical characterizations, finite‑sample diagnostics, and empirical audits across three large cohorts, showing that well‑tuned models approach the frontier while deficient learners leave large gaps. A PRISMA‑guided synthesis across 104 tasks reveals consistent channel‑level patterns, suggesting that improving the learner or the measurement channel can audit and potentially lift performance.
By Sayeed Shafayet Chowdhury, Nusrat Jahan, Snehasis Mukhopadhyay, Shiaofen Fang, Vijay R. Ramakrishnan
arXiv:2607. 24419v1 Announce Type: new Abstract: Deep models have substantially advanced 12-lead ECG classification, yet their refinement still relies heavily on human experts to inspect failures and iteratively revise classifier designs.
By Jinliang Deng, Yiming Niu, Yibo Pan, Zhiqi Shao, Qin Luo, Yongxin Tong
ECGQuest is a new benchmark that evaluates language models on the contextual knowledge required for electrocardiogram interpretation, featuring 10,904 True/False questions derived from 23 ECG references and 2003‑2025 Computing in Cardiology proceedings. The study tested 23 commercial and open‑source models, finding that zero‑shot accuracy ranged from 49.5% to 74.4% and that fine‑tuning with Low‑Rank Adaptation improved all open‑source models by 6.5–14.1%, with the best fine‑tuned model achieving 76.3% accuracy and a five‑model ensemble reaching 78.5%. ECGQuest demonstrates that parameter‑efficient fine‑tuning can enable smaller models to compete with larger commercial ones on ECG‑specific tasks.
By Mohammadsina Hassannia, Matthew A. Reyna, Reza Sameni
The paper introduces Normal-Anchored Geometric Transport (NAGT), a source‑free adaptation technique that uses label‑free normal beats from the first five minutes of ECG recordings to compute a symmetric positive‑definite congruence map. NAGT applies this map only to normal and supraventricular prototypes while keeping ventricular and fusion prototypes unchanged, achieving a macro‑F1 improvement from 34.5% to 48.7% on a large chest‑patch cohort. The method also reduces ventricular false alarms by 68% and maintains 98.3% of normal beats outside alarm classes, with adaptation taking only 5.8 ms per record.
By JinKook Kim
arXiv:2607. 05009v1 Announce Type: cross Abstract: Complete digital 12-lead electrocardiograms (ECGs) are essential for AI-enabled cardiovascular assessment, yet many clinical ECG records, particularly those digitized from ECG images, remain incomplete because of short display formats, incomplete waveform digitization, lead loss, or signal corruption.
By Xiaocheng Fang, Haoyu Wang, Jieyi Cai, Qinghao Zhao, Jun Li, Shanwei Zhang, Guangkun Nie, Yujie Xiao, Shun Huang, Jiarui Jin, Hongmin Liu, Guodong Wang, Shuohua Chen, Liming Lin, Shouling Wu, Hongyan Li, Shenda Hong
arXiv:2610.17718v1 Announce Type: new
Abstract: Electrocardiogram (ECG) models need supervision that targets evolving weaknesses and remains faithful to waveform evidence. We introduce ECG-RSI, a rec...
By Xiaoliang Wang, Zhuo Chen, Chuanyang Zheng, Jiangwei Lao, Quanbin Wang, Honglin Lin, Jiajia Liu, Zhihong Lu, Hao Jin, Jian Wang, Lijun Wu
arXiv:2607. 23406v1 Announce Type: cross Abstract: Continuous cuffless blood pressure (BP) monitoring is essential for connected health systems and wearable devices, enabling early detection, longitudinal tracking, and personalized management of cardiovascular disease.
By Bo Wu, Haoling Wang, Zhuodiao Kuang, Kateryna Shapovalenko