arXiv:2605. 00647v2 Announce Type: replace Abstract: Automated pediatric electrocardiogram (ECG) interpretation remains challenging because developmental differences in heart rate, intervals, and waveforms limit the transferability of models trained mainly on adult data, while expert-labeled pediatric ECG cohorts are scarce.
By Xinran Liu, Yuwen Li, Hongxiang Gao, Heyang Xu, Jianqing Li, Zongmin Wang, Chengyu Liu
arXiv:2609.13874v1 Announce Type: new
Abstract: Multimodal clinical AI typically assumes that the waveform, report, metadata, and downstream predictions attached to a record belong to the same patien...
By Md Ashik Khan, Md Nahid Siddique
arXiv:2606. 15038v1 Announce Type: new Abstract: Accurate time-to-event (TTE) prediction from multimodal clinical data remains challenging due to modality imbalance and distribution shift.
By Zhemin Zhang, Weijie Chen, David Le, Amara Tariq, Alex Wallace, Matthew Stib, Juan Maria Farina, Chadi Ayoub, Reza Arsanjani, Imon Banerjee
arXiv:2607. 22264v1 Announce Type: new Abstract: Autoregressive foundation models trained on tokenized electronic health records (EHRs) can support zero-shot clinical prediction, yet most operate on structured event codes alone, and do not incorporate multiple modalities in a principled way.
By Yuxuan Liu, Joshua Placidi, Jinpei Han, Alfred John Balston, Marek Rei, A. Aldo Faisal
arXiv:2606. 15284v1 Announce Type: cross Abstract: Photoplethysmography (PPG) plays a central role in wearable health monitoring and clinical decision support.
By Chenyang He, Xinyi Shao, Shun Huang, Bosong Huang, Daoqiang Zhang, Ming Jing, Cheng Ding
arXiv:2607. 24553v1 Announce Type: cross Abstract: Standardized echocardiography conclusions provide meaningful supervision for learning ECG representations of echocardiography-derived cardiac findings.
By Xiaocheng Fang, Jieyi Cai, Guangkun Nie, Haoyu Wang, Jiarui Jin, Yujie Xiao, Bo Liu, Chenyang He, Qinghao Zhao, Gaofeng Cheng, Hongyan Li, Shenda Hong
FOCAL is a framework that aligns fine-grained ECG waveform segments with specific report tags using Optimal Transport, addressing the lack of localized representation in prior methods. It introduces a semantic similarity matrix to mitigate false negatives when reports share diagnoses, and a coarse‑to‑fine enrichment pipeline that employs Large Language Models to recover missing waveform semantics while filtering hallucinations. Experiments on six datasets show FOCAL achieves state‑of‑the‑art zero‑shot prediction and linear probing performance.
By Haitao Li, Che Liu, Zhengyao Ding, Ziyi Liu, Wenqi Shao, Zhengxing Huang
arXiv:2605. 29977v2 Announce Type: replace-cross Abstract: High-fidelity ECG interpretation is increasingly reliant on massive foundation models, yet their deployment in clinical edge-care remains hindered by extreme computational demands.
By Dang Nguyen Hong, Nhi Ngoc-Yen Nguyen, Huy-Hieu Pham
BEAT-Net is a supervised biomimetic framework for ECG diagnosis that incorporates QRS-centered tokenization and a hierarchical architecture mirroring a cardiologist’s workflow. It processes heartbeat sequences through morphological, spatial, temporal, and transformer-based stages, achieving an AUC of 0.924 on large benchmarks while using only 0.7 million parameters. The model outperforms the 39.5‑million‑parameter HeartLang foundation model on morphological form classification and demonstrates superior cross‑dataset generalization with only 35% of the training data.
By Runze Ma, Haonan Lyu, Shunbo Jia, Qiang Yang, Muzi Xu, Jiaqi Zhang, Zihe Luo, Caizhi Liao
arXiv:2607. 14613v1 Announce Type: cross Abstract: Long-tailed label distributions reduce the reliability of deep learning for electrocardiogram (ECG) arrhythmia diagnosis, particularly for clinically important but rare abnormalities.
By Jin Dai, Qiuzhen Zhang, Chenyun Dai, Danmei Lan, Can Han
BeatGraph is a self‑supervised model that represents infant ECG recordings as graphs of individual heartbeats rather than fixed‑length patches, allowing it to capture the higher heart rates and distinct waveform patterns of infants. The model uses a shared beat encoder, a Transformer for temporal ordering, and graph attention layers to produce a window embedding, which is pretrained on a large unlabeled infant ECG corpus and fine‑tuned for tasks such as sleep‑wake detection, infant‑state classification, activity‑source identification, and affect recognition. BeatGraph achieves state‑of‑the‑art performance on multiple infant‑specific benchmarks and transfers well to pediatric and adult ECG datasets, while also releasing the first public infant ECG corpus collected in diverse home and classroom settings.
By Mohammad Nur Hossain Khan, M. S. Krafczyk, Beverly G. Bolster, Nancy McElwain, Mark A. Hasegawa-Johnson, Bashima Islam
Standardized echocardiography conclusions provide meaningful supervision for learning ECG representations of echocardiography-derived cardiac findings. Global ECG--text alignment may entangle modality-specific factors, while long-tailed finding distributions provide sparse positive supervision for low-prevalence conditions.