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.
arXiv:2607. 15928v1 Announce Type: new Abstract: Adult and pediatric electrocardiogram (ECG) interpretation relies on age-sensitive criteria, and models pretrained mainly on adult ECGs often transfer poorly to pediatric populations when pediatric labels are scarce.
By Xinran Liu, Yuwen Li, Hongxiang Gao, Heyang Xu, Jianqing Li, Zongmin Wang, Chengyu Liu
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:2607. 16323v1 Announce Type: cross Abstract: Electrocardiography (ECG) is an inexpensive, standard-of-care test for cardiac symptoms, but front-line triage often lacks immediate access to definitive imaging such as echocardiography (ECHO) or cardiac magnetic resonance (CMR).
By Alexander Selivanov, Friederike Jungmann, Jan Kehrer, Karl-Ludwig Laugwitz, Eimo Martens, Daniel Rueckert
arXiv:2603. 08505v2 Announce Type: replace-cross Abstract: Electrocardiography (ECG) is a low-cost, widely used modality for diagnosing electrical abnormalities like atrial fibrillation by capturing the heart's electrical activity.
By Michelle Espranita Liman, \"Ozg\"un Turgut, Alexander M\"uller, Eimo Martens, Daniel Rueckert, Philip M\"uller
arXiv:2608. 05893v1 Announce Type: new Abstract: Electrocardiography (ECG) is one of the most widely used non-invasive tools for diagnosing cardiovascular disease, but transforming multi-lead ECG recordings into reliable clinical reports remains challenging.
By Akanta Das, Tasinul Islam Ahon, Ahmed Mahir Sultan Rumi, Md Mahbubur Rahman, Tausif Amim Shadly, Tanzima Hashem
Echo-E$^3$Net is an anatomy‑guided spatio‑temporal neural network designed to estimate left ventricular ejection fraction (LVEF) from ultrasound images. It uses a dual‑phase Endocardial Border Detector to locate end‑diastole and end‑systole landmarks and an Endocardial Feature Aggregator to fuse these landmarks with global deep‑feature descriptors for EF regression. The model achieves competitive accuracy on EchoNet‑Dynamic and EchoNet‑Pediatric datasets while using only 1.55 M parameters and 8.05 GFLOPs, enabling real‑time deployment on limited‑resource devices.
By Moein Heidari, Afshin Bozorgpour, AmirHossein Zarif-Fakharnia, Wenjin Chen, Dorit Merhof, David J. Foran, Jasmine Grewal, Ilker Hacihaliloglu
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: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
arXiv:2605. 16427v2 Announce Type: replace-cross Abstract: Deep learning models for echocardiography segmentation often struggle to generalise across institutions, scanners, and patient populations, where collecting large, consistently annotated datasets is infeasible.
By Soroush Elyasi, Sara Adibzadeh, Nasim Dadashi Serej, Massoud Zolgharni
arXiv:2607. 01039v1 Announce Type: cross Abstract: Therapy-induced cardiotoxicity is the leading non-oncological cause of treatment interruption in breast cancer patients, yet early, automated risk stratification from routine cardiac imaging remains an unsolved problem.
By Grigorios Kalliatakis, Georgia Karanasiou, Georgios Manikis, Manolis Tsiknakis, Dimitrios Fotiadis, Dorothea Tsekoura, Kalliopi Keramida, Vasileios Bouratzis, Lampros Lakkas, Katerina Naka, Andri Papakonstantinou, Anastasia Constantinidou, Kostas Marias
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