arXiv AI

Robust Transfer Learning for Paper ECG Recognition

RobECG-CL is a rank‑aware contrastive learning framework designed to learn robust representations for paper ECG images, which often suffer from varied layouts, physical artifacts, and limited labels. The method constructs progressively degraded views from standard 12‑lead ECG recordings and trains the model to maintain invariance to the same recording while respecting degradation ordering. In synthetic stress tests on CODE‑II and EchoNext, RobECG‑CL shows improved robustness under severe degradation and few‑shot transfer, outperforming other contrastive baselines and surpassing the waveform‑based foundation model ECG‑FM in a 1% labeled setting; it also achieves the best macro AUROC on 312 hospital samples with 37 labels.

arXiv AI
Aug 12

LVCG: Learning ECG Representations in the Latent Vectorcardiogram Space

arXiv:2605. 31249v2 Announce Type: replace-cross Abstract: Electrocardiography (ECG) is a cornerstone of cardiac assessment, making the learning of informative ECG representations fundamental to tasks ranging from disease diagnosis to clinical report generation.

By Bosong Huang, Panzhen Zhao, Zengxiang Li, Patricia Lee, Wei Jin, Alan Wee-Chung Liew, Ming Jin, Shirui Pan
arXiv AI
Sep 10

Leveraging Cardiac Imaging to Improve ECG-Based Detection of Chagas Disease in Resource-Constrained Settings

The study demonstrates that contrastive pre‑training of ECG representations using cardiac magnetic resonance (CMR) imaging data can enhance ECG‑based detection of Chagas disease. By aligning an ECG encoder with a CMR embedding space from 63,193 paired UK Biobank examinations, the authors achieved higher AUROC and sensitivity metrics on CODE‑15%, SaMi‑Trop, and PhysioNet/CinC 2025 Challenge datasets compared to an unaligned baseline. The approach shows that imaging‑supervised ECG representations generalize across different populations and resource‑constrained settings.

By Laura Alvarez-Florez, Daniel Uyterlinde, Samuel Ruip\'erez-Campillo, Lukas P. A. Arts, Folkert W. Asselbergs, Fleur V. Y. Tjong
arXiv Machine Learning
Jun 9

Label-Conditioned Cross-Modal Fusion for Adult-to-Pediatric ECG Transfer via Curriculum-Gated Contrastive Alignment

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 Machine Learning
Jul 20

Knowledge-Guided Cross-Modal Fusion for Adult-to-Pediatric ECG Transfer via Label-Conditioned Contrastive Alignment

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 Machine Learning
Aug 11

Diagnosing as Cardiologists Do: ECG Agents with Doctor-Grounded Priors for Clinical Reasoning Across Diseases and Populations

arXiv:2608. 09053v1 Announce Type: cross Abstract: Cardiologists interpret electrocardiograms by localizing waveform components, measuring rhythm and interval patterns, and translating these structured observations into diagnostic evidence.

By Hongxiang Gao, He-yang Xu, Yuwen Li, Minghui Zhao, Zhipeng Cai, Xingyao Wang, Chenxi Yang, Jianqing Li, Chengyu Liu
arXiv Machine Learning
Aug 28

Graph-Based Pseudo-multimodal Contrastive Learning for 12-Lead ECG Representations

The paper introduces Graph-CMMC, a graph-based pseudo‑multimodal contrastive learning framework for 12‑lead ECG representations. It transforms ECG waveforms into Gramian Angular Difference Field (GADF) images to create complementary views, then aligns these views while modeling inter‑lead dependencies with a graph module. Experiments on coronary artery occlusion classification show that Graph-CMMC performs competitively with supervised methods, highlighting the value of GADF representations and explicit graph modeling for robust ECG analysis.

By Mengyu Wang, Kozo Okada, Takafumi Goto, Natsuko Jinba, Hiroki Yamaya, Kiyoshi Hibi, Tomoki Hamagami
arXiv Machine Learning
Aug 20

Atrial Fibrillation Detection with Arbitrary Leads via a Codebook-Based Reconstruction-Classification Framework

The paper introduces DCGCNet, a dual-codebook graph collaborative network that jointly reconstructs ECG signals and classifies atrial fibrillation. It incorporates a local‑global contrastive module for noise‑invariant feature learning and an adaptive codebook vector quantizer to prevent codebook collapse. The model achieves state‑of‑the‑art intra‑dataset performance and consistently attains AUC > 0.98 across seven cross‑dataset settings, even under realistic noisy conditions.

By Hongtao Li, Jia Wei, Guoyao Li, Yuchen Lei, Guangnian Ma, Jia Xiao, Yuanjun Lai, Shuzhen Lv, Xueqiang Ouyang
Hugging Face Trending Papers
Aug 10

Diagnosing as Cardiologists Do: ECG Agents with Doctor-Grounded Priors for Clinical Reasoning Across Diseases and Populations

Cardiologists interpret electrocardiograms by localizing waveform components, measuring rhythm and interval patterns, and translating these structured observations into diagnostic evidence. Whether this expert reading process can serve as an effective prior for ECG agents remains unclear.