arXiv Machine Learning

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.

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 AI
Sep 18

FOCAL: Fine-Grained Optimal-Transport-Driven Contrastive Alignment of Language and ECGs with Waveform Enhancement

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 Machine Learning
Jul 21

ECG-LLM: Foundation Model for ECG-Based Cardiac Reasoning

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 AI
Aug 7

ECG-LENS: Lead-Aware Clinical Context Enriched ECG Report Generation and Evaluation

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
arXiv AI
Jul 28

EchoBridge: Long-Tail-Aware ECG-Echocardiography Text Alignment for Echocardiography-Derived Cardiac Findings

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
arXiv AI
Sep 21

BEAT-Net: Injecting Biomimetic Spatio-Temporal Priors for Interpretable ECG Diagnosis

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 Machine Learning
Jul 27

Autoregressive EHR Foundation Models with Multimodal Inputs

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 Computer Vision
Sep 25

A Hybrid CNN--State-Space--Attention Backbone with Joint-Embedding Predictive Pretraining for 12-Lead ECG Classification

The paper presents a hybrid CNN–state‑space–attention backbone designed for 12‑lead ECG classification, combining early waveform tokenization, mixed temporal dynamics modeling, and late global attention. It introduces an ECG‑oriented Joint‑Embedding Predictive Pretraining (JEPA) that samples span masks at latent resolution and predicts clean latent targets via a momentum encoder, avoiding waveform reconstruction. Experiments on CPSC2018, Chapman‑Shaoxing, and PTB‑XL, with pretraining on ~350K unlabeled CODE‑15 recordings, demonstrate strong supervised baselines and improved transfer, especially in low‑label scenarios and with LoRA adaptation.

By Yakoub Bazi, Sarah Aljuhani, Mohamad M. Al Rahhal, Mansour Zuair, Naif Alajlan
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