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

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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.

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

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By Akanta Das, Tasinul Islam Ahon, Ahmed Mahir Sultan Rumi, Md Mahbubur Rahman, Tausif Amim Shadly, Tanzima Hashem
arXiv Machine Learning
Jul 21

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

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By Alexander Selivanov, Friederike Jungmann, Jan Kehrer, Karl-Ludwig Laugwitz, Eimo Martens, Daniel Rueckert
arXiv Machine Learning
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By Nils Gumpfer, Michael Guckert, Samuel Sossalla, Birgit A{\ss}mus, Jennifer Hannig
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