arXiv AI By Jinning Liang, Mingcheng Zhu, Tingting Zhu

ECG Mirage: Revealing and Mitigating the Underutilisation of ECGs in Vision-Language Models for Clinical Prediction

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arXiv Computer Vision
Sep 24

From ECG Signals to Representative-Morphology Heatmaps for Biometric Recognition

The paper introduces representative‑morphology heatmaps, a deterministic ECG‑to‑image representation that averages the five beats closest to the block mean within each ten‑beat block, producing either a conventional trace or a dense cardiac‑time‑by‑lead heatmap. Experiments on PTB, ECG‑ID, and MIMIC‑IV‑ECG‑DEMO show that heatmaps consistently improve verification and identification performance across 15 compact models, reducing EER by an average of 9.59 percentage points and increasing Rank‑1 by 24.69 points. The study also demonstrates that ImageNet initialization benefits multilead datasets, that performance does not scale monotonically with model size, and that useful channel combinations vary by cohort and biometric task.

By Athanasios Angelakis, Marta Gomez-Barrero
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 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 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 24

Enhancing Explainable Cardiac Diagnosis with Guide-Grounded Multimodal LLMs

arXiv:2607. 20814v1 Announce Type: new Abstract: The electrocardiogram (ECG) is a cornerstone of cardiac as- sessment, yet clinical deployment of deep learning models remains con- strained by limited interpretability and the hallucination risk of large language models (LLMs).

By Hai-Nam Duy Vuong, Duy-Anh Bui, Trong-Nghia Nguyen, Kim-Ngan Thi Nguyen, Trang Mai Xuan, Tien-Cuong Nguyen, Van-Dem Pham, Thien Van Luong