ECG Mirage: Revealing and Mitigating the Underutilisation of ECGs in Vision-Language Models for Clinical Prediction
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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.
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).
Electrocardiography (ECG) contains subject-specific morphology that supports biometric recognition, yet image-based performance depends on how the waveform is rendered. We introduce representative-mor...
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.
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.
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).