arXiv AI July 24, 2026 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

Enhancing Explainable Cardiac Diagnosis with Guide-Grounded Multimodal LLMs

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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).

Machine-generated by The Flow from the publisher's headline and feed description — not written or checked by a human. The full article lives at arXiv AI.

arXiv Computer Vision

Sep 22

X-Beat: An Explainable Framework for ECG Image Classification

arXiv:2609.22631v1 Announce Type: new Abstract: Accurate automated interpretation of electrocardio- grams (ECGs) is essential for early detection of cardiac condi- tions such as myocardial infarction...

By Mohammad Sadman Tahsin, Haitham Y. Adarbah, Afzel Noore

computer-vision fine-tuning benchmarks

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

llms benchmarks

Hugging Face Trending Papers

Jun 22

Physiology-Aware CNN and Zero-Shot Multimodal LLMs for ECG Image Classification: A Comparative Study

Multimodal large language models (LLMs) are increasingly adopted to interpret 12-lead ECG images, though the interpretations often lack validation. However, ECG image understanding significantly differs from general images as it depends on precise waveform morphology, lead relationships and accurate interval measurements.

llms computer-vision multimodal

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

llms multimodal benchmarks

arXiv Computation and Language

Sep 1

ECGQuest: Benchmarking and Fine-Tuning Language Models for Electrocardiography

ECGQuest is a new benchmark that evaluates language models on the contextual knowledge required for electrocardiogram interpretation, featuring 10,904 True/False questions derived from 23 ECG references and 2003‑2025 Computing in Cardiology proceedings. The study tested 23 commercial and open‑source models, finding that zero‑shot accuracy ranged from 49.5% to 74.4% and that fine‑tuning with Low‑Rank Adaptation improved all open‑source models by 6.5–14.1%, with the best fine‑tuned model achieving 76.3% accuracy and a five‑model ensemble reaching 78.5%. ECGQuest demonstrates that parameter‑efficient fine‑tuning can enable smaller models to compete with larger commercial ones on ECG‑specific tasks.

By Mohammadsina Hassannia, Matthew A. Reyna, Reza Sameni

llms fine-tuning benchmarks safety

arXiv Machine Learning

Jul 28

Beyond Local Inspection: Global, Guideline-Grounded Evaluation of Post-hoc XAI Methods for ECG Classification

arXiv:2607. 24035v1 Announce Type: cross Abstract: Explainable AI (XAI) is used to assess whether artificial intelligence models rely on meaningful patterns, yet explanations that appear plausible for individual predictions may systematically misrepresent model behavior.

By Nils Gumpfer, Michael Guckert, Samuel Sossalla, Birgit A{\ss}mus, Jennifer Hannig

computer-vision