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While recent multimodal large language models (MLLMs) have advanced automated ECG interpretation, they still face two key limitations: (1) insufficient multimodal synergy between time series signals and visual ECG representations, and (2)…

Computation and Language · Computer Science 2025-10-21 Xiang Lan , Feng Wu , Kai He , Qinghao Zhao , Shenda Hong , Mengling Feng

Recent advances in multimodal ECG representation learning center on aligning ECG signals with paired free-text reports. However, suboptimal alignment persists due to the complexity of medical language and the reliance on a full 12-lead…

Machine Learning · Computer Science 2025-02-26 Che Liu , Cheng Ouyang , Zhongwei Wan , Haozhe Wang , Wenjia Bai , Rossella Arcucci

Cardiovascular diseases (CVD) can be diagnosed using various diagnostic modalities. The electrocardiogram (ECG) is a cost-effective and widely available diagnostic aid that provides functional information of the heart. However, its ability…

Signal Processing · Electrical Eng. & Systems 2025-01-09 Özgün Turgut , Philip Müller , Paul Hager , Suprosanna Shit , Sophie Starck , Martin J. Menten , Eimo Martens , Daniel Rueckert

Electrocardiography (ECG) is an effective and non-invasive diagnostic tool that measures the electrical activity of the heart. Interpretation of ECG signals to detect various abnormalities is a challenging task that requires expertise.…

The electrocardiogram (ECG) is an essential and effective tool for diagnosing heart diseases. However, its effectiveness can be compromised by noise or unavailability of one or more leads of the standard 12-lead recordings, resulting in…

Machine Learning · Computer Science 2025-10-07 Huynh Dang Nguyen , Trong-Thang Pham , Ngan Le , Van Nguyen

Electrocardiograms (ECGs) are widely used non-invasive measurements of cardiac activity and play a central role in clinical diagnosis. Recent multimodal approaches align ECG signals with clinical reports to incorporate diagnostic semantics,…

The HeartBert model is introduced with three primary objectives: reducing the need for labeled data, minimizing computational resources, and simultaneously improving performance in machine learning systems that analyze Electrocardiogram…

Signal Processing · Electrical Eng. & Systems 2026-04-29 Saedeh Tahery , Fatemeh Hamid Akhlaghi , Termeh Amirsoleimani

The electrocardiogram (ECG) is a cost-effective, highly accessible and widely employed diagnostic tool. With the advent of Foundation Models (FMs), the field of AI-assisted ECG interpretation has begun to evolve, as they enable model reuse…

Artificial Intelligence · Computer Science 2026-01-30 Francesca Filice , Edoardo De Rose , Simone Bartucci , Francesco Calimeri , Simona Perri

Driver emotion recognition plays a crucial role in driver monitoring systems, enhancing human-autonomy interactions and the trustworthiness of Autonomous Driving (AD). Various physiological and behavioural modalities have been explored for…

Machine Learning · Computer Science 2025-03-04 Nastaran Mansourian , Arash Mohammadi , M. Omair Ahmad , M. N. S. Swamy

Electrocardiogram (ECG) analysis is a fundamental tool for diagnosing cardiovascular conditions, yet anomaly detection in ECG signals remains challenging due to their inherent complexity and variability. We propose Multi-scale Masked…

Machine Learning · Computer Science 2025-02-11 Ya Zhou , Yujie Yang , Jianhuang Gan , Xiangjie Li , Jing Yuan , Wei Zhao

Electroencephalography (EEG) is a method of recording brain activity that shows significant promise in applications ranging from disease classification to emotion detection and brain-computer interfaces. Recent advances in deep learning…

Machine Learning · Computer Science 2026-01-15 Amarpal Sahota , Navid Mohammadi Foumani , Raul Santos-Rodriguez , Zahraa S. Abdallah

Accurate interpretation of electrocardiogram (ECG) signals is crucial for diagnosing cardiovascular diseases. Recent multimodal approaches that integrate ECGs with accompanying clinical reports show strong potential, but they still face two…

Artificial Intelligence · Computer Science 2026-02-25 Ziwei Niu , Hao Sun , Shujun Bian , Xihong Yang , Lanfen Lin , Yuxin Liu , Yueming Jin

The classification of electrocardiogram (ECG) plays a crucial role in the development of an automatic cardiovascular diagnostic system. However, considerable variances in ECG signals between individuals is a significant challenge. Changes…

Signal Processing · Electrical Eng. & Systems 2023-06-08 Md Niaz Imtiaz , Naimul Khan

An important paradigm in smart health is developing diagnosis tools and monitoring a patient's heart activity through processing Electrocardiogram (ECG) signals is a key example, sue to high mortality rate of heart-related disease. However,…

Signal Processing · Electrical Eng. & Systems 2018-11-02 Jiaming Chen , Ali Valehi , Abolfazl Razi

An electrocardiogram (ECG) is a widely used, cost-effective tool for detecting electrical abnormalities in the heart. However, it cannot directly measure functional parameters, such as ventricular volumes and ejection fraction, which are…

Image and Video Processing · Electrical Eng. & Systems 2025-06-27 Alexander Selivanov , Philip Müller , Özgün Turgut , Nil Stolt-Ansó , Daniel Rückert

The 12-lead electrocardiogram (ECG) is a quasi-periodic, multi-channel signal with diagnostic content spanning timescales from millisecond waveform morphology to multi-second rhythm dynamics. Existing ECG representation learning relies on…

Computational Engineering, Finance, and Science · Computer Science 2026-05-26 Lei Xu , Fahad Sohrab , Mehmet Yamac , Merja Heinaniemi , Moncef Gabbouj

The success of Multimodal Large Language Models (MLLMs) in the medical auxiliary field shows great potential, allowing patients to engage in conversations using physiological signal data. However, general MLLMs perform poorly in cardiac…

Signal Processing · Electrical Eng. & Systems 2025-04-17 Yubao Zhao , Jiaju Kang , Tian Zhang , Puyu Han , Tong Chen

In the medical multi-modal frameworks, the alignment of cross-modality features presents a significant challenge. However, existing works have learned features that are implicitly aligned from the data, without considering the explicit…

Computer Vision and Pattern Recognition · Computer Science 2024-06-17 Chong Ma , Hanqi Jiang , Wenting Chen , Yiwei Li , Zihao Wu , Xiaowei Yu , Zhengliang Liu , Lei Guo , Dajiang Zhu , Tuo Zhang , Dinggang Shen , Tianming Liu , Xiang Li

The classification of electrocardiogram (ECG) signals is crucial for early detection of arrhythmias and other cardiac conditions. However, despite advances in machine learning, many studies fail to follow standardization protocols, leading…

Computer Vision and Pattern Recognition · Computer Science 2025-03-11 Guilherme Silva , Pedro Silva , Gladston Moreira , Vander Freitas , Jadson Gertrudes , Eduardo Luz

Deep learning-based electrocardiogram (ECG) classification has shown impressive performance but clinical adoption has been slowed by the lack of transparent and faithful explanations. Post hoc methods such as saliency maps may fail to…