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The cardiologist's main tool for measuring systolic heart failure is left ventricular ejection fraction (LVEF). Trained cardiologist's report both a visual and machine-guided measurement of LVEF, but only use this machine-guided measurement…

Early detection of cardiac dysfunction through routine screening is vital for diagnosing cardiovascular diseases. An important metric of cardiac function is the left ventricular ejection fraction (EF), where lower EF is associated with…

Image and Video Processing · Electrical Eng. & Systems 2023-09-08 Ece Ozkan , Thomas M. Sutter , Yurong Hu , Sebastian Balzer , Julia E. Vogt

Malignant ventricular arrhythmias (VT/VF) following acute myocardial infarction (AMI) are a major cause of in-hospital death, yet early identification remains a clinical challenge. While traditional risk scores have limited performance,…

Artificial Intelligence · Computer Science 2025-10-21 Shun Huang , Wenlu Xing , Shijia Geng , Hailong Wang , Guangkun Nie , Gongzheng Tang , Chenyang He , Shenda Hong

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

Recognizing the need for explainable AI (XAI) approaches to enable the successful integration of AI-based ECG prediction models (AI-ECG) into clinical practice, we introduce a framework generating \textbf{Co}unter\textbf{F}actual…

Artificial Intelligence · Computer Science 2025-08-25 Jong-Hwan Jang , Junho Song , Yong-Yeon Jo

ECG-Language Models (ELMs) extend recent progress in Multimodal Large Language Models (MLLMs) to automated ECG interpretation. However, most ELMs follow Vision-Language Model (VLM) designs and depend on pretrained ECG encoders, adding…

Deep learning models for pulmonary disease screening from Computed Tomography (CT) scans promise to alleviate the immense workload on radiologists. Still, their high computational cost, stemming from processing entire 3D volumes, remains a…

Image and Video Processing · Electrical Eng. & Systems 2026-03-19 Qian Shao , Bang Du , Yixuan Wu , Zepeng Li , Qiyuan Chen , Qianqian Tang , Jian Wu , Jintai Chen , Hongxia Xu

Electrocardiogram (ECG) is a widely used tool for assessing cardiac function due to its low cost and accessibility. Emergent research shows that ECGs can help make predictions on key outcomes traditionally derived from more complex…

Computer Vision and Pattern Recognition · Computer Science 2025-10-01 Yuan Gao , Sangwook Kim , Chris McIntosh

Electrocardiography (ECG) is the clinical gold standard for cardiovascular disease (CVD) assessment, yet continuous monitoring is constrained by the need for dedicated hardware and trained personnel. Photoplethysmography (PPG) is ubiquitous…

Machine Learning · Computer Science 2026-01-22 Xiaocheng Fang , Jiarui Jin , Haoyu Wang , Che Liu , Jieyi Cai , Yujie Xiao , Guangkun Nie , Bo Liu , Shun Huang , Hongyan Li , Shenda Hong

Background: Electrocardiogram (ECG) analysis has emerged as a promising tool for detecting physiological changes linked to non-cardiac disorders. Given the close connection between cardiovascular and neurocognitive health, ECG abnormalities…

Signal Processing · Electrical Eng. & Systems 2025-11-20 Juan Miguel Lopez Alcaraz , Ebenezer Oloyede , David Taylor , Wilhelm Haverkamp , Nils Strodthoff

Electrocardiogram (ECG) monitoring is one of the most powerful technique of cardiovascular disease (CVD) early identification, and the introduction of intelligent wearable ECG devices has enabled daily monitoring. However, due to the need…

Signal Processing · Electrical Eng. & Systems 2024-03-08 Hongxiang Gao , Xingyao Wang , Zhenghua Chen , Min Wu , Jianqing Li , Chengyu Liu

The left ventricular of ejection fraction is one of the most important metric of cardiac function. It is used by cardiologist to identify patients who are eligible for lifeprolonging therapies. However, the assessment of ejection fraction…

Computer Vision and Pattern Recognition · Computer Science 2023-04-04 Lhuqita Fazry , Asep Haryono , Nuzulul Khairu Nissa , Sunarno , Naufal Muhammad Hirzi , Muhammad Febrian Rachmadi , Wisnu Jatmiko

Electrocardiogram (ECG) is a widely used reliable, non-invasive approach for cardiovascular disease diagnosis. With the rapid growth of ECG examinations and the insufficiency of cardiologists, accurate and automatic diagnosis of ECG signals…

Machine Learning · Computer Science 2020-10-21 Dongdong Zhang , Xiaohui Yuan , Ping Zhang

High-fidelity ECG interpretation is increasingly reliant on massive foundation models, yet their deployment in clinical edge-care remains hindered by extreme computational demands. While knowledge distillation (KD) is a promising solution,…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Dang Hong Nguyen , Nhi Ngoc-Yen Nguyen , Huy-Hieu Pham

Ejection fraction (EF) is commonly measured by echocardiography, by dividing the volume ejected by the heart (stroke volume) by the volume of the filled heart (end-diastolic volume). Utilizing volume changes of left myocardial segments per…

Medical Physics · Physics 2018-03-09 Mersedeh Karvandi , Saeed Ranjbar

Purpose: Chest X-rays are essential for diagnosing pulmonary conditions, but limited access in resource-constrained settings can delay timely diagnosis. Electrocardiograms (ECGs), in contrast, are widely available, non-invasive, and often…

Signal Processing · Electrical Eng. & Systems 2025-09-23 Julia Matejas , Olaf Żurawski , Nils Strodthoff , Juan Miguel Lopez Alcaraz

Heart failure (HF) poses a significant public health challenge, with a rising global mortality rate. Early detection and prevention of HF could significantly reduce its impact. We introduce a novel methodology for predicting HF risk using…

Quantitative Methods · Quantitative Biology 2025-06-19 Chen Chen , Lei Li , Marcel Beetz , Abhirup Banerjee , Ramneek Gupta , Vicente Grau

Cardiovascular diseases, a leading cause of noncommunicable disease-related deaths, require early and accurate detection to improve patient outcomes. Taking advantage of advances in machine learning and deep learning, multiple approaches…

Computer Vision and Pattern Recognition · Computer Science 2025-02-12 Paula Ruiz-Barroso , Francisco M. Castro , José Miranda , Denisa-Andreea Constantinescu , David Atienza , Nicolás Guil

Electrocardiogram (ECG) interpretation is essential for cardiovascular disease diagnosis, but current automated systems often struggle with transparency and generalization to unseen conditions. To address this, we introduce ZETA, a…

Machine Learning · Computer Science 2025-10-27 Jialu Tang , Hung Manh Pham , Ignace De Lathauwer , Henk S. Schipper , Yuan Lu , Dong Ma , Aaqib Saeed

Heart failure remains a major public health challenge with growing costs. Ejection fraction (EF) is a key metric for the diagnosis and management of heart failure however estimation of EF using echocardiography remains expensive for the…

Image and Video Processing · Electrical Eng. & Systems 2022-12-26 Walt Williams , Rohan Doshi , Yanran Li , Kexuan Liang