CLIC: Contextual Language-Informed Cardiac Pathology Classification

The electrocardiogram (ECG) is the gold standard for non-invasive diagnosis of cardiac pathologies and is a fundamental pillar of cardiovascular medicine. Recent progress in deep learning has led to the development of robust automated classifiers that achieve high performance by processing raw physiological signals. However, in clinical practice, diagnosis is rarely based solely on the signal. Cardiologists commonly support their interpretation with the patient's characteristics and the specific data-acquisition context. Despite this, most current algorithms remain restricted to signal-only analysis, failing to integrate technical metadata and demographic variables. This paper proposes Contextual Language-Informed Cardiac pathology classification (CLIC), a multimodal framework that significantly enhances diagnostic precision by encoding these variables through natural language. We demonstrate that translating patient-level contextual data into descriptive text provides an informative anchor that helps the model disambiguate complex physiological patterns. We further investigate the use of Large Language Models to synthesize richer clinical descriptions and observe that, while these generated texts remain competitive, controlled template-based contextual clinical text leads to consistent improvements in downstream classification performance.

Kaleidoscope: In-language Exams for Massively Multilingual Vision Evaluation

The evaluation of vision-language models (VLMs) has mainly relied on English-language benchmarks, leaving significant gaps in both multilingual and multicultural coverage. While multilingual benchmarks have expanded, both in size and languages, many rely on translations of English datasets, failing to capture cultural nuances. In this work, we propose Kaleidoscope, as the most comprehensive exam benchmark to date for the multilingual evaluation of vision-language models. Kaleidoscope is a large-scale, in-language multimodal benchmark designed to evaluate VLMs across diverse languages and visual inputs. Kaleidoscope covers 18 languages and 14 different subjects, amounting to a total of 20,911 multiple-choice questions. Built through an open science collaboration with a diverse group of researchers worldwide, Kaleidoscope ensures linguistic and cultural authenticity. We evaluate top-performing multilingual vision-language models and find that they perform poorly on low-resource languages and in complex multimodal scenarios. Our results highlight the need for progress on culturally inclusive multimodal evaluation frameworks.