VizECGNet: Visual ECG Image Network for Cardiovascular Diseases Classification with Multi-Modal Training and Knowledge Distillation

An electrocardiogram (ECG) captures the heart's electrical signal to assess various heart conditions. In practice, ECG data is stored as either digitized signals or printed images. Despite the emergence of numerous deep learning models for digitized signals, many hospitals prefer image storage due to cost considerations. Recognizing the unavailability of raw ECG signals in many clinical settings, we propose VizECGNet, which uses only printed ECG graphics to determine the prognosis of multiple cardiovascular diseases. During training, cross-modal attention modules (CMAM) are used to integrate information from two modalities - image and signal, while self-modality attention modules (SMAM) capture inherent long-range dependencies in ECG data of each modality. Additionally, we utilize knowledge distillation to improve the similarity between two distinct predictions from each modality stream. This innovative multi-modal deep learning architecture enables the utilization of only ECG images during inference. VizECGNet with image input achieves higher performance in precision, recall, and F1-Score compared to signal-based ECG classification models, with improvements of 3.50%, 8.21%, and 7.38%, respectively.

Modality-agnostic Domain Generalizable Medical Image Segmentation by Multi-Frequency in Multi-Scale Attention

Generalizability in deep neural networks plays a pivotal role in medical image segmentation. However, deep learning-based medical image analyses tend to overlook the importance of frequency variance, which is critical element for achieving a model that is both modality-agnostic and domain-generalizable. Additionally, various models fail to account for the potential information loss that can arise from multi-task learning under deep supervision, a factor that can impair the model representation ability. To address these challenges, we propose a Modality-agnostic Domain Generalizable Network (MADGNet) for medical image segmentation, which comprises two key components: a Multi-Frequency in Multi-Scale Attention (MFMSA) block and Ensemble Sub-Decoding Module (E-SDM). The MFMSA block refines the process of spatial feature extraction, particularly in capturing boundary features, by incorporating multi-frequency and multi-scale features, thereby offering informative cues for tissue outline and anatomical structures. Moreover, we propose E-SDM to mitigate information loss in multi-task learning with deep supervision, especially during substantial upsampling from low resolution. We evaluate the segmentation performance of MADGNet across six modalities and fifteen datasets. Through extensive experiments, we demonstrate that MADGNet consistently outperforms state-of-the-art models across various modalities, showcasing superior segmentation performance. This affirms MADGNet as a robust solution for medical image segmentation that excels in diverse imaging scenarios. Our MADGNet code is available in GitHub Link.