From High-SNR Radar Signal to ECG: A Transfer Learning Model with Cardio-Focusing Algorithm for Scenarios with Limited Data

Electrocardiogram (ECG), as a crucial find-grained cardiac feature, has been successfully recovered from radar signals in the literature, but the performance heavily relies on the high-quality radar signal and numerous radar-ECG pairs for training, restricting the applications in new scenarios due to data scarcity. Therefore, this work will focus on radar-based ECG recovery in new scenarios with limited data and propose a cardio-focusing and -tracking (CFT) algorithm to precisely track the cardiac location to ensure an efficient acquisition of high-quality radar signals. Furthermore, a transfer learning model (RFcardi) is proposed to extract cardio-related information from the radar signal without ECG ground truth based on the intrinsic sparsity of cardiac features, and only a few synchronous radar-ECG pairs are required to fine-tune the pre-trained model for the ECG recovery. The experimental results reveal that the proposed CFT can dynamically identify the cardiac location, and the RFcardi model can effectively generate faithful ECG recoveries after using a small number of radar-ECG pairs for training. The code and dataset are available after the publication.

Contrastive Cross-Modal Learning for Infusing Chest X-ray Knowledge into ECGs

Modern diagnostic workflows are increasingly multimodal, integrating diverse data sources such as medical images, structured records, and physiological time series. Among these, electrocardiograms (ECGs) and chest X-rays (CXRs) are two of the most widely used modalities for cardiac assessment. While CXRs provide rich diagnostic information, ECGs are more accessible and can support scalable early warning systems. In this work, we propose CroMoTEX, a novel contrastive learning-based framework that leverages chest X-rays during training to learn clinically informative ECG representations for multiple cardiac-related pathologies: cardiomegaly, pleural effusion, and edema. Our method aligns ECG and CXR representations using a novel supervised cross-modal contrastive objective with adaptive hard negative weighting, enabling robust and task-relevant feature learning. At test time, CroMoTEX relies solely on ECG input, allowing scalable deployment in real-world settings where CXRs may be unavailable. Evaluated on the large-scale MIMIC-IV-ECG and MIMIC-CXR datasets, CroMoTEX outperforms baselines across all three pathologies, achieving up to 78.31 AUROC on edema. Our code is available at github.com/vineetpmoorty/cromotex.

Emotion Detection on User Front-Facing App Interfaces for Enhanced Schedule Optimization: A Machine Learning Approach

Human-Computer Interaction (HCI) has evolved significantly to incorporate emotion recognition capabilities, creating unprecedented opportunities for adaptive and personalized user experiences. This paper explores the integration of emotion detection into calendar applications, enabling user interfaces to dynamically respond to users' emotional states and stress levels, thereby enhancing both productivity and engagement. We present and evaluate two complementary approaches to emotion detection: a biometric-based method utilizing heart rate (HR) data extracted from electrocardiogram (ECG) signals processed through Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) neural networks to predict the emotional dimensions of Valence, Arousal, and Dominance; and a behavioral method analyzing computer activity through multiple machine learning models to classify emotions based on fine-grained user interactions such as mouse movements, clicks, and keystroke patterns. Our comparative analysis, from real-world datasets, reveals that while both approaches demonstrate effectiveness, the computer activity-based method delivers superior consistency and accuracy, particularly for mouse-related interactions, which achieved approximately 90\% accuracy. Furthermore, GRU networks outperformed LSTM models in the biometric approach, with Valence prediction reaching 84.38\% accuracy.

MOSCARD -- Causal Reasoning and De-confounding for Multimodal Opportunistic Screening of Cardiovascular Adverse Events

Major Adverse Cardiovascular Events (MACE) remain the leading cause of mortality globally, as reported in the Global Disease Burden Study 2021. Opportunistic screening leverages data collected from routine health check-ups and multimodal data can play a key role to identify at-risk individuals. Chest X-rays (CXR) provide insights into chronic conditions contributing to major adverse cardiovascular events (MACE), while 12-lead electrocardiogram (ECG) directly assesses cardiac electrical activity and structural abnormalities. Integrating CXR and ECG could offer a more comprehensive risk assessment than conventional models, which rely on clinical scores, computed tomography (CT) measurements, or biomarkers, which may be limited by sampling bias and single modality constraints. We propose a novel predictive modeling framework - MOSCARD, multimodal causal reasoning with co-attention to align two distinct modalities and simultaneously mitigate bias and confounders in opportunistic risk estimation. Primary technical contributions are - (i) multimodal alignment of CXR with ECG guidance; (ii) integration of causal reasoning; (iii) dual back-propagation graph for de-confounding. Evaluated on internal, shift data from emergency department (ED) and external MIMIC datasets, our model outperformed single modality and state-of-the-art foundational models - AUC: 0.75, 0.83, 0.71 respectively. Proposed cost-effective opportunistic screening enables early intervention, improving patient outcomes and reducing disparities.

EXGnet: a single-lead explainable-AI guided multiresolution network with train-only quantitative features for trustworthy ECG arrhythmia classification

Background: Deep learning has significantly advanced ECG arrhythmia classification, enabling high accuracy in detecting various cardiac conditions. The use of single-lead ECG systems is crucial for portable devices, as they offer convenience and accessibility for continuous monitoring in diverse settings. However, the interpretability and reliability of deep learning models in clinical applications poses challenges due to their black-box nature. Methods: To address these challenges, we propose EXGnet, a single-lead, trustworthy ECG arrhythmia classification network that integrates multiresolution feature extraction with Explainable Artificial Intelligence (XAI) guidance and train only quantitative features. Results: Trained on two public datasets, including Chapman and Ningbo, EXGnet demonstrates superior performance through key metrics such as Accuracy, F1-score, Sensitivity, and Specificity. The proposed method achieved average five fold accuracy of 98.762%, and 96.932% and average F1-score of 97.910%, and 95.527% on the Chapman and Ningbo datasets, respectively. Conclusions: By employing XAI techniques, specifically Grad-CAM, the model provides visual insights into the relevant ECG segments it analyzes, thereby enhancing clinician trust in its predictions. While quantitative features further improve classification performance, they are not required during testing, making the model suitable for real-world applications. Overall, EXGnet not only achieves better classification accuracy but also addresses the critical need for interpretability in deep learning, facilitating broader adoption in portable ECG monitoring.

Diffusion-Based Electrocardiography Noise Quantification via Anomaly Detection

Electrocardiography (ECG) signals are often degraded by noise, which complicates diagnosis in clinical and wearable settings. This study proposes a diffusion-based framework for ECG noise quantification via reconstruction-based anomaly detection, addressing annotation inconsistencies and the limited generalizability of conventional methods. We introduce a distributional evaluation using the Wasserstein-1 distance ($W_1$), comparing the reconstruction error distributions between clean and noisy ECGs to mitigate inconsistent annotations. Our final model achieved robust noise quantification using only three reverse diffusion steps. The model recorded a macro-average $W_1$ score of 1.308 across the benchmarks, outperforming the next-best method by over 48%. External validations demonstrated strong generalizability, supporting the exclusion of low-quality segments to enhance diagnostic accuracy and enable timely clinical responses to signal degradation. The proposed method enhances clinical decision-making, diagnostic accuracy, and real-time ECG monitoring capabilities, supporting future advancements in clinical and wearable ECG applications.

MMME: A Spontaneous Multi-Modal Micro-Expression Dataset Enabling Visual-Physiological Fusion

Micro-expressions (MEs) are subtle, fleeting nonverbal cues that reveal an individual's genuine emotional state. Their analysis has attracted considerable interest due to its promising applications in fields such as healthcare, criminal investigation, and human-computer interaction. However, existing ME research is limited to single visual modality, overlooking the rich emotional information conveyed by other physiological modalities, resulting in ME recognition and spotting performance far below practical application needs. Therefore, exploring the cross-modal association mechanism between ME visual features and physiological signals (PS), and developing a multimodal fusion framework, represents a pivotal step toward advancing ME analysis. This study introduces a novel ME dataset, MMME, which, for the first time, enables synchronized collection of facial action signals (MEs), central nervous system signals (EEG), and peripheral PS (PPG, RSP, SKT, EDA, and ECG). By overcoming the constraints of existing ME corpora, MMME comprises 634 MEs, 2,841 macro-expressions (MaEs), and 2,890 trials of synchronized multimodal PS, establishing a robust foundation for investigating ME neural mechanisms and conducting multimodal fusion-based analyses. Extensive experiments validate the dataset's reliability and provide benchmarks for ME analysis, demonstrating that integrating MEs with PS significantly enhances recognition and spotting performance. To the best of our knowledge, MMME is the most comprehensive ME dataset to date in terms of modality diversity. It provides critical data support for exploring the neural mechanisms of MEs and uncovering the visual-physiological synergistic effects, driving a paradigm shift in ME research from single-modality visual analysis to multimodal fusion. The dataset will be publicly available upon acceptance of this paper.

PhysioWave: A Multi-Scale Wavelet-Transformer for Physiological Signal Representation

Physiological signals are often corrupted by motion artifacts, baseline drift, and other low-SNR disturbances, which pose significant challenges for analysis. Additionally, these signals exhibit strong non-stationarity, with sharp peaks and abrupt changes that evolve continuously, making them difficult to represent using traditional time-domain or filtering methods. To address these issues, a novel wavelet-based approach for physiological signal analysis is presented, aiming to capture multi-scale time-frequency features in various physiological signals. Leveraging this technique, two large-scale pretrained models specific to EMG and ECG are introduced for the first time, achieving superior performance and setting new baselines in downstream tasks. Additionally, a unified multi-modal framework is constructed by integrating pretrained EEG model, where each modality is guided through its dedicated branch and fused via learnable weighted fusion. This design effectively addresses challenges such as low signal-to-noise ratio, high inter-subject variability, and device mismatch, outperforming existing methods on multi-modal tasks. The proposed wavelet-based architecture lays a solid foundation for analysis of diverse physiological signals, while the multi-modal design points to next-generation physiological signal processing with potential impact on wearable health monitoring, clinical diagnostics, and broader biomedical applications.

Deep Learning-Based Digitization of Overlapping ECG Images with Open-Source Python Code

This paper addresses the persistent challenge of accurately digitizing paper-based electrocardiogram (ECG) recordings, with a particular focus on robustly handling single leads compromised by signal overlaps-a common yet under-addressed issue in existing methodologies. We propose a two-stage pipeline designed to overcome this limitation. The first stage employs a U-Net based segmentation network, trained on a dataset enriched with overlapping signals and fortified with custom data augmentations, to accurately isolate the primary ECG trace. The subsequent stage converts this refined binary mask into a time-series signal using established digitization techniques, enhanced by an adaptive grid detection module for improved versatility across different ECG formats and scales. Our experimental results demonstrate the efficacy of our approach. The U-Net architecture achieves an IoU of 0.87 for the fine-grained segmentation task. Crucially, our proposed digitization method yields superior performance compared to a well-established baseline technique across both non-overlapping and challenging overlapping ECG samples. For non-overlapping signals, our method achieved a Mean Squared Error (MSE) of 0.0010 and a Pearson Correlation Coefficient (rho) of 0.9644, compared to 0.0015 and 0.9366, respectively, for the baseline. On samples with signal overlap, our method achieved an MSE of 0.0029 and a rho of 0.9641, significantly improving upon the baseline's 0.0178 and 0.8676. This work demonstrates an effective strategy to significantly enhance digitization accuracy, especially in the presence of signal overlaps, thereby laying a strong foundation for the reliable conversion of analog ECG records into analyzable digital data for contemporary research and clinical applications. The implementation is publicly available at this GitHub repository: https://github.com/masoudrahimi39/ECG-code.

uPVC-Net: A Universal Premature Ventricular Contraction Detection Deep Learning Algorithm

Introduction: Premature Ventricular Contractions (PVCs) are common cardiac arrhythmias originating from the ventricles. Accurate detection remains challenging due to variability in electrocardiogram (ECG) waveforms caused by differences in lead placement, recording conditions, and population demographics. Methods: We developed uPVC-Net, a universal deep learning model to detect PVCs from any single-lead ECG recordings. The model is developed on four independent ECG datasets comprising a total of 8.3 million beats collected from Holter monitors and a modern wearable ECG patch. uPVC-Net employs a custom architecture and a multi-source, multi-lead training strategy. For each experiment, one dataset is held out to evaluate out-of-distribution (OOD) generalization. Results: uPVC-Net achieved an AUC between 97.8% and 99.1% on the held-out datasets. Notably, performance on wearable single-lead ECG data reached an AUC of 99.1%. Conclusion: uPVC-Net exhibits strong generalization across diverse lead configurations and populations, highlighting its potential for robust, real-world clinical deployment.