arXiv subjects

Lovely Yeswanth Panchumarthi

Publications and source records attributed to Lovely Yeswanth Panchumarthi.

6 recordsLinked to original sources

arXiv2026

TRACE: Expert-Aligned ECG Representation Learning with Rigorous Benchmarking and Real-World Validation in Acute Cardiac Care

TRACE (Text-Reinforced Analysis of Cardio ECGs) is a multimodal electrocardiogram (ECG) representation model that learns clinically grounded signal embeddings for downstream cardiac classification. It is designed to address the limitations of existing CLIP-style training, which often struggles with noisy clinical text and fails to leverage the complementary strengths of unimodal (from ECG) and cross-modal (between ECG and matched cardiologist reports) learning. To bridge this gap, we propose a hybrid architecture that jointly learns unimodal and cross-modal representations via uncertainty-weighted multi-task learning while utilizing an LLM-based pipeline to extract high-fidelity findings from cardiologist reports. We evaluate TRACE across a spectrum of clinical urgency, establishing robust performance on public benchmarks for arrhythmia classification and structural abnormalities relative to existing unimodal and multimodal ECG models. To demonstrate real-world utility, we further validate the model on acute coronary occlusion (ACO), where the prevailing ST-elevation criteria miss 25-34% of true occlusions. Utilizing a large private ACO dataset with expert-annotated ground truth, TRACE significantly outperforms real-world clinical practice, yielding a 19.0% increase in sensitivity or a 62.6% reduction in false positive rates at the clinical baseline. This extensive evaluation confirms that TRACE delivers both strong performance on benchmark tasks and tangible clinical impact in the most acute, high-risk cardiac scenarios.

cs.LG↗

arXiv2026

RAG-BioQA: A Retrieval-Augmented Generation Framework for Long-Form Biomedical Question Answering

The rapidly growth of biomedical literature creates challenges acquiring specific medical information. Current biomedical question-answering systems primarily focus on short-form answers, failing to provide comprehensive explanations necessary for clinical decision-making. We present RAG-BioQA, a retrieval-augmented generation framework for long-form biomedical question answering. Our system integrates BioBERT embeddings with FAISS indexing for retrieval and a LoRA fine-tuned FLAN-T5 model for answer generation. We train on 181k QA pairs from PubMedQA, MedDialog, and MedQuAD, and evaluate on a held-out PubMedQA test set. We compare four retrieval strategies: dense retrieval (FAISS), BM25, ColBERT, and MonoT5. Our results show that domain-adapted dense retrieval outperforms zero-shot neural re-rankers, with the best configuration achieving 0.24 BLEU-1 and 0.29 ROUGE-1. Fine-tuning improves BERTScore by 81\% over the base model. We release our framework to support reproducible biomedical QA research.

cs.CL↗

arXiv2025

Generalist vs Specialist Time Series Foundation Models: Investigating Potential Emergent Behaviors in Assessing Human Health Using PPG Signals

Foundation models are large-scale machine learning models that are pre-trained on massive amounts of data and can be adapted for various downstream tasks. They have been extensively applied to tasks in Natural Language Processing and Computer Vision with models such as GPT, BERT, and CLIP. They are now also increasingly gaining attention in time-series analysis, particularly for physiological sensing. However, most time series foundation models are specialist models - with data in pre-training and testing of the same type, such as Electrocardiogram, Electroencephalogram, and Photoplethysmogram (PPG). Recent works, such as MOMENT, train a generalist time series foundation model with data from multiple domains, such as weather, traffic, and electricity. This paper aims to conduct a comprehensive benchmarking study to compare the performance of generalist and specialist models, with a focus on PPG signals. Through an extensive suite of total 51 tasks covering cardiac state assessment, laboratory value estimation, and cross-modal inference, we comprehensively evaluate both models across seven dimensions, including win score, average performance, feature quality, tuning gain, performance variance, transferability, and scalability. These metrics jointly capture not only the models' capability but also their adaptability, robustness, and efficiency under different fine-tuning strategies, providing a holistic understanding of their strengths and limitations for diverse downstream scenarios. In a full-tuning scenario, we demonstrate that the specialist model achieves a 27% higher win score. Finally, we provide further analysis on generalization, fairness, attention visualizations, and the importance of training data choice.

cs.LG↗

arXiv2025

Vision4PPG: Emergent PPG Analysis Capability of Vision Foundation Models for Vital Signs like Blood Pressure

Photoplethysmography (PPG) sensor in wearable and clinical devices provides valuable physiological insights in a non-invasive and real-time fashion. Specialized Foundation Models (FM) or repurposed time-series FMs are used to benchmark physiological tasks. Our experiments with fine-tuning FMs reveal that Vision FM (VFM) can also be utilized for this purpose and, in fact, surprisingly leads to state-of-the-art (SOTA) performance on many tasks, notably blood pressure estimation. We leverage VFMs by simply transforming one-dimensional PPG signals into image-like two-dimensional representations, such as the Short-Time Fourier transform (STFT). Using the latest VFMs, such as DINOv3 and SIGLIP-2, we achieve promising performance on other vital signs and blood lab measurement tasks as well. Our proposal, Vision4PPG, unlocks a new class of FMs to achieve SOTA performance with notable generalization to other 2D input representations, including STFT phase and recurrence plots. Our work improves upon prior investigations of vision models for PPG by conducting a comprehensive study, comparing them to state-of-the-art time-series FMs, and demonstrating the general PPG processing ability by reporting results on six additional tasks. Thus, we provide clinician-scientists with a new set of powerful tools that is also computationally efficient, thanks to Parameter-Efficient Fine-Tuning (PEFT) techniques.

cs.CV↗

arXiv2025

FairTune: A Bias-Aware Fine-Tuning Framework Towards Fair Heart Rate Prediction from PPG

Foundation models pretrained on physiological data such as photoplethysmography (PPG) signals are increasingly used to improve heart rate (HR) prediction across diverse settings. Fine-tuning these models for local deployment is often seen as a practical and scalable strategy. However, its impact on demographic fairness particularly under domain shifts remains underexplored. We fine-tune PPG-GPT a transformer-based foundation model pretrained on intensive care unit (ICU) data across three heterogeneous datasets (ICU, wearable, smartphone) and systematically evaluate the effects on HR prediction accuracy and gender fairness. While fine-tuning substantially reduces mean absolute error (up to 80%), it can simultaneously widen fairness gaps, especially in larger models and under significant distributional characteristics shifts. To address this, we introduce FairTune, a bias-aware fine-tuning framework in which we benchmark three mitigation strategies: class weighting based on inverse group frequency (IF), Group Distributionally Robust Optimization (GroupDRO), and adversarial debiasing (ADV). We find that IF and GroupDRO significantly reduce fairness gaps without compromising accuracy, with effectiveness varying by deployment domain. Representation analyses further reveal that mitigation techniques reshape internal embeddings to reduce demographic clustering. Our findings highlight that fairness does not emerge as a natural byproduct of fine-tuning and that explicit mitigation is essential for equitable deployment of physiological foundation models.

cs.LG↗

arXiv2025

Fusion of ECG Foundation Model Embeddings to Improve Early Detection of Acute Coronary Syndromes

Acute Coronary Syndrome (ACS) is a life-threatening cardiovascular condition where early and accurate diagnosis is critical for effective treatment and improved patient outcomes. This study explores the use of ECG foundation models, specifically ST-MEM and ECG-FM, to enhance ACS risk assessment using prehospital ECG data collected in ambulances. Both models leverage self-supervised learning (SSL), with ST-MEM using a reconstruction-based approach and ECG-FM employing contrastive learning, capturing unique spatial and temporal ECG features. We evaluate the performance of these models individually and through a fusion approach, where their embeddings are combined for enhanced prediction. Results demonstrate that both foundation models outperform a baseline ResNet-50 model, with the fusion-based approach achieving the highest performance (AUROC: 0.843 +/- 0.006, AUCPR: 0.674 +/- 0.012). These findings highlight the potential of ECG foundation models for early ACS detection and motivate further exploration of advanced fusion strategies to maximize complementary feature utilization.

eess.SP↗