arXiv subjects

Md Nahid Siddique

Publications and source records attributed to Md Nahid Siddique.

2 recordsLinked to original sources

arXiv2026

SHIFT-M3: Pre-fusion Alignment-based Consistency Screening for Multimodal ECG Record Integrity

Multimodal clinical AI typically assumes that the waveform, report, metadata, and downstream predictions attached to a record belong to the same patient. In practice, linkage failures can silently assemble individually plausible but cross-patient components, creating a safety problem that standard predictive models are not designed to detect. We study this problem as multimodal record integrity triage: given an assembled record, should its modalities be trusted to belong together? We introduce SHIFT-M3, a lightweight text-based pre-fusion screen that measures alignment-based consistency between two separately produced ECG text views: an LLM-generated interpretation and a clinical report summary. On 784,680 MEETI ECG records, SHIFT-M3 achieves 97.6% TPR@5% FPR for full text-view swaps (AUROC 0.996), 90.3% for partial swaps (AUROC 0.974), and 97.7% for label-matched hard negatives (AUROC 0.996) with only 573,569 parameters. Compared with same-dataset lexical baselines, the gains are largest on partial swaps and hard negatives, suggesting that the model is learning more than surface overlap. We also introduce the CMST (Conflict-type Multimodal Stress Test) evaluation taxonomy, a three-seed stability study, a loss ablation, a temporal-tolerance sweep, and a shared-token masking control. The main remaining failure mode is longitudinal ambiguity: at the default operating point, same-patient cross-visit pairs still produce 87.0% Type-II false positives.

cs.CL↗

arXiv2025

Fixed-Budget Parameter-Efficient Training with Frozen Encoders Improves Multimodal Chest X-Ray Classification

Multimodal chest X-Ray analysis often fine-tunes large vision-language models, which is computationally costly. We study parameter-efficient training (PET) strategies, including frozen encoders, BitFit, LoRA, and adapters for multi-label classification on the Indiana University Chest X-Ray dataset (3,851 image-report pairs; 579 test samples). To mitigate data leakage, we redact pathology terms from reports used as text inputs while retaining clinical context. Under a fixed parameter budget (2.37M parameters, 2.51% of total), all PET variants achieve AUROC between 0.892 and 0.908, outperforming full fine-tuning (0.770 AUROC), which uses 94.3M trainable parameters, a 40x reduction. External validation on CheXpert (224,316 images, 58x larger) confirms scalability: all PET methods achieve >0.69 AUROC with <9% trainable parameters, with Adapter achieving best performance (0.7214 AUROC). Budget-matched comparisons reveal that vision-only models (0.653 AUROC, 1.06M parameters) outperform budget-matched multimodal models (0.641 AUROC, 1.06M parameters), indicating improvements arise primarily from parameter allocation rather than cross-modal synergy. While PET methods show degraded calibration (ECE: 0.29-0.34) compared to simpler models (ECE: 0.049), this represents a tractable limitation addressable through post-hoc calibration methods. These findings demonstrate that frozen encoder strategies provide superior discrimination at substantially reduced computational cost, though calibration correction is essential for clinical deployment.

cs.CV↗