arXiv subjects

Patitapaban Palo

Publications and source records attributed to Patitapaban Palo.

3 recordsLinked to original sources

arXiv2026

When Text and Numbers Disagree: Evidence Arbitration in Large Language Models

Large language models (LLMs) are increasingly used in settings where textual summaries, numerical observations, and external tool outputs may provide conflicting evidence. We study how LLMs arbitrate between such sources when they support opposing decisions. To do so, we introduce a controlled synthetic benchmark in which latent risk trajectories generate both numerical time series and natural language summaries, allowing us to construct conflicts where exactly one evidence source is aligned with the ground-truth label. This design lets us independently manipulate modality, temporal recency, source reliability, and evidence provenance. Across open-weight instruction-tuned models, we find that arbitration behaviour is systematic rather than random: models exhibit distinct text-versus-number preferences, follow temporal recency more consistently than explicit reliability cues, and can over-rely on external forecasts even when they conflict with direct contextual evidence. These results suggest that current LLMs often rely on heuristic arbitration strategies when integrating heterogeneous evidence, highlighting a failure mode for tool-augmented decision systems.

cs.CL↗

arXiv2026

Extending Pretrained 10-Second ECG Foundation Models to Longer Horizons

Electrocardiogram (ECG) foundation models pretrained on typical diagnostic 10-second ECG segments, have demonstrated strong transferability across a range of clinical applications. However, many real-world applications produce recordings that are typically longer, and are varied in duration during inference time. These 10-second models have no built-in way to combine information across time. Extending them to longer horizons introduces two challenges: structural incompatibilities arising from input-length disparities, and semantic challenges that limit meaningful temporal aggregation. We propose a parameter-efficient framework that extends pretrained ECG foundation models to longer and variable-length ECGs without retraining the backbone. Guided by a frozen pretrained 10-second model, we introduce a lightweight plug-in module that extends the model in two complementary ways: (i) structurally compatible long-sequence processing and (ii) semantically informed temporal modeling. Experiments on multiple long-horizon ECG tasks, datasets, and foundation model backbones demonstrate that our method enables robust long-horizon extension from pretrained snapshot models, consistently outperforming sliding-window and pooling-based baselines with strong parameter efficiency.

cs.LG↗

arXiv2026

SignalMC-MED: A Multimodal Benchmark for Evaluating Biosignal Foundation Models on Single-Lead ECG and PPG

Recent biosignal foundation models (FMs) have demonstrated promising performance across diverse clinical prediction tasks, yet systematic evaluation on long-duration multimodal data remains limited. We introduce SignalMC-MED, a benchmark for evaluating biosignal FMs on synchronized single-lead electrocardiogram (ECG) and photoplethysmogram (PPG) data. Derived from the MC-MED dataset, SignalMC-MED comprises 22,256 visits with 10-minute overlapping ECG and PPG signals, and includes 20 clinically relevant tasks spanning prediction of demographics, emergency department disposition, laboratory value regression, and detection of prior ICD-10 diagnoses. Using this benchmark, we perform a systematic evaluation of representative time-series and biosignal FMs across ECG-only, PPG-only, and ECG + PPG settings. We find that domain-specific biosignal FMs consistently outperform general time-series models, and that multimodal ECG + PPG fusion yields robust improvements over unimodal inputs. Moreover, using the full 10-minute signal consistently outperforms shorter segments, and larger model variants do not reliably outperform smaller ones. Hand-crafted ECG domain features provide a strong baseline and offer complementary value when combined with learned FM representations. Together, these results establish SignalMC-MED as a standardized benchmark and provide practical guidance for evaluating and deploying biosignal FMs.

cs.LG↗