arXiv subjects

Xiao Gu

Publications and source records attributed to Xiao Gu.

At least 19 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

Using Explainability as a Training-Time Reliability Signal for Efficient ECG Classification

Training deep neural networks for clinical time-series analysis is computationally demanding, yet many healthcare settings lack the resources required for repeated model development and deployment. This challenge is particularly evident in electrocardiogram classification, where large datasets and long training schedules make efficiency practically important. Progressive Data Dropout reduces training cost by excluding samples from gradient updates once they are learned, but it relies on model confidence and may retain samples that are difficult due to noise or ambiguity rather than useful signal. In this work, we introduce ERTS, an explainability-based reliability training signal for efficient ECG classification. ERTS uses explanation quality during training to distinguish between informative and unreliable uncertainty. Building on progressive data selection, we compute Grad-CAM attention maps for candidate samples and derive a focus score that measures whether model predictions are supported by coherent and localised patterns. Samples with low focus are filtered out, while those with meaningful attention are prioritised for gradient updates. We evaluate ERTS across three ECG datasets and multiple backbone architectures, showing consistent improvements in macro-F1 alongside reduced effective training cost. These results suggest that explanation quality can serve as a practical signal for improving both efficiency and reliability in clinical time-series learning. Code will be released.

cs.LG↗

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

Biosignal Fingerprinting: A Cross-Modal PPG-ECG Foundation Model

Cardiovascular disease remains the leading cause of global mortality, yet scalable cardiac monitoring is hindered by the gap between diagnostic-rich ECG and ubiquitous wearable PPG. Bridging this gap requires representations that are compact, transferable across modalities and devices, and deployable without task-specific retraining. Here we introduce biosignal fingerprints: compact latent representations of cardiovascular state derived from a cross-modal foundation model, the Multi-modal Masked Autoencoder (M2AE), trained on over 3.4 million paired ECG and PPG signals. M2AE integrates modality-specific encoders with a shared bottleneck and dual decoders, jointly optimized using reconstruction and cross-modal contrastive objectives, yielding generalizable fingerprints that retain intra- and inter-modality features. Like a biometric fingerprint, these representations uniquely encode an individual's cardiovascular state in a modality-agnostic, privacy-preserving form reusable across clinical tasks without exposing raw waveform data or requiring model retraining. Across 7 downstream tasks, spanning cross-modal reconstruction, cardiovascular disease classification, hypertension detection, mortality prediction, and demographic inference, biosignal fingerprints achieve competitive or superior performance compared to leading domain-specialist foundation models in frozen settings, including an AUROC of 0.974 for five-class CVD classification and 0.877 for hypertension detection, with a maximum improvement of 27.7% in AUROC across 5 classification tasks. Critically, strong performance is maintained with only a single modality, enabling deployment in resource-constrained, single-sensor environments typical of real-world wearable monitoring, with direct implications for continuous cardiovascular monitoring across clinical and consumer health settings.

cs.LG↗

arXiv2026

MECO: A Multimodal Dataset for Emotion and Cognitive Understanding in Older Adults

While affective computing has advanced considerably, multimodal emotion prediction in aging populations remains underexplored, largely due to the scarcity of dedicated datasets. Existing multimodal benchmarks predominantly target young, cognitively healthy subjects, neglecting the influence of cognitive decline on emotional expression and physiological responses. To bridge this gap, we present MECO, a Multimodal dataset for Emotion and Cognitive understanding in Older adults. MECO includes 42 participants and provides approximately 38 hours of multimodal signals, yielding 30,592 synchronized samples. To maximize ecological validity, data collection followed standardized protocols within community-based settings. The modalities cover video, audio, electroencephalography (EEG), and electrocardiography (ECG). In addition, the dataset offers comprehensive annotations of emotional and cognitive states, including self-assessed valence, arousal, six basic emotions, and Mini-Mental State Examination cognitive scores. We further establish baseline benchmarks for both emotion and cognitive prediction. MECO serves as a foundational resource for multimodal modeling of affect and cognition in aging populations, facilitating downstream applications such as personalized emotion recognition and early detection of mild cognitive impairment (MCI) in real-world settings. The complete dataset and supplementary materials are available at https://maitrechen.github.io/meco-page/.

cs.HC↗

arXiv2026

CogPic: A Multimodal Dataset for Early Cognitive Impairment Assessment via Picture Description Tasks

The automated evaluation of cognitive status using multimedia technologies offers a promising avenue for early dementia detection. However, the development of robust machine learning models for cognitive impairment detection is frequently hindered by the scarcity of large-scale, strictly synchronized, and clinically validated multimodal datasets. To bridge this critical gap, we introduce CogPic, a comprehensive Mandarin multimodal benchmark designed for fine-grained cognitive-status assessment. CogPic comprises strictly synchronized acoustic, visual, and linguistic data collected from 574 participants across three standardized picture-description tasks. To establish reliable diagnostic reference labels, expert clinical neuropsychologists conducted comprehensive evaluations and stratified participants into Healthy Control (HC), Mild Cognitive Impairment (MCI), and Alzheimer's Disease (AD) groups through clinical consensus. Extensive benchmark experiments spanning handcrafted and deep learning models in unimodal and multimodal settings yield a best trimodal Macro-F1 of 58.34\%. To our knowledge, CogPic stands as the largest, most modality-rich, and most comprehensively characterized Mandarin dataset of its kind to date. Together, CogPic and its extensive baseline evaluations establish a rigorous empirical foundation for future multimedia research toward robust and clinically generalizable automated cognitive health assessment.

cs.DB↗

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↗

arXiv2025

Cross-Subject and Cross-Montage EEG Transfer Learning via Individual Tangent Space Alignment and Spatial-Riemannian Feature Fusion

Personalised music-based interventions offer a powerful means of supporting motor rehabilitation by dynamically tailoring auditory stimuli to provide external timekeeping cues, modulate affective states, and stabilise gait patterns. Generalisable Brain-Computer Interfaces (BCIs) thus hold promise for adapting these interventions across individuals. However, inter-subject variability in EEG signals, further compounded by movement-induced artefacts and motor planning differences, hinders the generalisability of BCIs and results in lengthy calibration processes. We propose Individual Tangent Space Alignment (ITSA), a novel pre-alignment strategy incorporating subject-specific recentering, distribution matching, and supervised rotational alignment to enhance cross-subject generalisation. Our hybrid architecture fuses Regularised Common Spatial Patterns (RCSP) with Riemannian geometry in parallel and sequential configurations, improving class separability while maintaining the geometric structure of covariance matrices for robust statistical computation. Using leave-one-subject-out cross-validation, `ITSA' demonstrates significant performance improvements across subjects and conditions. The parallel fusion approach shows the greatest enhancement over its sequential counterpart, with robust performance maintained across varying data conditions and electrode configurations. The code will be made publicly available at the time of publication.

cs.LG↗

arXiv2025

Distribution-Based Masked Medical Vision-Language Model Using Structured Reports

Medical image-language pre-training aims to align medical images with clinically relevant text to improve model performance on various downstream tasks. However, existing models often struggle with the variability and ambiguity inherent in medical data, limiting their ability to capture nuanced clinical information and uncertainty. This work introduces an uncertainty-aware medical image-text pre-training model that enhances generalization capabilities in medical image analysis. Building on previous methods and focusing on Chest X-Rays, our approach utilizes structured text reports generated by a large language model (LLM) to augment image data with clinically relevant context. These reports begin with a definition of the disease, followed by the `appearance' section to highlight critical regions of interest, and finally `observations' and `verdicts' that ground model predictions in clinical semantics. By modeling both inter- and intra-modal uncertainty, our framework captures the inherent ambiguity in medical images and text, yielding improved representations and performance on downstream tasks. Our model demonstrates significant advances in medical image-text pre-training, obtaining state-of-the-art performance on multiple downstream tasks.

cs.CV↗

arXiv2025

Sensing Cardiac Health Across Scenarios and Devices: A Multi-Modal Foundation Model Pretrained on Heterogeneous Data from 1.7 Million Individuals

Cardiac biosignals, such as electrocardiograms (ECG) and photoplethysmograms (PPG), are of paramount importance for the diagnosis, prevention, and management of cardiovascular diseases, and have been extensively used in a variety of clinical tasks. Conventional deep learning approaches for analyzing these signals typically rely on homogeneous datasets and static bespoke models, limiting their robustness and generalizability across diverse clinical settings and acquisition protocols. In this study, we present a cardiac sensing foundation model (CSFM) that leverages advanced transformer architectures and a generative, masked pretraining strategy to learn unified representations from vast, heterogeneous health records. Our model is pretrained on an innovative multi-modal integration of data from multiple large-scale datasets (including MIMIC-III-WDB, MIMIC-IV-ECG, and CODE), comprising cardiac signals and the corresponding clinical or machine-generated text reports from approximately 1.7 million individuals. We demonstrate that the embeddings derived from our CSFM not only serve as effective feature extractors across diverse cardiac sensing scenarios, but also enable seamless transfer learning across varying input configurations and sensor modalities. Extensive evaluations across diagnostic tasks, demographic information recognition, vital sign measurement, clinical outcome prediction, and ECG question answering reveal that CSFM consistently outperforms traditional one-modal-one-task approaches. Notably, CSFM exhibits robust performance across multiple ECG lead configurations from standard 12-lead systems to single-lead setups, and in scenarios where only ECG, only PPG, or a combination thereof is available. These findings highlight the potential of CSFM as a versatile and scalable solution, for comprehensive cardiac monitoring.

cs.LG↗

arXiv2025

IV-Bench: A Benchmark for Image-Grounded Video Perception and Reasoning in Multimodal LLMs

Existing evaluation frameworks for Multimodal Large Language Models (MLLMs) primarily focus on image reasoning or general video understanding tasks, largely overlooking the significant role of image context in video comprehension. To bridge this gap, we propose IV-Bench, the first comprehensive benchmark for evaluating Image-Grounded Video Perception and Reasoning. IV-Bench consists of 967 videos paired with 2,585 meticulously annotated image-text queries across 13 tasks (7 perception and 6 reasoning tasks) and 5 representative categories. Extensive evaluations of state-of-the-art open-source (e.g., InternVL2.5, Qwen2.5-VL) and closed-source (e.g., GPT-4o, Gemini2-Flash and Gemini2-Pro) MLLMs demonstrate that current models substantially underperform in image-grounded video Perception and Reasoning, merely achieving at most 28.9% accuracy. Further analysis reveals key factors influencing model performance on IV-Bench, including inference pattern, frame number, and resolution. Additionally, through a simple data synthesis approach, we demonstratethe challenges of IV- Bench extend beyond merely aligning the data format in the training proecss. These findings collectively provide valuable insights for future research. Our codes and data are released in https://github.com/multimodal-art-projection/IV-Bench.

cs.CV↗

arXiv2025

Is Temporal Prompting All We Need For Limited Labeled Action Recognition?

Video understanding has shown remarkable improvements in recent years, largely dependent on the availability of large scaled labeled datasets. Recent advancements in visual-language models, especially based on contrastive pretraining, have shown remarkable generalization in zero-shot tasks, helping to overcome this dependence on labeled datasets. Adaptations of such models for videos, typically involve modifying the architecture of vision-language models to cater to video data. However, this is not trivial, since such adaptations are mostly computationally intensive and struggle with temporal modeling. We present TP-CLIP, an adaptation of CLIP that leverages temporal visual prompting for temporal adaptation without modifying the core CLIP architecture. This preserves its generalization abilities. TP-CLIP efficiently integrates into the CLIP architecture, leveraging its pre-trained capabilities for video data. Extensive experiments across various datasets demonstrate its efficacy in zero-shot and few-shot learning, outperforming existing approaches with fewer parameters and computational efficiency. In particular, we use just 1/3 the GFLOPs and 1/28 the number of tuneable parameters in comparison to recent state-of-the-art and still outperform it by up to 15.8% depending on the task and dataset.

cs.CV↗

arXiv2025

RiskAgent: Synergizing Language Models with Validated Tools for Evidence-Based Risk Prediction

Large Language Models (LLMs) achieve competitive results compared to human experts in medical examinations. However, it remains a challenge to apply LLMs to complex clinical decision-making, which requires a deep understanding of medical knowledge and differs from the standardized, exam-style scenarios commonly used in current efforts. A common approach is to fine-tune LLMs for target tasks, which, however, not only requires substantial data and computational resources but also remains prone to generating `hallucinations'. In this work, we present RiskAgent, which synergizes language models with hundreds of validated clinical decision tools supported by evidence-based medicine, to provide generalizable and faithful recommendations. Our experiments show that RiskAgent not only achieves superior performance on a broad range of clinical risk predictions across diverse scenarios and diseases, but also demonstrates robust generalization in tool learning on the external MedCalc-Bench dataset, as well as in medical reasoning and question answering on three representative benchmarks, MedQA, MedMCQA, and MMLU.

cs.LG↗

arXiv2024

Conjugate-dual clusters

Discovery of clusters with high symmetrical geometry, such as C60 fullerene, always attract lots of interest because of their diverse nature. However, most of such interesting cluster were sporadically discovered, is there any systematic method to explore all possible high symmetrical clusters? Herein, we propose an idea to systematically construct high symmetrical structures based on novel conjugate-dual (co-dual) concept. A co-dual structure would be constructed by conjugately combining one high symmetrical polyhedron and its corresponding dual. In such co-dual structures, the symmetry of the original polyhedron could be kept or even promoted in some special cases. This provides a way to explore high symmetrical polyhedra and leads to a new cluster family, co-dual clusters. In this paper, we have systematically studied the spherical co-dual clusters with one- or two-element shells, and found a series of stable cage-like and core-shell clusters. The co-dual structures would be a new treasure box for hunting novel clusters.

cond-mat.mtrl-sci↗

arXiv2024

Learning Semi-Supervised Medical Image Segmentation from Spatial Registration

Semi-supervised medical image segmentation has shown promise in training models with limited labeled data and abundant unlabeled data. However, state-of-the-art methods ignore a potentially valuable source of unsupervised semantic information -- spatial registration transforms between image volumes. To address this, we propose CCT-R, a contrastive cross-teaching framework incorporating registration information. To leverage the semantic information available in registrations between volume pairs, CCT-R incorporates two proposed modules: Registration Supervision Loss (RSL) and Registration-Enhanced Positive Sampling (REPS). The RSL leverages segmentation knowledge derived from transforms between labeled and unlabeled volume pairs, providing an additional source of pseudo-labels. REPS enhances contrastive learning by identifying anatomically-corresponding positives across volumes using registration transforms. Experimental results on two challenging medical segmentation benchmarks demonstrate the effectiveness and superiority of CCT-R across various semi-supervised settings, with as few as one labeled case. Our code is available at https://github.com/kathyliu579/ContrastiveCross-teachingWithRegistration.

cs.CV↗

arXiv2023

Multi-Scale Cross Contrastive Learning for Semi-Supervised Medical Image Segmentation

Semi-supervised learning has demonstrated great potential in medical image segmentation by utilizing knowledge from unlabeled data. However, most existing approaches do not explicitly capture high-level semantic relations between distant regions, which limits their performance. In this paper, we focus on representation learning for semi-supervised learning, by developing a novel Multi-Scale Cross Supervised Contrastive Learning (MCSC) framework, to segment structures in medical images. We jointly train CNN and Transformer models, regularising their features to be semantically consistent across different scales. Our approach contrasts multi-scale features based on ground-truth and cross-predicted labels, in order to extract robust feature representations that reflect intra- and inter-slice relationships across the whole dataset. To tackle class imbalance, we take into account the prevalence of each class to guide contrastive learning and ensure that features adequately capture infrequent classes. Extensive experiments on two multi-structure medical segmentation datasets demonstrate the effectiveness of MCSC. It not only outperforms state-of-the-art semi-supervised methods by more than 3.0% in Dice, but also greatly reduces the performance gap with fully supervised methods.

cs.CV↗

arXiv2022

Revisiting Self-Supervised Contrastive Learning for Facial Expression Recognition

The success of most advanced facial expression recognition works relies heavily on large-scale annotated datasets. However, it poses great challenges in acquiring clean and consistent annotations for facial expression datasets. On the other hand, self-supervised contrastive learning has gained great popularity due to its simple yet effective instance discrimination training strategy, which can potentially circumvent the annotation issue. Nevertheless, there remain inherent disadvantages of instance-level discrimination, which are even more challenging when faced with complicated facial representations. In this paper, we revisit the use of self-supervised contrastive learning and explore three core strategies to enforce expression-specific representations and to minimize the interference from other facial attributes, such as identity and face styling. Experimental results show that our proposed method outperforms the current state-of-the-art self-supervised learning methods, in terms of both categorical and dimensional facial expression recognition tasks.

cs.CV↗

arXiv2022

Clustering Egocentric Images in Passive Dietary Monitoring with Self-Supervised Learning

In our recent dietary assessment field studies on passive dietary monitoring in Ghana, we have collected over 250k in-the-wild images. The dataset is an ongoing effort to facilitate accurate measurement of individual food and nutrient intake in low and middle income countries with passive monitoring camera technologies. The current dataset involves 20 households (74 subjects) from both the rural and urban regions of Ghana, and two different types of wearable cameras were used in the studies. Once initiated, wearable cameras continuously capture subjects' activities, which yield massive amounts of data to be cleaned and annotated before analysis is conducted. To ease the data post-processing and annotation tasks, we propose a novel self-supervised learning framework to cluster the large volume of egocentric images into separate events. Each event consists of a sequence of temporally continuous and contextually similar images. By clustering images into separate events, annotators and dietitians can examine and analyze the data more efficiently and facilitate the subsequent dietary assessment processes. Validated on a held-out test set with ground truth labels, the proposed framework outperforms baselines in terms of clustering quality and classification accuracy.

cs.CV↗