Nils Strodthoff's Avatar

Nils Strodthoff

@nstrodt

Professor for AI4Health @UniOldenburg uol.de/en/ai4health Former head of Applied ML Group ML Group @FraunhoferHHI Former theoretical physicist

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09.12.2023
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Latest posts by Nils Strodthoff @nstrodt

Benchmarking ECG FMs: A Reality Check Across Clinical Tasks The 12-lead electrocardiogram (ECG) is a long-standing diagnostic tool. Yet machine learning for ECG interpretation remains fragmented, often limited to narrow tasks or datasets. FMs promise...

Paper: openreview.net/forum?id=xXR...
Code and ECG-CPC weights: github.com/AI4HealthUOL...

06.03.2026 19:34 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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Representation Diversity: Models with similar accuracy learn distinct internal patterns, revealing multiple paths to effective ECG understanding.

06.03.2026 19:34 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Label Efficiency: ECG FMs improve label efficiency by 3.3โ€“9x vs. supervised baselines

06.03.2026 19:34 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Proposed FM: ECG-CPC
Backbone: Structured State Space Sequence (S4) Model.
Pretraining Dataset: HEEDB (10M samples).
Pretraining Method: Contrastive Predictive Coding.
Model Complexity: 3.8M parameters, 1.741 GFLOPs.

06.03.2026 19:34 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Most important outcomes:
Architecture > Scale: The lightweight S4-based ECG-CPC outperforms larger Transformer models across most tasks, showing design beats size.
Most FMs struggle to beat strong supervised baselines (S4).

06.03.2026 19:34 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Our work on benchmarking foundation models for electrocardiography has been accepted at ICLR2026! We benchmarked 7 ECG FMs (proposed a highly efficient FM based on CPC ourselves) on 26 tasks across 12 datasets, looked into label efficiency and representational similarity

06.03.2026 19:34 ๐Ÿ‘ 3 ๐Ÿ” 1 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0