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Paper · arXiv

When Measurement Conventions Masquerade as Calibration Gains in Cardiac Digital Twins

Cardiac digital twins convert clinical images into physiological measurements through observation operators, yet calibration studies often assume a fixed reference convention. Across four shared-backbone echocardiographic EF front-ends, phase conditioning appears to remove CAMUS baseline bias. Matched-reference analysis rejects this gain: singleplane ground-truth EF error is statistically indistinguishable across models, while single-plane ground-truth EF exceeds CAMUS biplane clinical EF by +6.30 points, explaining nearly all baseline bias. A prespecified EchoNet-Dynamic replication, with released data and our extractor aligned to the apical four-chamber plane, removes baseline overestim...

AuthorsDang P. M. Cao, Hieu Pham
Primary categorycs.CV
Published3 August 2026
Last updated at source1 September 2026
cs.CV
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