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Paper · arXiv

TRACE: Tractable Routing Autoencoder for Clinical ECG

Deep learning has advanced automated electrocardiogram (ECG) diagnosis, but the field's most accurate models, foundation models pretrained on millions of recordings, are not decision-pathway auditable: a clinician cannot trace a diagnosis to a physiological pathway or intervene on one. We propose TRACE, a Tractable Routing Autoencoder for Clinical ECG, whose 32-dimensional clinical latent space is specified in advance from domain knowledge rather than discovered by optimization. TRACE partitions this space into perfusion, structure, and conduction subspaces, routes each to its own diagnostic head by design, regularizes the partition with an orthogonality penalty, and reconstructs the ECG ...

AuthorsShunbo Jia, Runze Ma, Haonan Lyu et al.
Primary categorycs.LG
Published20 September 2026
Last updated at source20 September 2026
cs.LG
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