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Paper · arXiv

IECG: Weakly-Supervised Interpretability-Enhancing Foundation Model for Electrocardiogram

Electrocardiography (ECG) is a cornerstone of cardiac diagnosis, yet most machine learning methods for ECG analysis lack interpretability, limiting their clinical adoption. We present IECG, a weakly-supervised ECG foundation model that jointly performs diagnostic classification and abnormality localization without requiring manual abnormal region annotations, overcoming a long-standing bottleneck in interpretable ECG learning. Central to IECG is a weakly-supervised attention strategy that explicitly incorporates clinical priors by deriving abnormality heatmap pseudo-labels from established ECG clinical knowledge. These pseudo-labels guide the model's CLS-token attention through a KL-diver...

AuthorsHuynh Dang Nguyen, Trong-Thang Pham, Anh-Thuan Do et al.
Primary categorycs.AI
Published20 October 2026
Last updated at source20 October 2026
cs.AI
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