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Apr 14

EchoingECG: An Electrocardiogram Cross-Modal Model for Echocardiogram Tasks

Electrocardiogram (ECG) is a widely used tool for assessing cardiac function due to its low cost and accessibility. Emergent research shows that ECGs can help make predictions on key outcomes traditionally derived from more complex modalities such as echocardiograms (ECHO), enabling the use of ECGs as a more accessible method to predict broader measurements of cardiac function. ECHO, in particular, are of great importance because they require considerable hospital resources while playing a key role in clinical cardiac assessment. To aid this use case, we introduce EchoingECG, a probabilistic student-teacher model that leverages uncertainty-aware ECG embeddings and ECHO supervision to improve ECG-based cardiac function prediction. Our approach integrates Probabilistic Cross-Modal Embeddings (PCME++), a probabilistic contrastive framework, with ECHO-CLIP, a vision-language pre-trained model trained on ECHO-text pairs, to distill ECHO knowledge into ECG representations. Through experiments and external validation, we showed that EchoingECG outperforms state-of-the-art foundation ECG models in zero-shot, few-shot, and fine-tune settings for ECHO predictions based on ECG. We also highlighted that variance estimation (enabled through our method) enhanced our understanding of model performance by identifying underlying regions of uncertainty within ECGs. The code is available: https://github.com/mcintoshML/EchoingECG.

  • 3 authors
·
Sep 30, 2025

ECHO: Towards Emotionally Appropriate and Contextually Aware Interactive Head Generation

In natural face-to-face interaction, participants seamlessly alternate between speaking and listening, producing facial behaviors (FBs) that are finely informed by long-range context and naturally exhibit contextual appropriateness and emotional rationality. Interactive Head Generation (IHG) aims to synthesize lifelike avatar head video emulating such capabilities. Existing IHG methods typically condition on dual-track signals (i.e., human user's behaviors and pre-defined audio for avatar) within a short temporal window, jointly driving generation of avatar's audio-aligned lip articulation and non-verbal FBs. However, two main challenges persist in these methods: (i) the reliance on short-clip behavioral cues without long-range contextual modeling leads them to produce facial behaviors lacking contextual appropriateness; and (ii) the entangled, role-agnostic fusion of dual-track signals empirically introduces cross-signal interference, potentially compromising lip-region synchronization during speaking. To this end, we propose ECHO, a novel IHG framework comprising two key components: a Long-range Contextual Understanding (LCU) component that facilitates contextual understanding of both behavior-grounded dynamics and linguistic-driven affective semantics to promote contextual appropriateness and emotional rationality of synthesized avatar FBs; and a block-wise Spatial-aware Decoupled Cross-attention Modulation (SDCM) module, that preserves self-audio-driven lip articulation while adaptively integrating user contextual behavioral cues for non-lip facial regions, complemented by our designed two-stage training paradigm, to jointly enhance lip synchronization and visual fidelity. Extensive experiments demonstrate the effectiveness of proposed components and ECHO's superior IHG performance.

  • 9 authors
·
Mar 17