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Apr 13

EchoingPixels: Cross-Modal Adaptive Token Reduction for Efficient Audio-Visual LLMs

Audio-Visual Large Language Models (AV-LLMs) face prohibitive computational overhead from massive audio and video tokens. Token reduction, while extensively explored for video-only LLMs, is insufficient for the audio-visual domain, as these unimodal methods cannot leverage audio-visual cross-modal synergies. Furthermore, the distinct and dynamic information densities of audio and video render static budgets per modality suboptimal. How to perform token reduction on a joint audio-visual stream thus remains an unaddressed bottleneck. To fill this gap, we introduce EchoingPixels, a framework inspired by the coexistence and interaction of visuals and sound in real-world scenes. The core of our framework is the Cross-Modal Semantic Sieve (CS2), a module enabling early audio-visual interaction. Instead of compressing modalities independently, CS2 co-attends to the joint multimodal stream and reduces tokens from an entire combined pool of audio-visual tokens rather than using fixed budgets per modality. This single-pool approach allows it to adaptively allocate the token budget across both modalities and dynamically identify salient tokens in concert. To ensure this aggressive reduction preserves the vital temporal modeling capability, we co-design a Synchronization-Augmented RoPE (Sync-RoPE) to maintain critical temporal relationships for the sparsely selected tokens. Extensive experiments demonstrate that EchoingPixels achieves performance comparable to strong baselines using only 5-20% of the original tokens, with a 2-3x speedup and memory reduction.

  • 6 authors
·
Dec 11, 2025

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