Daily Papers

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.

Medical decision-making requires integrating diverse medical information, from imaging to clinical narratives. These medical modalities are often acquired in a many-to-many manner. However, current medical vision-language pretraining models (Med-VLPMs) fail to directly account for this many-to-many mapping in their model training and embeddings. To address this, we present Probabilistic Modality-Enhanced Diagnosis (ProbMED), a multimodal Med-VLPM that employs probabilistic contrastive learning to model distributions over embeddings rather than deterministic estimates. ProbMED aligns four distinct modalities -- chest X-rays, electrocardiograms, echocardiograms, and clinical text -- into a unified probabilistic embedding space. We use InfoNCE loss with Hellinger distance to integrate inter-modality distributions. We introduce a probabilistic synthetic sampling loss that captures modality-specific mean and variance to improve intra-modality binding. Extensive experiments across 13 medical datasets demonstrate that our model outperforms current Med-VLPMs in cross-modality retrieval, zero-shot, and few-shot classification. We also demonstrate the robust integration of multiple modalities for prognostication, showing improved intra- and inter-medical modality binding.

Learning representations that are useful for unknown downstream tasks is a fundamental challenge in representation learning. Prominent approaches in this domain include contrastive learning, self-supervised masking, and denoising auto-encoders. In this paper, we introduce a novel method, termed contrastive Mutual Information Machine (cMIM), which aims to enhance the utility of learned representations for downstream tasks. cMIM integrates a new contrastive learning loss with the Mutual Information Machine (MIM) learning framework, a probabilistic auto-encoder that maximizes the mutual information between inputs and latent representations while clustering the latent codes. Despite MIM's potential, initial experiments indicated that the representations learned by MIM were less effective for discriminative downstream tasks compared to state-of-the-art (SOTA) models. The proposed cMIM method directly addresses this limitation. The main contributions of this work are twofold: (1) We propose a novel contrastive extension to MIM for learning discriminative representations which eliminates the need for data augmentation and is robust to variations in the number of negative examples (i.e., batch size). (2) We introduce a generic method for extracting informative embeddings from encoder-decoder models, which significantly improves performance in discriminative downstream tasks without requiring additional training. This method is applicable to any pre-trained encoder-decoder model. By presenting cMIM, we aim to offer a unified generative model that is effective for both generative and discriminative tasks. Our results demonstrate that the learned representations are valuable for downstream tasks while maintaining the generative capabilities of MIM.

Learning representations that transfer well to diverse downstream tasks remains a central challenge in representation learning. Existing paradigms -- contrastive learning, self-supervised masking, and denoising auto-encoders -- balance this challenge with different trade-offs. We introduce the {contrastive Mutual Information Machine} (cMIM), a probabilistic framework that extends the Mutual Information Machine (MIM) with a contrastive objective. While MIM maximizes mutual information between inputs and latents and promotes clustering of codes, it falls short on discriminative tasks. cMIM addresses this gap by imposing global discriminative structure while retaining MIM's generative fidelity. Our contributions are threefold. First, we propose cMIM, a contrastive extension of MIM that removes the need for positive data augmentation and is substantially less sensitive to batch size than InfoNCE. Second, we introduce {informative embeddings}, a general technique for extracting enriched features from encoder-decoder models that boosts discriminative performance without additional training and applies broadly beyond MIM. Third, we provide empirical evidence across vision and molecular benchmarks showing that cMIM outperforms MIM and InfoNCE on classification and regression tasks while preserving competitive reconstruction quality. These results position cMIM as a unified framework for representation learning, advancing the goal of models that serve both discriminative and generative applications effectively.