Zhuonan Wang

Yihan Xie, Sijing Li, Tianwei Lin et al.

Although electrocardiograms (ECG) play a dominant role in cardiovascular diagnosis and treatment, their intrinsic data forms and representational patterns pose significant challenges for medical multimodal large language models (Med-MLLMs) in achieving cross-modal semantic alignment. To address this gap, we propose Heartcare Suite, a unified ECG suite designed for dual signal-image modeling and understanding: (i) Heartcare-400K. A fine-grained ECG instruction dataset on top of our data pipeline engine--HeartAgent--by integrating high quality clinical ECG reports from top hospitals with open-source data. (ii) Heartcare-Bench. A systematic benchmark assessing performance of models in multi-perspective ECG understanding and cross-modal generalization, providing guidance for optimizing ECG comprehension models. (iii) HeartcareGPT. Built upon a structure-aware discrete tokenizer Beat, we propose Dual Stream Projection Alignment (DSPA) paradigm--a dual encoder projection alignment mechanism enabling joint optimizing and modeling native ECG signal-image within a shared feature space. HeartcareGPT achieves consistent improvements across diverse ECG understanding tasks, validating both the effectiveness of the unified modeling paradigm and the necessity of a high-quality data pipeline, and establishing a methodological foundation for extending Med-MLLMs towards physiological signal domains. Our project is available at https://github.com/ZJU4HealthCare/HeartcareGPT .

Haoyu Zheng, Zhuonan Wang, Yuqian Yuan et al.

Reasoning-oriented Large Language Models (LLMs) often rely on generating explicit tokens step by step, and their effectiveness typically hinges on large-scale supervised fine-tuning or reinforcement learning. While Chain-of-Thought (CoT) techniques substantially enhance performance on complex reasoning tasks, they remain inefficient, requiring long reasoning traces that increase latency and token usage. In this work, we introduce Latent Codebooks for Fast Thinking, a framework that uses concise CoT sketches only during training to learn a codebook of discrete strategy priors. At inference, the model conditions on a handful of continuous thinking vectors distilled from the codebook in a single pass, enabling strategy-level guidance without producing explicit reasoning tokens. To complement this design, we propose GainRouter, a lightweight routing mechanism that adaptively switches between fast codebook guided inference and slow explicit reasoning, thereby suppressing overthinking and reducing unnecessary token generation. Experiments across multiple reasoning benchmarks show that our approach achieves competitive or superior accuracy while substantially lowering inference cost, offering a practical path toward efficient and controllable reasoning in large language models.