LGFeb 17
CAMEL: An ECG Language Model for Forecasting Cardiac EventsNeelay Velingker, Alaia Solko-Breslin, Mayank Keoliya et al.
Electrocardiograms (ECG) are electrical recordings of the heart that are critical for diagnosing cardiovascular conditions. ECG language models (ELMs) have recently emerged as a promising framework for ECG classification accompanied by report generation. However, current models cannot forecast future cardiac events despite the immense clinical value for planning earlier intervention. To address this gap, we propose CAMEL, the first ELM that is capable of inference over longer signal durations which enables its forecasting capability. Our key insight is a specialized ECG encoder which enables cross-understanding of ECG signals with text. We train CAMEL using established LLM training procedures, combining LoRA adaptation with a curriculum learning pipeline. Our curriculum includes ECG classification, metrics calculations, and multi-turn conversations to elicit reasoning. CAMEL demonstrates strong zero-shot performance across 6 tasks and 9 datasets, including ECGForecastBench, a new benchmark that we introduce for forecasting arrhythmias. CAMEL is on par with or surpasses ELMs and fully supervised baselines both in- and out-of-distribution, achieving SOTA results on ECGBench (+7.0% absolute average gain) as well as ECGForecastBench (+12.4% over fully supervised models and +21.1% over zero-shot ELMs).
LGOct 16, 2025Code
Stable Prediction of Adverse Events in Medical Time-Series DataMayank Keoliya, Seewon Choi, Rajeev Alur et al.
Early event prediction (EEP) systems continuously estimate a patient's imminent risk to support clinical decision-making. For bedside trust, risk trajectories must be accurate and temporally stable, shifting only with new, relevant evidence. However, current benchmarks (a) ignore stability of risk scores and (b) evaluate mainly on tabular inputs, leaving trajectory behavior untested. To address this gap, we introduce CAREBench, an EEP benchmark that evaluates deployability using multi-modal inputs-tabular EHR, ECG waveforms, and clinical text-and assesses temporal stability alongside predictive accuracy. We propose a stability metric that quantifies short-term variability in per-patient risk and penalizes abrupt oscillations based on local-Lipschitz constants. CAREBench spans six prediction tasks such as sepsis onset and compares classical learners, deep sequence models, and zero-shot LLMs. Across tasks, existing methods, especially LLMs, struggle to jointly optimize accuracy and stability, with notably poor recall at high-precision operating points. These results highlight the need for models that produce evidence-aligned, stable trajectories to earn clinician trust in continuous monitoring settings. (Code: https://github.com/SeewonChoi/CAREBench.)
CVOct 11, 2025Code
ESCA: Contextualizing Embodied Agents via Scene-Graph GenerationJiani Huang, Amish Sethi, Matthew Kuo et al.
Multi-modal large language models (MLLMs) are making rapid progress toward general-purpose embodied agents. However, existing MLLMs do not reliably capture fine-grained links between low-level visual features and high-level textual semantics, leading to weak grounding and inaccurate perception. To overcome this challenge, we propose ESCA, a framework that contextualizes embodied agents by grounding their perception in spatial-temporal scene graphs. At its core is SGCLIP, a novel, open-domain, promptable foundation model for generating scene graphs that is based on CLIP. SGCLIP is trained on 87K+ open-domain videos using a neurosymbolic pipeline that aligns automatically generated captions with scene graphs produced by the model itself, eliminating the need for human-labeled annotations. We demonstrate that SGCLIP excels in both prompt-based inference and task-specific fine-tuning, achieving state-of-the-art results on scene graph generation and action localization benchmarks. ESCA with SGCLIP improves perception for embodied agents based on both open-source and commercial MLLMs, achieving state of-the-art performance across two embodied environments. Notably, ESCA significantly reduces agent perception errors and enables open-source models to surpass proprietary baselines. We release the source code for SGCLIP model training at https://github.com/video-fm/LASER and for the embodied agent at https://github.com/video-fm/ESCA.
LGJun 2, 2024Code
DISCRET: Synthesizing Faithful Explanations For Treatment Effect EstimationYinjun Wu, Mayank Keoliya, Kan Chen et al.
Designing faithful yet accurate AI models is challenging, particularly in the field of individual treatment effect estimation (ITE). ITE prediction models deployed in critical settings such as healthcare should ideally be (i) accurate, and (ii) provide faithful explanations. However, current solutions are inadequate: state-of-the-art black-box models do not supply explanations, post-hoc explainers for black-box models lack faithfulness guarantees, and self-interpretable models greatly compromise accuracy. To address these issues, we propose DISCRET, a self-interpretable ITE framework that synthesizes faithful, rule-based explanations for each sample. A key insight behind DISCRET is that explanations can serve dually as database queries to identify similar subgroups of samples. We provide a novel RL algorithm to efficiently synthesize these explanations from a large search space. We evaluate DISCRET on diverse tasks involving tabular, image, and text data. DISCRET outperforms the best self-interpretable models and has accuracy comparable to the best black-box models while providing faithful explanations. DISCRET is available at https://github.com/wuyinjun-1993/DISCRET-ICML2024.