Wei Wang

Xiaoda Wang, Kaiqiao Han, Yuhao Xu et al.

Cardiovascular disease (CVD) is a leading cause of mortality worldwide. Electrocardiograms (ECGs) are the most widely used non-invasive tool for cardiac assessment, yet large, well-annotated ECG corpora are scarce due to cost, privacy, and workflow constraints. Generating ECGs can be beneficial for the mechanistic understanding of cardiac electrical activity, enable the construction of large, heterogeneous, and unbiased datasets, and facilitate privacy-preserving data sharing. Generating realistic ECG signals from clinical context is important yet underexplored. Recent work has leveraged diffusion models for text-to-ECG generation, but two challenges remain: (i) existing methods often overlook the physiological simulator knowledge of cardiac activity; and (ii) they ignore broader, experience-based clinical knowledge grounded in real-world practice. To address these gaps, we propose SE-Diff, a novel physiological simulator and experience enhanced diffusion model for comprehensive ECG generation. SE-Diff integrates a lightweight ordinary differential equation (ODE)-based ECG simulator into the diffusion process via a beat decoder and simulator-consistent constraints, injecting mechanistic priors that promote physiologically plausible waveforms. In parallel, we design an LLM-powered experience retrieval-augmented strategy to inject clinical knowledge, providing more guidance for ECG generation. Extensive experiments on real-world ECG datasets demonstrate that SE-Diff improves both signal fidelity and text-ECG semantic alignment over baselines, proving its superiority for text-to-ECG generation. We further show that the simulator-based and experience-based knowledge also benefit downstream ECG classification.

Kai Yao, Penglei Gao, Lichun Li et al.

Parameter-Efficient Fine-Tuning (PEFT) methods have gained significant popularity for adapting pre-trained Large Language Models (LLMs) to downstream tasks, primarily due to their potential to significantly reduce memory and computational overheads. However, a common limitation in most PEFT approaches is their application of a uniform architectural design across all layers. This uniformity involves identical trainable modules and ignores the varying importance of each layer, leading to sub-optimal fine-tuning results. To overcome the above limitation and obtain better performance, we develop a novel approach, Importance-aware Sparse Tuning (IST), to fully utilize the inherent sparsity and select the most important subset of full layers with effective layer-wise importance scoring. The proposed IST is a versatile and plug-and-play technique compatible with various PEFT methods that operate on a per-layer basis. By leveraging the estimated importance scores, IST dynamically updates these selected layers in PEFT modules, leading to reduced memory demands. We further provide theoretical proof of convergence and empirical evidence of superior performance to demonstrate the advantages of IST over uniform updating strategies. Extensive experiments on a range of LLMs, PEFTs, and downstream tasks substantiate the effectiveness of our proposed method, showcasing IST's capacity to enhance existing layer-based PEFT methods. Our code is available at https://github.com/Kaiseem/IST.

Maozhen Zhang, Mengnan Zhao, Wei Wang et al.

Prompt-based tuning has emerged as a lightweight alternative to full fine-tuning in large vision-language models, enabling efficient adaptation via learned contextual prompts. This paradigm has recently been extended to federated learning settings (e.g., PromptFL), where clients collaboratively train prompts under data privacy constraints. However, the security implications of prompt-based aggregation in federated multimodal learning remain largely unexplored, leaving a critical attack surface unaddressed. In this paper, we introduce \textbf{BadPromptFL}, the first backdoor attack targeting prompt-based federated learning in multimodal contrastive models. In BadPromptFL, compromised clients jointly optimize local backdoor triggers and prompt embeddings, injecting poisoned prompts into the global aggregation process. These prompts are then propagated to benign clients, enabling universal backdoor activation at inference without modifying model parameters. Leveraging the contextual learning behavior of CLIP-style architectures, BadPromptFL achieves high attack success rates (e.g., \(>90\%\)) with minimal visibility and limited client participation. Extensive experiments across multiple datasets and aggregation protocols validate the effectiveness, stealth, and generalizability of our attack, raising critical concerns about the robustness of prompt-based federated learning in real-world deployments.