Xin Wang

Xin Wang, Burcu Ozek, Aruna Mohan et al.

Electrocardiogram (ECG) analysis is crucial for diagnosing heart disease, but most self-supervised learning methods treat ECG as a generic time series, overlooking physiologic semantics and rhythm-level structure. Existing contrastive methods utilize augmentations that distort morphology, whereas generative approaches employ fixed-window segmentation, which misaligns cardiac cycles. To address these limitations, we propose RhythmBERT, a generative ECG language model that considers ECG as a language paradigm by encoding P, QRS, and T segments into symbolic tokens via autoencoder-based latent representations. These discrete tokens capture rhythm semantics, while complementary continuous embeddings retain fine-grained morphology, enabling a unified view of waveform structure and rhythm. RhythmBERT is pretrained on approximately 800,000 unlabeled ECG recordings with a masked prediction objective, allowing it to learn contextual representations in a label-efficient manner. Evaluations show that despite using only a single lead, RhythmBERT achieves comparable or superior performance to strong 12-lead baselines. This generalization extends from prevalent conditions such as atrial fibrillation to clinically challenging cases such as subtle ST-T abnormalities and myocardial infarction. Our results suggest that considering ECG as structured language offers a scalable and physiologically aligned pathway for advancing cardiac analysis.

Hoan My Tran, Xin Wang, Wanying Ge et al.

Deepfake speech utterances can be forged by replacing one or more words in a bona fide utterance with semantically different words synthesized with speech-generative models. While a dedicated synthetic word detector could be developed, we developed a cost-effective method that fine-tunes a pre-trained Whisper model to detect synthetic words while transcribing the input utterance via next-token prediction. We further investigate using partially vocoded utterances as the fine-tuning data, thus reducing the cost of data collection. Our experiments demonstrate that, on in-domain test data, the fine-tuned Whisper yields low synthetic-word detection error rates and transcription error rates. On out-of-domain test data with synthetic words produced with unseen speech-generative models, the fine-tuned Whisper remains on par with a dedicated ResNet-based detection model; however, the overall performance degradation calls for strategies to improve its generalization capability.