Edoardo Coppola, Stefano Fiorini, Pietro Liò +2cs.LG
Point-of-care cardiac devices such as smartwatches and handheld ECG recorders typically capture 1--2 leads, yet existing ECG foundation models are architecturally constrained to fixed 12-lead inputs, degrading or failing under these reduced configurations. We introduce LAEF (Lead-Agnostic ECG Foundation), a 7M-parameter ECG foundation model that can natively process any lead subset without zero-padding or architectural modification. LAEF represents ECGs as variable-size spatiotemporal graphs with physiologically motivated intra- and inter-lead connectivity, processed by a Graph Attention Network that scales naturally with active lead count.Pre-trained on 9.2M 12-lead ECGs via masked node modelling with stochastic lead sampling, LAEF learns representations robust to lead configuration. Across 18 downstream datasets, LAEF is on par with specialized 12-lead baselines over 12$\times$ larger at full lead availability. Under direct point-of-care-oriented diagnostics (1--2 leads), it outperforms all zero-padded alternatives on 17 out of 18 datasets with with a single randomly sampled lead and on 14 out of 18 with 2 leads, with an average AUROC gain of +3.2 points. Representation analysis links this advantage to architectural lead-agnosticism, and a lead-importance study across 164 cardiovascular conditions shows population-level performance is stable across single standard input leads while still recovering established clinically lead-condition associations.
William Lehn-Schiøler, Mads Sverker Nilsson, Nicki Skafte Detlefsencs.CV eess.IV
We present a two-stage vision system that detects EEG cap electrodes in a live webcam stream and validates their anatomical placement in real time. A single-class YOLO detector localises electrodes; a geometric stage assigns each detection to a named 10-20 role from facial landmarks. Evaluating under subject-disjoint leave-one-subject-out (LOSO) cross-validation across five subjects wearing the clinically-validated Small/Medium/Large caps, the detector attains mAP@.5 = 0.94 +/- 0.07 across five held-out folds (0.96 pooled). A dedicated leave-one-cap-out axis, holding out every frame of a cap regardless of subject, leaves Medium and Large mAP@.5 within 0.01 of LOSO (0.97, 0.97) while Small drops to 0.72 +/- 0.28, a gap confounded with subject familiarity rather than cap style. Geometric augmentation (rotation, perspective, mixup) improves in-plane-roll robustness and temporal-electrode recall at no inference cost, and a landmark-driven head crop extends the usable distance range, lifting mAP@.5 from 0.23 to 0.45 at 0.6 x apparent scale. A compact mobile-candidate backbone (YOLOv10n) keeps the detector at real-time throughput (19 FPS) on a commodity CPU at 640 px.
Ultrasound imaging is the most widely adopted medical modality globally due to its low cost and portability, yet artificial intelligence (AI) deployment remains constrained by reliance on GPU-accelerated models, creating a structural paradox where the cost of "intelligence" exceeds that of the imaging device itself. Here, we present the systematic adaptation and extensive evaluation of UltraSeg, an ultra-lightweight architecture originally developed for colonoscopic polyp segmentation, now engineered for point-of-care ultrasound (POCUS) across ten public datasets spanning six anatomical sites (breast, thyroid, kidney, carotid, fetal, and small-animal tumor). We systematically validate both variants in ultrasound domains: UltraSeg-130K (0.13M parameters) achieves 89.7 FPS on single-core CPUs and 34.8 FPS on a refurbished mobile device, while UltraSeg-500K (0.5M parameters) delivers 44.6 FPS on CPU and 16.1 FPS on mobile device. UltraSeg-500K matches or exceeds the Dice performance of the 31M-parameter UNet and approaches 105M-parameter TransUNet in average performance, with superior zero-shot cross-dataset generalization on external validation sets (UDIAT, DDTI). By enabling clinical-grade segmentation without GPU dependency, this work brings AI costs in line with ultrasound accessibility, making advanced diagnostics available in resource-limited settings.