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Hauptverfasser: Xiao, Yujie, Tang, Gongzhen, Liu, Wenhui, Li, Jun, Nie, Guangkun, Kan, Zhuoran, Zhang, Deyun, Zhao, Qinghao, Hong, Shenda
Format: Preprint
Veröffentlicht: 2025
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Online-Zugang:https://arxiv.org/abs/2510.22301
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author Xiao, Yujie
Tang, Gongzhen
Liu, Wenhui
Li, Jun
Nie, Guangkun
Kan, Zhuoran
Zhang, Deyun
Zhao, Qinghao
Hong, Shenda
author_facet Xiao, Yujie
Tang, Gongzhen
Liu, Wenhui
Li, Jun
Nie, Guangkun
Kan, Zhuoran
Zhang, Deyun
Zhao, Qinghao
Hong, Shenda
contents Timely access to laboratory values is critical for clinical decision-making, yet current approaches rely on invasive venous sampling and are intrinsically delayed. Electrocardiography (ECG), as a non-invasive and widely available signal, offers a promising modality for rapid laboratory estimation. Recent progress in deep learning has enabled the extraction of latent hematological signatures from ECGs. However, existing models are constrained by low signal-to-noise ratios, substantial inter-individual variability, limited data diversity, and suboptimal generalization, especially when adapted to low-lead wearable devices. In this work, we conduct an exploratory study leveraging transfer learning to fine-tune ECGFounder, a large-scale pre-trained ECG foundation model, on the Multimodal Clinical Monitoring in the Emergency Department (MC-MED) dataset from Stanford. We generated a corpus of more than 20 million standardized ten-second ECG segments to enhance sensitivity to subtle biochemical correlates. On internal validation, the model demonstrated strong predictive performance (area under the curve above 0.65) for thirty-three laboratory indicators, moderate performance (between 0.55 and 0.65) for fifty-nine indicators, and limited performance (below 0.55) for sixteen indicators. This study provides an efficient artificial-intelligence driven solution and establishes the feasibility scope for real-time, non-invasive estimation of laboratory values.
format Preprint
id arxiv_https___arxiv_org_abs_2510_22301
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle AnyECG-Lab: An Exploration Study of Fine-tuning an ECG Foundation Model to Estimate Laboratory Values from Single-Lead ECG Signals
Xiao, Yujie
Tang, Gongzhen
Liu, Wenhui
Li, Jun
Nie, Guangkun
Kan, Zhuoran
Zhang, Deyun
Zhao, Qinghao
Hong, Shenda
Machine Learning
Artificial Intelligence
Timely access to laboratory values is critical for clinical decision-making, yet current approaches rely on invasive venous sampling and are intrinsically delayed. Electrocardiography (ECG), as a non-invasive and widely available signal, offers a promising modality for rapid laboratory estimation. Recent progress in deep learning has enabled the extraction of latent hematological signatures from ECGs. However, existing models are constrained by low signal-to-noise ratios, substantial inter-individual variability, limited data diversity, and suboptimal generalization, especially when adapted to low-lead wearable devices. In this work, we conduct an exploratory study leveraging transfer learning to fine-tune ECGFounder, a large-scale pre-trained ECG foundation model, on the Multimodal Clinical Monitoring in the Emergency Department (MC-MED) dataset from Stanford. We generated a corpus of more than 20 million standardized ten-second ECG segments to enhance sensitivity to subtle biochemical correlates. On internal validation, the model demonstrated strong predictive performance (area under the curve above 0.65) for thirty-three laboratory indicators, moderate performance (between 0.55 and 0.65) for fifty-nine indicators, and limited performance (below 0.55) for sixteen indicators. This study provides an efficient artificial-intelligence driven solution and establishes the feasibility scope for real-time, non-invasive estimation of laboratory values.
title AnyECG-Lab: An Exploration Study of Fine-tuning an ECG Foundation Model to Estimate Laboratory Values from Single-Lead ECG Signals
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2510.22301