ECGFlowCMR: Pretraining with ECG-Generated Cine CMR Helps Cardiac Disease Classification and Phenotype Prediction

Fuente: arXiv
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Auteurs principaux: Fang, Xiaocheng, Ding, Zhengyao, Nie, Guangkun, Cai, Jieyi, Xiao, Yujie, Liu, Bo, Jin, Jiarui, Wang, Haoyu, Huang, Shun, Chen, Ting, Li, Hongyan, Hong, Shenda
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Publié: 2026
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author Fang, Xiaocheng
Ding, Zhengyao
Nie, Guangkun
Cai, Jieyi
Xiao, Yujie
Liu, Bo
Jin, Jiarui
Wang, Haoyu
Huang, Shun
Chen, Ting
Li, Hongyan
Hong, Shenda
author_facet Fang, Xiaocheng
Ding, Zhengyao
Nie, Guangkun
Cai, Jieyi
Xiao, Yujie
Liu, Bo
Jin, Jiarui
Wang, Haoyu
Huang, Shun
Chen, Ting
Li, Hongyan
Hong, Shenda
contents Cardiac Magnetic Resonance (CMR) imaging provides a comprehensive assessment of cardiac structure and function but remains constrained by high acquisition costs and reliance on expert annotations, limiting the availability of large-scale labeled datasets. In contrast, electrocardiograms (ECGs) are inexpensive, widely accessible, and offer a promising modality for conditioning the generative synthesis of cine CMR. To this end, we propose ECGFlowCMR, a novel ECG-to-CMR generative framework that integrates a Phase-Aware Masked Autoencoder (PA-MAE) and an Anatomy-Motion Disentangled Flow (AMDF) to address two fundamental challenges: (1) the cross-modal temporal mismatch between multi-beat ECG recordings and single-cycle CMR sequences, and (2) the anatomical observability gap due to the limited structural information inherent in ECGs. Extensive experiments on the UK Biobank and a proprietary clinical dataset demonstrate that ECGFlowCMR can generate realistic cine CMR sequences from ECG inputs, enabling scalable pretraining and improving performance on downstream cardiac disease classification and phenotype prediction tasks.
format Preprint
id arxiv_https___arxiv_org_abs_2601_20904
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle ECGFlowCMR: Pretraining with ECG-Generated Cine CMR Helps Cardiac Disease Classification and Phenotype Prediction
Fang, Xiaocheng
Ding, Zhengyao
Nie, Guangkun
Cai, Jieyi
Xiao, Yujie
Liu, Bo
Jin, Jiarui
Wang, Haoyu
Huang, Shun
Chen, Ting
Li, Hongyan
Hong, Shenda
Image and Video Processing
Machine Learning
Cardiac Magnetic Resonance (CMR) imaging provides a comprehensive assessment of cardiac structure and function but remains constrained by high acquisition costs and reliance on expert annotations, limiting the availability of large-scale labeled datasets. In contrast, electrocardiograms (ECGs) are inexpensive, widely accessible, and offer a promising modality for conditioning the generative synthesis of cine CMR. To this end, we propose ECGFlowCMR, a novel ECG-to-CMR generative framework that integrates a Phase-Aware Masked Autoencoder (PA-MAE) and an Anatomy-Motion Disentangled Flow (AMDF) to address two fundamental challenges: (1) the cross-modal temporal mismatch between multi-beat ECG recordings and single-cycle CMR sequences, and (2) the anatomical observability gap due to the limited structural information inherent in ECGs. Extensive experiments on the UK Biobank and a proprietary clinical dataset demonstrate that ECGFlowCMR can generate realistic cine CMR sequences from ECG inputs, enabling scalable pretraining and improving performance on downstream cardiac disease classification and phenotype prediction tasks.
title ECGFlowCMR: Pretraining with ECG-Generated Cine CMR Helps Cardiac Disease Classification and Phenotype Prediction
topic Image and Video Processing
Machine Learning
url https://arxiv.org/abs/2601.20904