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MELP

University of Hong Kong (HKU-MedAI)

12-lead ECG

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ECG

Clinical text

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Text & EHR

General Purpose / Multi-task

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General / Foundation

Embedding

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Representation Learning

Multi-label classification

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Classification

Hybrid

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Hybrid / Multi-branch

PyTorch

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PyTorch

Apache 2.0

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Permissive

Multi-scale ECG-language pretraining model that aligns 12-lead ECG signals with clinical text reports at three granularities -- token, beat, and rhythm level -- rather than a single global embedding. First fine-tunes a cardiology-specialized text encoder to improve understanding of ECG report language, then trains an ECG-FM-initialized ECG encoder against it with hierarchical contrastive supervision. Outperforms prior ECG-language and self-supervised baselines including MERL, ST-MEM, and HeartLang on zero-shot classification, linear probing, and ECG report generation, with especially large gains at low label fractions. Developed at the University of Hong Kong (HKU-MedAI).

memory Specifications

category

Architecture

Hybrid

Multi-scale ECG-language contrastive pretraining: ECG-FM-style transformer ECG encoder plus a cardiology-specialized text encoder, aligned via token-, beat-, and rhythm-level cross-modal contrastive losses

code

Framework

PyTorch

calendar_month

Added to catalog

2026-08-10

gavel License

Apache 2.0

check_small Open source check_small Commercial use OK check_small Modifications allowed Attribution required No share-alike requirement

License for model weights only. Associated code may be licensed seperately, check code source for specific terms.

description Publication

From Token to Rhythm: A Multi-Scale Approach for ECG-Language Pretraining open_in_new

International Conference on Machine Learning (ICML) · 2025 · original paper

database Training & evaluation data

China

12-lead ECG multi-label arrhythmia-classification dataset released for the 2018 China Physiological Signal Challenge.

public 45,152 subjects · China

45,152 12-lead, 10-second ECGs from Chapman University / Shaoxing People's Hospital / Ningbo First Hospital with arrhythmia diagnoses; ~56% male / 44% female.

public 161,352 subjects · USA

800,035 12-lead ECG-report pairs from 161,352 subjects at Beth Israel Deaconess Medical Center.

public 18,885 subjects · Germany · 1989-1996

52% male / 48% female; age range 0-95 (median ~62). 21,837 10-second 12-lead ECG records.

science Capabilities & performance

ECG-text joint embedding used for zero-shot / linear-probe classification of cardiac abnormalities

Embedding General Purpose / Multi-task

Zero-shot and linear-probe multi-label ECG diagnostic classification (PTB-XL, CPSC2018, Chapman-Shaoxing)

Multi-label classification General Purpose / Multi-task