Challenge: Recent ECG Self-Supervised Learning methods mitigate this by learning features without extensive labels but fail to capture fine-grained clinical semantics and require extensive task-specific fine-tuning.
Approach: They propose a supervised pre-training framework for Multimodal ECG representation learning that combines structured diagnostic labels with large language models to help denoise, standardize cardiac concepts and improve clinical representation learning.
Outcome: The proposed framework improves on six downstream datasets covering 106 cardiac conditions and achieves a zero-shot AUC performance of 77.20% over state-of-the-art eSSLs.

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Challenge: Current methods for multimodal representation learning for electrocardiograms often result in suboptimal alignment of ECG signals with their corresponding text reports.
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Transfer Knowledge from Natural Language to Electrocardiography: Can We Detect Cardiovascular Disease Through Language Models? (2023.findings-eacl)

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Challenge: Recent advances in Large Language Models (LLMs) have shown powerful ability in various downstream applications.
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MEIT: Multimodal Electrocardiogram Instruction Tuning on Large Language Models for Report Generation (2025.findings-acl)

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Challenge: Recent studies have focused on classifying cardiac conditions using ECG data but have overlooked ECG report generation, which is time-consuming and requires clinical expertise.
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ECG-QALM: Entity-Controlled Synthetic Text Generation using Contextual Q&A for NER (2023.findings-acl)

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Challenge: Named Entity Recognition (NER) requires high-quality labeled datasets.
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Extreme Zero-Shot Learning for Extreme Text Classification (2022.naacl-main)

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Challenge: Experimental results show that MACLR achieves superior performance compared to other baseline methods.
Approach: They propose to pre-train Transformer-based encoders with self-supervised contrastive losses to learn the semantic embeddings of instances and labels with raw text.
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When Raw Data Prevails: Are Large Language Model Embeddings Effective in Numerical Data Representation for Medical Machine Learning Applications? (2024.findings-emnlp)

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Challenge: Numerical data is pivotal for medical questions and answers, but tabular data is not fully integrated into LLMs.
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MVP: Multi-task Supervised Pre-training for Natural Language Generation (2023.findings-acl)

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Challenge: Pre-trained language models (PLMs) have achieved remarkable success in natural language generation tasks.
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Virtual Data Augmentation: A Robust and General Framework for Fine-tuning Pre-trained Models (2021.emnlp-main)

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Challenge: Recent studies have shown that powerful pre-trained language models can be fooled by small perturbations or intentional attacks.
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DIVINE : Coordinating Multimodal Disentangled Representations for Oro-Facial Neurological Disorder Assessment (2026.eacl-long)

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Challenge: Existing frameworks for diagnosing oro-facial neurological disorders are based on shared and modality-specific representations, but they are not fully disentangled.
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ICXML: An In-Context Learning Framework for Zero-Shot Extreme Multi-Label Classification (2024.findings-naacl)

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Challenge: Existing research has focused on fully supervised XMC, but real-world scenarios often lack supervision signals, highlighting the importance of zero-shot settings.
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