ECG-LENS: Lead-Aware Clinical Context Enriched ECG Report Generation and Evaluation
This work proposes ECG-LENS, an end-to-end framework for multi-lead electrocardiogram (ECG) report generation aimed at alleviating clinician workload and improving diagnostic efficiency. The approach integrates a lead-aware encoder with global dependency modeling, augmented by a clinical terminology–enhanced textual prompting mechanism and an ECG-specific report preprocessing strategy to enable diagnosis-aware, context-guided text generation. Additionally, the authors introduce F1-ECGBERT, a BERT-based evaluation metric tailored to ECG report assessment. Evaluated on the PTB-XL and MIMIC-IV-ECG datasets, the model substantially outperforms existing methods, achieving relative improvements of 4.0% in METEOR, 6.3% in ROUGE-L, and 11.5% in F1-ECGBERT.