# Facial Foundational Model Advances Early Warning of Coronary Artery Disease from Live Videos with DigitalShadow

arXiv: https://arxiv.org/abs/2506.06283 · HTML: https://mlsanity.com/paper/2506.06283/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 43 references that are in the map.
- First posted on arXiv 23 Apr 2025.

## Builds on (most cited first, 9 of 9)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning](https://mlsanity.com/paper/2501.12948/) (2025)
- [SimMIM: A Simple Framework for Masked Image Modeling](https://mlsanity.com/paper/2111.09886/) (2021)
- [BEiT v2: Masked Image Modeling with Vector-Quantized Visual Tokenizers](https://mlsanity.com/paper/2208.06366/) (2022)
- [WebFace260M: A Benchmark Unveiling the Power of Million-Scale Deep Face Recognition](https://mlsanity.com/paper/2103.04098/) (2021)
- [Arc2Face: A Foundation Model for ID-Consistent Human Faces](https://mlsanity.com/paper/2403.11641/) (2024)

## Abstract (arXiv)

Global population aging presents increasing challenges to healthcare systems, with coronary artery disease (CAD) responsible for approximately 17.8 million deaths annually, making it a leading cause of global mortality. As CAD is largely preventable, early detection and proactive management are essential. In this work, we introduce DigitalShadow, an advanced early warning system for CAD, powered by a fine-tuned facial foundation model. The system is pre-trained on 21 million facial images and subsequently fine-tuned into LiveCAD, a specialized CAD risk assessment model trained on 7,004 facial images from 1,751 subjects across four hospitals in China. DigitalShadow functions passively and contactlessly, extracting facial features from live video streams without requiring active user engagement. Integrated with a personalized database, it generates natural language risk reports and individualized health recommendations. With privacy as a core design principle, DigitalShadow supports local deployment to ensure secure handling of user data.