# Foundation Models Adaptation for Multi-View Multi-modal Cardiac MRI Segmentation and Direct Ejection Fraction Estimation

arXiv: https://arxiv.org/abs/2608.07291 · HTML: https://mlsanity.com/paper/2608.07291/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 3 of its 9 references that are in the map.
- First posted on arXiv 7 Aug 2026.

## Builds on (most cited first, 3 of 3)

- [Towards a vision foundation model for comprehensive assessment of Cardiac MRI](https://mlsanity.com/paper/2410.01665/) (2024)
- [Towards Cardiac MRI Foundation Models: Comprehensive Visual-Tabular Representations for Whole-Heart Assessment and Beyond](https://mlsanity.com/paper/2504.13037/) (2025)
- [A Generalizable Deep Learning System for Cardiac MRI](https://mlsanity.com/paper/2312.00357/) (2023)

## Abstract (arXiv)

Foundation models have shown strong transferability in cardiac MRI (CMR), but their effectiveness for heterogeneous multi-view and multi-sequence CMR analysis remains unclear. In this work, we explore the effectiveness of fine-tuning and combining different CMR foundation models for the Universal Multi-Sequence, Multi-Center and Multi-View CMR Segmentation (CMR-Multi) Challenge. CineMA was fine-tuned for cine and late gadolinium enhancement (LGE) segmentation across short-axis and long-axis views. For direct left-ventricular ejection fraction (LVEF) estimation, we used two recent frozen CMR foundation models to extract embedding vectors that were then combined using attention-based multiple-instance learning for LVEF regression. In the challenge validation set, cine segmentation achieved Dice scores of 0.862, 0.883, and 0.902 for short-axis, two-chamber and four-chamber cine MRI, respectively. LGE segmentation achieved Dice scores between 0.621 and 0.846 across views. The direct LVEF regression model achieved an MAE of 4.96 percentage points and a Pearson correlation of 0.91. These results indicate that foundation models can be effectively adapted and combined for multi-view CMR analysis, while accurate LGE scar segmentation remains a challenging task.