# Learning from Scarce Labels: Multi-View Echocardiography for Ejection Fraction Prediction

arXiv: https://arxiv.org/abs/2609.02969 · HTML: https://mlsanity.com/paper/2609.02969/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 5 of its 25 references that are in the map.
- First posted on arXiv 2 Sep 2026.

## Builds on (most cited first, 5 of 5)

- [Self-training with Noisy Student improves ImageNet classification](https://mlsanity.com/paper/1911.04252/) (2019)
- [X3D: Expanding Architectures for Efficient Video Recognition](https://mlsanity.com/paper/2004.04730/) (2020)
- [Data Programming: Creating Large Training Sets, Quickly](https://mlsanity.com/paper/1605.07723/) (2016)
- [Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiography](https://mlsanity.com/paper/1908.06948/) (2019)
- [High-Throughput Precision Phenotyping of Left Ventricular Hypertrophy with Cardiovascular Deep Learning](https://mlsanity.com/paper/2106.12511/) (2021)

## Abstract (arXiv)

We present, to the best of our knowledge, the first publicly available resource for predicting left ventricular ejection fraction (EF) from parasternal long-axis (PLAX) echocardiography. Because no PLAX-EF datasets previously existed, our work focuses on an innovative data generation strategy to overcome this scarcity. By leveraging a time-based correlation between clinical notes and echocardiographic videos, combined with fine-tuning view classifiers and proxy labeling, we created a labeled dataset of over 25,000 PLAX videos. This enables us to train the first reproducible PLAX EF model, achieving a mean absolute error (MAE) of 6.86%. Given that apical four-chamber (A4C) methods, the clinical standard, report MAE values of 6%-7%, our results demonstrate that EF estimation from PLAX views is both feasible and clinically relevant. This surpasses the performance of existing methods and provides a clinically relevant solution for situations where apical views may not be feasible. Going further, we demonstrate that combining PLAX and A4C predictions via simple unweighted late fusion improves both single-view baselines to a 6.37% MAE, underscoring the value of multi-view integration. To promote continued research, we release the dataset labels, trained models, and runnable demos on GitHub, Hugging Face, and Google Colab: https://github.com/Jeffrey4899/PLAX_EF_Labels_202509