# EchoTab: Learning Measurement-Grounded Representations for Echocardiographic Diagnosis through Tabular Reconstruction

arXiv: https://arxiv.org/abs/2610.13599 · HTML: https://mlsanity.com/paper/2610.13599/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 21 references that are in the map.
- First posted on arXiv 9 Oct 2026.

## Builds on (most cited first, 15 of 15)

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- [Perceiver IO: A General Architecture for Structured Inputs & Outputs](https://mlsanity.com/paper/2107.14795/) (2021)
- [MViTv2: Improved Multiscale Vision Transformers for Classification and Detection](https://mlsanity.com/paper/2112.01526/) (2021)
- [Post-hoc Concept Bottleneck Models](https://mlsanity.com/paper/2205.15480/) (2022)
- [Label-Free Concept Bottleneck Models](https://mlsanity.com/paper/2304.06129/) (2023)
- [Best of Both Worlds: Multimodal Contrastive Learning with Tabular and Imaging Data](https://mlsanity.com/paper/2303.14080/) (2023)
- [Text-to-LoRA: Instant Transformer Adaption](https://mlsanity.com/paper/2506.06105/) (2025)
- [Table Foundation Models: on knowledge pre-training for tabular learning](https://mlsanity.com/paper/2505.14415/) (2025)
- [EchoJEPA: A Latent Predictive Foundation Model for Echocardiography](https://mlsanity.com/paper/2602.02603/) (2026)
- [Tables Guide Vision: Learning to See the Heart through Tabular Data](https://mlsanity.com/paper/2503.14998/) (2025)

## Abstract (arXiv)

Diagnostic information in multi-view medical imaging studies, like echocardiography, is distributed across views, each capturing different aspects of cardiac structure and function. In clinical practice, these views are first interpreted through quantitative measurements, which then support specific diagnoses. However, existing echo representation learning methods do not explicitly model measurements as an intermediate representation between views and diagnosis. As a result, individual measurements are not explicitly represented in a form that downstream diagnostic tasks can selectively use, hindering accurate diagnosis. Inspired by this hierarchical clinical workflow, we introduce EchoTab, a measurement-grounded representation learning framework that represents multi-view echocardiography studies using measurement-specific tokens as an intermediate representation between echo views and diagnosis. Each measurement token selectively attends to the views relevant to its estimation and is trained through tabular reconstruction to predict the corresponding measurement value. The resulting tokens form a factorized echo representation, which encode clinically meaningful structural and functional properties and can be selectively used for downstream diagnosis. Unlike the commonly used contrastive approaches, EchoTab does not require negative samples or large batch sizes. Experiments on two datasets demonstrate that EchoTab learns effective measurement-grounded representations that improve diagnosis classification in multi-view echocardiography and its learned attention aligns with established measurement-view relationships used by cardiologists. Our code is accessible at https://github.com/michelleespranita/EchoTab.