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RespiraMFM: A Multimodal Foundation Model with Contrastive Audio-Language Alignment for Respiratory Disease Identification

2026-06-08 16:29:59
Shakhrul Iman Siam, Tiantian Feng, Jiankun Zhang, Shrikanth Narayanan, Mi Zhang

Abstract

Respiratory diseases remain a leading cause of global mortality, where timely and accurate diagnosis is critical to improving patient outcomes and reducing healthcare burdens. While prior work has explored audio-based models for respiratory disease detection, such unimodal approaches often suffer from limited generalizability and diagnostic precision. In this paper, we propose RespiraMFM, a Multimodal Foundation Model that integrates respiratory sounds with patient medical history and symptoms to enhance diagnostic accuracy and disease detection capabilities. We introduce an effective contrastive alignment strategy for audio-text multimodal integration, allowing the model to learn better cross-modal representations between respiratory sounds and corresponding textual clinical information. We evaluate RespiraMFM across five major respiratory diseases using seven real-world datasets in both supervised fine-tuning and zero-shot settings, achieving a 9.15% improvement in AUROC on supervised tasks and a 20.98% gain on zero-shot tasks over existing baselines. These findings underscore the potential of our framework to advance early diagnosis and improve clinical decision-making in respiratory disease management.

Abstract (translated)

URL

https://arxiv.org/abs/2606.09966

PDF

https://arxiv.org/pdf/2606.09966.pdf


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