hy727/MedTSLLM-Review

An actively updated collection of studies on large language models for medical time series analysis.

2

5 commits

updated Sep 6, 2026

See the code

README

Large Language Models in Medical Time Series Analysis

An actively updated companion repository for our review on Large Language Models for Medical Time Series Analysis (MedTSLLMs).

Papers License: MIT GitHub stars

Last updated: September 2026

πŸ“Œ Overview

This repository accompanies the review:

Large Language Models in Medical Time Series Analysis
Yu Han, Cigdem Beyan, Xiang Zhang, Xiaofeng Liu, Nan Liu, Jimeng Sun, Shenda Hong, Cheng Ding, and Vittorio Murino

Medical time series (MedTS), including electrocardiograms (ECG), electroencephalograms (EEG), photoplethysmography (PPG), vital-sign recordings, and wearable sensor data, are central to clinical diagnosis and health monitoring. This repository provides a curated and continuously updated collection of studies that connect MedTS with large language models (LLMs), including work on representation learning, signal-language alignment, reasoning, generation, retrieval, and agent-based analysis.

The current manuscript reviews 62 studies and organizes them into six clinically oriented application scenarios. Because the field is evolving rapidly, this repository serves as a living companion resource for tracking studies that appear after the literature collection used in the manuscript.

Scope. We use MedTSLLM as a broad term for LLM-based approaches to MedTS analysis rather than for a single model architecture. MedTSLLMs may combine language models with signal encoders, multimodal alignment modules, retrieval systems, or other task-specific components. The scope therefore includes different forms of LLM involvement in MedTS representation learning, signal-language alignment, reasoning, generation, and agent-based analysis.

πŸ—‚οΈ Table of Contents

πŸ“’ News

  • 2026-09 β€” Repository released with the literature collection from the current review manuscript.
  • 2026-XX β€” Paper link and final citation will be added after publication.

πŸ“Š Review Snapshot

The 62 studies summarized in the current manuscript are organized according to their primary clinical application in Table 4:

Application# Studies
Medical disease diagnosis16
Clinical report generation8
Medical question answering13
Neuro-signal translation12
Health assessment support9
Physiological signal synthesis4

The reviewed literature spans ECG, EEG, PPG, vital signs, wearable sensors, and multimodal physiological data. Modality counts are not mutually exclusive because some studies use more than one signal type.

πŸ“š Paper Collection

The organization below follows the clinical application taxonomy used in Table 4 of the review. Some studies naturally span multiple applications; for consistency, each study is listed under its primary application in the manuscript.

Metadata note. Year and venue information follows the bibliography used for the current manuscript. As preprints are formally published, the repository can be updated to link to the final versions while preserving the original review corpus.

Legend: β€” indicates that a public code repository was not listed in the manuscript or verified at the time of this update.

🩺 Medical Disease Diagnosis

16 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
HeartBEiT
A foundational vision transformer improves diagnostic performance for electrocardiograms
2023ECGBackboneCardiac disease diagnosis (LVEF, HCM, STEMI)npj Digital Medicinecode
sEHR-ECG-Text
Ecg representation learning with multi-modal ehr data
2023ECG + EHRText encoderMultimodal ECG representation learning and diagnosisTMLRβ€”
ECGBERT
Ecgbert: Understanding hidden language of ecgs with self-supervised representation learning
2023ECGBackboneArrhythmia diagnosis and sleep-apnea detectionarXivβ€”
METS
Frozen language model helps ecg zero-shot learning
2024ECG + clinical textText encoderZero-shot ECG diagnosisMIDLβ€”
MERL-CKEPE
Zero-shot ecg classification with multimodal learning and test-time clinical knowledge enhancement
2024ECG + clinical notesPrompt generatorZero-shot ECG classification / abnormality diagnosisarXivcode
Zero-shot RAG
Zero-shot ECG diagnosis with large language models and retrieval-augmented generation
2023ECGText decoderZero-shot arrhythmia and sleep-apnea diagnosisML4Hβ€”
ECG-GPT
Automated diagnostic reports from images of electrocardiograms at the point-of-care
2024ECG imageText decoderFree-text ECG diagnostic interpretationmedRxivβ€”
CardioGPT
Cardiogpt: An ecg interpretation generation model
2024ECGClassifierECG interpretation and abnormality diagnosisIEEE Accessβ€”
CQA-ESI
Ecg semantic integrator (esi): A foundation ecg model pretrained with llm-enhanced cardiological text
2024ECG + clinical textText encoder + decoderKnowledge-enhanced ECG diagnosisarXivcode
EEG-GPT
EEG-GPT: exploring capabilities of large language models for EEG classification and interpretation
2024EEGClassifierEEG classification and interpretationarXivβ€”
ETP
Etp: Learning transferable ecg representations via ecg-text pre-training
2024ECG + clinical reportsText encoderTransferable ECG representation / zero-shot diagnosisICASSP 2024β€”
GPT-PPG
GPT-PPG: a GPT-based foundation model for photoplethysmography signals
2025PPGBackbonePPG foundation modeling and downstream diagnosisPhysiological Measurementβ€”
GPT-4 ECG interpretation
Beyond text: the impact of clinical context on GPT-4’s 12-lead electrocardiogram interpretation accuracy
2025ECG + clinical contextText decoderClinical-context-aware ECG interpretationCanadian Journal of Cardiologyβ€”
GEM
Gem: Empowering mllm for grounded ecg understanding with time series and images
2025ECG time series + image + textText decoder + image/time-series encoderGrounded ECG understandingarXivcode
MedualTime
MedualTime: A dual-adapter language model for medical time series-text multimodal learning
2024ECG + EEG + clinical textBackboneMedical time-series/text multimodal classificationarXivcode
ZETA
Interpretable multimodal zero shot ECG diagnosis via structured clinical knowledge alignment
2026ECGText encoder + observation generatorInterpretable zero-shot ECG diagnosisnpj Cardiovascular Healthcode

πŸ“ Clinical Report Generation

8 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
JoLT
JoLT: jointly learned representations of language and time-series for clinical time-series interpretation (student abstract)
2024ECG + textText decoderClinical time-series interpretation / report generationAAAI 2024β€”
SignalGPT
BioSignal Copilot: Leveraging the power of LLMs in drafting reports for biomedical signals
2023Biomedical signals + textAgentBiomedical signal report draftingmedRxivβ€”
MEIT
MEIT: Multimodal Electrocardiogram Instruction Tuning on Large Language Models for Report Generation
2025ECGPrompt generator + text decoderECG report generationFindings of ACL 2025code
PhysioLLM
Physiollm: Supporting personalized health insights with wearables and large language models
2024Wearable / FitbitAgentPersonalized wearable-data interpretationIEEE BHI 2024β€”
ECG-Chat
Ecg-chat: A large ecg-language model for cardiac disease diagnosis
2025ECGBackbone + report generatorECG report generationIEEE ICME 2025code
ECG-ReGen
Electrocardiogram Report Generation and Question Answering via Retrieval-Augmented Self-Supervised Modeling
2025ECG + retrieved reportsText encoder + decoderRetrieval-augmented ECG report generationICASSP 2025β€”
ECG-Bench
Retrieval-Augmented Generation for Electrocardiogram-Language Models
2025ECG + retrieved reportsBackboneRetrieval-augmented ECG-language generationarXivcode
DiagECG
DiagECG: An LLM-Driven Framework for Diagnostic Reasoning via Discretized ECG Tokenization
2025ECGBackbone + report generatorDiagnostic reasoning and ECG report generationarXivβ€”

πŸ’¬ Medical Question Answering

13 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
ECG-QA
Ecg-qa: A comprehensive question answering dataset combined with electrocardiogram
2023ECGAnswer generatorECG question answeringNeurIPS 2023code
GPT-4V clinical image interpretation
GPT-4V (ision) unsuitable for clinical care and education: a clinician-evaluated assessment
2023ECG / EEG + medical imagesAnswer generatorMultimodal clinical image interpretationarXivβ€”
ChatGPT ECG assessment
Comparison of emergency medicine specialist, cardiologist, and chat-GPT in electrocardiography assessment
2024ECGAnswer generatorECG question answering / diagnostic assessmentAmerican Journal of Emergency Medicineβ€”
AutoHeart
Automated HEART score determination via ChatGPT: Honing a framework for iterative prompt development
2024Clinical notes / ECG-related contextAnswer generatorAutomated HEART score calculationJACEP Openβ€”
openCHA
Conversational health agents: A personalized llm-powered agent framework
2023PPG + IMU + EHR + imagesAgentConversational personalized health QAarXivcode
ECG-LM
ECG-LM: Understanding Electrocardiogram with a Large Language Model
2025ECG + clinical textAnswer generatorECG QA and interpretationHealth Data Scienceβ€”
PULSE
Teach multimodal llms to comprehend electrocardiographic images
2024ECG image + textAnswer generator + evaluatorECG visual QA and report understandingarXivcode
LLMs in clinical cardiology
The pulse of artificial intelligence in cardiology: a comprehensive evaluation of state-of-the-art large language models for potential use in clinical cardiology
2023Cardiology text / ECG contextAnswer generatorClinical cardiology reasoningmedRxivβ€”
CHA-PPGHR
An LLM-Powered Agent for Physiological Data Analysis: A Case Study on PPG-based Heart Rate Estimation
2025PPGAgentPPG-based heart-rate estimation and QAarXivcode
Zero-shot VQA
Assessing the performance of zero-shot visual question answering in multimodal large language models for 12-lead ECG image interpretation
2025ECG imageAnswer generatorZero-shot visual ECG question answeringFrontiers in Cardiovascular Medicineβ€”
ECG-Expert-QA
ECG-Expert-QA: A Benchmark for Evaluating Medical Large Language Models in Heart Disease Diagnosis
2025ECG + clinical reportsAnswer generatorExpert-level ECG question answeringarXivcode
EEG Emotion Copilot
EEG emotion copilot: Optimizing lightweight LLMS for emotional EEG interpretation with assisted medical record generation
2025EEGAgentEmotion interpretation and assisted medical recordsNeural Networkscode
EEG-MedRAG
EEG-MedRAG: Enhancing EEG-based Clinical Decision-Making via Hierarchical Hypergraph Retrieval-Augmented Generation
2025EEG + clinical contextAgentRetrieval-augmented EEG clinical decision supportarXivcode

🧠 Neuro-Signal Translation

12 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
EEG-ETB
Integrating llm, eeg, and eye-tracking biomarker analysis for word-level neural state classification in semantic inference reading comprehension
2023EEG + eye trackingClassifierWord-level neural-state classification / reading comprehensionarXivβ€”
DeWave
Dewave: Discrete eeg waves encoding for brain dynamics to text translation
2023EEGText decoderEEG-to-text translationarXivcode
MTAM
Can brain signals reveal inner alignment with human languages?
2023EEG + language contextText encoderEEG-language alignment / semantic classificationFindings of EMNLP 2023code
CFEHC
Contextual feature extraction hierarchies converge in large language models and the brain
2024iEEG + language contextBackboneBrain–LLM representational alignmentNature Machine Intelligenceβ€”
iEEG-GPT
Enhancing neural decoding with large language models: A GPT-based approach
2024iEEG + spectral/topographic featuresText decoderNeural decoding and interpretationIEEE BCI 2024β€”
WERE
From word embedding to reading embedding using large language model, eeg and eye-tracking
2024EEG + eye trackingText encoder + classifierReading embedding / neural-state classificationIEEE EMBC 2024code
Neuro-GPT
Neuro-gpt: Towards a foundation model for eeg
2024EEGText decoderEEG foundation modeling and interpretationIEEE ISBI 2024code
BELT
BELT: bootstrapped EEG-to-language training by natural language supervision
2024EEGText decoderEEG-to-language decodingIEEE TNSREβ€”
BELT-2
Belt-2: Bootstrapping eeg-to-language representation alignment for multi-task brain decoding
2024EEGText decoderMulti-task EEG-to-language decodingarXivβ€”
CET-MAE
Enhancing eeg-to-text decoding through transferable representations from pre-trained contrastive eeg-text masked autoencoder
2024EEGText decoderEEG-to-text decodingarXivβ€”
BSLA
LLMs Help Alleviate the Cross-Subject Variability in Brain Signal and Language Alignment
2025EEGBackbone + text decoderCross-subject brain-signal/language alignmentarXivβ€”
Thought2Text
Thought2Text: text generation from EEG signal using large language models (LLMs)
2025EEG + image stimulusCaption generator + evaluatorEEG-to-text generationFindings of NAACL 2025code

⌚ Health Assessment Support

9 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
ALPHA
Alpha: Anomalous physiological health assessment using large language models
2023PPG + HR + SpOβ‚‚ClassifierPhysiological health assessmentarXivcode
Health-Learner
Large language models are few-shot health learners
2023Wearable biosignalsPredictorFew-shot health predictionarXivβ€”
AdaCT
Large transformers are better eeg learners
2023EEG + activity sensorsBackbone + classifierSeizure, sleep-stage and activity classificationarXivcode
Health-LLM
Health-llm: Large language models for health prediction via wearable sensor data
2024Wearable / FitbitClassifierHealth prediction from wearable sensor dataarXivcode
CBPM-LLaMA
Large language models for cuffless blood pressure measurement from wearable biosignals
2024ECG + PPGPredictorCuffless blood-pressure estimationACM BCB 2024β€”
WDAI-LLM
Large language models for wearable data analysis and interpretation
2024Wearable / FitbitPredictorWearable-data analysis and health predictionTiny Papers @ ICLR 2024β€”
PSRT
The Prediction of Stress in Radiation Therapy: Integrating Artificial Intelligence with Biological Signals
2024ECG + PPG + EEG + wearableClassifierStress predictionCancersβ€”
PH-LLM
Towards a personal health large language model
2024Wearable / FitbitBackbonePersonalized sleep and fitness assessmentarXivβ€”
SensorLM
SensorLM: Learning the Language of Wearable Sensors
2025Wearable sensorsText decoderSensor-to-text / health assessmentarXivβ€”

πŸ«€ Physiological Signal Synthesis

4 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
Auto-TTE
Text-to-ecg: 12-lead electrocardiogram synthesis conditioned on clinical text reports
2023ECG + clinical textText decoderText-conditioned 12-lead ECG synthesisICASSP 2023code
ECG-LLM
ECG-LLM: Leveraging Large Language Models for Low-Quality ECG Signal Restoration
2024ECGBackboneLow-quality ECG restorationIEEE BIBM 2024code
BCG2ECG
Adapting LLMs for Ballistocardiographic Signals: A Multi-Task Learning Framework for BCG to ECG Reconstruction
2024BCG + ECG + PPGBackboneBCG-to-ECG reconstructionRICAI 2024β€”
DiffuSETS
DiffuSETS: 12-Lead ECG generation conditioned on clinical text reports and patient-specific information
2025ECG + clinical text + patient contextBackboneText-conditioned 12-lead ECG generationPatternscode

πŸ†• Recent Additions

This section is reserved for relevant MedTSLLM studies that appeared after the literature collection used in the current manuscript. Newly added studies will be kept separate from the original 62-study review corpus so that the provenance of the published review remains clear.

StudyYearModalityApplicationPaperCodeAdded
New studies will be added here.β€”β€”β€”β€”β€”β€”

🀝 Contributing

We welcome contributions from the community to keep this resource up to date. If you would like to add a relevant MedTSLLM study, please open an Issue or submit a Pull Request.

Please provide the following information when suggesting a paper:

  • Paper title
  • Authors
  • Venue and year
  • Paper URL
  • Code/model URL, if available
  • MedTS modality (e.g., ECG, EEG, PPG, wearable sensors, vital signs)
  • Primary clinical application
  • Primary role of the LLM in the pipeline

For consistency, please use one of the six primary application categories adopted in the review:

  1. Medical Disease Diagnosis
  2. Clinical Report Generation
  3. Medical Question Answering
  4. Neuro-Signal Translation
  5. Health Assessment Support
  6. Physiological Signal Synthesis

Suggested entry format:

| **Model/Study Name**<br>[Paper title](PAPER_URL) | 2026 | ECG | Answer generator | ECG question answering | Venue | [code](CODE_URL) |

Inclusion note

This repository focuses on studies in which an LLM or language-model-style architecture plays a substantive role in medical time-series modeling, interpretation, reasoning, generation, or multimodal alignment. General medical LLM studies without a MedTS component and conventional time-series models without meaningful LLM involvement are outside the primary scope.

πŸ“‘ Citation

If you find this review or repository useful, please consider citing our work. The final bibliographic information will be updated after publication.

@misc{han2026medtsllm,
  title  = {Large Language Models in Medical Time Series Analysis},
  author = {Han, Yu and Beyan, Cigdem and Zhang, Xiang and Liu, Xiaofeng and Liu, Nan and Sun, Jimeng and Hong, Shenda and Ding, Cheng and Murino, Vittorio},
  year   = {2026},
  note   = {Review manuscript}
}

⭐ Stay Updated

We will continue to update this repository as new MedTSLLM models, datasets, benchmarks, and clinical applications emerge. If you find the resource useful, please consider giving the repository a ⭐ and submitting an Issue or Pull Request when relevant work is missing.


Maintained by the authors of the review.

Contributors

hy727

5 commits

hy727/MedTSLLM-Review

An actively updated collection of studies on large language models for medical time series analysis.

2

5 commits

updated Sep 6, 2026

See the code

README

Large Language Models in Medical Time Series Analysis

An actively updated companion repository for our review on Large Language Models for Medical Time Series Analysis (MedTSLLMs).

Papers License: MIT GitHub stars

Last updated: September 2026

πŸ“Œ Overview

This repository accompanies the review:

Large Language Models in Medical Time Series Analysis
Yu Han, Cigdem Beyan, Xiang Zhang, Xiaofeng Liu, Nan Liu, Jimeng Sun, Shenda Hong, Cheng Ding, and Vittorio Murino

Medical time series (MedTS), including electrocardiograms (ECG), electroencephalograms (EEG), photoplethysmography (PPG), vital-sign recordings, and wearable sensor data, are central to clinical diagnosis and health monitoring. This repository provides a curated and continuously updated collection of studies that connect MedTS with large language models (LLMs), including work on representation learning, signal-language alignment, reasoning, generation, retrieval, and agent-based analysis.

The current manuscript reviews 62 studies and organizes them into six clinically oriented application scenarios. Because the field is evolving rapidly, this repository serves as a living companion resource for tracking studies that appear after the literature collection used in the manuscript.

Scope. We use MedTSLLM as a broad term for LLM-based approaches to MedTS analysis rather than for a single model architecture. MedTSLLMs may combine language models with signal encoders, multimodal alignment modules, retrieval systems, or other task-specific components. The scope therefore includes different forms of LLM involvement in MedTS representation learning, signal-language alignment, reasoning, generation, and agent-based analysis.

πŸ—‚οΈ Table of Contents

πŸ“’ News

  • 2026-09 β€” Repository released with the literature collection from the current review manuscript.
  • 2026-XX β€” Paper link and final citation will be added after publication.

πŸ“Š Review Snapshot

The 62 studies summarized in the current manuscript are organized according to their primary clinical application in Table 4:

Application# Studies
Medical disease diagnosis16
Clinical report generation8
Medical question answering13
Neuro-signal translation12
Health assessment support9
Physiological signal synthesis4

The reviewed literature spans ECG, EEG, PPG, vital signs, wearable sensors, and multimodal physiological data. Modality counts are not mutually exclusive because some studies use more than one signal type.

πŸ“š Paper Collection

The organization below follows the clinical application taxonomy used in Table 4 of the review. Some studies naturally span multiple applications; for consistency, each study is listed under its primary application in the manuscript.

Metadata note. Year and venue information follows the bibliography used for the current manuscript. As preprints are formally published, the repository can be updated to link to the final versions while preserving the original review corpus.

Legend: β€” indicates that a public code repository was not listed in the manuscript or verified at the time of this update.

🩺 Medical Disease Diagnosis

16 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
HeartBEiT
A foundational vision transformer improves diagnostic performance for electrocardiograms
2023ECGBackboneCardiac disease diagnosis (LVEF, HCM, STEMI)npj Digital Medicinecode
sEHR-ECG-Text
Ecg representation learning with multi-modal ehr data
2023ECG + EHRText encoderMultimodal ECG representation learning and diagnosisTMLRβ€”
ECGBERT
Ecgbert: Understanding hidden language of ecgs with self-supervised representation learning
2023ECGBackboneArrhythmia diagnosis and sleep-apnea detectionarXivβ€”
METS
Frozen language model helps ecg zero-shot learning
2024ECG + clinical textText encoderZero-shot ECG diagnosisMIDLβ€”
MERL-CKEPE
Zero-shot ecg classification with multimodal learning and test-time clinical knowledge enhancement
2024ECG + clinical notesPrompt generatorZero-shot ECG classification / abnormality diagnosisarXivcode
Zero-shot RAG
Zero-shot ECG diagnosis with large language models and retrieval-augmented generation
2023ECGText decoderZero-shot arrhythmia and sleep-apnea diagnosisML4Hβ€”
ECG-GPT
Automated diagnostic reports from images of electrocardiograms at the point-of-care
2024ECG imageText decoderFree-text ECG diagnostic interpretationmedRxivβ€”
CardioGPT
Cardiogpt: An ecg interpretation generation model
2024ECGClassifierECG interpretation and abnormality diagnosisIEEE Accessβ€”
CQA-ESI
Ecg semantic integrator (esi): A foundation ecg model pretrained with llm-enhanced cardiological text
2024ECG + clinical textText encoder + decoderKnowledge-enhanced ECG diagnosisarXivcode
EEG-GPT
EEG-GPT: exploring capabilities of large language models for EEG classification and interpretation
2024EEGClassifierEEG classification and interpretationarXivβ€”
ETP
Etp: Learning transferable ecg representations via ecg-text pre-training
2024ECG + clinical reportsText encoderTransferable ECG representation / zero-shot diagnosisICASSP 2024β€”
GPT-PPG
GPT-PPG: a GPT-based foundation model for photoplethysmography signals
2025PPGBackbonePPG foundation modeling and downstream diagnosisPhysiological Measurementβ€”
GPT-4 ECG interpretation
Beyond text: the impact of clinical context on GPT-4’s 12-lead electrocardiogram interpretation accuracy
2025ECG + clinical contextText decoderClinical-context-aware ECG interpretationCanadian Journal of Cardiologyβ€”
GEM
Gem: Empowering mllm for grounded ecg understanding with time series and images
2025ECG time series + image + textText decoder + image/time-series encoderGrounded ECG understandingarXivcode
MedualTime
MedualTime: A dual-adapter language model for medical time series-text multimodal learning
2024ECG + EEG + clinical textBackboneMedical time-series/text multimodal classificationarXivcode
ZETA
Interpretable multimodal zero shot ECG diagnosis via structured clinical knowledge alignment
2026ECGText encoder + observation generatorInterpretable zero-shot ECG diagnosisnpj Cardiovascular Healthcode

πŸ“ Clinical Report Generation

8 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
JoLT
JoLT: jointly learned representations of language and time-series for clinical time-series interpretation (student abstract)
2024ECG + textText decoderClinical time-series interpretation / report generationAAAI 2024β€”
SignalGPT
BioSignal Copilot: Leveraging the power of LLMs in drafting reports for biomedical signals
2023Biomedical signals + textAgentBiomedical signal report draftingmedRxivβ€”
MEIT
MEIT: Multimodal Electrocardiogram Instruction Tuning on Large Language Models for Report Generation
2025ECGPrompt generator + text decoderECG report generationFindings of ACL 2025code
PhysioLLM
Physiollm: Supporting personalized health insights with wearables and large language models
2024Wearable / FitbitAgentPersonalized wearable-data interpretationIEEE BHI 2024β€”
ECG-Chat
Ecg-chat: A large ecg-language model for cardiac disease diagnosis
2025ECGBackbone + report generatorECG report generationIEEE ICME 2025code
ECG-ReGen
Electrocardiogram Report Generation and Question Answering via Retrieval-Augmented Self-Supervised Modeling
2025ECG + retrieved reportsText encoder + decoderRetrieval-augmented ECG report generationICASSP 2025β€”
ECG-Bench
Retrieval-Augmented Generation for Electrocardiogram-Language Models
2025ECG + retrieved reportsBackboneRetrieval-augmented ECG-language generationarXivcode
DiagECG
DiagECG: An LLM-Driven Framework for Diagnostic Reasoning via Discretized ECG Tokenization
2025ECGBackbone + report generatorDiagnostic reasoning and ECG report generationarXivβ€”

πŸ’¬ Medical Question Answering

13 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
ECG-QA
Ecg-qa: A comprehensive question answering dataset combined with electrocardiogram
2023ECGAnswer generatorECG question answeringNeurIPS 2023code
GPT-4V clinical image interpretation
GPT-4V (ision) unsuitable for clinical care and education: a clinician-evaluated assessment
2023ECG / EEG + medical imagesAnswer generatorMultimodal clinical image interpretationarXivβ€”
ChatGPT ECG assessment
Comparison of emergency medicine specialist, cardiologist, and chat-GPT in electrocardiography assessment
2024ECGAnswer generatorECG question answering / diagnostic assessmentAmerican Journal of Emergency Medicineβ€”
AutoHeart
Automated HEART score determination via ChatGPT: Honing a framework for iterative prompt development
2024Clinical notes / ECG-related contextAnswer generatorAutomated HEART score calculationJACEP Openβ€”
openCHA
Conversational health agents: A personalized llm-powered agent framework
2023PPG + IMU + EHR + imagesAgentConversational personalized health QAarXivcode
ECG-LM
ECG-LM: Understanding Electrocardiogram with a Large Language Model
2025ECG + clinical textAnswer generatorECG QA and interpretationHealth Data Scienceβ€”
PULSE
Teach multimodal llms to comprehend electrocardiographic images
2024ECG image + textAnswer generator + evaluatorECG visual QA and report understandingarXivcode
LLMs in clinical cardiology
The pulse of artificial intelligence in cardiology: a comprehensive evaluation of state-of-the-art large language models for potential use in clinical cardiology
2023Cardiology text / ECG contextAnswer generatorClinical cardiology reasoningmedRxivβ€”
CHA-PPGHR
An LLM-Powered Agent for Physiological Data Analysis: A Case Study on PPG-based Heart Rate Estimation
2025PPGAgentPPG-based heart-rate estimation and QAarXivcode
Zero-shot VQA
Assessing the performance of zero-shot visual question answering in multimodal large language models for 12-lead ECG image interpretation
2025ECG imageAnswer generatorZero-shot visual ECG question answeringFrontiers in Cardiovascular Medicineβ€”
ECG-Expert-QA
ECG-Expert-QA: A Benchmark for Evaluating Medical Large Language Models in Heart Disease Diagnosis
2025ECG + clinical reportsAnswer generatorExpert-level ECG question answeringarXivcode
EEG Emotion Copilot
EEG emotion copilot: Optimizing lightweight LLMS for emotional EEG interpretation with assisted medical record generation
2025EEGAgentEmotion interpretation and assisted medical recordsNeural Networkscode
EEG-MedRAG
EEG-MedRAG: Enhancing EEG-based Clinical Decision-Making via Hierarchical Hypergraph Retrieval-Augmented Generation
2025EEG + clinical contextAgentRetrieval-augmented EEG clinical decision supportarXivcode

🧠 Neuro-Signal Translation

12 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
EEG-ETB
Integrating llm, eeg, and eye-tracking biomarker analysis for word-level neural state classification in semantic inference reading comprehension
2023EEG + eye trackingClassifierWord-level neural-state classification / reading comprehensionarXivβ€”
DeWave
Dewave: Discrete eeg waves encoding for brain dynamics to text translation
2023EEGText decoderEEG-to-text translationarXivcode
MTAM
Can brain signals reveal inner alignment with human languages?
2023EEG + language contextText encoderEEG-language alignment / semantic classificationFindings of EMNLP 2023code
CFEHC
Contextual feature extraction hierarchies converge in large language models and the brain
2024iEEG + language contextBackboneBrain–LLM representational alignmentNature Machine Intelligenceβ€”
iEEG-GPT
Enhancing neural decoding with large language models: A GPT-based approach
2024iEEG + spectral/topographic featuresText decoderNeural decoding and interpretationIEEE BCI 2024β€”
WERE
From word embedding to reading embedding using large language model, eeg and eye-tracking
2024EEG + eye trackingText encoder + classifierReading embedding / neural-state classificationIEEE EMBC 2024code
Neuro-GPT
Neuro-gpt: Towards a foundation model for eeg
2024EEGText decoderEEG foundation modeling and interpretationIEEE ISBI 2024code
BELT
BELT: bootstrapped EEG-to-language training by natural language supervision
2024EEGText decoderEEG-to-language decodingIEEE TNSREβ€”
BELT-2
Belt-2: Bootstrapping eeg-to-language representation alignment for multi-task brain decoding
2024EEGText decoderMulti-task EEG-to-language decodingarXivβ€”
CET-MAE
Enhancing eeg-to-text decoding through transferable representations from pre-trained contrastive eeg-text masked autoencoder
2024EEGText decoderEEG-to-text decodingarXivβ€”
BSLA
LLMs Help Alleviate the Cross-Subject Variability in Brain Signal and Language Alignment
2025EEGBackbone + text decoderCross-subject brain-signal/language alignmentarXivβ€”
Thought2Text
Thought2Text: text generation from EEG signal using large language models (LLMs)
2025EEG + image stimulusCaption generator + evaluatorEEG-to-text generationFindings of NAACL 2025code

⌚ Health Assessment Support

9 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
ALPHA
Alpha: Anomalous physiological health assessment using large language models
2023PPG + HR + SpOβ‚‚ClassifierPhysiological health assessmentarXivcode
Health-Learner
Large language models are few-shot health learners
2023Wearable biosignalsPredictorFew-shot health predictionarXivβ€”
AdaCT
Large transformers are better eeg learners
2023EEG + activity sensorsBackbone + classifierSeizure, sleep-stage and activity classificationarXivcode
Health-LLM
Health-llm: Large language models for health prediction via wearable sensor data
2024Wearable / FitbitClassifierHealth prediction from wearable sensor dataarXivcode
CBPM-LLaMA
Large language models for cuffless blood pressure measurement from wearable biosignals
2024ECG + PPGPredictorCuffless blood-pressure estimationACM BCB 2024β€”
WDAI-LLM
Large language models for wearable data analysis and interpretation
2024Wearable / FitbitPredictorWearable-data analysis and health predictionTiny Papers @ ICLR 2024β€”
PSRT
The Prediction of Stress in Radiation Therapy: Integrating Artificial Intelligence with Biological Signals
2024ECG + PPG + EEG + wearableClassifierStress predictionCancersβ€”
PH-LLM
Towards a personal health large language model
2024Wearable / FitbitBackbonePersonalized sleep and fitness assessmentarXivβ€”
SensorLM
SensorLM: Learning the Language of Wearable Sensors
2025Wearable sensorsText decoderSensor-to-text / health assessmentarXivβ€”

πŸ«€ Physiological Signal Synthesis

4 studies

StudyYearModalityPrimary LLM roleMain taskVenueCode
Auto-TTE
Text-to-ecg: 12-lead electrocardiogram synthesis conditioned on clinical text reports
2023ECG + clinical textText decoderText-conditioned 12-lead ECG synthesisICASSP 2023code
ECG-LLM
ECG-LLM: Leveraging Large Language Models for Low-Quality ECG Signal Restoration
2024ECGBackboneLow-quality ECG restorationIEEE BIBM 2024code
BCG2ECG
Adapting LLMs for Ballistocardiographic Signals: A Multi-Task Learning Framework for BCG to ECG Reconstruction
2024BCG + ECG + PPGBackboneBCG-to-ECG reconstructionRICAI 2024β€”
DiffuSETS
DiffuSETS: 12-Lead ECG generation conditioned on clinical text reports and patient-specific information
2025ECG + clinical text + patient contextBackboneText-conditioned 12-lead ECG generationPatternscode

πŸ†• Recent Additions

This section is reserved for relevant MedTSLLM studies that appeared after the literature collection used in the current manuscript. Newly added studies will be kept separate from the original 62-study review corpus so that the provenance of the published review remains clear.

StudyYearModalityApplicationPaperCodeAdded
New studies will be added here.β€”β€”β€”β€”β€”β€”

🀝 Contributing

We welcome contributions from the community to keep this resource up to date. If you would like to add a relevant MedTSLLM study, please open an Issue or submit a Pull Request.

Please provide the following information when suggesting a paper:

  • Paper title
  • Authors
  • Venue and year
  • Paper URL
  • Code/model URL, if available
  • MedTS modality (e.g., ECG, EEG, PPG, wearable sensors, vital signs)
  • Primary clinical application
  • Primary role of the LLM in the pipeline

For consistency, please use one of the six primary application categories adopted in the review:

  1. Medical Disease Diagnosis
  2. Clinical Report Generation
  3. Medical Question Answering
  4. Neuro-Signal Translation
  5. Health Assessment Support
  6. Physiological Signal Synthesis

Suggested entry format:

| **Model/Study Name**<br>[Paper title](PAPER_URL) | 2026 | ECG | Answer generator | ECG question answering | Venue | [code](CODE_URL) |

Inclusion note

This repository focuses on studies in which an LLM or language-model-style architecture plays a substantive role in medical time-series modeling, interpretation, reasoning, generation, or multimodal alignment. General medical LLM studies without a MedTS component and conventional time-series models without meaningful LLM involvement are outside the primary scope.

πŸ“‘ Citation

If you find this review or repository useful, please consider citing our work. The final bibliographic information will be updated after publication.

@misc{han2026medtsllm,
  title  = {Large Language Models in Medical Time Series Analysis},
  author = {Han, Yu and Beyan, Cigdem and Zhang, Xiang and Liu, Xiaofeng and Liu, Nan and Sun, Jimeng and Hong, Shenda and Ding, Cheng and Murino, Vittorio},
  year   = {2026},
  note   = {Review manuscript}
}

⭐ Stay Updated

We will continue to update this repository as new MedTSLLM models, datasets, benchmarks, and clinical applications emerge. If you find the resource useful, please consider giving the repository a ⭐ and submitting an Issue or Pull Request when relevant work is missing.


Maintained by the authors of the review.

Contributors

hy727

5 commits