Revitalizing Medical Time Series with Vision-Informed Retrieval: A Vision-Language Perspective

Abstract

Medical time series (MedTS) underpin many clinical classification tasks, yet existing methods usually represent them only as numerical sequences and underuse the morphology that is explicit in waveform inspection. To bridge this gap, we introduce Vision-Informed Retrieval (ViRe), which uses a frozen VLM-derived waveform representation as a morphology-aware Query to guide retrieval from raw numerical MedTS features. Specifically, a Vision Query is extracted using pre-trained vision-language models (VLMs) to obtain morphology-aware priors from waveform plots. A tailored attention-based cross-modal retrieval mechanism then uses the Vision Query to select morphology-relevant temporal and channel evidence from the numerical representation. ViRe demonstrates strong effectiveness against ten established baselines, yielding an overall 6.42% relative improvement over the previous state of the art across six public benchmarks. Code, training scripts, and reproducibility materials are publicly available in the GitHub Repository: https://github.com/Levi-Ackman/ViRe.