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REVE: A Foundation Model for EEG - Adapting to Any Setup with Large-Scale Pretraining on 25,000 Subjects

NeurIPS 2025 · Vision-language and multimodal › Human and embodied modeling · approach: Medical vision-language models

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Pretrains REVE, a transformer EEG foundation model with 4D Fourier positional encoding over electrode coordinates and time, using block-masked autoencoding on ~60k hours from 92 datasets.

Problem

EEG foundation models generalize poorly across heterogeneous electrode montages, recording setups and durations, and often need full fine-tuning, especially under linear probing.

Approach

A 4D (x,y,z,time) Fourier positional encoding computed directly from electrode coordinates and patch index, so any montage and sequence length can be processed without learned position tables; combined with spatio-temporal block masking and a secondary global-token reconstruction loss in an MAE setup.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
add secondary loss (ablation)REVE · Mumtaz (linear probing)balanced accuracy: 0.818 -> 0.920Helped
add secondary loss (ablation)REVE · Mumtaz (fine-tuning)balanced accuracy: 0.818 -> 0.922Helped
add secondary loss (ablation)REVE · TUAB (linear probing)balanced accuracy: 0.797 -> 0.802Helped
add secondary loss (ablation)REVE · TUAB (fine-tuning)balanced accuracy: 0.803 -> 0.810Helped
add secondary loss (ablation)REVE · ISRUC (linear probing)balanced accuracy: 0.699 -> 0.625Hurt
add secondary loss (ablation)REVE · ISRUC (fine-tuning)balanced accuracy: 0.777 -> 0.770Hurt
add secondary loss (ablation)REVE · HMC (linear probing)balanced accuracy: 0.598 -> 0.591Hurt
add secondary loss (ablation)REVE · HMC (fine-tuning)balanced accuracy: 0.713 -> 0.723Helped
pretrain REVE-Base instead of training without pretrainingREVE-Base · PhysioNet-MIbalanced accuracy: 0.5409 -> 0.6480Helped
use REVE-Base rather than CBraModEEG classification benchmarks · Average across 9 EEG classification tasksbalanced accuracy: +2.5%Helped

Surprising findings

Limitations

Experimental setup

Datasets: OpenNeuro MOABB TUH Physionet PhysioNet-MI BCIC-IV-2a TUEV TUAB HMC ISRUC FACED Mumtaz

Benchmarks: PhysioNet-MI BCIC-IV-2a TUEV TUAB HMC ISRUC FACED Mumtaz MAT BCIC2020-3

Metrics: balanced accuracy Cohen's kappa weighted F1 AUROC AUC-PR

Baselines: EEGNet EEGConformer SPaRCNet ContraWR CNN-Transformer FFCL ST-Transformer BIOT LaBraM-Base CBraMod

Builds on: masked autoencoder BIOT LaBraM CBraMod Flash Attention v2

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