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CORTEG: Foundation Models Enable Cross-Modality Representation Transfer from Scalp to Intracranial Brain Recordings

NeurIPS 2026 · Vision-language and multimodal › Cross-modal learning · approach: Medical multimodal fusion · 0 citations (OpenAlex)

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Adapts the scalp-EEG foundation model ST-EEGFormer to intracranial ECoG decoding via a KNNSoftFourier electrode-coordinate adapter, dual-stream LFS/HGA tokenizer, and LoRA with leave-one-subject-out fine-tuning.

Problem

ECoG decoders are small and subject-specific because per-patient data is scarce, and it is unclear whether large scalp-EEG foundation models can transfer to ECoG despite mismatches in electrode geometry, spectrum, and data availability.

Approach

Map subject-specific ECoG electrode coordinates into a frozen pretrained EEG channel-embedding codebook using a soft kNN-kernel attention branch plus a zero-initialized Fourier residual branch, feed a dual-stream (low-frequency and high-gamma) tokenizer into the EEG ViT, adapt the last layers with LoRA, and calibrate a new patient via leave-one-subject-out fine-tuning of the adapter, LoRA, and hea

Key results

Surprising findings

Limitations

Experimental setup

Datasets: Stanford fingerflex ECoG private audio-envelope ECoG scalp EEG pretraining corpus (ST-EEGFormer)

Benchmarks: Stanford fingerflex private audio envelope ECoG

Metrics: Pearson correlation paired Wilcoxon test participation ratio

Baselines: Ridge regression PLS HOPLS LSTM CNN-LSTM DeepFingerNet HiLoFuseNet LaBraM CBraMod MantisV2

Builds on: ST-EEGFormer LoRA Fourier feature positional encoding Nadaraya-Watson kernel regression

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