evaluation_results.json

{
  "average_score": 1.0,
  "total_examples": 20,
  "successful_examples": 20,
  "model_type": "unsloth_medgemma_4b",
  "training_config": {
    "lora_r": 16,
    "learning_rate": 0.0002,
    "max_steps": 60,
    "batch_size": 2
  },
  "sample_outputs": [
    {
      "example_id": 0,
      "score": 1.0,
      "generated": "**IMPRESSION**\n\ud83d\udea8 Normal Sinus Rhythm is present.\n\n**DETAILED ANALYSIS**\n- Normal Sinus Rhythm (NORM): Present with high confidence (96%).\n- Conduction Disturbance (CD): Possible, with 45% confidence.\n\n**CLINICAL RECOMMENDATIONS**\nThis ECG is entirely expected in an asymptomatic patient on chronic amiodarone maintenance. The only potential concern is the possible CD, which could indicate myocardial fibrosis, requiring cardiology consultation and possible stress testing to monitor for conduction system changes.",
      "reference": "**IMPRESSION**\n\ud83d\udea8 Normal Sinus Rhythm is present.\n\n**DETAILED ANALYSIS**\n- Normal Sinus Rhythm (NORM): Present with very high confidence (96%).\n- Conduction Disturbance (CD): Possible, with 45% confidence.\n\n**CLINICAL RECOMMENDATIONS**\nWhile the ECG is reassuringly in sinus rhythm, it does not rule out subclinical cardiotoxicity. The possible conduction disturbance could be non-specific T-wave flattening. Routine surveillance with an echocardiogram to assess her left ventricular ejection fraction is a critical part of her follow-up care, as LV dysfunction can develop insidiously long after chemotherapy is completed."
    },
    {
      "example_id": 1,
      "score": 1.0,
      "generated": "**IMPRESSION**\n\ud83d\udea8 Conduction Disturbance is present. Sinus Bradycardia is also present.\n\n**DETAILED ANALYSIS**\n- Conduction Disturbance (CD): Present with very high confidence (99%).\n- Sinus Bradycardia (SBRAD): Present with very high confidence (99%).\n\n**CLINICAL RECOMMENDATIONS**\nThis is a classic presentation of a sick sinus rhythm. The bradycardia is not enough to cause syncope, but the underlying conduction system disease (a sick sinus rhythm) can cause a life-threatening arrhythmia called a ventricular tachyarrhythmia. The patient must be admitted and ECG monitored with telemetry. He needs an urgent pacemaker insertion before discharge to prevent future syncopal events.",
      "reference": "**IMPRESSION**\n\ud83d\udea8 Conduction Disturbance is present. Sinus Bradycardia is also present.\n\n**DETAILED ANALYSIS**\n- Conduction Disturbance (CD): Present with very high confidence (99%).\n- Sinus Bradycardia (SBRAD): Present with very high confidence (99%).\n\n**CLINICAL RECOMMENDATIONS**\nThis ECG shows complete (third-degree) AV block, which is the cause of his syncope. This is a life-threatening emergency. The atria and ventricles are beating independently, with a very slow ventricular escape rhythm. He requires immediate admission, application of external pacing pads, and an urgent cardiology/EP consultation for permanent pacemaker implantation."
    },
    {
      "example_id": 2,
      "score": 1.0,
      "generated": "**IMPRESSION**\n\ud83d\udea8 Normal Sinus Rhythm is present.\n\n**DETAILED ANALYSIS**\n- Normal Sinus Rhythm (NORM): Present with very high confidence (98%).\n\n**CLINICAL RECOMMENDATIONS**\nThis ECG is a reassuring and normal finding. In a healthy, active, asymptomatic patient, the absence of pathologic findings is the most appropriate treatment. No further cardiac workup is needed. The patient can continue to follow an exercise-based lifestyle.",
      "reference": "**IMPRESSION**\n\ud83d\udea8 Normal Sinus Rhythm is present.\n\n**DETAILED ANALYSIS**\n- Normal Sinus Rhythm (NORM): Present with very high confidence (98%).\n\n**CLINICAL RECOMMENDATIONS**\nThis is a completely normal ECG for a healthy middle-aged adult. It provides a valuable baseline for any future comparisons. He should be encouraged to continue his healthy lifestyle. No further cardiac evaluation is indicated."
    }
  ]
}