EchoXFlow: A Beamspace Echocardiography Dataset for Cardiac Motion, Flow, and Function
We introduce EchoXFlow, a clinical echocardiography dataset with ultrasound in its native acquisition geometry. Existing public datasets offer limited opportunities to study how cardiac anatomy, myocardial motion, and blood flow relate: Doppler velocities are typically absent or fused as RGB overlays on grayscale anatomical images, and acquisitions are released only after scan conversion and lossy vendor display processing. EchoXFlow comprises 35,377 recordings from 666 routine-care examinations of 622 patients. It preserves the timing, geometry, and modality relationships needed for physically grounded echo learning. Each recording is retained as separable modality-specific streams: temporally resolved 1D, 2D, and 3D data alongside multiple Doppler modalities, paired with a synchronized ECG. Clinical annotations range from guideline-defined measurements to dense 2D myocardial contours and 3D left-ventricular endocardial meshes. With its associated open-source tooling, EchoXFlow enables cross-modal, acquisition-aware learning tasks that cannot be formulated from conventional scan-converted videos alone, and serves as a testbed for 4D vision and physically grounded multi-modal learning more broadly. The dataset is available at https://huggingface.co/datasets/Ahus-AIM/EchoXFlow and the tooling at https://github.com/Ahus-AIM/EchoXFlow