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MICCAI 2026 · Strasbourg, France

SpikeMamba

Spike-Driven State Space Models for
Energy-Efficient Biomedical Sequence Modeling

Si Yong Lee1Ryangjin Lee1Hawon Park1Yoora Kim1Byungkon Kang2Yoon Seok Yang2

1 Stony Brook University2 The State University of New York Korea

The core idea

Let the signal decide
when to compute.

SpikeMamba maps selective state space dynamics onto spiking neurons. Sparse binary events carry information, while a state-dependent gate suppresses updates during inactive segments.

5Biomedical benchmarks
across ECG and EEG
~75KParameters in the
Tiny configuration
12–16%Firing rates reported on
PTB, PTB-XL, and ADFTD

01 / Method

A state space model.
A spiking core.

Continuous inputs. Binary events.
Selective recurrent updates.

FIGURE 01The SpikeMamba architecture. A spiking recurrent core sits within residual layers; the input projection and classifier retain continuous arithmetic.SVG ↓
01

Encode the signal

A linear projection, batch normalization, and SiLU prepare continuous biomedical signals. Depthwise convolution mixes local temporal information.

02

Update through spikes

Leaky Integrate-and-Fire dynamics maintain a membrane state and emit binary spikes. Downstream spike-weight products become conditional accumulations.

03

Gate inactive steps

A state-dependent gate uses firing activity and membrane-potential variance to determine whether to update or preserve the state.

Energy accounting

E = EMAC · FLInput+MLP + EAC · Reff · FLSpike

Reff = firing rate × gate activation ratio

02 / Results

Explore the trade-off.

Accuracy and estimated energy,
across five biomedical datasets.

Accuracy vs. estimated energy

Higher & further left is better ↖
SpikeMamba BaselinesEnergy axis: logarithmic

Evaluation: PTB · 2-class ECG classification · subject-independent protocol.

Exact values Accuracy, F1, AUROC & estimated energy
PTB results · Paper, Table 2
ModelAccuracy (%)F1 (%)AUROC (%)Energy (mJ)
iTransformer83.8979.0691.1851.51
MTST76.5967.3886.868803.84
Reformer77.9669.6591.133866.06
Medformer83.5079.1892.817564.93
SpikeMamba-L91.7294.0094.92322.91
SpikeMamba-M89.0092.2792.7346.78
SpikeMamba-T80.3486.7284.354.69

Reading these results. Energy values are analytical estimates under a 45 nm CMOS operation model (MAC: 4.6 pJ; AC: 0.9 pJ), not on-chip measurements. PTB, PTB-XL, and ADFTD use subject-independent evaluation. CHB-MIT and MIT-BIH use segment-level random 6:2:2 splits. Values are transcribed from Tables 2–3 of the paper.

03 / Evaluation

From biosignals
to benchmarks.

Three model scales.
Two biomedical signal modalities.

FIGURE 02Five biomedical benchmarks, three model scales, and a shared operation-based energy analysis.SVG ↓
Tiny

~75K parameters

4 layers · 64 hidden dimensions

Medium

~1.1M parameters

4 layers · 256 hidden dimensions

Large

~8.6M parameters

8 layers · 512 hidden dimensions

04 / Reference

Build on this work.

If you find SpikeMamba useful in your research,
please consider citing the paper.

BibTeX
@inproceedings{lee2026spikemamba,
  title = {SpikeMamba: Spike-Driven State Space Models
    for Energy-Efficient Biomedical Sequence Modeling},
  author = {Lee, Si Yong and Lee, Ryangjin and
    Park, Hawon and Kim, Yoora and Kang, Byungkon
    and Yang, Yoon Seok},
  booktitle = {Medical Image Computing and
    Computer Assisted Intervention -- MICCAI 2026},
  year = {2026}
}
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