arXiv Machine Learning

LUNG-KGMM: Knowledge-Guided Multimodal Learning for Lung Cancer Incidence Prediction

arXiv:2608. 14657v1 Announce Type: new Abstract: Early identification of lung cancer risk is critical for timely intervention, yet existing prediction models are limited by their reliance on single data modalities and their inability to leverage structured clinical knowledge.

arXiv Computer Vision
Sep 7

Real-World Multi-Modal and Longitudinal Lung Cancer Dataset

The paper presents a newly curated, multi-center, multi-modal, and longitudinal lung cancer dataset comprising 1,365 patients with whole-slide images, CT scans, PET scans, structured clinical data, transcriptomics, and follow-up information. The dataset features substantial, non-uniform missingness across modalities, making it ideal for evaluating robust multi-modal fusion strategies. Benchmarks on 12‑month overall survival, disease‑specific survival, and longitudinal hazard prediction demonstrate that integrating complementary modalities consistently outperforms uni-modal approaches, even under severe missing data.

By Rita Cordeiro Mendes, Maria Rita Fonseca Verdelho, Carlos Santiago, Catarina Barata
arXiv AI
Jul 22

Trajectory-Aware Clinical Risk Prediction via Severity-Grounded Knowledge Graphs and Retrieval-Augmented Generation

arXiv:2607. 18270v1 Announce Type: new Abstract: While Electronic Health Records (EHRs) offer a wealth of clinical data, effectively augmenting a patient's records with heterogeneous external knowledge to predict the patient's clinical risk remains a significant challenge.

By Kyunghoon Jeon, Youmin Ko, Woohwan Jung, Hyunjoon Kim
arXiv AI
Sep 1

Personalized Treatment Outcome Prediction from Scarce Data via Dual-Channel Knowledge Distillation and Adaptive Fusion

The paper introduces CFKD-AFN, a cross‑fidelity knowledge distillation and adaptive fusion network that uses abundant low‑fidelity simulation data to improve personalized treatment outcome predictions from scarce high‑fidelity trial data. The dual‑channel distillation module extracts complementary knowledge from the low‑fidelity model, while an attention‑guided fusion module adaptively integrates multi‑source information. Experiments on chronic obstructive pulmonary disease data demonstrate significant reductions in mean squared error (6.67%–74.55%) and mean absolute percentage error (1.43%–51.54%) compared to competing methods, and the framework can be extended to an interpretable variant for feature‑attribution analysis.

By Wenjie Chen, Li Zhuang, Ziying Luo, Yu Liu, Jiahao Wu, Shengcai Liu
arXiv Computer Vision
3d ago

From Image Interpretation to Clinical Reasoning: Upstream Physician-Context-Aware Multimodal Learning with Causal Reinforcement Learning

arXiv:2609.38924v1 Announce Type: new Abstract: Major adverse cardiovascular events (MACE) remain the leading cause of mortality worldwide. Opportunistic screening using routinely acquired clinical d...

By Jialu Pi, Yanan Ma, Weijie Chen, Owen Crystal, Shubham Trivedi, Stephen Xie, Anna Silverman, Matthew Stib, Chadi Ayoub, Reza Arsanjani, Imon Banerjee
arXiv AI
Jul 24

A Knowledge-Injection Framework for Zero-Shot Adaptation of LLMs to Delirium Prediction

arXiv:2607. 20453v1 Announce Type: cross Abstract: Large language models show promise for clinical prediction, but zero-shot performance on specialized tasks is limited by incomplete domain knowledge, especially for smaller locally deployable models.

By Jessica Sena, Shesadree Priyadarshani, Miguel Contreras, Bharat Gandhi, Scott Siegel, Subhash Nerella, Parisa Rashidi
arXiv AI
Sep 25

Clinical Knowledge Graphs for Chest X-Ray Device Reasoning

The paper introduces an uncertainty‑aware clinical knowledge graph for chest X‑ray device reasoning, capturing device instances, tip estimates, placement assessments, provenance, report events, and temporal links as interconnected evidence. The graph builder processes 30,083 studies from 3,255 patients, producing 914,632 evidence nodes and 884,549 typed relationships, while preserving detailed uncertainty and provenance information for each predicted device. The authors also outline typed data contracts, uncertainty representations, abstention rules, report‑image grounding, and longitudinal query mechanisms, though the current analysis is post‑hoc descriptive and does not yet demonstrate clinical utility.

By Harshil Lodhiya
arXiv Machine Learning
Aug 31

Mixture of Multicenter Experts in Multimodal AI for Debiased Radiotherapy Target Delineation

The paper introduces a Mixture of Multicenter Experts (MoME) framework that leverages diverse clinical strategies to reduce bias in medical AI without sharing data across institutions. MoME integrates specialized expertise from multiple centers, improving generalizability and adaptability of a multimodal target volume delineation model for prostate cancer radiotherapy. The model, trained with few-shot imaging and clinical notes, outperformed baselines, especially in high inter‑center variability or limited data scenarios, and allows local customization without cross‑institutional data exchange.

By Yujin Oh, Sangjoon Park, Xiang Li, Pengfei Jin, Yi Wang, Jonathan Paly, Jason Efstathiou, Annie Chan, Jun Won Kim, Hwa Kyung Byun, Ik Jae Lee, Jaeho Cho, Chan Woo Wee, Peng Shu, Peilong Wang, Caiwen Jiang, Nathan Yu, Jason Holmes, Jong Chul Ye, Quanzheng Li, Wei Liu, Woong Sub Koom, Jin Sung Kim, Kyungsang Kim
arXiv AI
Sep 15

GRIN+: Towards Fast Yet Effective Machine Unlearning for Imbalanced Medical Data

GRIN+ is a new machine unlearning framework that targets fast and precise data erasure in imbalanced medical datasets. It separates unlearning‑specific knowledge from general representations by analyzing gradient contributions of forget and retain sets, introduces a class‑adaptive influence scoring to counter gradient dominance, and uses a direction‑constrained update to protect essential clinical knowledge. Benchmarks on skin cancer, brain tumor, and breast ultrasound data show that GRIN+ balances privacy, efficiency, and utility, achieving high diagnostic accuracy and faster runtime than existing methods.

By Minghui Huang, Junxiao Wang