arXiv AI

GraphBEAT: Graph-based Bucketized Event Aggregation Over Time for Early Risk Stratification of Gastrointestinal Cancers

GraphBEAT is a temporal graph representation learning framework that bucketizes clinical events from longitudinal electronic health records into time‑ordered graphs, enabling early risk stratification for gastrointestinal cancers. It uses a time‑decay message‑passing mechanism and multi‑head attention pooling to generate patient‑level representations, and was trained on multi‑site diagnosis codes and laboratory tests to predict pancreatic, liver, and intestinal cancer at 12, 24, and 36‑month lead times. Across all experiments, GraphBEAT outperformed baseline graph neural networks and sequence models while requiring far fewer floating‑point operations and parameters.

arXiv Machine Learning
Aug 4

EHR2Path: Comprehensive Pathway-Level Modeling of Longitudinal Patient Trajectories from Multimodal Electronic Health Records

arXiv:2506. 04831v3 Announce Type: replace Abstract: Forecasting how a patient's condition is likely to evolve, including possible deterioration, recovery, treatment needs, and care transitions, could support more proactive and personalized care, but requires modeling heterogeneous and longitudinal electronic health record (EHR) data.

By Chantal Pellegrini, Ege \"Ozsoy, David Bani-Harouni, Matthias Keicher, Nassir Navab
arXiv Machine Learning
4d ago

Graph-Enhanced Disease Trajectory Discovery and Temporal Endpoint Forecasting from Longitudinal Electronic Health Records

The study introduces a graph‑enhanced framework for discovering disease trajectories and forecasting temporal endpoints using longitudinal EHR data from MIMIC‑IV v3.1. It constructs patient‑specific motifs from consecutive admissions, applies a time‑aware Transformer to select up to 24 motifs per endpoint, and reports modest improvements in micro‑AUPRC and event‑time MAE, with larger gains for events occurring after 730 days. The authors also explore branching‑motif conditioning and GNN‑based edge repair, finding that motifs mainly provide long‑range timing support rather than superior endpoint discrimination or survival prediction.

By Jin-Jia Zheng, Vincent S. Tseng
arXiv Machine Learning
Aug 26

A Multimodal Foundation Model for Longitudinal Patient Representation and Scalable Insight Generation in Oncology

arXiv:2608.24688v1 Announce Type: new Abstract: Precision oncology necessitates a longitudinal model of patient state that captures cancer evolution and treatment over time, integrating multimodal ob...

By Eugene Vorontsov, Yi Kan Wang, Alican Bozkurt, Adam Casson, Ludmila Tydlitatova, Michal Zelechowski, Ezra E. W. Cohen, Jyoti D. Patel, Max Banaszak, Caitlin McWilliams, Shane Colley, Kate Sasser, Ryan Fukushima, Eric Lefkofsky, Razik Yousfi, Siqi Liu
arXiv AI
Jul 7

Graph Representation Learning of Longitudinal Medical Imaging Trajectories for Treatment Response Prediction

arXiv:2607. 04912v1 Announce Type: cross Abstract: In patients with breast cancer, pathological complete response (pCR) has been established as a clinically meaningful surrogate marker for long-term outcomes.

By Johannes Kiechle, Richard Osuala, Daniel M. Lang, Stefan M. Fischer, Ivana Jan\'i\v{c}kov\'a, Karim Lekadir, Julia A. Schnabel, Jan C. Peeken
arXiv Machine Learning
Jun 8

One Loss to Rule Them All: Marked Time-to-Event for Structured EHR Foundation Models

arXiv:2602. 00541v2 Announce Type: replace Abstract: Clinical events captured in Electronic Health Records (EHR) are irregularly sampled and may consist of a mixture of discrete events and numerical measurements, such as laboratory values or treatment dosages.

By Zilin Jing, Vincent Jeanselme, Yuta Kobayashi, Simon A. Lee, Chao Pang, Aparajita Kashyap, Yanwei Li, Xinzhuo Jiang, Shalmali Joshi
arXiv AI
Jun 10

Capture Timing-Attention of Events in Clinical Time Series

arXiv:2602. 10385v5 Announce Type: replace-cross Abstract: The contemporary paradigm of trajectory learning operates fundamentally at the level of group dynamics, systematically reducing individual-level complexity to fit group-level models, thus rendering effective patient subtyping difficult and individual-level modeling largely out of reach.

By Jia Li, Yu Hou, Rui Zhang
arXiv Machine Learning
Jul 20

LLM4EHR: Aligning Clinical Time Series with Medical Event Sequences via Large Language Models

arXiv:2607. 15447v1 Announce Type: new Abstract: Recent research in clinical machine learning, focusing on outcome predictions in intensive care unit (ICU), has shifted from bespoke supervised models to foundation models, utilising modern representation learning methods.

By Jingteng Li, Alexander Capstick, Louise Rigny, Iona Biggart, Neil J Sebire, Payam Barnaghi
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