arXiv Machine Learning

A Domain-Structured Ensemble Framework for Perioperative Outcome Prediction Using Electronic Health Record Data

arXiv:2608. 08920v1 Announce Type: new Abstract: Perioperative risk prediction models are often limited by narrow surgical populations, incomplete intraoperative data, poor calibration, and limited interpretability.

arXiv Machine Learning
Aug 3

What Is Missing in Surgical Risk Stratification and Outcome Prediction: A Scoping Review of End-to-End Machine Learning Approaches

arXiv:2607. 29090v1 Announce Type: new Abstract: Postoperative adverse events, including mortality and morbidity, remain a major global burden, many of which are preventable through early identification of high-risk patients and targeted perioperative care.

By Yizhi Dong, Yuhe Ke, Hairil Rizal Abdullah, Yucheng Xing, Kevan Kai Bing Teo, Ling Huang, Mengling Feng
arXiv AI
Sep 24

A Leakage-Aware Multimodal Evaluation Framework for Early Intraoperative Acute Kidney Injury Prediction

The study introduces SynerT, a waveform-only hybrid temporal model that uses a causal dilated TCN and dilated recurrent layers to predict early intraoperative acute kidney injury (AKI). Two extensions, SynerT-MM and SynerT-Stack, incorporate hemodynamic summaries, preoperative covariates, and a leakage-safe stacked ensemble to improve discrimination and calibration. Evaluated on the VitalDB database with a strict 60‑minute prediction window, SynerT-Stack achieved the best performance across AUROC, AUPRC, and F1‑max, and demonstrated the greatest net clinical benefit after recalibration.

By Quang Minh Nguyen, Duc Minh Le, Ho Nhat Minh Nguyen, Thuy Quynh Nguyen, Trong Nghia Nguyen
arXiv AI
Sep 3

The Ceiling Is in the Channel: Auditing Learner Gaps and Measurement Frontiers in Clinical Prediction

The paper introduces a framework that distinguishes two causes of saturation in clinical prediction: a learner gap, where the model fails to use available information, and a measurement‑channel ceiling, where the recorded variables limit performance. It provides theoretical characterizations, finite‑sample diagnostics, and empirical audits across three large cohorts, showing that well‑tuned models approach the frontier while deficient learners leave large gaps. A PRISMA‑guided synthesis across 104 tasks reveals consistent channel‑level patterns, suggesting that improving the learner or the measurement channel can audit and potentially lift performance.

By Sayeed Shafayet Chowdhury, Nusrat Jahan, Snehasis Mukhopadhyay, Shiaofen Fang, Vijay R. Ramakrishnan
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
Aug 11

FoMoH: A clinically meaningful foundation model evaluation for structured electronic health records

arXiv:2505. 16941v4 Announce Type: replace-cross Abstract: Foundation models (FMs) promise to address core limitations of traditional supervised machine learning: (i) reliance on large amounts of labeled data, (ii) task specificity, and (iii) poor transportability.

By Vincent Jeanselme, Zilin Jing, Aparajita Kashyap, Chao Pang, Florent Pollet, Young Sang Choi, Xinzhuo Jiang, Yuta Kobayashi, Yanwei Li, Sara Matijevic, Karthik Natarajan, Shalmali Joshi
arXiv Machine Learning
Jun 2

Early Prediction of Liver Cirrhosis Up to Two Years in Advance: A Machine Learning Study Benchmarking Against the FIB-4 and APRI Scores

arXiv:2601. 00175v2 Announce Type: replace Abstract: Objective: Develop and evaluate machine learning (ML) models for predicting incident liver cirrhosis (LC) one and two years prior to diagnosis using routinely collected electronic health record (EHR) data and benchmark their performance against the FIB-4 and APRI clinical scores.

By Zhuqi Miao, Ahmed G Qasem, Sujan Ravi, Jason T. Cheng, Abdulaziz Ahmed, Courtney W. Houchen, Sumayah Abed, Dilorom Azimdjanovna Zuparova, Abdulaziz Ahmed
arXiv Machine Learning
1d ago

OmniMed-Jev: Calibrating LVLM Confidence for Trustworthy Medical Multimodal Decisions via System One

OmniMed-Jev is a new medical multimodal model that represents each decision as a Choice, Noul, or Score over a runtime-supplied candidate set, returning a full probability distribution for each decision. By unifying diverse imaging modalities and prediction tasks into a single candidate-conditioned probability model, it makes heterogeneous outputs comparable probabilities rather than task-specific strings. In controlled comparisons against a generative baseline, OmniMed-Jev’s reported probabilities align more closely with observed correctness, reducing calibration error by up to an order of magnitude and reliability error by up to two, while maintaining comparable point-prediction performance.

By Luyao Tang, Cheng Chen
arXiv AI
Sep 23

Toward Auditable and Calibrated AI for Dementia-Related Crash Severity Prediction: A Selective Deferral Framework to Support Human Review

The paper presents a decision‑aware framework for predicting dementia‑related crash severity that emphasizes auditability and selective deferral. Using 4,781 Texas crash records, the authors evaluate several models—including structured, narrative, fusion, calibrated fusion, BERT‑family, and local large‑language‑model baselines—under a stratified 70/15/15 split. The leakage‑controlled Gemma model achieves the highest macro‑F1 of 0.545, while a calibrated fusion model reaches 0.522 macro‑F1 with an expected calibration error of 0.033; selective deferral further improves performance, raising macro‑F1 to 0.573 at 70% coverage and reducing severity cost to 0.577.

By Gaurab Chhetri, Anika Baitullah, Subasish Das
arXiv Machine Learning
Sep 22

A Patient World Model for Early Forecasting of Digital Health Campaign Outcomes: Capabilities and Limits

The paper introduces a compact patient world model that forecasts digital health campaign outcomes by maintaining a latent state per patient and learning exposure‑conditioned dynamics. Evaluated on a large US campaign dataset, the model predicts new‑to‑brand prescription volume with low relative error (2.9% at week‑4 cutoff) compared to much higher errors from baseline classifiers. The study also shows that dense next‑exposure supervision is crucial for accurate forecasts when conversions are rare and highlights limitations in interpreting exposure‑conditioned rollouts causally.

By Yunlong Wang
arXiv AI
Sep 1

INTERVenE: Temporal-Abstraction-Interval Based Transformers for Short-Horizon Medical Event Prediction

INTERVenE introduces Transformer models that use a knowledge‑based temporal abstraction (KBTA) token stream of named clinical concepts instead of raw measurements, enabling per‑token attributions to resolve directly to clinical concepts. Two variants are offered: an auto‑regressive decoder that generates future abstraction trajectories with step‑wise risk readouts, and a bidirectional encoder that jointly predicts risk and time‑to‑event in a single pass. On 57,078 MIMIC‑IV admissions, the encoder variant outperforms neural baselines with a support‑weighted AUPRC of 0.672 and AUROC of 0.901, while the decoder provides complementary token‑level risk trajectories.

By Shahar Oded, Yuval Shahar