arXiv Machine Learning

Routine laboratory trajectories encode the onset of organ-level complications in cancer

arXiv:2606. 08538v1 Announce Type: new Abstract: Routine laboratory panels drawn during cancer treatment constitute longitudinal physiological recordings of organ function, yet their temporal structure is discarded by single-timepoint prognostic tools.

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 Machine Learning
Jun 10

OncoTraj: a public benchmark for longitudinal resistance prediction in EGFR-mutant non-small-cell lung cancer on osimertinib

arXiv:2606. 11144v1 Announce Type: new Abstract: Resistance to first-line osimertinib in EGFR-mutant non-small-cell lung cancer (NSCLC) is the canonical example of predictable clonal evolution under therapeutic pressure, yet no public benchmark exists for training or evaluating computational models on the corresponding longitudinal patient trajectories.

By Abhijoy Sarkar, Aarchi Singh Thakur
arXiv AI
Oct 16

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.

By Leo Y. Li-Han, Chris Varghese, Elizabeth B. Habermann, Mark J. Truty, William R. G. Perry, Cornelius A. Thiels, Hojjat Salehinejad
arXiv Machine Learning
Oct 15

Diagnosing Low-Confidence Patient Profiles via Localized Harmful Covariate Shift Detection

arXiv:2610.19178v1 Announce Type: new Abstract: Before deploying clinical prediction models, their reliability must be assessed to ensure safe use. Errors may arise from distribution shifts between t...

By Olivier Lefebvre (Department of Computer Science, Universit\'e de Sherbrooke, Sherbrooke, Canada), Hakima Laribi (Department of Computer Science, Universit\'e de Sherbrooke, Sherbrooke, Canada), Dan Poenaru (Department of Pediatric Surgery, Montreal Children's Hospital, Montreal, Canada, Centre for Outcomes Research and Evaluation), Martin Valli\`eres (Medical Physics Unit, Department of Oncology, McGill University, Montreal, Canada)
arXiv Computer Vision
Sep 23

Radiomics--Foundation Fusion for Interpretable RCC Classification: Internal Benchmarking and Exploratory External Transfer

arXiv:2609.26578v1 Announce Type: new Abstract: Accurate preoperative subtype classification of renal cell carcinoma (RCC) from contrast-enhanced CT remains clinically challenging because clear cell...

By Yuan Liang, Fangyijie Wang, Kathleen M. Curran, Gu\'enol\'e Silvestre, Sourav Bhattacharjee, Abraham Campbell
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
Oct 2

OpenMTB-Audit: Exposing Over-Refusal and Clinical Expert Perspectives in LLM-Based Molecular Tumor Board Safety Evaluation

OpenMTB‑Audit is an open‑source benchmark that tests large language models on 500 synthetic non‑small cell lung cancer cases, covering five adversarial error categories and four safety labels: Supported, Partially Supported, Unsupported, and Insufficient Information. The study found that all eight tested LLMs over‑refused Partially Supported recommendations, collapsing labels to achieve high safety scores. A deterministic seven‑module framework, MTB‑AuditAgent, was introduced to reduce over‑refusal to 6.7% and reach 91.2% accuracy, while an oncologist annotation study highlighted disagreement around the boundary between information sufficiency and treatment optimization.

By Negin Ashrafi, Jia Luo, Stacey M. Frumm, Roxana Daneshjou
arXiv AI
1d ago

Patient-specific rubric-based evaluation of large language models across longitudinal cancer care

The study introduces NPC‑RubricBench, a phase‑aware benchmark that evaluates large language models (LLMs) on multistage clinical reasoning throughout the nasopharyngeal carcinoma care continuum. Using longitudinal data from 405 patients, the benchmark contains 941 patient‑phase units and 17,688 patient‑specific criteria across five dimensions, focusing strictly on decision‑time evidence. Evaluation of 30 general‑purpose and medical LLMs shows that strong diagnostic accuracy does not translate into better downstream care, with failure modes shifting from explicit decision errors in staging to decision omissions in initial work‑up and follow‑up, and reveals a trade‑off between prompt granularity, decision quality, evidence faithfulness, and safety adherence.

By Wei-Wei Zhang, Pengkai Wang, Yan Li, Zhijie Sang, Guan-Qun Zhou, Jun-Yan Li, Shu-Han Zhou, Pei-Wen Liu, Ting-Xi Tang, Min Tang, Zhitian Hou, Jianmin Wu, Jian Guan, i Lin, Hongxia Yang, Ying Sun
arXiv Machine Learning
Jul 24

Multimodality Stacking with Blockwise missing values and application to the PIONeeR biomarkers study for prediction of resistance to immunotherapy

arXiv:2605. 25050v2 Announce Type: replace-cross Abstract: Integrating multimodal datasets in clinical oncology is frequently hindered by high dimensionality and blockwise missingness, where entire data sources are unavailable for specific patient subsets.

By Mohamed Boussena, Florence Monville, Jacques Fieschi-Meric, Frederic Vely, Pierre Milpied, Julien Mazieres, Maurice Perol, Eric Vivier, Laurent Greillier, Fabrice Barlesi, Sebastien Benzekry