arXiv Machine Learning By Paul Minchella, St\'ephane Chr\'etien, Guillaume Metzler, Lo\"ic Verlingue, R\'emi Vaucher

MultiSigBERT: Beyond Survival Analysis through Multimodal and Sequential Modeling in Oncology

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MultiSigBERT is a unified framework that performs multimodal sequential survival modeling in oncology by integrating narrative clinical reports, numerical measurements, and structured variables. The method converts free-text reports into sentence embeddings, compresses them with modality-specific PCA, and concatenates them with structured covariates to create joint temporal trajectories. These trajectories are encoded using the Signature transform from Rough Paths theory, and the resulting high-dimensional features are fed into a LASSO-regularized Cox model, achieving a concordance index of 0.743 on an independent test set of over 2,500 patients.

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