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Multi-modal fusion model for Time-Varying medical Data: Addressing Long-Term dependencies and memory challenges in sequence fusion

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机构: [1]Capital Med Univ, Sch Biomed Engn, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China [2]Capital Med Univ, Beijing Key Lab Fundamental Res Biomech Clin Appli, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Informat Ctr, 45 Changchun St, Beijing 100053, Peoples R China
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关键词: Multi-modal fusion Time-varying data Long-term dependency Attention mechanism Progressive fusion

摘要:
Background: Multi-modal time-varying data continuously generated during a patient's hospitalization reflects the patient's disease progression. Certain patient conditions may be associated with long-term states, which is a weakness of current medical multi-modal time-varying data fusion models. Daily ward round notes, as timeseries long texts, are often neglected by models. Objective: This study aims to develop an effective medical multi-modal time-varying data fusion model capable of extracting features from long sequences and long texts while capturing long-term dependencies. Methods: We proposed a model called medical multi-modal fusion for long-term dependencies (MMF-LD) that fuses time-varying and time-invariant, tabular, and textual data. A progressive multi-modal fusion (PMF) strategy was introduced to address information loss in multi-modal time series fusion, particularly for long time-varying texts. With the integration of the attention mechanism, the long short-term storage memory (LSTsM) gained enhanced capacity to extract long-term dependencies. In conjunction with the temporal convolutional network (TCN), it extracted long-term features from time-varying sequences without neglecting the local contextual information of the time series. Model performance was evaluated on acute myocardial infarction (AMI) and stroke datasets for in-hospital mortality risk prediction and long length-of-stay prediction. area under the receiver operating characteristic curve (AUROC), area under the precision-recall curve (AUPRC), and F1 score were used as evaluation metrics for model performance. Results: The MMF-LD model demonstrated superior performance compared to other multi-modal time-varying data fusion models in model comparison experiments (AUROC: 0.947 and 0.918 in the AMI dataset, and 0.965 and 0.868 in the stroke dataset; AUPRC: 0.410 and 0.675, and 0.467 and 0.533; F1 score: 0.658 and 0.513, and 0.684 and 0.401). Ablation experiments confirmed that the proposed PMF strategy, LSTsM, and TCN modules all contributed to performance improvements as intended. Conclusions: The proposed medical multi-modal time-varying data fusion architecture addresses the challenge of forgetting time-varying long textual information in time series fusion. It exhibits stable performance across multiple datasets and tasks. It exhibits strength in capturing long-term dependencies and shows stable performance across multiple datasets and tasks.

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出版当年[2025]版:
大类 | 2 区 医学
小类 | 3 区 计算机:跨学科应用 3 区 医学:信息
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 计算机:跨学科应用 3 区 医学:信息
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出版当年[2023]版:
Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 MEDICAL INFORMATICS
最新[2023]版:
Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 MEDICAL INFORMATICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Capital Med Univ, Sch Biomed Engn, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China [2]Capital Med Univ, Beijing Key Lab Fundamental Res Biomech Clin Appli, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China
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通讯机构: [1]Capital Med Univ, Sch Biomed Engn, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China [2]Capital Med Univ, Beijing Key Lab Fundamental Res Biomech Clin Appli, 10 Xitoutiao,You An Men, Beijing 100069, Peoples R China
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