MaxCorrMGNN: A Multi-Graph Neural Network Framework for Generalized Multimodal Fusion of Medical Data for Outcome Prediction

With the emergence of multimodal electronic health records, the evidence for an outcome may be captured across multiple modalities ranging from clinical to imaging and genomic data. Predicting outcomes effectively requires fusion frameworks capable of modeling fine-grained and multi-faceted complex interactions between modality features within and across patients. We develop an innovative fusion approach called MaxCorr MGNN that models non-linear modality correlations within and across patients through Hirschfeld-Gebelein-Renyi maximal correlation (MaxCorr) embeddings, resulting in a multi-layered graph that preserves the identities of the modalities and patients. We then design, for the first time, a generalized multi-layered graph neural network (MGNN) for task-informed reasoning in multi-layered graphs, that learns the parameters defining patient-modality graph connectivity and message passing in an end-to-end fashion. We evaluate our model an outcome prediction task on a Tuberculosis (TB) dataset consistently outperforming several state-of-the-art neural, graph-based and traditional fusion techniques.

Fusing Modalities by Multiplexed Graph Neural Networks for Outcome Prediction in Tuberculosis

In a complex disease such as tuberculosis, the evidence for the disease and its evolution may be present in multiple modalities such as clinical, genomic, or imaging data. Effective patient-tailored outcome prediction and therapeutic guidance will require fusing evidence from these modalities. Such multimodal fusion is difficult since the evidence for the disease may not be uniform across all modalities, not all modality features may be relevant, or not all modalities may be present for all patients. All these nuances make simple methods of early, late, or intermediate fusion of features inadequate for outcome prediction. In this paper, we present a novel fusion framework using multiplexed graphs and derive a new graph neural network for learning from such graphs. Specifically, the framework allows modalities to be represented through their targeted encodings, and models their relationship explicitly via multiplexed graphs derived from salient features in a combined latent space. We present results that show that our proposed method outperforms state-of-the-art methods of fusing modalities for multi-outcome prediction on a large Tuberculosis (TB) dataset.