Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant care

We introduce Temporal Fusion Nexus (TFN), a multi-modal and task-agnostic embedding model to integrate irregular time series and unstructured clinical narratives. We analysed TFN in post-kidney transplant (KTx) care, with a retrospective cohort of 3382 patients, on three key outcomes: graft loss, graft rejection, and mortality. Compared to state-of-the-art model in post KTx care, TFN achieved higher performance for graft loss (AUC 0.96 vs. 0.94) and graft rejection (AUC 0.84 vs. 0.74). In mortality prediction, TFN yielded an AUC of 0.86. TFN outperformed unimodal baselines (approx 10% AUC improvement over time series only baseline, approx 5% AUC improvement over time series with static patient data). Integrating clinical text improved performance across all tasks. Disentanglement metrics confirmed robust and interpretable latent factors in the embedding space, and SHAP-based attributions confirmed alignment with clinical reasoning. TFN has potential application in clinical tasks beyond KTx, where heterogeneous data sources, irregular longitudinal data, and rich narrative documentation are available.

Towards Reproducibility in Predictive Process Mining: SPICE -- A Deep Learning Library

In recent years, Predictive Process Mining (PPM) techniques based on artificial neural networks have evolved as a method for monitoring the future behavior of unfolding business processes and predicting Key Performance Indicators (KPIs). However, many PPM approaches often lack reproducibility, transparency in decision making, usability for incorporating novel datasets and benchmarking, making comparisons among different implementations very difficult. In this paper, we propose SPICE, a Python framework that reimplements three popular, existing baseline deep-learning-based methods for PPM in PyTorch, while designing a common base framework with rigorous configurability to enable reproducible and robust comparison of past and future modelling approaches. We compare SPICE to original reported metrics and with fair metrics on 11 datasets.

Directly Follows Graphs Go Predictive Process Monitoring With Graph Neural Networks

In the past years, predictive process monitoring (PPM) techniques based on artificial neural networks have evolved as a method to monitor the future behavior of business processes. Existing approaches mostly focus on interpreting the processes as sequences, so-called traces, and feeding them to neural architectures designed to operate on sequential data such as recurrent neural networks (RNNs) or transformers. In this study, we investigate an alternative way to perform PPM: by transforming each process in its directly-follows-graph (DFG) representation we are able to apply graph neural networks (GNNs) for the prediction tasks. By this, we aim to develop models that are more suitable for complex processes that are long and contain an abundance of loops. In particular, we present different ways to create DFG representations depending on the particular GNN we use. The tested GNNs range from classical node-based to novel edge-based architectures. Further, we investigate the possibility of using multi-graphs. By these steps, we aim to design graph representations that minimize the information loss when transforming traces into graphs.

Med-gte-hybrid: A contextual embedding transformer model for extracting actionable information from clinical texts

We introduce a novel contextual embedding model med-gte-hybrid that was derived from the gte-large sentence transformer to extract information from unstructured clinical narratives. Our model tuning strategy for med-gte-hybrid combines contrastive learning and a denoising autoencoder. To evaluate the performance of med-gte-hybrid, we investigate several clinical prediction tasks in large patient cohorts extracted from the MIMIC-IV dataset, including Chronic Kidney Disease (CKD) patient prognosis, estimated glomerular filtration rate (eGFR) prediction, and patient mortality prediction. Furthermore, we demonstrate that the med-gte-hybrid model improves patient stratification, clustering, and text retrieval, thus outperforms current state-of-the-art models on the Massive Text Embedding Benchmark (MTEB). While some of our evaluations focus on CKD, our hybrid tuning of sentence transformers could be transferred to other medical domains and has the potential to improve clinical decision-making and personalised treatment pathways in various healthcare applications.