Graph-Text Multi-Modal Pre-training for Medical Representation Learning
This work addresses the challenge of integrating graphical structured data and text in EHR for healthcare applications, representing an incremental advance in medical representation learning.
The paper tackled the problem of learning joint representations from structured and unstructured data in Electronic Health Records (EHR) by proposing MedGTX, a multi-modal pre-trained model, which showed promising performance on clinical benchmarks and novel downstream tasks.
As the volume of Electronic Health Records (EHR) sharply grows, there has been emerging interest in learning the representation of EHR for healthcare applications. Representation learning of EHR requires appropriate modeling of the two dominant modalities in EHR: structured data and unstructured text. In this paper, we present MedGTX, a pre-trained model for multi-modal representation learning of the structured and textual EHR data. MedGTX uses a novel graph encoder to exploit the graphical nature of structured EHR data, and a text encoder to handle unstructured text, and a cross-modal encoder to learn a joint representation space. We pre-train our model through four proxy tasks on MIMIC-III, an open-source EHR data, and evaluate our model on two clinical benchmarks and three novel downstream tasks which tackle real-world problems in EHR data. The results consistently show the effectiveness of pre-training the model for joint representation of both structured and unstructured information from EHR. Given the promising performance of MedGTX, we believe this work opens a new door to jointly understanding the two fundamental modalities of EHR data.