Improving Representation Learning of Complex Critical Care Data with ICU-BERT
This work addresses the problem of improving clinical decision support in intensive care units, representing an incremental advancement by adapting existing transformer methods to medical data.
The paper tackles the challenge of analyzing complex, multivariate ICU data by introducing ICU-BERT, a transformer-based model pre-trained on MIMIC-IV, which either matches or surpasses current benchmarks on five tasks and four additional datasets.
The multivariate, asynchronous nature of real-world clinical data, such as that generated in Intensive Care Units (ICUs), challenges traditional AI-based decision-support systems. These often assume data regularity and feature independence and frequently rely on limited data scopes and manual feature engineering. The potential of generative AI technologies has not yet been fully exploited to analyze clinical data. We introduce ICU-BERT, a transformer-based model pre-trained on the MIMIC-IV database using a multi-task scheme to learn robust representations of complex ICU data with minimal preprocessing. ICU-BERT employs a multi-token input strategy, incorporating dense embeddings from a biomedical Large Language Model to learn a generalizable representation of complex and multivariate ICU data. With an initial evaluation of five tasks and four additional ICU datasets, ICU-BERT results indicate that ICU-BERT either compares to or surpasses current performance benchmarks by leveraging fine-tuning. By integrating structured and unstructured data, ICU-BERT advances the use of foundational models in medical informatics, offering an adaptable solution for clinical decision support across diverse applications.