SeqRisk: Transformer-augmented latent variable model for robust survival prediction with longitudinal data

Fuente: arXiv
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Autores principales: Öğretir, Mine, Koskinen, Miika, Sinisalo, Juha, Renkonen, Risto, Lähdesmäki, Harri
Formato: Preprint
Publicado: 2024
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author Öğretir, Mine
Koskinen, Miika
Sinisalo, Juha
Renkonen, Risto
Lähdesmäki, Harri
author_facet Öğretir, Mine
Koskinen, Miika
Sinisalo, Juha
Renkonen, Risto
Lähdesmäki, Harri
contents In healthcare, risk assessment of patient outcomes has been based on survival analysis for a long time, i.e. modeling time-to-event associations. However, conventional approaches rely on data from a single time-point, making them suboptimal for fully leveraging longitudinal patient history and capturing temporal regularities. Focusing on clinical real-world data and acknowledging its challenges, we utilize latent variable models to effectively handle irregular, noisy, and sparsely observed longitudinal data. We propose SeqRisk, a method that combines variational autoencoder (VAE) or longitudinal VAE (LVAE) with a transformer-based sequence aggregation and Cox proportional hazards module for risk prediction. SeqRisk captures long-range interactions, enhances predictive accuracy and generalizability, as well as provides partial explainability for sample population characteristics in attempts to identify high-risk patients. SeqRisk demonstrated robust performance under conditions of increasing sparsity, consistently surpassing existing approaches.
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id arxiv_https___arxiv_org_abs_2409_12709
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle SeqRisk: Transformer-augmented latent variable model for robust survival prediction with longitudinal data
Öğretir, Mine
Koskinen, Miika
Sinisalo, Juha
Renkonen, Risto
Lähdesmäki, Harri
Machine Learning
In healthcare, risk assessment of patient outcomes has been based on survival analysis for a long time, i.e. modeling time-to-event associations. However, conventional approaches rely on data from a single time-point, making them suboptimal for fully leveraging longitudinal patient history and capturing temporal regularities. Focusing on clinical real-world data and acknowledging its challenges, we utilize latent variable models to effectively handle irregular, noisy, and sparsely observed longitudinal data. We propose SeqRisk, a method that combines variational autoencoder (VAE) or longitudinal VAE (LVAE) with a transformer-based sequence aggregation and Cox proportional hazards module for risk prediction. SeqRisk captures long-range interactions, enhances predictive accuracy and generalizability, as well as provides partial explainability for sample population characteristics in attempts to identify high-risk patients. SeqRisk demonstrated robust performance under conditions of increasing sparsity, consistently surpassing existing approaches.
title SeqRisk: Transformer-augmented latent variable model for robust survival prediction with longitudinal data
topic Machine Learning
url https://arxiv.org/abs/2409.12709