Evidence map›Paper›PMID 36127417›Full record

ArticleNPJ digital medicine2022

Integrated multimodal artificial intelligence framework for healthcare applications.

Luis R Soenksen, Yu Ma, Cynthia Zeng, Leonard Boussioux, Kimberly Villalobos Carballo, Liangyuan Na, Holly M Wiberg, Michael L Li, Ignacio Fuentes, Dimitris Bertsimas

Abstract read
In one paragraph

Article in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

130 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Artificial intelligence in otolaryngology: current applications, limitations, and future perspectives.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  8. Review
  9. Large language models in spine care and research.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  10. Article
  11. Article
  12. Clinical Applications of Multimodal Artificial Intelligence in Otolaryngology: A State-of-the-Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Review
  13. Review
  14. Ethical and Regulatory Perception of Artificial Intelligence Among Dental Students: A Cross-Sectional Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026
    Review

70 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Luis R Soenksen *Abdul Latif Jameel Clinic for Machine Learning in Health, MIT, Cambridge, MA, 02139, USA.ORCID http://orcid.org/0000-0001-7890-7209
Yu Ma *Operations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.
Cynthia Zeng *Operations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.
Leonard Boussioux *Operations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.
Kimberly Villalobos Carballo *Operations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.
Liangyuan Na *Operations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.ORCID http://orcid.org/0000-0002-2900-9899
Holly M WibergOperations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.ORCID http://orcid.org/0000-0002-4251-905X
Michael L LiOperations Research Center, Massachusetts Institute of Technology (MIT), Cambridge, MA, 02139, USA.
Ignacio FuentesAbdul Latif Jameel Clinic for Machine Learning in Health, MIT, Cambridge, MA, 02139, USA.
Dimitris BertsimasAbdul Latif Jameel Clinic for Machine Learning in Health, MIT, Cambridge, MA, 02139, USA. dbertsim@mit.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) systems hold great promise to improve healthcare over the next decades. Specifically, AI systems leveraging multiple data sources and input modalities are poised to become a viable method to deliver more accurate results and deployable pipelines across a wide range of applications. In this work, we propose and evaluate a unified Holistic AI in Medicine (HAIM) framework to facilitate the generation and testing of AI systems that leverage multimodal inputs. Our approach uses generalizable data pre-processing and machine learning modeling stages that can be readily adapted for research and deployment in healthcare environments. We evaluate our HAIM framework by training and characterizing 14,324 independent models based on HAIM-MIMIC-MM, a multimodal clinical database (N = 34,537 samples) containing 7279 unique hospitalizations and 6485 patients, spanning all possible input combinations of 4 data modalities (i.e., tabular, time-series, text, and images), 11 unique data sources and 12 predictive tasks. We show that this framework can consistently and robustly produce models that outperform similar single-source approaches across various healthcare demonstrations (by 6-33%), including 10 distinct chest pathology diagnoses, along with length-of-stay and 48 h mortality predictions. We also quantify the contribution of each modality and data source using Shapley values, which demonstrates the heterogeneity in data modality importance and the necessity of multimodal inputs across different healthcare-relevant tasks. The generalizable properties and flexibility of our Holistic AI in Medicine (HAIM) framework could offer a promising pathway for future multimodal predictive systems in clinical and operational healthcare settings.

Identifiers

PMID36127417
PMCPMC9489871

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.