Evidence map›Paper›PMID 37308585›Full record

ArticleNature biomedical engineering2023

A transformer-based representation-learning model with unified processing of multimodal input for clinical diagnostics.

Hong-Yu Zhou, Yizhou Yu, Chengdi Wang, Shu Zhang, Yuanxu Gao, Jia Pan, Jun Shao, Guangming Lu, Kang Zhang, Weimin Li

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Nature biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 2 pooled it
48.4field-weighted citation impact, top 1% of its field
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

121 citing papers in PubMed, 2 syntheses or guidelines pooled it, 278 citations in OpenAlex.

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61 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 at 4 institutions in 3 countries.

Hong-Yu Zhou *Department of Computer Science, The University of Hong Kong, Pokfulam, China.ORCID 0000-0002-1256-7050
Yizhou Yu *Department of Computer Science, The University of Hong Kong, Pokfulam, China. yizhouy@acm.org.ORCID 0000-0002-0470-5548
Chengdi Wang *Department of Pulmonary and Critical Care Medicine, Med-X Center for Manufacturing, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. chengdi_wang@scu.edu.cn.
Shu ZhangAI Lab, Deepwise Healthcare, Beijing, China.ORCID 0000-0002-2049-0970
Yuanxu GaoGuangzhou Laboratory, Guangzhou, China.ORCID 0000-0001-5314-0195
Jia PanDepartment of Computer Science, The University of Hong Kong, Pokfulam, China.
Jun ShaoDepartment of Pulmonary and Critical Care Medicine, Med-X Center for Manufacturing, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China.
Guangming LuDepartment of Medical Imaging, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.ORCID 0000-0003-4913-2314
Kang ZhangZhuhai International Eye Center and Provincial Key Laboratory of Tumor Interventional Diagnosis and Treatment, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology and University Hospital, Guangdong, China. kang.zhang@gmail.com.ORCID 0000-0002-4549-1697
Weimin LiDepartment of Pulmonary and Critical Care Medicine, Med-X Center for Manufacturing, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China. weimi003@scu.edu.cn.ORCID 0000-0003-0985-0311
Sichuan University · CNUniversity of Hong Kong · HKMacau University of Science and Technology · MONanjing General Hospital of Nanjing Military Command · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the diagnostic process, clinicians leverage multimodal information, such as the chief complaint, medical images and laboratory test results. Deep-learning models for aiding diagnosis have yet to meet this requirement of leveraging multimodal information. Here we report a transformer-based representation-learning model as a clinical diagnostic aid that processes multimodal input in a unified manner. Rather than learning modality-specific features, the model leverages embedding layers to convert images and unstructured and structured text into visual tokens and text tokens, and uses bidirectional blocks with intramodal and intermodal attention to learn holistic representations of radiographs, the unstructured chief complaint and clinical history, and structured clinical information such as laboratory test results and patient demographic information. The unified model outperformed an image-only model and non-unified multimodal diagnosis models in the identification of pulmonary disease (by 12% and 9%, respectively) and in the prediction of adverse clinical outcomes in patients with COVID-19 (by 29% and 7%, respectively). Unified multimodal transformer-based models may help streamline the triaging of patients and facilitate the clinical decision-making process.

Indexed as

COVID-19COVID-19 TestingElectric Power SuppliesHumans

Identifiers

PMID37308585
OpenAlexW4380319195

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.