Accurate differentiation of pseudoprogression (PsP) from True Progression (TP) following radiotherapy (RT) in glioblastoma (GBM) patients is crucial for optimal treatment planning. However, this task remains challenging due to the overlapping imaging characteristics of PsP and TP. This study therefore proposes a multimodal deep-learning approach utilizing complementary information from routine anatomical MR images, clinical parameters, and RT treatment planning information for improved predictive accuracy. The approach utilizes a self-supervised Vision Transformer (ViT) to encode multi-sequence MR brain volumes to effectively capture both global and local context from the high dimensional input. The encoder is trained in a self-supervised upstream task on unlabeled glioma MRI datasets from the open BraTS2021, UPenn-GBM, and UCSF-PDGM datasets to generate compact, clinically relevant representations from FLAIR and T1 post-contrast sequences. These encoded MR inputs are then integrated with clinical data and RT treatment planning information through guided cross-modal attention, improving progression classification accuracy. This work was developed using two datasets from different centers: the Burdenko Glioblastoma Progression Dataset (n = 59) for training and validation, and the GlioCMV progression dataset from the University Hospital Erlangen (UKER) (n = 20) for testing. The proposed method achieved an AUC of 75.3%, outperforming the current state-of-the-art data-driven approaches. Importantly, the proposed approach relies on readily available anatomical MRI sequences, clinical data, and RT treatment planning information, enhancing its clinical feasibility. The proposed approach addresses the challenge of limited data availability for PsP and TP differentiation and could allow for improved clinical decision-making and optimized treatment plans for GBM patients.
We introduce a multimodal deep learning framework, Prescriptive Neural Networks (PNNs), that combines ideas from optimization and machine learning, and is, to the best of our knowledge, the first prescriptive method to handle multimodal data. The PNN is a feedforward neural network trained on embeddings to output an outcome-optimizing prescription. In two real-world multimodal datasets, we demonstrate that PNNs prescribe treatments that are able to significantly improve estimated outcomes in transcatheter aortic valve replacement (TAVR) procedures by reducing estimated postoperative complication rates by 32% and in liver trauma injuries by reducing estimated mortality rates by over 40%. In four real-world, unimodal tabular datasets, we demonstrate that PNNs outperform or perform comparably to other well-known, state-of-the-art prescriptive models; importantly, on tabular datasets, we also recover interpretability through knowledge distillation, fitting interpretable Optimal Classification Tree models onto the PNN prescriptions as classification targets, which is critical for many real-world applications. Finally, we demonstrate that our multimodal PNN models achieve stability across randomized data splits comparable to other prescriptive methods and produce realistic prescriptions across the different datasets.
This study presents a comprehensive review of the potential of multimodal deep learning (DL) in medical diagnosis, using COVID-19 as a case example. Motivated by the success of artificial intelligence applications during the COVID-19 pandemic, this research aims to uncover the capabilities of DL in disease screening, prediction, and classification, and to derive insights that enhance the resilience, sustainability, and inclusiveness of science, technology, and innovation systems. Adopting a systematic approach, we investigate the fundamental methodologies, data sources, preprocessing steps, and challenges encountered in various studies and implementations. We explore the architecture of deep learning models, emphasising their data-specific structures and underlying algorithms. Subsequently, we compare different deep learning strategies utilised in COVID-19 analysis, evaluating them based on methodology, data, performance, and prerequisites for future research. By examining diverse data types and diagnostic modalities, this research contributes to scientific understanding and knowledge of the multimodal application of DL and its effectiveness in diagnosis. We have implemented and analysed 11 deep learning models using COVID-19 image, text, and speech (ie, cough) data. Our analysis revealed that the MobileNet model achieved the highest accuracy of 99.97% for COVID-19 image data and 93.73% for speech data (i.e., cough). However, the BiGRU model demonstrated superior performance in COVID-19 text classification with an accuracy of 99.89%. The broader implications of this research suggest potential benefits for other domains and disciplines that could leverage deep learning techniques for image, text, and speech analysis.
This study introduces CLASP (Contrastive Language-Speech Pretraining), a multilingual, multimodal representation tailored for audio-text information retrieval. CLASP leverages the synergy between spoken content and textual data. During training, we utilize our newly introduced speech-text dataset, which encompasses 15 diverse categories ranging from fiction to religion. CLASP's audio component integrates audio spectrograms with a pre-trained self-supervised speech model, while its language encoding counterpart employs a sentence encoder pre-trained on over 100 languages. This unified lightweight model bridges the gap between various modalities and languages, enhancing its effectiveness in handling and retrieving multilingual and multimodal data. Our evaluations across multiple languages demonstrate that CLASP establishes new benchmarks in HITS@1, MRR, and meanR metrics, outperforming traditional ASR-based retrieval methods that rely on transcribing speech into text for subsequent text retrieval, especially in specific scenarios.
Background: Laboratory values are fundamental to medical diagnosis and management, but acquiring these values can be costly, invasive, and time-consuming. While electrocardiogram (ECG) patterns have been linked to certain laboratory abnormalities, the comprehensive modeling of these relationships remains underexplored. Methods: We utilize MIMIC-IV dataset to develop multimodal deep-learning models to demonstrate the feasibility of estimating (real-time) and monitoring (predict at future intervals) laboratory value abnormalities from ECG waveforms, demographics, biometrics, and vital signs. Results: The models exhibit a strong predictive performance with AUROC scores above 0.70 in a statistically significant manner for 23 laboratory values in the estimation setting and up to 26 values in the monitoring setting. Most notably, the accurately predictable values encompassing abnormalities across diverse physiological categories such as cardiac, renal, hematological, metabolic, immunological and coagulation. To name examples, for estimation NTproBNP (>353 pg/mL) with 0.882, whereas for monitoring at 30 minutes Urea nitrogen (<6 mg/dL) with 0.851, at 60 minutes creatinine (<0.5 mg/dL) with 0.85, and at 120 minutes hemoglobin (>17.5 g/dL) with 0.821. Conclusions: This study provides first evidence for the feasibility of using ECG data alongside clinical routine data for the real-time estimation and monitoring of laboratory value abnormalities, which could provide a non-invasive, cost-effective supplement to traditional laboratory testing, with strong implications for enhanced patient monitoring and early intervention. Further validation could facilitate their integration into routine clinical practice.
Glioblastoma is a highly aggressive form of brain cancer characterized by rapid progression and poor prognosis. Despite advances in treatment, the underlying genetic mechanisms driving this aggressiveness remain poorly understood. In this study, we employed multimodal deep learning approaches to investigate glioblastoma heterogeneity using joint image/RNA-seq analysis. Our results reveal novel genes associated with glioblastoma. By leveraging a combination of whole-slide images and RNA-seq, as well as introducing novel methods to encode RNA-seq data, we identified specific genetic profiles that may explain different patterns of glioblastoma progression. These findings provide new insights into the genetic mechanisms underlying glioblastoma heterogeneity and highlight potential targets for therapeutic intervention. Code and data downloading instructions are available at: https://github.com/ma3oun/gbheterogeneity.
Objective: Molecular testing (MT) classifies cytologically indeterminate thyroid nodules as benign or malignant with high sensitivity but low positive predictive value (PPV), only using molecular profiles, ignoring ultrasound (US) imaging and biopsy. We address this limitation by applying attention multiple instance learning (AMIL) to US images. Methods: We retrospectively reviewed 333 patients with indeterminate thyroid nodules at UCLA medical center (259 benign, 74 malignant). A multi-modal deep learning AMIL model was developed, combining US images and MT to classify the nodules as benign or malignant and enhance the malignancy risk stratification of MT. Results: The final AMIL model matched MT sensitivity (0.946) while significantly improving PPV (0.477 vs 0.448 for MT alone), indicating fewer false positives while maintaining high sensitivity. Conclusion: Our approach reduces false positives compared to MT while maintaining the same ability to identify positive cases, potentially reducing unnecessary benign thyroid resections in patients with indeterminate nodules.
This article presents an innovative study in exploring, evaluating, and implementing deep learning architectures for the calibration of multi-modal sensor systems. The focus behind this is to leverage the use of sensor fusion to achieve dynamic, real-time alignment between 3D LiDAR and 2D Camera sensors. static calibration methods are tedious and time-consuming, which is why we propose utilizing Conventional Neural Networks (CNN) coupled with geometrically informed learning to solve this issue. We leverage the foundational principles of Extrinsic LiDAR-Camera Calibration tools such as RegNet, CalibNet, and LCCNet by exploring open-source models that are available online and comparing our results with their corresponding research papers. Requirements for extracting these visual and measurable outputs involved tweaking source code, fine-tuning, training, validation, and testing for each of these frameworks for equal comparisons. This approach aims to investigate which of these advanced networks produces the most accurate and consistent predictions. Through a series of experiments, we reveal some of their shortcomings and areas for potential improvements along the way. We find that LCCNet yields the best results out of all the models that we validated.
Image clustering, which involves grouping images into different clusters without labels, is a key task in unsupervised learning. Although previous deep clustering methods have achieved remarkable results, they only explore the intrinsic information of the image itself but overlook external supervision knowledge to improve the semantic understanding of images. Recently, visual-language pre-trained model on large-scale datasets have been used in various downstream tasks and have achieved great results. However, there is a gap between visual representation learning and textual semantic learning, and how to properly utilize the representation of two different modalities for clustering is still a big challenge. To tackle the challenges, we propose a novel image clustering framwork, named Dual-level Cross-Modal Contrastive Clustering (DXMC). Firstly, external textual information is introduced for constructing a semantic space which is adopted to generate image-text pairs. Secondly, the image-text pairs are respectively sent to pre-trained image and text encoder to obtain image and text embeddings which subsquently are fed into four well-designed networks. Thirdly, dual-level cross-modal contrastive learning is conducted between discriminative representations of different modalities and distinct level. Extensive experimental results on five benchmark datasets demonstrate the superiority of our proposed method.
Recently, multimodal deep learning, which integrates histopathology slides and molecular biomarkers, has achieved a promising performance in glioma grading. Despite great progress, due to the intra-modality complexity and inter-modality heterogeneity, existing studies suffer from inadequate histopathology representation learning and inefficient molecular-pathology knowledge alignment. These two issues hinder existing methods to precisely interpret diagnostic molecular-pathology features, thereby limiting their grading performance. Moreover, the real-world applicability of existing multimodal approaches is significantly restricted as molecular biomarkers are not always available during clinical deployment. To address these problems, we introduce a novel Focus on Focus (FoF) framework with paired pathology-genomic training and applicable pathology-only inference, enhancing molecular-pathology representation effectively. Specifically, we propose a Focus-oriented Representation Learning (FRL) module to encourage the model to identify regions positively or negatively related to glioma grading and guide it to focus on the diagnostic areas with a consistency constraint. To effectively link the molecular biomarkers to morphological features, we propose a Multi-view Cross-modal Alignment (MCA) module that projects histopathology representations into molecular subspaces, aligning morphological features with corresponding molecular biomarker status by supervised contrastive learning. Experiments on the TCGA GBM-LGG dataset demonstrate that our FoF framework significantly improves the glioma grading. Remarkably, our FoF achieves superior performance using only histopathology slides compared to existing multimodal methods. The source code is available at https://github.com/peterlipan/FoF.
Deep learning has revolutionized biomedical research by providing sophisticated methods to handle complex, high-dimensional data. Multimodal deep learning (MDL) further enhances this capability by integrating diverse data types such as imaging, textual data, and genetic information, leading to more robust and accurate predictive models. In MDL, differently from early and late fusion methods, intermediate fusion stands out for its ability to effectively combine modality-specific features during the learning process. This systematic review aims to comprehensively analyze and formalize current intermediate fusion methods in biomedical applications. We investigate the techniques employed, the challenges faced, and potential future directions for advancing intermediate fusion methods. Additionally, we introduce a structured notation to enhance the understanding and application of these methods beyond the biomedical domain. Our findings are intended to support researchers, healthcare professionals, and the broader deep learning community in developing more sophisticated and insightful multimodal models. Through this review, we aim to provide a foundational framework for future research and practical applications in the dynamic field of MDL.
Concurrent Speaker Detection (CSD), the task of identifying active speakers and their overlaps in an audio signal, is essential for various audio applications, including meeting transcription, speaker diarization, and speech separation. This study presents a multimodal deep learning approach that integrates audio and visual information. The proposed model utilizes an early fusion strategy, combining audio and visual features through cross-modal attention mechanisms with a learnable [CLS] token to capture key audio-visual relationships. The model is extensively evaluated on two real-world datasets, the established AMI dataset and the recently introduced EasyCom dataset. Experiments validate the effectiveness of the multimodal fusion strategy. An ablation study further supports the design choices and the model's training procedure. As this is the first work reporting CSD results on the challenging EasyCom dataset, the findings demonstrate the potential of the proposed multimodal approach for \ac{CSD} in real-world scenarios.
Emotion AI is a research domain that aims to understand human emotions from visual or textual data. However, existing methods often ignore the influence of cultural diversity on emotional interpretation. In this paper, we propose a multimodal deep learning model that integrates cultural awareness into emotion recognition. Our model uses images as the primary data source and comments from individuals across different regions as the secondary data source. Our results show that our model achieves robust performance across various scenarios. Our contribution is to introduce a novel fusion approach that bridges cultural gaps and fosters a more nuanced understanding of emotions. Due to the best of our knowledge, few works are using this approach, for Emotion AI, combining different types of data sources and models. We evaluate our model on the ArtELingo dataset, which contains image-comment pairs with Chinese, Arabic, and English annotations. The experimental results in the evaluation phase demonstrate an impressive 80% recognition accuracy for the model that merges image-text features.
Image-text matching is a key multimodal task that aims to model the semantic association between images and text as a matching relationship. With the advent of the multimedia information age, image, and text data show explosive growth, and how to accurately realize the efficient and accurate semantic correspondence between them has become the core issue of common concern in academia and industry. In this study, we delve into the limitations of current multimodal deep learning models in processing image-text pairing tasks. Therefore, we innovatively design an advanced multimodal deep learning architecture, which combines the high-level abstract representation ability of deep neural networks for visual information with the advantages of natural language processing models for text semantic understanding. By introducing a novel cross-modal attention mechanism and hierarchical feature fusion strategy, the model achieves deep fusion and two-way interaction between image and text feature space. In addition, we also optimize the training objectives and loss functions to ensure that the model can better map the potential association structure between images and text during the learning process. Experiments show that compared with existing image-text matching models, the optimized new model has significantly improved performance on a series of benchmark data sets. In addition, the new model also shows excellent generalization and robustness on large and diverse open scenario datasets and can maintain high matching performance even in the face of previously unseen complex situations.
Multimodal Deep Learning enhances decision-making by integrating diverse information sources, such as texts, images, audio, and videos. To develop trustworthy multimodal approaches, it is essential to understand how uncertainty impacts these models. We propose LUMA, a unique benchmark dataset, featuring audio, image, and textual data from 50 classes, for learning from uncertain and multimodal data. It extends the well-known CIFAR 10/100 dataset with audio samples extracted from three audio corpora, and text data generated using the Gemma-7B Large Language Model (LLM). The LUMA dataset enables the controlled injection of varying types and degrees of uncertainty to achieve and tailor specific experiments and benchmarking initiatives. LUMA is also available as a Python package including the functions for generating multiple variants of the dataset with controlling the diversity of the data, the amount of noise for each modality, and adding out-of-distribution samples. A baseline pre-trained model is also provided alongside three uncertainty quantification methods: Monte-Carlo Dropout, Deep Ensemble, and Reliable Conflictive Multi-View Learning. This comprehensive dataset and its benchmarking tools are intended to promote and support the development, evaluation, and benchmarking of trustworthy and robust multimodal deep learning approaches. We anticipate that the LUMA dataset will help the ICLR community to design more trustworthy and robust machine learning approaches for safety critical applications.
This project intends to study the image representation based on attention mechanism and multimodal data. By adding multiple pattern layers to the attribute model, the semantic and hidden layers of image content are integrated. The word vector is quantified by the Word2Vec method and then evaluated by a word embedding convolutional neural network. The published experimental results of the two groups were tested. The experimental results show that this method can convert discrete features into continuous characters, thus reducing the complexity of feature preprocessing. Word2Vec and natural language processing technology are integrated to achieve the goal of direct evaluation of missing image features. The robustness of the image feature evaluation model is improved by using the excellent feature analysis characteristics of a convolutional neural network. This project intends to improve the existing image feature identification methods and eliminate the subjective influence in the evaluation process. The findings from the simulation indicate that the novel approach has developed is viable, effectively augmenting the features within the produced representations.
Terrestrial carbon fluxes provide vital information about our biosphere's health and its capacity to absorb anthropogenic CO$_2$ emissions. The importance of predicting carbon fluxes has led to the emerging field of data-driven carbon flux modelling (DDCFM), which uses statistical techniques to predict carbon fluxes from biophysical data. However, the field lacks a standardized dataset to promote comparisons between models. To address this gap, we present CarbonSense, the first machine learning-ready dataset for DDCFM. CarbonSense integrates measured carbon fluxes, meteorological predictors, and satellite imagery from 385 locations across the globe, offering comprehensive coverage and facilitating robust model training. Additionally, we provide a baseline model using a current state-of-the-art DDCFM approach and a novel transformer based model. Our experiments illustrate the potential gains that multimodal deep learning techniques can bring to this domain. By providing these resources, we aim to lower the barrier to entry for other deep learning researchers to develop new models and drive new advances in carbon flux modelling.
Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.
Plant classification is vital for ecological conservation and agricultural productivity, enhancing our understanding of plant growth dynamics and aiding species preservation. The advent of deep learning (DL) techniques has revolutionized this field by enabling autonomous feature extraction, significantly reducing the dependence on manual expertise. However, conventional DL models often rely solely on single data sources, failing to capture the full biological diversity of plant species comprehensively. Recent research has turned to multimodal learning to overcome this limitation by integrating multiple data types, which enriches the representation of plant characteristics. This shift introduces the challenge of determining the optimal point for modality fusion. In this paper, we introduce a pioneering multimodal DL-based approach for plant classification with automatic modality fusion. Utilizing the multimodal fusion architecture search, our method integrates images from multiple plant organs -- flowers, leaves, fruits, and stems -- into a cohesive model. To address the lack of multimodal datasets, we contributed Multimodal-PlantCLEF, a restructured version of the PlantCLEF2015 dataset tailored for multimodal tasks. Our method achieves 82.61% accuracy on 979 classes of Multimodal-PlantCLEF, surpassing state-of-the-art methods and outperforming late fusion by 10.33%. Through the incorporation of multimodal dropout, our approach demonstrates strong robustness to missing modalities. We validate our model against established benchmarks using standard performance metrics and McNemar's test, further underscoring its superiority.
With the increasing availability of diverse data types, particularly images and time series data from medical experiments, there is a growing demand for techniques designed to combine various modalities of data effectively. Our motivation comes from the important areas of predicting mortality and phenotyping where using different modalities of data could significantly improve our ability to predict. To tackle this challenge, we introduce a new method that uses two separate encoders, one for each type of data, allowing the model to understand complex patterns in both visual and time-based information. Apart from the technical challenges, our goal is to make the predictive model more robust in noisy conditions and perform better than current methods. We also deal with imbalanced datasets and use an uncertainty loss function, yielding improved results while simultaneously providing a principled means of modeling uncertainty. Additionally, we include attention mechanisms to fuse different modalities, allowing the model to focus on what's important for each task. We tested our approach using the comprehensive multimodal MIMIC dataset, combining MIMIC-IV and MIMIC-CXR datasets. Our experiments show that our method is effective in improving multimodal deep learning for clinical applications. The code will be made available online.