However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series.

Contrastive representation learning is crucial in medical time series analysis as it alleviates dependency on labor-intensive, domain-specific, and scarce expert annotations. However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series. To address this issue, we present COMET, an innovative hierarchical framework that leverages data consistencies at all inherent levels in medical time series. Our meticulously designed model systematically captures data consistency from four potential levels: observation, sample, trial, and patient levels. By developing contrastive loss at multiple levels, we can learn effective representations that preserve comprehensive data consistency, maximizing information utilization in a self-supervised manner. We conduct experiments in the challenging patient-independent setting. We compare COMET against six baselines using three diverse datasets, which include ECG signals for myocardial infarction and EEG signals for Alzheimer's and Parkinson's diseases. The results demonstrate that COMET consistently outperforms all baselines, particularly in setup with 10% and 1% labeled data fractions across all datasets. These results underscore the significant impact of our framework in advancing contrastive representation learning techniques for medical time series.

However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series.

Medical time series has been playing a vital role in real-world healthcare systems as valuable information in monitoring health conditions of patients. Accurate classification for medical time series, e.g., Electrocardiography (ECG) signals, can help for early detection and diagnosis. Traditional methods towards medical time series classification rely on handcrafted feature extraction and statistical methods; with the recent advancement of artificial intelligence, the machine learning and deep learning methods have become more popular. However, existing methods often fail to fully model the complex spatial dynamics under different scales, which ignore the dynamic multi-resolution spatial and temporal joint inter-dependencies. Moreover, they are less likely to consider the special baseline wander problem as well as the multi-view characteristics of medical time series, which largely hinders their prediction performance. To address these limitations, we propose a Multi-resolution Spatiotemporal Graph Learning framework, MedGNN, for medical time series classification. Specifically, we first propose to construct multi-resolution adaptive graph structures to learn dynamic multi-scale embeddings. Then, to address the baseline wander problem, we propose Difference Attention Networks to operate self-attention mechanisms on the finite difference for temporal modeling. Moreover, to learn the multi-view characteristics, we utilize the Frequency Convolution Networks to capture complementary information of medical time series from the frequency domain. In addition, we introduce the Multi-resolution Graph Transformer architecture to model the dynamic dependencies and fuse the information from different resolutions. Finally, we have conducted extensive experiments on multiple medical real-world datasets that demonstrate the superior performance of our method. Our Code is available.

In medical time series disease diagnosis, two key challenges are identified. First, the high annotation cost of medical data leads to overfitting in models trained on label-limited, single-center datasets. To address this, we propose incorporating external data from related tasks and leveraging AE-GAN to extract prior knowledge, providing valuable references for downstream tasks. Second, many existing studies employ contrastive learning to derive more generalized medical sequence representations for diagnostic tasks, usually relying on manually designed diverse positive and negative sample pairs. However, these approaches are complex, lack generalizability, and fail to adaptively capture disease-specific features across different conditions. To overcome this, we introduce LMCF (Learnable Multi-views Contrastive Framework), a framework that integrates a multi-head attention mechanism and adaptively learns representations from different views through inter-view and intra-view contrastive learning strategies. Additionally, the pre-trained AE-GAN is used to reconstruct discrepancies in the target data as disease probabilities, which are then integrated into the contrastive learning process. Experiments on three target datasets demonstrate that our method consistently outperforms other seven baselines, highlighting its significant impact on healthcare applications such as the diagnosis of myocardial infarction, Alzheimer's disease, and Parkinson's disease. We release the source code at xxxxx.

Contrastive representation learning is crucial in medical time series analysis as it alleviates dependency on labor-intensive, domain-specific, and scarce expert annotations. However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series. To address this issue, we present COMET, an innovative hierarchical framework that leverages data consistencies at all inherent levels in medical time series. Our meticulously designed model systematically captures data consistency from four potential levels: observation, sample, trial, and patient levels. By developing contrastive loss at multiple levels, we can learn effective representations that preserve comprehensive data consistency, maximizing information utilization in a self-supervised manner.

Modern electronic health records (EHRs) hold immense promise in tracking personalized patient health trajectories through sequential deep learning, owing to their extensive breadth, scale, and temporal granularity. Nonetheless, how to effectively leverage multiple modalities from EHRs poses significant challenges, given its complex characteristics such as high dimensionality, multimodality, sparsity, varied recording frequencies, and temporal irregularities. To this end, this paper introduces a novel multimodal contrastive learning framework, specifically focusing on medical time series and clinical notes. To tackle the challenge of sparsity and irregular time intervals in medical time series, the framework integrates temporal cross-attention transformers with a dynamic embedding and tokenization scheme for learning multimodal feature representations. To harness the interconnected relationships between medical time series and clinical notes, the framework equips a global contrastive loss, aligning a patient's multimodal feature representations with the corresponding discharge summaries. Since discharge summaries uniquely pertain to individual patients and represent a holistic view of the patient's hospital stay, machine learning models are led to learn discriminative multimodal features via global contrasting. Extensive experiments with a real-world EHR dataset demonstrated that our framework outperformed state-of-the-art approaches on the exemplar task of predicting the occurrence of nine postoperative complications for more than 120,000 major inpatient surgeries using multimodal data from UF health system split among three hospitals (UF Health Gainesville, UF Health Jacksonville, and UF Health Jacksonville-North).

Within the intensive care unit (ICU), a wealth of patient data, including clinical measurements and clinical notes, is readily available. This data is a valuable resource for comprehending patient health and informing medical decisions, but it also contains many challenges in analysis. Deep learning models show promise in extracting meaningful patterns, but they require extensive labeled data, a challenge in critical care. To address this, we propose a novel approach employing self-supervised pretraining, focusing on the alignment of clinical measurements and notes. Our approach combines contrastive and masked token prediction tasks during pretraining. Semi-supervised experiments on the MIMIC-III dataset demonstrate the effectiveness of our self-supervised pretraining. In downstream tasks, including in-hospital mortality prediction and phenotyping, our pretrained model outperforms baselines in settings where only a fraction of the data is labeled, emphasizing its ability to enhance ICU data analysis. Notably, our method excels in situations where very few labels are available, as evidenced by an increase in the AUC-ROC for in-hospital mortality by 0.17 and in AUC-PR for phenotyping by 0.1 when only 1% of labels are accessible. This work advances self-supervised learning in the healthcare domain, optimizing clinical insights from abundant yet challenging ICU data.

The automated analysis of medical time series, such as the electrocardiogram (ECG), electroencephalogram (EEG), pulse oximetry, etc, has the potential to serve as a valuable tool for diagnostic decisions, allowing for remote monitoring of patients and more efficient use of expensive and time-consuming medical procedures. Deep neural networks (DNNs) have been demonstrated to process such signals effectively. However, previous research has primarily focused on classifying medical time series rather than attempting to regress the continuous-valued physiological parameters central to diagnosis. One significant challenge in this regard is the imbalanced nature of the dataset, as a low prevalence of abnormal conditions can lead to heavily skewed data that results in inaccurate predictions and a lack of certainty in such predictions when deployed. To address these challenges, we propose HypUC, a framework for imbalanced probabilistic regression in medical time series, making several contributions. (i) We introduce a simple kernel density-based technique to tackle the imbalanced regression problem with medical time series. (ii) Moreover, we employ a probabilistic regression framework that allows uncertainty estimation for the predicted continuous values. (iii) We also present a new approach to calibrate the predicted uncertainty further. (iv) Finally, we demonstrate a technique to use calibrated uncertainty estimates to improve the predicted continuous value and show the efficacy of the calibrated uncertainty estimates to flag unreliable predictions. HypUC is evaluated on a large, diverse, real-world dataset of ECGs collected from millions of patients, outperforming several conventional baselines on various diagnostic tasks, suggesting a potential use-case for the reliable clinical deployment of deep learning models.

Contrastive representation learning is crucial in medical time series analysis as it alleviates dependency on labor-intensive, domain-specific, and scarce expert annotations. However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series. To address this issue, we present COMET, an innovative hierarchical framework that leverages data consistencies at all inherent levels in medical time series. Our meticulously designed model systematically captures data consistency from four potential levels: observation, sample, trial, and patient levels. By developing contrastive loss at multiple levels, we can learn effective representations that preserve comprehensive data consistency, maximizing information utilization in a self-supervised manner. We conduct experiments in the challenging patient-independent setting. We compare COMET against six baselines using three diverse datasets, which include ECG signals for myocardial infarction and EEG signals for Alzheimer's and Parkinson's diseases. The results demonstrate that COMET consistently outperforms all baselines, particularly in setup with 10% and 1% labeled data fractions across all datasets. These results underscore the significant impact of our framework in advancing contrastive representation learning techniques for medical time series.