多模态医疗数据缺失的特征、成因、插补方法

Characteristics, causes and imputation methods of missing multimodal medical data

  • 摘要: 随着精准医学与智慧医疗的发展,整合电子健康记录、医学影像及组学等多模态数据,对于提升临床决策支持的可靠性具有关键意义。然而,多层级数据不完整已成为制约模型性能的普遍瓶颈。本文系统总结多模态医学数据缺失的共性统计特征与模态特异性模式,并从临床工作流程、资源约束、硬件故障及技术固有限制等方面分析其根本成因;分析传统插补方法的局限性,并介绍三类新兴的基于融合的插补范式:早期融合、中间融合与晚期融合。最后,围绕缺失机制建模、可扩展架构、临床可解释性及算法公平性等方面展望未来研究方向,为构建对数据缺失具有鲁棒性的多模态医学学习模型提供理论参考。

     

    Abstract: In the evolution of precision medicine and intelligent healthcare, integrating multimodal data including electronic health records, medical imaging and omics is critical to enhancing the reliability of clinical decision support. Nevertheless, multi-level data incompleteness has become a pervasive bottleneck restricting model performance. This paper systematically summarizes the universal statistical characteristics and modality-specific patterns of missing multimodal medical data, and analyzes its root causes from the perspectives of clinical workflows, resource constraints, hardware failures and inherent technical limitations. It examines the limitations of traditional imputation methods, and introduces three emerging fusion-based imputation paradigms: early fusion, intermediate fusion and late fusion. Finally, future research directions covering missing mechanism modeling, scalable architectures, clinical interpretability and algorithmic fairness are outlined, offering a theoretical reference for developing missingness-resilient multimodal medical learning models.

     

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