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Judy Gichoya

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Computer Vision Machine Learning Artificial Intelligence cs.CY eess.IV Information Retrieval math.NA Numerical Analysis

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preprint2026arXiv

MultiMedVision: Multi-Modal Medical Vision Framework

Multi-modal medical imaging enables comprehensive diagnostics, yet current foundation models process 2D (e.g. X-ray) and 3D (e.g. CT) data with separate, dimensionality-specific architectures. We present MultiMedVision, a unified framework for joint 2D/3D representation learning built on a Sparse Vision Transformer. Our model uses 3D Rotary Positional Embeddings and variable-length sequence packing to process mixed-modality batches natively within a shared latent space, without modality-specific adapters or treating 3D volumes as 2D slice sequences. Trained with a self-supervised objective on chest X-rays (MIMIC-CXR) and CT scans (CT-RATE), and using a single shared encoder with 5x less data, MultiMedVision achieves competitive performance on both 2D benchmarks (Macro AUROC 0.82 on MIMIC, 0.84 on CheXpert) and 3D tasks (0.85 on CT-RATE). Analysis of the learned representations reveals coexisting modality-specific and shared feature subspaces, demonstrating that unified cross-dimensional representation learning is feasible without sacrificing modality-specific performance.

preprint2022arXiv

Advances in Prediction of Readmission Rates Using Long Term Short Term Memory Networks on Healthcare Insurance Data

30-day hospital readmission is a long standing medical problem that affects patients' morbidity and mortality and costs billions of dollars annually. Recently, machine learning models have been created to predict risk of inpatient readmission for patients with specific diseases, however no model exists to predict this risk across all patients. We developed a bi-directional Long Short Term Memory (LSTM) Network that is able to use readily available insurance data (inpatient visits, outpatient visits, and drug prescriptions) to predict 30 day re-admission for any admitted patient, regardless of reason. The top-performing model achieved an ROC AUC of 0.763 (0.011) when using historical, inpatient, and post-discharge data. The LSTM model significantly outperformed a baseline random forest classifier, indicating that understanding the sequence of events is important for model prediction. Incorporation of 30-days of historical data also significantly improved model performance compared to inpatient data alone, indicating that a patients clinical history prior to admission, including outpatient visits and pharmacy data is a strong contributor to readmission. Our results demonstrate that a machine learning model is able to predict risk of inpatient readmission with reasonable accuracy for all patients using structured insurance billing data. Because billing data or equivalent surrogates can be extracted from sites, such a model could be deployed to identify patients at risk for readmission before they are discharged, or to assign more robust follow up (closer follow up, home health, mailed medications) to at-risk patients after discharge.

preprint2022arXiv

The EMory BrEast imaging Dataset (EMBED): A Racially Diverse, Granular Dataset of 3.5M Screening and Diagnostic Mammograms

Developing and validating artificial intelligence models in medical imaging requires datasets that are large, granular, and diverse. To date, the majority of publicly available breast imaging datasets lack in one or more of these areas. Models trained on these data may therefore underperform on patient populations or pathologies that have not previously been encountered. The EMory BrEast imaging Dataset (EMBED) addresses these gaps by providing 3650,000 2D and DBT screening and diagnostic mammograms for 116,000 women divided equally between White and African American patients. The dataset also contains 40,000 annotated lesions linked to structured imaging descriptors and 61 ground truth pathologic outcomes grouped into six severity classes. Our goal is to share this dataset with research partners to aid in development and validation of breast AI models that will serve all patients fairly and help decrease bias in medical AI.

preprint2020arXiv

A Modern Non-SQL Approach to Radiology-Centric Search Engine Design with Clinical Validation

Healthcare data is increasing in size at an unprecedented speed with much attention on big data analysis and Artificial Intelligence application for quality assurance, clinical training, severity triaging, and decision support. Radiology is well-suited for innovation given its intrinsically paired linguistic and visual data. Previous attempts to unlock this information goldmine were encumbered by heterogeneity of human language, proprietary search algorithms, and lack of medicine-specific search performance matrices. We present a de novo process of developing a document-based, secure, efficient, and accurate search engine in the context of Radiology. We assess our implementation of the search engine with comparison to pre-existing manually collected clinical databases used previously for clinical research projects in addition to computational performance benchmarks and survey feedback. By leveraging efficient database architecture, search capability, and clinical thinking, radiologists are at the forefront of harnessing the power of healthcare data.