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MedTVL advances medical time series classification by integrating temporal data, visual imagery, and clinical text through a novel tri-modal architecture. The model employs a dual-pathway design with a Mixture-of-Experts mechanism to dynamically fuse these heterogeneous inputs, addressing label scarcity via contrastive learning. This approach offers a significant leap in multimodal diagnostic capability beyond current bi-modal limitations.
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MedTVL: Harnessing Vision and Language for Medical Time Series Classification

arXiv2 min read

arXiv:2608.28605v1 Announce Type: new Abstract: Recent advancements in multimodal learning for medical time series (MedTS) classification highlight the benefits of integrating complementary modalities for clinical decision. However, existing methods typically focus on bi-modal interactions (e.g., time series and text), leaving the tri-modal synergy between time series, vision, and language largely unexplored. Inspired by diagnostic practice synergizing numerical assessment, visual inspection and clinical context, we introduce MedTVL, a text-guided dual-pathway architecture tailored for MedTS classification. Specifically, it synergizes a convolution-based temporal pathway for fine-grained temporal dynamics from raw numerical sequences and a transformer-based visual pathway for holistic morphological structures from time-series-derived images. Such combination of cross-modal and architectural heterogeneity provides a comprehensive diagnostic perspective. To further resolve potential diagnostic ambiguity, both pathways are guided by adaptive medical textual semantics. Finally, a Mixture-of-Experts mechanism dynamically routes each instance to specialized fusion experts, capturing instance-specific reliance on the temporal and visual pathway outputs. In addition, MedTVL supports multimodal contrastive learning to mitigate the clinical label scarcity challenge. Extensive experiments across multiple medical datasets and tasks, spanning supervised, few-shot, and contrastive learning settings, demonstrate the superiority and transferability of MedTVL, highlighting its potential for robust clinical decision support.

Abstract:Recent advancements in multimodal learning for medical time series (MedTS) classification highlight the benefits of integrating complementary modalities for clinical decision. However, existing methods typically focus on bi-modal interactions (e.g., time series and text), leaving the tri-modal synergy between time series, vision, and language largely unexplored. Inspired by diagnostic practice synergizing numerical assessment, visual inspection and clinical context, we introduce MedTVL, a text-guided dual-pathway architecture tailored for MedTS classification. Specifically, it synergizes a convolution-based temporal pathway for fine-grained temporal dynamics from raw numerical sequences and a transformer-based visual pathway for holistic morphological structures from time-series-derived images. Such combination of cross-modal and architectural heterogeneity provides a comprehensive diagnostic perspective. To further resolve potential diagnostic ambiguity, both pathways are guided by adaptive medical textual semantics. Finally, a Mixture-of-Experts mechanism dynamically routes each instance to specialized fusion experts, capturing instance-specific reliance on the temporal and visual pathway outputs. In addition, MedTVL supports multimodal contrastive learning to mitigate the clinical label scarcity challenge. Extensive experiments across multiple medical datasets and tasks, spanning supervised, few-shot, and contrastive learning settings, demonstrate the superiority and transferability of MedTVL, highlighting its potential for robust clinical decision support.

Artificial Intelligence (cs.AI); Computer Vision and Pattern Recognition (cs.CV)

arXiv:2608.28605 [cs.AI]

(or arXiv:2608.28605v1 [cs.AI] for this version)

https://doi.org/10.48550/arXiv.2608.28605 Focus to learn more arXiv-issued DOI via DataCite

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Full text under the publisher's open licence · 287 words

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