Graph Artificial Intelligence in Medicine

Author:

Johnson Ruth12,Li Michelle M.32,Noori Ayush42,Queen Owen2,Zitnik Marinka5672

Affiliation:

1. 2Berkowitz Family Living Laboratory, Harvard Medical School, Boston, Massachusetts, USA

2. 1Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA; email: marinka@hms.harvard.edu

3. 3Bioinformatics and Integrative Genomics Program, Harvard Medical School, Boston, Massachusetts, USA

4. 4Department of Computer Science, Harvard John A. Paulson School of Engineering and Applied Sciences, Allston, Massachusetts, USA

5. 6Harvard Data Science Initiative, Cambridge, Massachusetts, USA

6. 7Kempner Institute for the Study of Natural and Artificial Intelligence, Harvard University, Allston, Massachusetts, USA

7. 5Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA

Abstract

In clinical artificial intelligence (AI), graph representation learning, mainly through graph neural networks and graph transformer architectures, stands out for its capability to capture intricate relationships and structures within clinical datasets. With diverse data—from patient records to imaging—graph AI models process data holistically by viewing modalities and entities within them as nodes interconnected by their relationships. Graph AI facilitates model transfer across clinical tasks, enabling models to generalize across patient populations without additional parameters and with minimal to no retraining. However, the importance of human-centered design and model interpretability in clinical decision-making cannot be overstated. Since graph AI models capture information through localized neural transformations defined on relational datasets, they offer both an opportunity and a challenge in elucidating model rationale. Knowledge graphs can enhance interpretability by aligning model-driven insights with medical knowledge. Emerging graph AI models integrate diverse data modalities through pretraining, facilitate interactive feedback loops, and foster human–AI collaboration, paving the way toward clinically meaningful predictions.

Publisher

Annual Reviews

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