Graph-Informed and FiLM-Enhanced Multimodal Fusion for Myocardial Infarction Prediction.

Abstract

Accurate and timely diagnosis of cardiovascular diseases, particularly myocardial infarction (MI), remains a critical clinical challenge. Existing electrocardiogram (ECG) analysis methods often rely solely on a single data modality, such as raw signals or waveform images, which limits their ability to capture the broader physiological context. To address this limitation, we propose GFM-MIP, a Graph-informed and FiLM-enhanced Multimodal Fusion framework for myocardial infarction prediction. GFM-MIP integrates 12-lead ECG time-series signals, ECG images, and laboratory test results through a unified architecture. Specifically, it employs a Graphormer encoder to model inter-lead dependencies in ECG signals and a Vision Transformer to extract morphological patterns from ECG images, both modulated by patient-specific laboratory features using Feature-wise Linear Modulation (FiLM). A Transformer-based fusion module captures cross-modal interactions, while a contrastive learning objective encourages alignment between signal and image modalities. Experimental results on a real-world clinical dataset and three public benchmarks demonstrate that GFM-MIP consistently outperforms state-of-the-art baselines across multiple evaluation metrics. Ablation studies further validate the contribution of each modality and architectural component. The proposed framework offers a clinically meaningful and scalable solution for robust, multimodal cardiovascular diagnosis.