# Patchwork Learning: A Paradigm Towards Integrative Analysis across Diverse Biomedical Data Sources

arXiv: https://arxiv.org/abs/2305.06217 · HTML: https://mlsanity.com/paper/2305.06217/

## Key facts

- Cited by 10 papers in the map (data through 14 Oct 2026).
- Builds on 80 of its 187 references that are in the map.
- First posted on arXiv 10 May 2023.

## Builds on (most cited first, 30 of 80)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Denoising Diffusion Probabilistic Models](https://mlsanity.com/paper/2006.11239/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Advances and Open Problems in Federated Learning](https://mlsanity.com/paper/1912.04977/) (2019)
- [PaLM-E: An Embodied Multimodal Language Model](https://mlsanity.com/paper/2303.03378/) (2023)
- [Invariant Risk Minimization](https://mlsanity.com/paper/1907.02893/) (2019)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [Federated Learning: Challenges, Methods, and Future Directions](https://mlsanity.com/paper/1908.07873/) (2019)
- [HuggingGPT: Solving AI Tasks with ChatGPT and its Friends in Hugging Face](https://mlsanity.com/paper/2303.17580/) (2023)
- [The Secret Sharer: Evaluating and Testing Unintended Memorization in Neural Networks](https://mlsanity.com/paper/1802.08232/) (2018)
- [The Limitations of Deep Learning in Adversarial Settings](https://mlsanity.com/paper/1511.07528/) (2015)
- [Domain Generalization: A Survey](https://mlsanity.com/paper/2103.02503/) (2021)
- [Federated Multi-Task Learning](https://mlsanity.com/paper/1705.10467/) (2017)
- [Attention is not not Explanation](https://mlsanity.com/paper/1908.04626/) (2019)
- [The Future of Digital Health with Federated Learning](https://mlsanity.com/paper/2003.08119/) (2020)
- [Domain Generalization via Invariant Feature Representation](https://mlsanity.com/paper/1301.2115/) (2013)
- [Personalized Federated Learning with Moreau Envelopes](https://mlsanity.com/paper/2006.08848/) (2020)
- [Exploiting Shared Representations for Personalized Federated Learning](https://mlsanity.com/paper/2102.07078/) (2021)
- [Learning under Concept Drift: A Review](https://mlsanity.com/paper/2004.05785/) (2020)
- [Towards Personalized Federated Learning](https://mlsanity.com/paper/2103.00710/) (2021)
- [FedMD: Heterogenous Federated Learning via Model Distillation](https://mlsanity.com/paper/1910.03581/) (2019)
- [Agnostic Federated Learning](https://mlsanity.com/paper/1902.00146/) (2019)
- [Fair Resource Allocation in Federated Learning](https://mlsanity.com/paper/1905.10497/) (2019)
- [What Makes Training Multi-Modal Classification Networks Hard?](https://mlsanity.com/paper/1905.12681/) (2019)
- [Deep Models Under the GAN: Information Leakage from Collaborative Deep Learning](https://mlsanity.com/paper/1702.07464/) (2017)
- [The Risks of Invariant Risk Minimization](https://mlsanity.com/paper/2010.05761/) (2020)
- [SMIL: Multimodal Learning with Severely Missing Modality](https://mlsanity.com/paper/2103.05677/) (2021)
- [FedHealth: A Federated Transfer Learning Framework for Wearable Healthcare](https://mlsanity.com/paper/1907.09173/) (2019)
- [Multimodal Explanations: Justifying Decisions and Pointing to the Evidence](https://mlsanity.com/paper/1802.08129/) (2018)
- [Learning Factorized Multimodal Representations](https://mlsanity.com/paper/1806.06176/) (2018)

## Built on by (most cited first, 10 of 10)

- [Multimodal Federated Learning in Healthcare: a Review](https://mlsanity.com/paper/2310.09650/) (2023)
- [FairEHR-CLP: Towards Fairness-Aware Clinical Predictions with Contrastive Learning in Multimodal Electronic Health Records](https://mlsanity.com/paper/2402.00955/) (2024)
- [Generating Medical Prescriptions with Conditional Transformer](https://mlsanity.com/paper/2310.19727/) (2023)
- [Transfer Learning with Clinical Concept Embeddings from Large Language Models](https://mlsanity.com/paper/2409.13893/) (2024)
- [A Framework for Situating Innovations, Opportunities, and Challenges in Advancing Vertical Systems with Large AI Models](https://mlsanity.com/paper/2504.02793/) (2025)
- [MedPMC: A Systematic Framework for Scaling High-Fidelity Medical Multimodal Data for Foundation Models](https://mlsanity.com/paper/2607.07673/) (2026)
- [Joint Analysis of Single-Cell Data across Cohorts with Missing Modalities](https://mlsanity.com/paper/2405.11280/) (2024)
- [Efficient Imputation for Patch-based Missing Single-cell Data via Cluster-regularized Optimal Transport](https://mlsanity.com/paper/2601.14653/) (2026)
- [FeTTL: Federated Template and Task Learning for Multi-Institutional Medical Imaging](https://mlsanity.com/paper/2601.16302/) (2026)
- [ADAPTOOD: Uncertainty-Aware Fine-Tuning for Out-of-Distribution ECG Time Series Models](https://mlsanity.com/paper/2606.04164/) (2026)

## Abstract (arXiv)

Machine learning (ML) in healthcare presents numerous opportunities for enhancing patient care, population health, and healthcare providers' workflows. However, the real-world clinical and cost benefits remain limited due to challenges in data privacy, heterogeneous data sources, and the inability to fully leverage multiple data modalities. In this perspective paper, we introduce "patchwork learning" (PL), a novel paradigm that addresses these limitations by integrating information from disparate datasets composed of different data modalities (e.g., clinical free-text, medical images, omics) and distributed across separate and secure sites. PL allows the simultaneous utilization of complementary data sources while preserving data privacy, enabling the development of more holistic and generalizable ML models. We present the concept of patchwork learning and its current implementations in healthcare, exploring the potential opportunities and applicable data sources for addressing various healthcare challenges. PL leverages bridging modalities or overlapping feature spaces across sites to facilitate information sharing and impute missing data, thereby addressing related prediction tasks. We discuss the challenges associated with PL, many of which are shared by federated and multimodal learning, and provide recommendations for future research in this field. By offering a more comprehensive approach to healthcare data integration, patchwork learning has the potential to revolutionize the clinical applicability of ML models. This paradigm promises to strike a balance between personalization and generalizability, ultimately enhancing patient experiences, improving population health, and optimizing healthcare providers' workflows.
