# Patient-Centered, Graph-Augmented Artificial Intelligence-Enabled Passive Surveillance for Early Stroke Risk Detection in High-Risk Individuals

arXiv: https://arxiv.org/abs/2602.22228 · HTML: https://mlsanity.com/paper/2602.22228/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 4 of its 40 references that are in the map.
- First posted on arXiv 7 Feb 2026.

## Builds on (most cited first, 4 of 4)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [How Powerful are Graph Neural Networks?](https://mlsanity.com/paper/1810.00826/) (2018)
- [ColBERT: Efficient and Effective Passage Search via Contextualized Late Interaction over BERT](https://mlsanity.com/paper/2004.12832/) (2020)

## Abstract (arXiv)

Stroke affected millions annually, yet poor symptom recognition often delayed care-seeking. To address risk recognition gap, we developed a passive surveillance system for early stroke risk detection using patient-reported symptoms among individuals with diabetes. Constructing a symptom taxonomy grounded in patients own language and a dual machine learning pipeline (heterogeneous GNN and EN/LASSO), we identified symptom patterns associated with subsequent stroke. We translated findings into a hybrid risk screening system integrating symptom relevance and temporal proximity, evaluated across 3-90 day windows through EHR-based simulations. Under conservative thresholds, intentionally designed to minimize false alerts, the screening system achieved high specificity (1.00) and prevalence-adjusted positive predictive value (1.00), with good sensitivity (0.72), an expected trade-off prioritizing precision, that was highest in 90-day window. Patient-reported language alone supported high-precision, low-burden early stroke risk detection, that could offer a valuable time window for clinical evaluation and intervention for high-risk individuals.