# M2G-LLM: Enhancing Clinical Prediction via Multimodal Graph Reasoning and LLM Context Injection

arXiv: https://arxiv.org/abs/2609.21164 · HTML: https://mlsanity.com/paper/2609.21164/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 22 of its 35 references that are in the map.
- First posted on arXiv 18 Sep 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 22 of 22)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Representation Learning with Contrastive Predictive Coding](https://mlsanity.com/paper/1807.03748/) (2018)
- [On the Opportunities and Risks of Foundation Models](https://mlsanity.com/paper/2108.07258/) (2021)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [ImageBind: One Embedding Space To Bind Them All](https://mlsanity.com/paper/2305.05665/) (2023)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethics](https://mlsanity.com/paper/2310.05694/) (2023)
- [Large language models in healthcare and medical domain: A review](https://mlsanity.com/paper/2401.06775/) (2023)
- [A Survey of Large Language Models in Medicine: Progress, Application, and Challenge](https://mlsanity.com/paper/2311.05112/) (2023)
- [mmFormer: Multimodal Medical Transformer for Incomplete Multimodal Learning of Brain Tumor Segmentation](https://mlsanity.com/paper/2206.02425/) (2022)
- [M3Care: Learning with Missing Modalities in Multimodal Healthcare Data](https://mlsanity.com/paper/2210.17292/) (2022)
- [Integrated multimodal artificial intelligence framework for healthcare applications](https://mlsanity.com/paper/2202.12998/) (2022)
- [Multimodal LLMs for health grounded in individual-specific data](https://mlsanity.com/paper/2307.09018/) (2023)
- [Multimodal Healthcare AI: Identifying and Designing Clinically Relevant Vision-Language Applications for Radiology](https://mlsanity.com/paper/2402.14252/) (2024)
- [ChatGPT for Shaping the Future of Dentistry: The Potential of Multi-Modal Large Language Model](https://mlsanity.com/paper/2304.03086/) (2023)
- [Implicit In-context Learning](https://mlsanity.com/paper/2405.14660/) (2024)
- [LLMs-Healthcare : Current Applications and Challenges of Large Language Models in various Medical Specialties](https://mlsanity.com/paper/2311.12882/) (2023)
- [Large Language Multimodal Models for 5-Year Chronic Disease Cohort Prediction Using EHR Data](https://mlsanity.com/paper/2403.04785/) (2024)
- [LLMs for clinical risk prediction](https://mlsanity.com/paper/2409.10191/) (2024)
- [Medical Codes Prediction from Clinical Notes: From Human Coders to Machines](https://mlsanity.com/paper/2210.16850/) (2022)

## Abstract (arXiv)

Integrating diverse data modalities --- such as clinical notes, laboratory results, and medical imaging --- is essential for advancing clinical decision-making. While Large Language Models (LLMs) have shown remarkable performance in processing unstructured clinical text, their limited capacity to incorporate non-text modalities hinders their broader utility in healthcare applications. Here, we introduce M2G-LLM (Multimodal MedGraph-LLM), a novel framework that enhances LLMs with multimodal integration and alignment via Graph Neural Networks (GNNs). Our approach models temporal relationships between patient visits, propagates information across clinically similar patients, and aligns heterogeneous data sources to construct enriched multimodal context vectors. These vectors are injected into the intermediate layers of the LLM, enabling joint reasoning over textual and non-textual modalities. We evaluate M2G-LLM on the MIMIC-IV and MIMIC-CXR datasets, demonstrating improvements in clinical prediction tasks over strong baseline models. Our results highlight the promise of combining the language understanding of LLMs with the relational reasoning capabilities of GNNs for comprehensive, multimodal healthcare analysis.