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. 2025 Aug 12;13:1644697. doi: 10.3389/fbioe.2025.1644697

FIGURE 2.

Diagram illustrating a machine learning process. Top left shows "Spatial Landscape Representation" with components like "Adaptive Spatial Suitability Analysis." Central process flows through "CLIP," "Equity Evaluation," and "Ontology-Aware Embedding Initialization" to "Dynamic Routing." Top right displays "LLM" with functions like "Add & Norm" and "self-Attention." Bottom section details "Knowledge-Guided Masking Mechanism" and "Disentangled Temporal Representation," featuring elements such as "SoftMax," "DINO Feat.," and "Hidden State" with adapters. Pathways are connected with arrows, emphasizing a continuous workflow.

Schematic diagram of the PathoGraph. PathoGraph is a clinically-informed neural architecture designed to model temporal dependencies in patient records through a combination of ontology-aware embedding initialization, disentangled temporal representation, and a knowledge-guided masking mechanism. The model integrates domain knowledge from medical ontologies to enrich event embeddings, disentangles latent clinical factors over time to enhance interpretability, and uses relational structures to filter implausible co-occurrences. A modular fusion of features via dynamic routing and MoLE (Mixture-of-Low-rank Experts) adapters within a large language model further supports participatory design and equity evaluation in medical decision-making.