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TabGraphSyn: Graph-Guided Latent Diffusion for High-Fidelity and Privacy-Conscious Clinical Data Generation
Zongqian Wu1, Huiping Chen2, Jake Y Chen1
1Systems Pharmacology AI Research Center (SPARC), Department of Biomedical Informatics and Data Science, The University of Alabama at Birmingham, AL, USA.
Medrxiv : the Preprint Server for Health Sciences
|January 8, 2026
Summary
TabGraphSyn generates high-fidelity synthetic patient data by preserving neighborhood structures, overcoming limitations of existing models. This novel approach enhances data utility for clinical research while ensuring privacy.
Area of Science:
- Computational biology
- Data science
- Medical informatics
Background:
- Accessible patient data is crucial for clinical research but faces privacy and scarcity challenges.
- Existing synthetic data methods like GANs and diffusion models have limitations in capturing complex data structures.
Purpose of the Study:
- To introduce TabGraphSyn, a novel framework for generating high-fidelity synthetic patient data.
- To address limitations in current generative models by incorporating patient similarity and neighborhood structure.
Main Methods:
- TabGraphSyn uses a two-stage generative framework.
- It constructs a patient similarity graph (k-NN) to capture local data geometry.
- Relational embeddings from the graph guide a latent diffusion model for synthesis.
Main Results:
- TabGraphSyn demonstrated superior performance on clinical datasets (TCGA, AIDS, WBCD) compared to baselines.
- Achieved reductions in marginal distribution error (up to 3.5%) and pairwise correlation error (up to 2.61%).
- Synthetic data showed high utility in classification (AUC 99.38%) and survival analysis (F1-score 0.857), with robust deidentification.
Conclusions:
- TabGraphSyn effectively generates high-fidelity synthetic clinical data by integrating neighborhood structure.
- The GNN module is critical for improving data fidelity and utility.
- This method enables large-cohort synthesis and robust deidentification for clinical research.

