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    This study introduces a novel few-shot learning framework for predicting stroke outcomes using brain MRI and clinical data. The approach enhances prediction accuracy and generalizability, especially for small datasets.

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    Area of Science:

    • Medical Imaging
    • Machine Learning
    • Neurology

    Background:

    • Stroke outcome prediction is complex due to data heterogeneity and misalignment.
    • Current methods lack robustness and generalizability for multimodal stroke data.

    Purpose of the Study:

    • To develop a robust few-shot learning framework for cross-task stroke prognosis prediction.
    • To integrate brain MRI images and structured clinical records for improved outcome prediction.

    Main Methods:

    • A few-shot contrastive learning framework combining Model-Agnostic Meta-Learning (MAML) and a two-step contrastive strategy.
    • Incorporation of self-awareness learning for task-specific features and domain learning for generalization.
    • Utilized Misalignment Separation technique for handling inconsistent tabular data and a domain encoder for multimodal inputs.

    Main Results:

    • The proposed framework demonstrated superior performance compared to SimCLR and conventional supervised methods.
    • Successfully integrated cross-task datasets, outperforming existing approaches.
    • Showcased enhanced predictive robustness by capturing shared and task-specific knowledge.

    Conclusions:

    • Multimodal few-shot learning offers a promising approach for robust stroke prognosis prediction, particularly with small sample sizes.
    • The framework effectively addresses challenges of data heterogeneity and misalignment in stroke outcome prediction.
    • Highlights the potential for improved clinical decision-making in stroke care.