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PreprintCC BY 4.0arXiv

Enhancing Spectral Embedding through Robust and Flexible Knowledge Transfer in Electronic Health Records

Abstract

We propose a spectral-based, unsupervised representation learning framework to derive low-dimensional embeddings for clinical concepts and patients in rare disease cohorts from electronic health records, where data are high-dimensional but sample sizes are limited. To overcome this challenge, we incorporate a knowledge matrix extracted from a broader population that shares a partially overlapping subspace with the rare-disease cohort. Our method departs from existing approaches by relaxing restrictive one-to-one signal-alignment assumptions between the latent data matrix and knowledge matrix, allowing more flexible and realistic forms of structured sharing. We introduce a novel two-step spectral embedding procedure: first, we identify and remove irrelevant components from the knowledge matrix; then, we apply a projection-based method to separately recover shared and heterogeneous components. Simulations and an analysis of a real-world multiple sclerosis cohort show that the proposed method outperforms competing approaches, particularly in challenging scenarios where shared signals are weak and only partially aligned, as is common in rare-disease data.

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BibTeX
@misc{huang2026enhancing,
  title = {{Enhancing Spectral Embedding through Robust and Flexible Knowledge Transfer in Electronic Health Records}},
  author = {Feiqing Huang and Zongqi Xia and Rong Ma and Tianxi Cai},
  howpublished = {arXiv},
  year = {2026},
  month = oct,
  doi = {10.48550/arxiv.2606.11570},
  eprint = {2606.11570},
  archivePrefix = {arXiv},
  url = {https://arxiv.org/abs/2606.11570},
  note = {CC BY 4.0},
}
RIS
TY  - UNPB
TI  - Enhancing Spectral Embedding through Robust and Flexible Knowledge Transfer in Electronic Health Records
AU  - Feiqing Huang
AU  - Zongqi Xia
AU  - Rong Ma
AU  - Tianxi Cai
PY  - 2026
DA  - 2026/10/05
PB  - arXiv
DO  - 10.48550/arxiv.2606.11570
UR  - https://arxiv.org/abs/2606.11570
AB  - We propose a spectral-based, unsupervised representation learning framework to derive low-dimensional embeddings for clinical concepts and patients in rare disease cohorts from electronic health records, where data are high-dimensional but sample sizes are limited. To overcome this challenge, we incorporate a knowledge matrix extracted from a broader population that shares a partially overlapping subspace with the rare-disease cohort. Our method departs from existing approaches by relaxing restrictive one-to-one signal-alignment assumptions between the latent data matrix and knowledge matrix, allowing more flexible and realistic forms of structured sharing. We introduce a novel two-step spectral embedding procedure: first, we identify and remove irrelevant components from the knowledge matrix; then, we apply a projection-based method to separately recover shared and heterogeneous components. Simulations and an analysis of a real-world multiple sclerosis cohort show that the proposed method outperforms competing approaches, particularly in challenging scenarios where shared signals are weak and only partially aligned, as is common in rare-disease data.
ER  -