SafeImpute Offers Reliable Clinical Data Imputation with Error Control

Xinrui He, Mengting Ai, Junting Wang, Curtiss B. Cook, Jingrui He· July 8, 2026 View original

Summary

SafeImpute is a reliable imputation framework for sparse and irregular clinical longitudinal records that not only improves accuracy but also provides statistical control over clinically unacceptable errors. It uses an event graph with a two-relation GNN and adaptive fusion, combined with conformal selection for reliability guarantees.

Clinical data often suffers from pervasive missingness due to irregular patient visits and test ordering, posing a significant challenge for downstream analysis and decision-making. While many imputation methods exist, they typically focus on average accuracy and lack mechanisms to guarantee the reliability of individual imputed values for high-stakes clinical use. SafeImpute addresses this by offering a reliable imputation framework specifically designed for irregular and sparse clinical longitudinal records. It constructs an event graph to capture both intra-patient temporal trajectories and inter-patient clinical similarity, learning imputations via a two-relation Graph Neural Network (GNN) with adaptive fusion. Crucially, SafeImpute provides reliability guarantees by converting a proxy risk score into conformal p-values and applying the Benjamini-Hochberg procedure to control the False Discovery Rate (FDR) of unacceptable errors among released imputations at a user-specified tolerance. Experiments on real-world clinical datasets demonstrate strong imputation accuracy alongside robust error control.

Why it matters

For healthcare professionals, data scientists in clinical research, and developers of medical AI, SafeImpute provides a critical tool to ensure the trustworthiness of imputed clinical data, enabling safer and more reliable downstream diagnostic and predictive applications.

How to implement this in your domain

  1. 1Assess current clinical data imputation practices for their reliability and error control mechanisms.
  2. 2Pilot SafeImpute or similar conformal prediction frameworks on internal clinical datasets with missing values.
  3. 3Collaborate with medical professionals to define acceptable error tolerances for high-stakes clinical applications.
  4. 4Integrate reliable imputation methods into data preprocessing pipelines for clinical AI models to enhance their trustworthiness.

Who benefits

HealthcarePharmaceuticalsMedical DevicesAI/ML PlatformsResearch

Key takeaways

  • SafeImpute provides reliable imputation for sparse clinical longitudinal data.
  • It uses an event graph and GNN for accurate imputation.
  • Conformal selection controls the False Discovery Rate of unacceptable errors.
  • The framework ensures trustworthiness for high-stakes clinical applications.

Original post by Xinrui He, Mengting Ai, Junting Wang, Curtiss B. Cook, Jingrui He

"arXiv:2607.05613v1 Announce Type: new Abstract: Clinical care often relies on key laboratory indicators, yet real-world patient visits are sparse and tests are ordered irregularly, leading to pervasive missingness. While many imputation methods improve average accuracy, they prov…"

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Originally posted by Xinrui He, Mengting Ai, Junting Wang, Curtiss B. Cook, Jingrui He on X · view source

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