cs.LGMay 8, 2026

PerCaM-Health: Personalized Dynamic Causal Graphs for Healthcare Reasoning

Authors: Elahe KhatibiZiyu WangSaba A. FarahaniDi HuangHung CaoRamesh JainAmir M. Rahmani

Organizations: University of California, Irvine · Washington University in St. Louis

Abstract

Personalized healthcare decisions require reasoning about how physiological and behavioral variables influence an individual patient over time. Existing temporal causal discovery methods are poorly matched to this setting: cohort-level models provide stable but non-personalized structures, while per-patient discovery is unreliable because individual trajectories are short, noisy, irregular, and non-stationary. This creates a fundamental gap between population-level causal modeling and the patient-specific, time-varying mechanisms needed for intervention reasoning. We introduce PerCaM-Health, a framework for learning personalized dynamic causal graphs from longitudinal health data. The framework learns a knowledge-guided population temporal graph, then conservatively adapts and evolves it using patient-specific temporal evidence and rolling-window updates, producing interpretable and auditable graph sequences. By coupling these graphs with temporal structural equations, the framework enables patient-level counterfactual queries, such as estimating short-horizon outcome changes under hypothetical behavioral interventions. Experiments on a semi-synthetic dynamic health benchmark show that PerCaM-Health improves graph recovery, dynamic edge tracking, and intervention direction accuracy compared to cohort-level, per-patient, and non-personalized temporal baselines. These results demonstrate that jointly modeling personalization and temporal evolution yields more reliable causal structure and intervention reasoning.

Explore similar work

Jul 30, 2026cs.AI

Orca: Neural Operators for Causal Reasoning in Continuous Time

Structural causal models are the standard language for reasoning about interventions and counterfactuals, but they describe static variables, typically measured once, and usually forbid cyclic dependencies. Many systems we care about, such as patients, climates, and economies, instead evolve continuously in time, are observed at irregular time points, and contain feedback loops. We argue that neural operator learning provides a natural foundation for causal reasoning in this setting, and propose Orca, a framework in which each node of the causal graph is a function of time and each mechanism is a learned map between function spaces. We extend existing neural operator architectures to express causal mechanisms: a mechanism computes the function value of a node from its parent nodes by taking several parent functions as input, respects the arrow of time, and treats latent exogenous noise as a function that can be inferred and reused for counterfactuals. We formalize the model class and demonstrate counterfactual reasoning on synthetic continuous-time examples. Code is available at https://github.com/gerritgr/orca
Gerrit Großmann, David A. Selby, Sebastian J. Vollmer
Jul 24, 2026stat.ML

Amortized Bayesian Causal Discovery of Extended Factor Graphs

Learning causal graphs from interventional data is a challenging problem with broad applications. In molecular biology, for example, a central goal is to uncover gene regulatory networks from large-scale perturbation data. An ideal algorithm for this task should scale to thousands of nodes, incorporate interventions even when their targets are unknown, quantify uncertainty, and provide identifiability guarantees. However, existing approaches---e.g. approaches using score-based optimization or approximate Bayesian inference---often fail to meet all of these criteria. To address these limitations, we develop Amortized Bayesian Causal Discovery of Extended Factor Graphs (ABCDEFG). Our method guarantees exact acyclicity, scales to graphs with thousands of nodes, and naturally handles interventions even when their targets are unknown. Additionally, ABCDEFG estimates a posterior distribution whose maximum a posteriori estimate provably identifies the true causal graph up to an equivalence class. On simulated datasets, ABCDEFG achieves state-of-the-art accuracy, producing a well-calibrated posterior distribution while outperforming previous score-based and approximate Bayesian methods. Applied to large-scale single-cell perturbation data, ABCDEFG identifies both established and novel gene targets of growth factors.
Yichen Gu, Yuxuan Song, Weizhou Qian +2
Jun 25, 2026cs.LG

A Causal Foundation Model for Structure and Outcome Prediction

We introduce TabPFN-CFM, a causal foundation model that can handle multiple causal problems. TabPFN-CFM predicts both causal structure and outcomes from observational data, supports queries on all three levels of Pearl's Causal Hierarchy and uses known graph structure when available to improve predictions. TabPFN-CFM is trained on synthetic datasets, and generalises to real datasets, demonstrating improved performance over both structural and outcome prediction baselines.
Max Zhu, Martino Mansoldo, Ching-Hao Wang +1