arXiv:2409.20179eess.IVcs.CV2024-09中稿 · WACV 2025被引 9

融合影像与基因数据,提升肺癌生存预测准确率

Survival Prediction in Lung Cancer through Multi-Modal Representation Learning

  • 自监督学习提取多模态特征,对齐患者间语义相似性
  • 跨患者模块使相似病况患者嵌入更接近,提升预测精度
  • 在非小细胞肺癌数据集上优于现有方法,适合医疗AI研究者

生存预测是癌症诊断与治疗规划中的关键任务。本文提出一种新方法,综合利用CT和PET影像及基因组数据进行生存预测。现有方法多依赖单一模态或简单多模态融合,未充分考虑患者间及模态间的关联。我们通过自监督模块学习各模态表示,并利用患者间语义相似性对齐嵌入。但仅优化全局相关性仍不足,因许多共享高层次语义(如肿瘤类型)的患者对被错误地分散在嵌入空间中。为此,我们设计跨患者模块(CPM),挖掘患者间的对应关系,促使具有相似疾病特征的患者嵌入靠近。在非小细胞肺癌(NSCLC)数据集上的实验表明,该方法显著优于当前最优模型,有效提升生存预测性能。

原文摘要 · Abstract (English)

Survival prediction is a crucial task associated with cancer diagnosis and treatment planning. This paper presents a novel approach to survival prediction by harnessing comprehensive information from CT and PET scans, along with associated Genomic data. Current methods rely on either a single modality or the integration of multiple modalities for prediction without adequately addressing associations across patients or modalities. We aim to develop a robust predictive model for survival outcomes by integrating multi-modal imaging data with genetic information while accounting for associations across patients and modalities. We learn representations for each modality via a self-supervised module and harness the semantic similarities across the patients to ensure the embeddings are aligned closely. However, optimizing solely for global relevance is inadequate, as many pairs sharing similar high-level semantics, such as tumor type, are inadvertently pushed apart in the embedding space. To address this issue, we use a cross-patient module (CPM) designed to harness inter-subject correspondences. The CPM module aims to bring together embeddings from patients with similar disease characteristics. Our experimental evaluation of the dataset of Non-Small Cell Lung Cancer (NSCLC) patients demonstrates the effectiveness of our approach in predicting survival outcomes, outperforming state-of-the-art methods.

生存预测多模态学习肺癌

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