arXiv:2508.12381cs.CVcs.AI2025-08被引 1

用图注意力模型分析癌组织空间结构,提升生存预测准确率与可解释性。

IPGPhormer: Interpretable Pathology Graph-Transformer for Survival Analysis

  • 构建病理图神经网络,捕捉肿瘤微环境的长程与局部空间关系。
  • 在4个公开数据集上显著优于现有方法,生存预测性能更优。
  • 无需人工标注即可实现组织和细胞级可解释性,适合临床研究使用。

病理图像在癌症预后评估中至关重要,而生存分析通过计算方法可从全幻灯片图像(WSIs)中预测患者死亡或疾病复发等关键临床事件。近年来多实例学习的发展显著提升了生存分析效率,但现有方法常难以兼顾长距离空间关系与局部上下文依赖,且缺乏内在可解释性,限制了其临床应用。为此,我们提出可解释病理图变换器(IPGPhormer),一种新框架,能够捕捉肿瘤微环境特征并建模组织内跨区域的空间依赖性。IPGPhormer在无需事后人工标注的情况下,实现了组织与细胞层面的双重可解释性,支持单张WSI的详细分析及跨队列比较。在四个公开基准数据集上的全面评估表明,该方法在预测准确性和可解释性方面均优于当前最优方法。总体而言,IPGPhormer为癌症预后评估提供了有力工具,推动更可靠、可解释的病理决策支持系统发展。代码已公开:https://anonymous.4open.science/r/IPGPhormer-6EEB。

原文摘要 · Abstract (English)

Pathological images play an essential role in cancer prognosis, while survival analysis, which integrates computational techniques, can predict critical clinical events such as patient mortality or disease recurrence from whole-slide images (WSIs). Recent advancements in multiple instance learning have significantly improved the efficiency of survival analysis. However, existing methods often struggle to balance the modeling of long-range spatial relationships with local contextual dependencies and typically lack inherent interpretability, limiting their clinical utility. To address these challenges, we propose the Interpretable Pathology Graph-Transformer (IPGPhormer), a novel framework that captures the characteristics of the tumor microenvironment and models their spatial dependencies across the tissue. IPGPhormer uniquely provides interpretability at both tissue and cellular levels without requiring post-hoc manual annotations, enabling detailed analyses of individual WSIs and cross-cohort assessments. Comprehensive evaluations on four public benchmark datasets demonstrate that IPGPhormer outperforms state-of-the-art methods in both predictive accuracy and interpretability. In summary, our method, IPGPhormer, offers a promising tool for cancer prognosis assessment, paving the way for more reliable and interpretable decision-support systems in pathology. The code is publicly available at https://anonymous.4open.science/r/IPGPhormer-6EEB.

病理分析生存分析图神经网络可解释性

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