融合基因、影像与病历数据,提升乳腺癌分型准确率
Scalable and Loosely-Coupled Multimodal Deep Learning for Breast Cancer Subtyping
- 采用双模图像表示与松耦合融合策略,灵活整合多源数据
- 在多个数据集上显著优于现有方法,性能提升明显
- 框架可扩展至其他癌症类型,适合临床多模态应用
医疗应用天然具有多模态特性,从多种数据源中融合信息能显著提升效果。乳腺癌分子分型是关键临床任务,有助于个性化治疗和改善预后。本文提出一种可扩展、松耦合的多模态深度学习框架,无缝整合拷贝数变异(CNV)、临床记录和组织病理学全切片图像(WSI)等多模态数据,以增强乳腺癌分型。该框架不仅聚焦乳腺癌,还可轻松扩展至其他模态,支持按需增减模块,无需重训练已有模态,适用于多种癌症。我们引入全切片图像的双基表示——传统图像特征与图结构特征结合,显著提升性能;同时提出新型多模态融合策略,在多种条件下均表现优异。综合实验表明,结合双基WSI表示、CNV与临床数据,以及所提出的流水线与融合策略,整体性能超越当前最优方法。
原文摘要 · Abstract (English)
Healthcare applications are inherently multimodal, benefiting greatly from the integration of diverse data sources. However, the modalities available in clinical settings can vary across different locations and patients. A key area that stands to gain from multimodal integration is breast cancer molecular subtyping, an important clinical task that can facilitate personalized treatment and improve patient prognosis. In this work, we propose a scalable and loosely-coupled multimodal framework that seamlessly integrates data from various modalities, including copy number variation (CNV), clinical records, and histopathology images, to enhance breast cancer subtyping. While our primary focus is on breast cancer, our framework is designed to easily accommodate additional modalities, offering the flexibility to scale up or down with minimal overhead without requiring re-training of existing modalities, making it applicable to other types of cancers as well. We introduce a dual-based representation for whole slide images (WSIs), combining traditional image-based and graph-based WSI representations. This novel dual approach results in significant performance improvements. Moreover, we present a new multimodal fusion strategy, demonstrating its ability to enhance performance across a range of multimodal conditions. Our comprehensive results show that integrating our dual-based WSI representation with CNV and clinical health records, along with our pipeline and fusion strategy, outperforms state-of-the-art methods in breast cancer subtyping.
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