arXiv:2512.02162cs.CVq-bio.QM2025-12

用影像预测癌症突变,帮医生早诊断早治疗

Mapping of Lesion Images to Somatic Mutations

  • 用点云表示病灶图像,跨模态不变性更强
  • 模型准确预测特定突变数量及是否发生
  • 适合临床辅助诊断与肿瘤分型研究者

医学影像是临床判断癌症诊断的关键工具,可加快干预速度并提升预后评估可靠性。在后续诊断阶段,需提取基因信息以制定个体化治疗方案。由于癌症治疗效果高度依赖早期诊断与干预,本文构建了一个深度隐变量模型,基于患者的医学影像推断其体细胞突变谱。首先引入病灶图像的点云表示,实现对成像模态的不变性;进而提出LLOST模型,采用双变分自编码器通过共享隐空间联合病灶点云特征与突变计数。每个隐空间均使用条件归一化流先验建模,以适应各领域分布差异。我们在来自The Cancer Imaging Archive的去标识化影像与TCGA Pan Cancer数据集中的体细胞突变数据上进行实验。结果表明,模型不仅能准确预测特定突变的数量,还能有效判断突变是否存在,并揭示影像与突变之间的共现模式,反映癌症类型特征。最后讨论模型优化方向及未来扩展至其他遗传域的可能性。

原文摘要 · Abstract (English)

Medical imaging is a critical initial tool used by clinicians to determine a patient's cancer diagnosis, allowing for faster intervention and more reliable patient prognosis. At subsequent stages of patient diagnosis, genetic information is extracted to help select specific patient treatment options. As the efficacy of cancer treatment often relies on early diagnosis and treatment, we build a deep latent variable model to determine patients' somatic mutation profiles based on their corresponding medical images. We first introduce a point cloud representation of lesions images to allow for invariance to the imaging modality. We then propose, LLOST, a model with dual variational autoencoders coupled together by a separate shared latent space that unifies features from the lesion point clouds and counts of distinct somatic mutations. Therefore our model consists of three latent space, each of which is learned with a conditional normalizing flow prior to account for the diverse distributions of each domain. We conduct qualitative and quantitative experiments on de-identified medical images from The Cancer Imaging Archive and the corresponding somatic mutations from the Pan Cancer dataset of The Cancer Genomic Archive. We show the model's predictive performance on the counts of specific mutations as well as it's ability to accurately predict the occurrence of mutations. In particular, shared patterns between the imaging and somatic mutation domain that reflect cancer type. We conclude with a remark on how to improve the model and possible future avenues of research to include other genetic domains.

影像基因融合体细胞突变深度学习癌症诊断

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