arXiv:2512.08029cs.LGcs.CV2025-12中稿 · ECCV被引 7

CLARITY用潜在空间建模疾病轨迹,为癌症治疗提供个性化决策支持。

CLARITY: Medical World Model for Guiding Treatment Decisions by Modeling Context-Aware Disease Trajectories in Latent Space

  • 在结构化潜在空间中融合时间与患者特征,生成平滑可解释的疾病演化路径
  • 在MU-Glioma-Post数据集上比最新MeWM提升12%,超越所有医疗大模型
  • 首次实现从预测到治疗建议的透明转化,适合临床辅助决策场景

肿瘤学临床决策需预测动态疾病演变,现有静态AI模型难以胜任。尽管世界模型(WMs)提供生成式预测新范式,但当前医学应用仍受限。现有方法多依赖随机扩散模型,侧重视觉重建而非因果生理变迁。此外,如MeWM等模型忽略患者特异性时序与临床背景,且缺乏将预测反馈至治疗决策的机制。为此,我们提出CLARITY——一种医疗世界模型,直接在结构化潜在空间中预测疾病演进。它显式整合时间间隔(时序上下文)与患者特异性数据(临床上下文),建模治疗条件下的平滑、可解释轨迹,从而生成生理上可信的个体化治疗方案。最后,CLARITY引入新型预测-决策框架,将潜在空间展开结果转化为透明、可操作的建议。在MU-Glioma-Post数据集上,其治疗规划性能达领先水平,相比近期MeWM提升12%,显著优于所有其他医疗专用大语言模型。

原文摘要 · Abstract (English)

Clinical decision-making in oncology requires predicting dynamic disease evolution, a task current static AI predictors cannot perform. While world models (WMs) offer a paradigm for generative prediction, existing medical applications remain limited. Existing methods often rely on stochastic diffusion models, focusing on visual reconstruction rather than causal, physiological transitions. Furthermore, in medical domain, models like MeWM typically ignore patient-specific temporal and clinical contexts and lack a feedback mechanism to link predictions to treatment decisions. To address these gaps, we introduce CLARITY, a medical world model that forecasts disease evolution directly within a structured latent space. It explicitly integrates time intervals (temporal context) and patient-specific data (clinical context) to model treatment-conditioned progression as a smooth, interpretable trajectory, and thus generate physiologically faithful, individualized treatment plans. Finally, CLARITY introduces a novel prediction-to-decision framework, translating latent rollouts into transparent, actionable recommendations. CLARITY demonstrates state-of-the-art performance in treatment planning. On the MU-Glioma-Post dataset, our approach outperforms recent MeWM by 12\%, and significantly surpasses all other medical-specific large language models.

医疗决策世界模型疾病轨迹个性化治疗

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