用贝叶斯物理神经网络,从少量肺肿瘤CT影像预测生长并给出可信度。
Uncertainty-Aware Prediction of Lung Tumor Growth from Sparse Longitudinal CT Data via Bayesian Physics-Informed Neural Networks

- 融合戈姆佩茨生长模型与贝叶斯推断,处理稀疏不规则CT数据
- 在30名患者上实现0.20的对数空间均方误差和95%可信区间校准
- 可输出带置信度的预测,适合临床中随访扫描少的场景
本研究针对稀疏且不规则的纵向CT观测数据,探索肺肿瘤生长预测问题。提出一种结合戈姆佩茨生长动力学与对数体积域低维贝叶斯推断的贝叶斯物理信息神经网络。采用两阶段推断策略,融合最大后验估计与哈密顿蒙特卡洛采样,以获得后验预测分布和不确定性区间。在国家肺癌筛查试验(30名患者)数据上评估,结果表明该方法能捕捉肿瘤生长的异质性,在有限观测下仍保持合理预测精度。相比确定性建模,本方法额外提供校准良好的不确定性估计。推断出的后验参数相关性与预期生物学行为一致。整体在队列水平实现约0.20的对数空间均方误差,并在30名患者中实现95%可信区间的良好校准。结果表明,贝叶斯物理信息建模在仅有有限纵向随访扫描时,可用于具有不确定性的肿瘤生长评估。
原文摘要 · Abstract (English)
This work studies lung tumor growth prediction from sparse and irregular longitudinal computed tomography (CT) observations with measurement variability. A Bayesian physics-informed neural network is developed by combining Gompertz growth dynamics with low-dimensional Bayesian inference in the log-volume domain. The framework employs a two-stage inference strategy combining maximum a posteriori (MAP) estimation and Hamiltonian Monte Carlo (HMC) sampling to estimate posterior predictive distributions and uncertainty intervals. The method was evaluated on longitudinal data from the National Lung Screening Trial (30 patients). Results show that the model captures heterogeneous tumor growth patterns while maintaining reasonable prediction accuracy under limited observations. Compared with deterministic modeling approaches, the proposed approach additionally provides calibrated uncertainty estimates. The inferred posterior parameter correlations were consistent with expected biological growth behavior. The proposed framework achieved a cohort-level log-space RMSE of approximately 0.20 together with well-calibrated 95% credible interval coverage across 30 patients. These findings suggest that Bayesian physics-informed modeling may be useful for uncertainty-aware tumor growth assessment when only limited longitudinal follow-up scans are available.
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