提出新模型精准捕捉肿瘤内部差异,提升医学影像分类效果。
Heterogeneity-Aware Deep Learning for Tumour Classification from Multiparametric MRI

- 通过无监督聚类生成初始亚区,再跨患者对齐到统一标签空间。
- 双流特征提取融合局部异质性与全局肿瘤信息,分类准确率更高。
- 适合肿瘤影像分析、放射组学及临床决策支持研究者使用。
肿瘤内异质性(ITH)反映肿瘤生物学的空间差异,是影响肿瘤行为、预后和治疗反应的重要因素。虽然放射组学和深度学习在多参数MRI(mp-MRI)肿瘤分类中表现出潜力,但放射组学依赖人工特征,多数深度学习方法采用全瘤表示或手动定义子区域,难以规模化建模异质性。本文提出一种异质性感知深度学习分类框架(HA-DLC),显式建模影像衍生的肿瘤亚区域,用于病灶类型诊断和分子状态预测。HA-DLC包含:(1) 异质亚区生成(HSG)模块,通过无监督聚类生成初始伪标签亚区,再经跨患者亚区对齐(CPSA)将其映射至共享标签空间;(2) 双流特征提取(DSFE)模块,整合局部异质性特征与全局肿瘤表示。联合优化初始聚类掩码、CPSA、分割、特征提取与分类任务,采用软目标分割与分类目标。在LLD-MMRI2023肝病灶数据集和RSNA-ASNR-MICCAI 2021放射基因脑肿瘤数据集上,HA-DLC持续优于现有先进放射组学与深度学习基线,验证了跨患者亚区对齐与双流异质性建模的有效性。
原文摘要 · Abstract (English)
Intra-tumoural heterogeneity (ITH) reflects spatial variation in tumour biology and is an important determinant of tumour behaviour, prognosis, and treatment response. Radiomics and deep learning have shown promise for tumour classification from multiparametric MRI (mp-MRI), but radiomics relies on handcrafted features, while most deep learning methods use whole-tumour representations or manually defined sub-regions, limiting scalable modelling of tumour heterogeneity. We propose a Heterogeneity-Aware Deep Learning Classification (HA-DLC) framework that explicitly models imaging-derived tumour sub-regions for lesion-type diagnosis and molecular-status prediction. HA-DLC consists of: (1) a Heterogeneous Sub-region Generation (HSG) module that produces initial pseudo-labelled sub-regions via unsupervised clustering, followed by Cross-Patient Sub-region Alignment (CPSA), which maps cluster-derived regions to a shared label space using soft assignments; and (2) a Dual-Stream Feature Extraction (DSFE) module that integrates local heterogeneity-aware features with global tumour representations. Given the initial clustering masks, CPSA, segmentation, feature extraction, and classification are jointly optimized end-to-end using soft-target segmentation and classification objectives. We evaluate HA-DLC on the LLD-MMRI2023 liver lesion dataset and the RSNA-ASNR-MICCAI 2021 Radiogenomic Brain Tumour dataset. HA-DLC consistently outperforms state-of-the-art radiomics and deep learning baselines, demonstrating the value of cross-patient sub-region alignment and dual-stream heterogeneity modelling for tumour classification from mp-MRI.
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