MEDFORM: A Foundation Model for Contrastive Learning of CT Imaging and Clinical Numeric Data in Multi-Cancer Analysis

Fuente: arXiv
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Main Authors: Jung, Daeun, Jang, Jaehyeok, Jang, Sooyoung, Park, Yu Rang
Format: Preprint
Published: 2025
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author Jung, Daeun
Jang, Jaehyeok
Jang, Sooyoung
Park, Yu Rang
author_facet Jung, Daeun
Jang, Jaehyeok
Jang, Sooyoung
Park, Yu Rang
contents Computed tomography (CT) and clinical numeric data are essential modalities for cancer evaluation, but building large-scale multimodal training datasets for developing medical foundation models remains challenging due to the structural complexity of multi-slice CT data and high cost of expert annotation. In this study, we propose MEDFORM, a multimodal pre-training strategy that guides CT image representation learning using complementary information from clinical data for medical foundation model development. MEDFORM efficiently processes CT slice through multiple instance learning (MIL) and adopts a dual pre-training strategy: first pretraining the CT slice feature extractor using SimCLR-based self-supervised learning, then aligning CT and clinical modalities through cross-modal contrastive learning. Our model was pre-trained on three different cancer types: lung cancer (141,171 slices), breast cancer (8,100 slices), colorectal cancer (10,393 slices). The experimental results demonstrated that this dual pre-training strategy improves cancer classification performance and maintains robust performance in few-shot learning scenarios. Code available at https://github.com/DigitalHealthcareLab/25MultiModalFoundationModel.git
format Preprint
id arxiv_https___arxiv_org_abs_2501_13277
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MEDFORM: A Foundation Model for Contrastive Learning of CT Imaging and Clinical Numeric Data in Multi-Cancer Analysis
Jung, Daeun
Jang, Jaehyeok
Jang, Sooyoung
Park, Yu Rang
Computer Vision and Pattern Recognition
Computed tomography (CT) and clinical numeric data are essential modalities for cancer evaluation, but building large-scale multimodal training datasets for developing medical foundation models remains challenging due to the structural complexity of multi-slice CT data and high cost of expert annotation. In this study, we propose MEDFORM, a multimodal pre-training strategy that guides CT image representation learning using complementary information from clinical data for medical foundation model development. MEDFORM efficiently processes CT slice through multiple instance learning (MIL) and adopts a dual pre-training strategy: first pretraining the CT slice feature extractor using SimCLR-based self-supervised learning, then aligning CT and clinical modalities through cross-modal contrastive learning. Our model was pre-trained on three different cancer types: lung cancer (141,171 slices), breast cancer (8,100 slices), colorectal cancer (10,393 slices). The experimental results demonstrated that this dual pre-training strategy improves cancer classification performance and maintains robust performance in few-shot learning scenarios. Code available at https://github.com/DigitalHealthcareLab/25MultiModalFoundationModel.git
title MEDFORM: A Foundation Model for Contrastive Learning of CT Imaging and Clinical Numeric Data in Multi-Cancer Analysis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2501.13277