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Main Authors: Song, Steven, Borjigin-Wang, Morgan, Madejski, Irene, Grossman, Robert L.
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2505.07683
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author Song, Steven
Borjigin-Wang, Morgan
Madejski, Irene
Grossman, Robert L.
author_facet Song, Steven
Borjigin-Wang, Morgan
Madejski, Irene
Grossman, Robert L.
contents The Cancer Genome Atlas (TCGA) has enabled novel discoveries and served as a large-scale reference dataset in cancer through its harmonized genomics, clinical, and imaging data. Numerous prior studies have developed bespoke deep learning models over TCGA for tasks such as cancer survival prediction. A modern paradigm in biomedical deep learning is the development of foundation models (FMs) to derive feature embeddings agnostic to a specific modeling task. Biomedical text especially has seen growing development of FMs. While TCGA contains free-text data as pathology reports, these have been historically underutilized. Here, we investigate the ability to train classical machine learning models over multimodal, zero-shot FM embeddings of cancer data. We demonstrate the ease and additive effect of multimodal fusion, outperforming unimodal models. Further, we show the benefit of including pathology report text and rigorously evaluate the effect of model-based text summarization and hallucination. Overall, we propose an embedding-centric approach to multimodal cancer modeling.
format Preprint
id arxiv_https___arxiv_org_abs_2505_07683
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Multimodal Cancer Modeling in the Age of Foundation Model Embeddings
Song, Steven
Borjigin-Wang, Morgan
Madejski, Irene
Grossman, Robert L.
Machine Learning
Artificial Intelligence
The Cancer Genome Atlas (TCGA) has enabled novel discoveries and served as a large-scale reference dataset in cancer through its harmonized genomics, clinical, and imaging data. Numerous prior studies have developed bespoke deep learning models over TCGA for tasks such as cancer survival prediction. A modern paradigm in biomedical deep learning is the development of foundation models (FMs) to derive feature embeddings agnostic to a specific modeling task. Biomedical text especially has seen growing development of FMs. While TCGA contains free-text data as pathology reports, these have been historically underutilized. Here, we investigate the ability to train classical machine learning models over multimodal, zero-shot FM embeddings of cancer data. We demonstrate the ease and additive effect of multimodal fusion, outperforming unimodal models. Further, we show the benefit of including pathology report text and rigorously evaluate the effect of model-based text summarization and hallucination. Overall, we propose an embedding-centric approach to multimodal cancer modeling.
title Multimodal Cancer Modeling in the Age of Foundation Model Embeddings
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2505.07683