PROFUSEme: PROstate Cancer Biochemical Recurrence Prediction via FUSEd Multi-modal Embeddings

Fuente: arXiv
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Autori principali: You, Suhang, Pitarch-Abaigar, Carla, Kachole, Sanket, Sonawane, Sumedh, Ha, Juhyung, Gada, Anish Sudarshan, Crandall, David, Shiradkar, Rakesh, Bakas, Spyridon
Natura: Preprint
Pubblicazione: 2025
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author You, Suhang
Pitarch-Abaigar, Carla
Kachole, Sanket
Sonawane, Sumedh
Ha, Juhyung
Gada, Anish Sudarshan
Crandall, David
Shiradkar, Rakesh
Bakas, Spyridon
author_facet You, Suhang
Pitarch-Abaigar, Carla
Kachole, Sanket
Sonawane, Sumedh
Ha, Juhyung
Gada, Anish Sudarshan
Crandall, David
Shiradkar, Rakesh
Bakas, Spyridon
contents Almost 30% of prostate cancer (PCa) patients undergoing radical prostatectomy (RP) experience biochemical recurrence (BCR), characterized by increased prostate specific antigen (PSA) and associated with increased mortality. Accurate early prediction of BCR, at the time of RP, would contribute to prompt adaptive clinical decision-making and improved patient outcomes. In this work, we propose prostate cancer BCR prediction via fused multi-modal embeddings (PROFUSEme), which learns cross-modal interactions of clinical, radiology, and pathology data, following an intermediate fusion configuration in combination with Cox Proportional Hazard regressors. Quantitative evaluation of our proposed approach reveals superior performance, when compared with late fusion configurations, yielding a mean C-index of 0.861 ($σ=0.112$) on the internal 5-fold nested cross-validation framework, and a C-index of 0.7107 on the hold out data of CHIMERA 2025 challenge validation leaderboard.
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id arxiv_https___arxiv_org_abs_2509_14051
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle PROFUSEme: PROstate Cancer Biochemical Recurrence Prediction via FUSEd Multi-modal Embeddings
You, Suhang
Pitarch-Abaigar, Carla
Kachole, Sanket
Sonawane, Sumedh
Ha, Juhyung
Gada, Anish Sudarshan
Crandall, David
Shiradkar, Rakesh
Bakas, Spyridon
Computer Vision and Pattern Recognition
Almost 30% of prostate cancer (PCa) patients undergoing radical prostatectomy (RP) experience biochemical recurrence (BCR), characterized by increased prostate specific antigen (PSA) and associated with increased mortality. Accurate early prediction of BCR, at the time of RP, would contribute to prompt adaptive clinical decision-making and improved patient outcomes. In this work, we propose prostate cancer BCR prediction via fused multi-modal embeddings (PROFUSEme), which learns cross-modal interactions of clinical, radiology, and pathology data, following an intermediate fusion configuration in combination with Cox Proportional Hazard regressors. Quantitative evaluation of our proposed approach reveals superior performance, when compared with late fusion configurations, yielding a mean C-index of 0.861 ($σ=0.112$) on the internal 5-fold nested cross-validation framework, and a C-index of 0.7107 on the hold out data of CHIMERA 2025 challenge validation leaderboard.
title PROFUSEme: PROstate Cancer Biochemical Recurrence Prediction via FUSEd Multi-modal Embeddings
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.14051