Multimodal Feature Prototype Learning for Interpretable and Discriminative Cancer Survival Prediction

Fuente: arXiv
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Autori principali: Jiang, Shuo, Chen, Zhuwen, Xu, Liaoman, Zhu, Yanming, Wang, Changmiao, Zhang, Jiong, Qin, Feiwei, Chen, Yifei, Zhu, Zhu
Natura: Preprint
Pubblicazione: 2025
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author Jiang, Shuo
Chen, Zhuwen
Xu, Liaoman
Zhu, Yanming
Wang, Changmiao
Zhang, Jiong
Qin, Feiwei
Chen, Yifei
Zhu, Zhu
author_facet Jiang, Shuo
Chen, Zhuwen
Xu, Liaoman
Zhu, Yanming
Wang, Changmiao
Zhang, Jiong
Qin, Feiwei
Chen, Yifei
Zhu, Zhu
contents Survival analysis plays a vital role in making clinical decisions. However, the models currently in use are often difficult to interpret, which reduces their usefulness in clinical settings. Prototype learning presents a potential solution, yet traditional methods focus on local similarities and static matching, neglecting the broader tumor context and lacking strong semantic alignment with genomic data. To overcome these issues, we introduce an innovative prototype-based multimodal framework, FeatProto, aimed at enhancing cancer survival prediction by addressing significant limitations in current prototype learning methodologies within pathology. Our framework establishes a unified feature prototype space that integrates both global and local features of whole slide images (WSI) with genomic profiles. This integration facilitates traceable and interpretable decision-making processes. Our approach includes three main innovations: (1) A robust phenotype representation that merges critical patches with global context, harmonized with genomic data to minimize local bias. (2) An Exponential Prototype Update Strategy (EMA ProtoUp) that sustains stable cross-modal associations and employs a wandering mechanism to adapt prototypes flexibly to tumor heterogeneity. (3) A hierarchical prototype matching scheme designed to capture global centrality, local typicality, and cohort-level trends, thereby refining prototype inference. Comprehensive evaluations on four publicly available cancer datasets indicate that our method surpasses current leading unimodal and multimodal survival prediction techniques in both accuracy and interoperability, providing a new perspective on prototype learning for critical medical applications. Our source code is available at https://github.com/JSLiam94/FeatProto.
format Preprint
id arxiv_https___arxiv_org_abs_2510_06113
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Multimodal Feature Prototype Learning for Interpretable and Discriminative Cancer Survival Prediction
Jiang, Shuo
Chen, Zhuwen
Xu, Liaoman
Zhu, Yanming
Wang, Changmiao
Zhang, Jiong
Qin, Feiwei
Chen, Yifei
Zhu, Zhu
Computer Vision and Pattern Recognition
Survival analysis plays a vital role in making clinical decisions. However, the models currently in use are often difficult to interpret, which reduces their usefulness in clinical settings. Prototype learning presents a potential solution, yet traditional methods focus on local similarities and static matching, neglecting the broader tumor context and lacking strong semantic alignment with genomic data. To overcome these issues, we introduce an innovative prototype-based multimodal framework, FeatProto, aimed at enhancing cancer survival prediction by addressing significant limitations in current prototype learning methodologies within pathology. Our framework establishes a unified feature prototype space that integrates both global and local features of whole slide images (WSI) with genomic profiles. This integration facilitates traceable and interpretable decision-making processes. Our approach includes three main innovations: (1) A robust phenotype representation that merges critical patches with global context, harmonized with genomic data to minimize local bias. (2) An Exponential Prototype Update Strategy (EMA ProtoUp) that sustains stable cross-modal associations and employs a wandering mechanism to adapt prototypes flexibly to tumor heterogeneity. (3) A hierarchical prototype matching scheme designed to capture global centrality, local typicality, and cohort-level trends, thereby refining prototype inference. Comprehensive evaluations on four publicly available cancer datasets indicate that our method surpasses current leading unimodal and multimodal survival prediction techniques in both accuracy and interoperability, providing a new perspective on prototype learning for critical medical applications. Our source code is available at https://github.com/JSLiam94/FeatProto.
title Multimodal Feature Prototype Learning for Interpretable and Discriminative Cancer Survival Prediction
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2510.06113