Structural Prognostic Event Modeling for Multimodal Cancer Survival Analysis

Fuente: arXiv
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Autori principali: Zhang, Yilan, Nanbo, Li, Yang, Changchun, Schmidhuber, Jürgen, Gao, Xin
Natura: Preprint
Pubblicazione: 2025
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author Zhang, Yilan
Nanbo, Li
Yang, Changchun
Schmidhuber, Jürgen
Gao, Xin
author_facet Zhang, Yilan
Nanbo, Li
Yang, Changchun
Schmidhuber, Jürgen
Gao, Xin
contents The integration of histology images and gene profiles has shown great promise for improving survival prediction in cancer. However, current approaches often struggle to model intra- and inter-modal interactions efficiently and effectively due to the high dimensionality and complexity of the inputs. A major challenge is capturing critical prognostic events that, though few, underlie the complexity of the observed inputs and largely determine patient outcomes. These events, manifested as high-level structural signals such as spatial histologic patterns or pathway co-activations, are typically sparse, patient-specific, and unannotated, making them inherently difficult to uncover. To address this, we propose SlotSPE, a slot-based framework for structural prognostic event modeling. Specifically, inspired by the principle of factorial coding, we compress each patient's multimodal inputs into compact, modality-specific sets of mutually distinctive slots using slot attention. By leveraging these slot representations as encodings for prognostic events, our framework enables both efficient and effective modeling of complex intra- and inter-modal interactions, while also facilitating seamless incorporation of biological priors that enhance prognostic relevance. Extensive experiments on ten cancer benchmarks show that SlotSPE outperforms existing methods in 8 out of 10 cohorts, achieving an overall improvement of 2.9%. It remains robust under missing genomic data and delivers markedly improved interpretability through structured event decomposition.
format Preprint
id arxiv_https___arxiv_org_abs_2512_01116
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Structural Prognostic Event Modeling for Multimodal Cancer Survival Analysis
Zhang, Yilan
Nanbo, Li
Yang, Changchun
Schmidhuber, Jürgen
Gao, Xin
Computer Vision and Pattern Recognition
I.2
The integration of histology images and gene profiles has shown great promise for improving survival prediction in cancer. However, current approaches often struggle to model intra- and inter-modal interactions efficiently and effectively due to the high dimensionality and complexity of the inputs. A major challenge is capturing critical prognostic events that, though few, underlie the complexity of the observed inputs and largely determine patient outcomes. These events, manifested as high-level structural signals such as spatial histologic patterns or pathway co-activations, are typically sparse, patient-specific, and unannotated, making them inherently difficult to uncover. To address this, we propose SlotSPE, a slot-based framework for structural prognostic event modeling. Specifically, inspired by the principle of factorial coding, we compress each patient's multimodal inputs into compact, modality-specific sets of mutually distinctive slots using slot attention. By leveraging these slot representations as encodings for prognostic events, our framework enables both efficient and effective modeling of complex intra- and inter-modal interactions, while also facilitating seamless incorporation of biological priors that enhance prognostic relevance. Extensive experiments on ten cancer benchmarks show that SlotSPE outperforms existing methods in 8 out of 10 cohorts, achieving an overall improvement of 2.9%. It remains robust under missing genomic data and delivers markedly improved interpretability through structured event decomposition.
title Structural Prognostic Event Modeling for Multimodal Cancer Survival Analysis
topic Computer Vision and Pattern Recognition
I.2
url https://arxiv.org/abs/2512.01116