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Main Authors: Chen, Liren, Sun, Lidong, Huang, Mingyan, Tang, Junzhe, Zhu, Yinghui, Wang, Guanjie, Xia, Yiqing, Xiao, Ting
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2605.14710
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author Chen, Liren
Sun, Lidong
Huang, Mingyan
Tang, Junzhe
Zhu, Yinghui
Wang, Guanjie
Xia, Yiqing
Xiao, Ting
author_facet Chen, Liren
Sun, Lidong
Huang, Mingyan
Tang, Junzhe
Zhu, Yinghui
Wang, Guanjie
Xia, Yiqing
Xiao, Ting
contents Deep learning and multi-modal fusion have demonstrated transformative potential in medical diagnosis by integrating diverse data sources. However, accurate prognosis for ischemic stroke remains challenging due to limitations in existing multi-modal approaches. First, current methods are predominantly confined to dual-modal fusion, lacking a framework that effectively integrates the trifecta of medical images, structured clinical data, and unstructured text. Second, they often fail to establish deep bidirectional interactions between modalities; To address these critical gaps, this paper proposes a novel tri-modal fusion model for ischemic stroke prognosis. Our approach first enriches the data representation by employing a Large Language Model (LLM) to automatically generate semi-structured diagnostic text from brain MRIs. This process not only addresses the scarcity of expert annotations but also serves as a regularized semantic enhancement, improving multimodal fusion robustness. Furthermore, we design a core component termed the Vision-Conditioned Dual Alignment Fusion Module (VDAFM), which strategically uses visual features as a conditional prior to guide fine-grained interaction with the generated text. This module achieves a dynamic and profound fusion through a dual semantic alignment loss, effectively mitigating modal heterogeneity. Extensive experiments on a real-world clinical dataset demonstrate that our model achieves state-of-the-art performance.
format Preprint
id arxiv_https___arxiv_org_abs_2605_14710
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Vision-Core Guided Contrastive Learning for Balanced Multi-modal Prognosis Prediction of Stroke
Chen, Liren
Sun, Lidong
Huang, Mingyan
Tang, Junzhe
Zhu, Yinghui
Wang, Guanjie
Xia, Yiqing
Xiao, Ting
Computer Vision and Pattern Recognition
Artificial Intelligence
Deep learning and multi-modal fusion have demonstrated transformative potential in medical diagnosis by integrating diverse data sources. However, accurate prognosis for ischemic stroke remains challenging due to limitations in existing multi-modal approaches. First, current methods are predominantly confined to dual-modal fusion, lacking a framework that effectively integrates the trifecta of medical images, structured clinical data, and unstructured text. Second, they often fail to establish deep bidirectional interactions between modalities; To address these critical gaps, this paper proposes a novel tri-modal fusion model for ischemic stroke prognosis. Our approach first enriches the data representation by employing a Large Language Model (LLM) to automatically generate semi-structured diagnostic text from brain MRIs. This process not only addresses the scarcity of expert annotations but also serves as a regularized semantic enhancement, improving multimodal fusion robustness. Furthermore, we design a core component termed the Vision-Conditioned Dual Alignment Fusion Module (VDAFM), which strategically uses visual features as a conditional prior to guide fine-grained interaction with the generated text. This module achieves a dynamic and profound fusion through a dual semantic alignment loss, effectively mitigating modal heterogeneity. Extensive experiments on a real-world clinical dataset demonstrate that our model achieves state-of-the-art performance.
title Vision-Core Guided Contrastive Learning for Balanced Multi-modal Prognosis Prediction of Stroke
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2605.14710