arXiv AI

Multimodal Fusion Methods for Whole-Slide Images and Clinical Data in Inflammatory Bowel Disease

The paper introduces a modular framework for multimodal AI fusion that combines slide-level embeddings from histology images with per-visit clinical embeddings using 15 interchangeable fusion methods. Applied to a prospective cohort of newly diagnosed inflammatory bowel disease patients, the best fusion method achieved macro‑F1 scores between 0.57 and 0.75, outperforming single‑modality models in most scenarios and showing varying reliance on image data depending on the remission outcome. The study highlights how different fusion strategies can influence predictive performance across distinct clinical endpoints.

arXiv AI
Sep 21

MIST: Multimodal Survival Prediction with Genomic-Guided Histology Attention

MIST is a multimodal survival prediction framework that fuses whole-slide images and genomic profiles by representing genomic features as tokens that query histology context tokens derived from a foundation model. The architecture enriches molecular information with histology context before survival prediction, avoiding late-stage merging of separately encoded modalities. Training incorporates discrete-time survival prediction, genomic feature masking, WSI dropout, and contrastive alignment, and demonstrates improved external C-index across colon, renal, lung, and glioblastoma cohorts compared to standard fusion baselines.

By Muhammet Sami Yavuz, Sabri Mustafa Kahya, Richard R. Chen, Jana Lipkova, Benedikt Wiestler
arXiv AI
Oct 28

A Computationally Efficient Multi-Section Whole Slide Image Analysis for Capturing Prostate Cancer Multifocality in Biochemical Recurrence Prediction

The study introduces a computationally efficient multi‑section whole slide image analysis framework that captures the entire prostate tumor landscape to predict biochemical recurrence (BCR) after radical prostatectomy. Using a large dataset of 23,451 slides from 789 patients, the authors optimized patch and slide subsampling to reduce computational demands while achieving strong predictive performance for 1‑ and 2‑year BCR, comparable to or better than existing clinical benchmarks. The AI‑derived risk score was an independent prognostic factor, improved prognostic performance when combined with clinical variables, and showed preliminary transferability in an external cohort, with attention‑dispersion analysis confirming that the model leveraged information from multiple sections consistent with prostate cancer’s multifocal nature.

By Yesung Cho, Dongmyung Shin, Sujeong Hong, Jooyeon Lee, Seongmin Park, Geongyu Lee, Won Young Park, Bongjin Park, Jongbae Park, Hong Koo Ha
arXiv AI
Jun 17

Probing, Fusion, and Trustworthiness: A Systematic Evaluation of Foundation Model Representations for Multimodal Cancer Analysis

arXiv:2606. 17115v1 Announce Type: cross Abstract: Foundation models (FMs) have emerged as powerful representation extractors for medical data, yet their generalizability to datasets under distribution shift remains underexplored.

By Jingyu Hu, Giuseppe Tripodi, Reed Naidoo, Sarah F. McGough, Tapabrata Chakraborti
arXiv AI
Oct 9

GPF-Net: Gated Progressive Fusion Learning for Polyp Re-Identification

The paper introduces GPF‑Net, a Gated Progressive Fusion Network designed for colonoscopic polyp re‑identification. It fuses multimodal features from multiple levels using fully connected gating mechanisms, allowing layer‑wise refinement of semantic information. Experiments on standard benchmarks show that this multimodal, progressive fusion approach outperforms state‑of‑the‑art unimodal ReID models, especially for small polyps where fine‑grained details are crucial.

By Suncheng Xiang, Xiaoyang Wang, Junjie Jiang, Hejia Wang, Dahong Qian
arXiv Machine Learning
Jun 2

DPsurv: Dual-Prototype Evidential Fusion for Uncertainty-Aware and Interpretable Whole-Slide Image Survival Prediction

arXiv:2510. 00053v2 Announce Type: replace-cross Abstract: Pathology whole-slide images (WSIs) are widely used for cancer survival analysis because of their comprehensive histopathological information at both cellular and tissue levels, enabling quantitative, large-scale, and prognostically rich tumor feature analysis.

By Yucheng Xing, Ling Huang, Jingying Ma, Ruping Hong, Jiangdong Qiu, Pei Liu, Kai He, Huazhu Fu, Mengling Feng
arXiv AI
Sep 10

Semantic Context-aware mOdality fUsion Transformer (SCOUT): A Context-Aware Multimodal Transformer for Concept-Grounded Pathology Report Generation

SCOUT is a concept‑grounded multimodal transformer that generates whole‑slide pathology reports by integrating local histological patterns, whole‑slide context, and expert‑curated diagnostic concepts. It uses evolving visual representations and recursively updated slide‑ and concept‑conditioned representations, with separate attention pathways during decoding that are fused adaptively for each token. Evaluated on TCGA‑BRCA, HistAI, and REG‑2025, SCOUT outperformed existing methods, improving BLEU, METEOR, and ROUGE‑L scores and raising the Clinical Report Quality Score on REG‑2025.

By Suryakant Singh, Saarthak Kapse, Joel Saltz, Prateek Prasanna
arXiv Computer Vision
Sep 14

A Dual Cross-Attention Framework for Colposcopic CIN Grading and Swede Score Prediction Using a New Multi-Center Dataset

The paper introduces a dual cross‑attention deep learning framework for automated grading of Cervical Intraepithelial Neoplasia (CIN) and prediction of Swede scores, using a newly released BUET Multi‑Center Colposcopy Dataset. The architecture fuses paired multimodal cervigrams and employs a custom composite loss to handle class imbalance, achieving 71.85% accuracy and 86.23% AUC‑ROC for three‑class CIN grading, and AUC‑ROC values between 75.7% and 88.4% for individual Swede score components. The total predicted Swede Score has a mean absolute error of 1.489, indicating potential for AI‑assisted colposcopy screening in resource‑limited settings.

By Dania Khan, Nuzhat Aisha Shaikh, Asfina Hassan Juicy, Raiyun Kabir, S M Shahida, Taufiq Hasan