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arXiv AI By Amit Das, Tanmay Shukla, Naofumi Tomita, Faraz Farhadi, Jessica Sin, Ari Hakimi, Chad Vanderbilt, Jie-Fu Chen, Ritesh Kotecha, Weijie Ma, Bing Ren, Saeed Hassanpour

Cross-Modal Contrastive Learning from Histopathology and CT for Automated Renal Cell Carcinoma Grading

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The study introduces RCC-Align, a cross‑modal contrastive learning framework that aligns paired histopathology whole‑slide images and CT scans to enhance noninvasive grading of clear cell renal cell carcinoma (ccRCC). Using patient‑level five‑fold cross‑validation on TCGA and CPTAC cohorts, RCC‑Align achieved an AUC of 0.601 and AUPRC of 0.599 for low‑ versus high‑grade ccRCC classification, outperforming CT‑only baselines and showing stronger WSI‑CT embedding alignment. The approach relies solely on CT at inference, potentially aiding grading when biopsy is unsafe or limited by tumor heterogeneity.

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