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ProtoMM: Interpretable Prototype-Based Multimodal Model for Brain Cancer Survival Prediction.

Yuancheng Yang1,2, Renkai Ying1,2, Chao Tong3,4

  • 1School of Computer Science and Engineering, Beihang University, Beijing, China.

Journal of Imaging Informatics in Medicine
|October 31, 2025
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Summary

We introduce ProtoMM, an interpretable deep learning model for multimodal medical data analysis. This prototype-based approach enhances trust and reliability in medical diagnosis by providing transparent explanations for predictions.

Keywords:
Multimodal learningPrototype-based interpretabilitySurvival prediction

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Area of Science:

  • Artificial Intelligence in Medicine
  • Medical Data Analysis
  • Deep Learning for Healthcare

Background:

  • Deep learning significantly advances medical imaging analysis.
  • Multimodal data integration is crucial for medical diagnosis.
  • Existing deep learning models often lack interpretability in multimodal settings, hindering trust and reliability.

Purpose of the Study:

  • To develop an interpretable multimodal deep learning model for medical data analysis.
  • To address the limitations of black-box models in critical medical decision-making.
  • To enhance trust and reliability through transparent inference processes.

Main Methods:

  • Proposed ProtoMM, a prototype-based multimodal model emphasizing interpretability.
  • Utilized self-explanatory prototypes and transparent inference for reliable case explanations.
  • Employed multimodal fusion with two prototype layer levels: aggregate and singleton layers.

Main Results:

  • ProtoMM achieved a Concordance Index (C-Index) of 0.793 ± 0.027 in survival prediction tasks.
  • Performance is comparable to state-of-the-art black-box models.
  • The model provides fully interpretable insights into its decision-making process.

Conclusions:

  • ProtoMM offers a reliable and interpretable solution for multimodal medical data analysis.
  • The prototype-based approach enhances understanding and trust in AI-driven medical decisions.
  • This model represents a significant step towards explainable AI in clinical applications.