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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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    Area of Science:

    • Oncology
    • Bioinformatics
    • Medical Imaging

    Background:

    • Cancer survival analysis is crucial for treatment evaluation and prognosis.
    • Current cross-modal learning methods struggle with data redundancy and high-dimensional genetic data representation.
    • Pathology image analysis is computationally intensive, and data heterogeneity hinders multimodal fusion.

    Purpose of the Study:

    • To propose a novel Large Language Model (LLM)-driven Cross-Modality MoE-feature Fusion Network (LCM-Net) for enhanced cancer survival prediction.
    • To address challenges in integrating genomic and pathology data, including data redundancy and computational intensity.
    • To improve the accuracy and efficiency of predicting cancer survival outcomes.

    Main Methods:

    • Developed a Genomic Language Alignment (GLA) module using LLMs to encode genomic features into concise representations.
    • Introduced a Pathological Feature Refinement (PFR) module to filter irrelevant regions in pathology images.
    • Proposed a Multimodal Expert Integration (MEI) module to fuse processed genomic and pathological features.

    Main Results:

    • LCM-Net demonstrated superior performance compared to state-of-the-art methods across five public datasets.
    • Ablation studies confirmed the significant contribution of each proposed module (GLA, PFR, MEI).
    • The approach effectively handles data redundancy and computational challenges in multimodal cancer data analysis.

    Conclusions:

    • The proposed LCM-Net offers a powerful and effective approach for cancer survival prediction by integrating diverse data modalities.
    • The innovative modules significantly enhance feature representation and fusion for improved prognostic accuracy.
    • This LLM-driven framework provides a promising direction for future research in computational oncology.