2605.12855
2026-05-14
cs.CV
Prediction of Rectal Cancer Regrowth from Longitudinal Endoscopy
Jorge Tapias Gomez, Despoina Kanata, Aneesh Rangnekar, Christina Lee, Hannah Williams, Hannah Thompson, J. Joshua Smith, Francisco Sanchez-Vega, Mert R. Sabuncu, Julio Garcia-Aguilar, Harini Veeraraghavan
发表机构
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Department of Medical Physics, Memorial Sloan Kettering Cancer Center(医学物理部,纪念斯隆凯特勒癌症中心)
;
School of Computer Science, Cornell University and Cornell Tech(计算机科学学院,康奈尔大学和康奈尔科技)
;
Department of Surgery, Colorectal Service, Memorial Sloan Kettering Cancer Center(外科部,结直肠服务,纪念斯隆凯特勒癌症中心)
;
Department of Radiology, Weill Cornell Medical College(放射科,韦尔医学院)
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School of Electrical and Computer Engineering, Cornell University and Cornell Tech(电气与计算机工程学院,康奈尔大学和康奈尔科技)
AI总结
该研究提出了一种基于纵向内镜图像的深度学习方法TREX,用于预测接受“观察等待”治疗的直肠癌患者肿瘤的复发情况。TREX通过结合治疗后复查和随访期间的图像,利用双交叉注意力机制和预训练的Swin Transformer模型,在无需图像配准的情况下提取并融合特征,从而区分完全缓解与局部复发。实验表明,TREX在复发检测和早期预警方面均优于现有方法,并在临床验证中表现出与专业医生相当的诊断准确性。