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arXiv 2505.21699eess.IVcs.AIcs.CV

STA-Risk:用于乳腺癌风险预测的时空不对称性深度探究

STA-Risk: A Deep Dive of Spatio-Temporal Asymmetries for Breast Cancer Risk Prediction

Intelligent Systems Program, University of Pittsburgh(匹兹堡大学智能系统项目);Department of Radiology, University of Pittsburgh(匹兹堡大学放射科);Department of Biomedical Informatics and Department of Bioengineering University of Pittsburgh(匹兹堡大学生物医学信息学系和生物工程系)

Zhengbo Zhou, Dooman Arefan, Margarita Zuley, Jules Sumkin, Shandong Wu

AI总结:

提出基于Transformer的STA-Risk模型,通过侧位编码、时间编码及定制非对称损失,捕捉双侧和纵向影像的时空不对称性,在1至5年乳腺癌风险预测中优于四种SOTA模型。

摘要:

预测患乳腺癌的风险是指导早期干预和制定个性化筛查策略的重要临床工具。早期风险模型性能有限,近期基于机器学习的乳腺X光图像分析展现了令人鼓舞的风险预测效果。然而,这些模型仅限于使用单次检查,或往往忽视了纵向影像检查中空间和时间细节上指示乳腺癌风险的细微乳腺组织演变。在本文中,我们提出了STA-Risk(基于空间和时间不对称性的风险预测),这是一种新颖的基于Transformer的模型,可同时从双侧和纵向不对称性中捕捉细粒度的乳腺X光影像演变,用于乳腺癌风险预测。STA-Risk的创新之处在于通过侧位编码和时间编码来学习时空不对称性,并由定制的非对称损失进行调节。我们使用两个独立的乳腺X光数据集进行了广泛的实验,在1至5年的未来风险预测中,其性能优于四种具有代表性的SOTA模型。源代码将在论文发表后发布。

英文摘要:

Predicting the risk of developing breast cancer is an important clinical tool to guide early intervention and tailoring personalized screening strategies. Early risk models have limited performance and recently machine learning-based analysis of mammogram images showed encouraging risk prediction effects. These models however are limited to the use of a single exam or tend to overlook nuanced breast tissue evolvement in spatial and temporal details of longitudinal imaging exams that are indicative of breast cancer risk. In this paper, we propose STA-Risk (Spatial and Temporal Asymmetry-based Risk Prediction), a novel Transformer-based model that captures fine-grained mammographic imaging evolution simultaneously from bilateral and longitudinal asymmetries for breast cancer risk prediction. STA-Risk is innovative by the side encoding and temporal encoding to learn spatial-temporal asymmetries, regulated by a customized asymmetry loss. We performed extensive experiments with two independent mammogram datasets and achieved superior performance than four representative SOTA models for 1- to 5-year future risk prediction. Source codes will be released upon publishing of the paper.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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