CMT-FFNet: A CMT-based feature-fusion network for predicting TACE treatment response in hepatocellular carcinoma.

Journal: Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
Published Date:

Abstract

Accurately and preoperatively predicting tumor response to transarterial chemoembolization (TACE) treatment is crucial for individualized treatment decision-making hepatocellular carcinoma (HCC). In this study, we propose a novel feature fusion network based on the Convolutional Neural Networks Meet Vision Transformers (CMT) architecture, termed CMT-FFNet, to predict TACE efficacy using preoperative multiphase Magnetic Resonance Imaging (MRI) scans. The CMT-FFNet combines local feature extraction with global dependency modeling through attention mechanisms, enabling the extraction of complementary information from multiphase MRI data. Additionally, we introduce an orthogonality loss to optimize the fusion of imaging and clinical features, further enhancing the complementarity of cross-modal features. Moreover, visualization techniques were employed to highlight key regions contributing to model decisions. Extensive experiments were conducted to evaluate the effectiveness of the proposed modules and network architecture. Experimental results demonstrate that our model effectively captures latent correlations among features extracted from multiphase MRI data and multimodal inputs, significantly improving the prediction performance of TACE treatment response in HCC patients.

Authors

  • Sen Wang
    Key Laboratory of Animal Production, Product Quality and Security, Ministry of Education, Key Laboratory of Animal Nutrition and Feed Science, Jilin Province, College of Animal Science and Technology, Jilin Agricultural University, Changchun, 130118, China.
  • Ying Zhao
    Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Xiuding Cai
    Chengdu Institute of Computer Application Chinese Academy of Sciences, China; University of the Chinese Academy of Sciences, China. Electronic address: caixiuding20@mails.ucas.ac.cn.
  • Nan Wang
    Department of Gastroenterology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
  • Qinhe Zhang
    Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Ministry of Education), School of Mechanical Engineering, Shandong University, Jinan 250061, China; National Demonstration Center for Experimental Mechanical Engineering Education, Shandong University, Jinan 250061, China. Electronic address: zhangqh@sdu.edu.cn.
  • Siyi Qi
    College of Medical Imaging, Dalian Medical University, China. Electronic address: 995761575@qq.com.
  • Ziyao Yu
    College of Medical Imaging, Dalian Medical University, China. Electronic address: yuziyao2004@qq.com.
  • Ailian Liu
    Department of Radiology, the First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Yu Yao
    Key Laboratory of Intelligent Computing and Signal Processing of Ministry of Education, ‡School of Computer Science and Technology, and §Center of Information Support & Assurance Technology, Anhui University , Hefei, 230601 Anhui, China.