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PathoGen-X: A Cross-Modal Genomic Feature Trans-Align Network for Enhanced Survival Prediction from Histopathology Images

Akhila Krishna, Nikhil Cherian Kurian, Abhijeet Patil, Amruta Parulekar, Amit Sethi

TL;DR

PathoGen-X is a deep learning framework that leverages both genomic and imaging data during training, relying solely on imaging data at testing, and demonstrates strong survival prediction performance on TCGA-BRCA, TCGA-LUAD, and TCGA-GBM datasets.

Abstract

Accurate survival prediction is essential for personalized cancer treatment. However, genomic data - often a more powerful predictor than pathology data - is costly and inaccessible. We present the cross-modal genomic feature translation and alignment network for enhanced survival prediction from histopathology images (PathoGen-X). It is a deep learning framework that leverages both genomic and imaging data during training, relying solely on imaging data at testing. PathoGen-X employs transformer-based networks to align and translate image features into the genomic feature space, enhancing weaker imaging signals with stronger genomic signals. Unlike other methods, PathoGen-X translates and aligns features without projecting them to a shared latent space and requires fewer paired samples. Evaluated on TCGA-BRCA, TCGA-LUAD, and TCGA-GBM datasets, PathoGen-X demonstrates strong survival prediction performance, emphasizing the potential of enriched imaging models for accessible cancer prognosis.

PathoGen-X: A Cross-Modal Genomic Feature Trans-Align Network for Enhanced Survival Prediction from Histopathology Images

TL;DR

PathoGen-X is a deep learning framework that leverages both genomic and imaging data during training, relying solely on imaging data at testing, and demonstrates strong survival prediction performance on TCGA-BRCA, TCGA-LUAD, and TCGA-GBM datasets.

Abstract

Accurate survival prediction is essential for personalized cancer treatment. However, genomic data - often a more powerful predictor than pathology data - is costly and inaccessible. We present the cross-modal genomic feature translation and alignment network for enhanced survival prediction from histopathology images (PathoGen-X). It is a deep learning framework that leverages both genomic and imaging data during training, relying solely on imaging data at testing. PathoGen-X employs transformer-based networks to align and translate image features into the genomic feature space, enhancing weaker imaging signals with stronger genomic signals. Unlike other methods, PathoGen-X translates and aligns features without projecting them to a shared latent space and requires fewer paired samples. Evaluated on TCGA-BRCA, TCGA-LUAD, and TCGA-GBM datasets, PathoGen-X demonstrates strong survival prediction performance, emphasizing the potential of enriched imaging models for accessible cancer prognosis.

Paper Structure

This paper contains 14 sections, 6 equations, 3 figures, 2 tables.

Figures (3)

  • Figure 1: The cross-modal genomic feature trans-align network (PathoGen-X) features four main components: a pathology encoder, a genomic decoder, a genomic projection matrix (PM) and a survival prediction module.
  • Figure 2: The Kaplan-Meier curves of our model on the three datasets. We used median risk to stratify patients into low and high risk groups.
  • Figure 3: Visualization of the substantial improvement in correlation between the image features with genomic features after feature translation for GBM dataset samples.