Genomics-guided Representation Learning for Pathologic Pan-cancer Tumor Microenvironment Subtype Prediction

The characterization of Tumor MicroEnvironment (TME) is challenging due to its complexity and heterogeneity. Relatively consistent TME characteristics embedded within highly specific tissue features, render them difficult to predict. The capability to accurately classify TME subtypes is of critical significance for clinical tumor diagnosis and precision medicine. Based on the observation that tumors with different origins share similar microenvironment patterns, we propose PathoTME, a genomics-guided Siamese representation learning framework employing Whole Slide Image (WSI) for pan-cancer TME subtypes prediction. Specifically, we utilize Siamese network to leverage genomic information as a regularization factor to assist WSI embeddings learning during the training phase. Additionally, we employ Domain Adversarial Neural Network (DANN) to mitigate the impact of tissue type variations. To eliminate domain bias, a dynamic WSI prompt is designed to further unleash the model's capabilities. Our model achieves better performance than other state-of-the-art methods across 23 cancer types on TCGA dataset. Our code is available at https://github.com/Mengflz/PathoTME.

Spatiotemporal Graph Neural Network Modelling Perfusion MRI

Perfusion MRI (pMRI) offers valuable insights into tumor vascularity and promises to predict tumor genotypes, thus benefiting prognosis for glioma patients, yet effective models tailored to 4D pMRI are still lacking. This study presents the first attempt to model 4D pMRI using a GNN-based spatiotemporal model PerfGAT, integrating spatial information and temporal kinetics to predict Isocitrate DeHydrogenase (IDH) mutation status in glioma patients. Specifically, we propose a graph structure learning approach based on edge attention and negative graphs to optimize temporal correlations modeling. Moreover, we design a dual-attention feature fusion module to integrate spatiotemporal features while addressing tumor-related brain regions. Further, we develop a class-balanced augmentation methods tailored to spatiotemporal data, which could mitigate the common label imbalance issue in clinical datasets. Our experimental results demonstrate that the proposed method outperforms other state-of-the-art approaches, promising to model pMRI effectively for patient characterization.

Phy-Diff: Physics-guided Hourglass Diffusion Model for Diffusion MRI Synthesis

Diffusion MRI (dMRI) is an important neuroimaging technique with high acquisition costs. Deep learning approaches have been used to enhance dMRI and predict diffusion biomarkers through undersampled dMRI. To generate more comprehensive raw dMRI, generative adversarial network based methods are proposed to include b-values and b-vectors as conditions, but they are limited by unstable training and less desirable diversity. The emerging diffusion model (DM) promises to improve generative performance. However, it remains challenging to include essential information in conditioning DM for more relevant generation, i.e., the physical principles of dMRI and white matter tract structures. In this study, we propose a physics-guided diffusion model to generate high-quality dMRI. Our model introduces the physical principles of dMRI in the noise evolution in the diffusion process and introduce a query-based conditional mapping within the difussion model. In addition, to enhance the anatomical fine detials of the generation, we introduce the XTRACT atlas as prior of white matter tracts by adopting an adapter technique. Our experiment results show that our method outperforms other state-of-the-art methods and has the potential to advance dMRI enhancement.