Histo-Genomic Knowledge Distillation For Cancer Prognosis From Histopathology Whole Slide ImagesZhikang Wang, Yumeng Zhang, Yingxue Xu et al.
Histo-genomic multi-modal methods have recently emerged as a powerful paradigm, demonstrating significant potential for improving cancer prognosis. However, genome sequencing, unlike histopathology imaging, is still not widely accessible in underdeveloped regions, limiting the application of these multi-modal approaches in clinical settings. To address this, we propose a novel Genome-informed Hyper-Attention Network, termed G-HANet, which is capable of effectively distilling the histo-genomic knowledge during training to elevate uni-modal whole slide image (WSI)-based inference for the first time. Compared with traditional knowledge distillation methods (i.e., teacher-student architecture) in other tasks, our end-to-end model is superior in terms of training efficiency and learning cross-modal interactions. Specifically, the network comprises the cross-modal associating branch (CAB) and hyper-attention survival branch (HSB). Through the genomic data reconstruction from WSIs, CAB effectively distills the associations between functional genotypes and morphological phenotypes and offers insights into the gene expression profiles in the feature space. Subsequently, HSB leverages the distilled histo-genomic associations as well as the generated morphology-based weights to achieve the hyper-attention modeling of the patients from both histopathology and genomic perspectives to improve cancer prognosis. Extensive experiments are conducted on five TCGA benchmarking datasets and the results demonstrate that G-HANet significantly outperforms the state-of-the-art WSI-based methods and achieves competitive performance with genome-based and multi-modal methods. G-HANet is expected to be explored as a useful tool by the research community to address the current bottleneck of insufficient histo-genomic data pairing in the context of cancer prognosis and precision oncology.
iMD4GC: Incomplete Multimodal Data Integration to Advance Precise Treatment Response Prediction and Survival Analysis for Gastric CancerFengtao Zhou, Yingxue Xu, Yanfen Cui et al.
Gastric cancer (GC) is a prevalent malignancy worldwide, ranking as the fifth most common cancer with over 1 million new cases and 700 thousand deaths in 2020. Locally advanced gastric cancer (LAGC) accounts for approximately two-thirds of GC diagnoses, and neoadjuvant chemotherapy (NACT) has emerged as the standard treatment for LAGC. However, the effectiveness of NACT varies significantly among patients, with a considerable subset displaying treatment resistance. Ineffective NACT not only leads to adverse effects but also misses the optimal therapeutic window, resulting in lower survival rate. However, existing multimodal learning methods assume the availability of all modalities for each patient, which does not align with the reality of clinical practice. The limited availability of modalities for each patient would cause information loss, adversely affecting predictive accuracy. In this study, we propose an incomplete multimodal data integration framework for GC (iMD4GC) to address the challenges posed by incomplete multimodal data, enabling precise response prediction and survival analysis. Specifically, iMD4GC incorporates unimodal attention layers for each modality to capture intra-modal information. Subsequently, the cross-modal interaction layers explore potential inter-modal interactions and capture complementary information across modalities, thereby enabling information compensation for missing modalities. To evaluate iMD4GC, we collected three multimodal datasets for GC study: GastricRes (698 cases) for response prediction, GastricSur (801 cases) for survival analysis, and TCGA-STAD (400 cases) for survival analysis. The scale of our datasets is significantly larger than previous studies. The iMD4GC achieved impressive performance with an 80.2% AUC on GastricRes, 71.4% C-index on GastricSur, and 66.1% C-index on TCGA-STAD, significantly surpassing other compared methods.
1.2SPJul 23, 2025
Learning from Scratch: Structurally-masked Transformer for Next Generation Lib-free SimulationJunlang Huang, Hao Chen, Zhong Guan
This paper proposes a neural framework for power and timing prediction of multi-stage data path, distinguishing itself from traditional lib-based analytical methods dependent on driver characterization and load simplifications. To the best of our knowledge, this is the first language-based, netlist-aware neural network designed explicitly for standard cells. Our approach employs two pre-trained neural models of waveform prediction and delay estimation that directly infer transient waveforms and propagation delays from SPICE netlists, conditioned on critical physical parameters such as load capacitance, input slew, and gate size. This method accurately captures both intrinsic and coupling-induced delay effects without requiring simplification or interpolation. For multi-stage timing prediction, we implement a recursive propagation strategy where predicted waveforms from each stage feed into subsequent stages, cumulatively capturing delays across the logic chain. This approach ensures precise timing alignment and complete waveform visibility throughout complex signal pathways. The waveform prediction utilizes a hybrid CNN-Transformer architecture with netlist-aware node-level encoding, addressing traditional Transformers' fixed input dimensionality constraints. Additionally, specialized subnetworks separately handle primary delay estimation and crosstalk correction. Experimental results demonstrate SPICE-level accuracy, consistently achieving RMSE below 0.0098 across diverse industrial circuits. The proposed framework provides a scalable, structurally adaptable neural alternative to conventional power and timing engines, demonstrating high fidelity to physical circuit behaviors.