CVMar 20, 2025

Disentangled and Interpretable Multimodal Attention Fusion for Cancer Survival Prediction

arXiv:2503.16069v25 citationsh-index: 22MICCAI
Originality Incremental advance
AI Analysis

This work addresses the need for interpretable and effective multimodal fusion in cancer survival prediction, offering incremental improvements over existing methods.

The paper tackled the problem of predicting cancer survival using whole-slide images and transcriptomics data by proposing DIMAF, a framework that disentangles modality-specific and modality-shared representations, resulting in a 1.85% average performance improvement and 23.7% better disentanglement compared to state-of-the-art models.

To improve the prediction of cancer survival using whole-slide images and transcriptomics data, it is crucial to capture both modality-shared and modality-specific information. However, multimodal frameworks often entangle these representations, limiting interpretability and potentially suppressing discriminative features. To address this, we propose Disentangled and Interpretable Multimodal Attention Fusion (DIMAF), a multimodal framework that separates the intra- and inter-modal interactions within an attention-based fusion mechanism to learn distinct modality-specific and modality-shared representations. We introduce a loss based on Distance Correlation to promote disentanglement between these representations and integrate Shapley additive explanations to assess their relative contributions to survival prediction. We evaluate DIMAF on four public cancer survival datasets, achieving a relative average improvement of 1.85% in performance and 23.7% in disentanglement compared to current state-of-the-art multimodal models. Beyond improved performance, our interpretable framework enables a deeper exploration of the underlying interactions between and within modalities in cancer biology.

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