Confidence-Aware Adaptive Fusion Leaning of Imbalance Multi-Modal Data for Cancer Diagnosis and Prognosis.

Zhang, Ziye; Wang, Shijin; Huang, Yuying; Zheng, XiaoRou; Dong, Shoubin · IEEE J Biomed Health Inform · 2026

basic_science · Level V

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Abstract

The effective fusion of pathological images and molecular omics holds significant potential for precision medicine. However, pathological and molecular data are highly heterogeneous, and large-scale multi-modal cancer data often suffer from incomplete information. Predicting clinical tasks from such imbalanced multi-modal data presents a major challenge. Therefore, we propose a confidence-aware adaptive fusion framework CAFusion. The framework adopts a modular design, providing independent and flexible modal feature learning modules to capture high-quality features. To address issues of modal imbalance caused by heterogeneous and incomplete modal, we design a confidence-aware method that evaluates the features of each modal and automatically adjusts their weights. To effectively fuse pathological and molecular modals, we propose an adaptive deep network, which features a flexible, non-fixed layer structure that effectively extracts hidden joint information from multi-modal features, ensuring high generalizability. Experiment results demonstrate that the performance of the CAFusion framework outperforms other state-of-the-art methods, both on complete and incomplete datasets. Moreover, the CAFusion framework offers reasonable medical interpretability.

Medical subject headings