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Multimodal doctor-in-the-loop: a clinically-guided explainable framework for predicting pathological response in non-small cell lung cancer
Unit of Artificial Intelligence and Computer Systems, Department of Engineering, Università Campus Bio-Medico di Roma, Rome, Italy.
Fondazione Policlinico Universitario, Campus Bio-Medico, Rome, Italy.
Fondazione Policlinico Universitario, Campus Bio-Medico, Rome, Italy; Research Unit of Radiation Oncology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Fondazione Policlinico Universitario, Campus Bio-Medico, Rome, Italy; Research Unit of Anatomical Pathology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
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2025 (English)In: Proceedings of the international joint conference on neural networks, Institute of Electrical and Electronics Engineers (IEEE), 2025Conference paper, Published paper (Refereed)
Abstract [en]

This study proposes a novel approach combining Multimodal Deep Learning with intrinsic eXplainable Artificial Intelligence techniques to predict pathological response in non-small cell lung cancer patients undergoing neoadjuvant therapy. Due to the limitations of existing radiomics and unimodal deep learning approaches, we introduce an intermediate fusion strategy that integrates imaging and clinical data, enabling efficient interaction between data modalities. The proposed Multimodal Doctor-in-the-Loop method further enhances clinical relevance by embedding clinicians' domain knowledge directly into the training process, guiding the model's focus gradually from broader lung regions to specific lesions. Results demonstrate improved predictive accuracy and explainability, providing insights into optimal data integration strategies for clinical applications.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE), 2025.
Series
International Joint Conference on Neural Networks, ISSN 2161-4393, E-ISSN 2161-4407
Keywords [en]
Clinical data, CT data, Human-in-the-Loop, Multimodal Deep Learning, NSCLC, Pathological Response, XAI
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-247626DOI: 10.1109/IJCNN64981.2025.11228780Scopus ID: 2-s2.0-105023968204ISBN: 9798331510428 (electronic)ISBN: 979-8-3315-1043-5 (print)OAI: oai:DiVA.org:umu-247626DiVA, id: diva2:2023419
Conference
2025 International Joint Conference on Neural Networks, IJCNN 2025, Rome, Italy, 30 June - 5 July, 2025.
Funder
Cancerforskningsfonden i Norrland, MP23-1122The Kempe Foundations, JCSMK24-0094Available from: 2025-12-19 Created: 2025-12-19 Last updated: 2025-12-22Bibliographically approved

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Soda, Paolo

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