Precise Liver Tumor Segmentation in CT Using a Hybrid Deep Learning-Radiomics Framework

Accurate three-dimensional delineation of liver tumors on contrast-enhanced CT is a prerequisite for treatment planning, navigation and response assessment, yet manual contouring is slow, observer-dependent and difficult to standardise across centres. Automatic segmentation is complicated by low lesion-parenchyma contrast, blurred or incomplete boundaries, heterogeneous enhancement patterns, and confounding structures such as vessels and adjacent organs. We propose a hybrid framework that couples an attention-enhanced cascaded U-Net with handcrafted radiomics and voxel-wise 3D CNN refinement for joint liver and liver-tumor segmentation. First, a 2.5D two-stage network with a densely connected encoder, sub-pixel convolution decoders and multi-scale attention gates produces initial liver and tumor probability maps from short stacks of axial slices. Inter-slice temporal consistency is then enforced by a simple three-slice refinement rule along the cranio-caudal direction, which restores thin and tiny lesions while suppressing isolated noise. Next, 728 radiomic descriptors spanning intensity, texture, shape, boundary and wavelet feature groups are extracted from candidate lesions and reduced to 20 stable, highly informative features via multi-strategy feature selection; a random forest classifier uses these features to reject false-positive regions. Finally, a compact 3D patch-based CNN derived from AlexNet operates in a narrow band around the tumor boundary to perform voxel-level relabelling and contour smoothing.

Dual-Stream Cross-Modal Representation Learning via Residual Semantic Decorrelation

Cross-modal learning has become a fundamental paradigm for integrating heterogeneous information sources such as images, text, and structured attributes. However, multimodal representations often suffer from modality dominance, redundant information coupling, and spurious cross-modal correlations, leading to suboptimal generalization and limited interpretability. In particular, high-variance modalities tend to overshadow weaker but semantically important signals, while naïve fusion strategies entangle modality-shared and modality-specific factors in an uncontrolled manner. This makes it difficult to understand which modality actually drives a prediction and to maintain robustness when some modalities are noisy or missing. To address these challenges, we propose a Dual-Stream Residual Semantic Decorrelation Network (DSRSD-Net), a simple yet effective framework that disentangles modality-specific and modality-shared information through residual decomposition and explicit semantic decorrelation constraints. DSRSD-Net introduces: (1) a dual-stream representation learning module that separates intra-modal (private) and inter-modal (shared) latent factors via residual projection; (2) a residual semantic alignment head that maps shared factors from different modalities into a common space using a combination of contrastive and regression-style objectives; and (3) a decorrelation and orthogonality loss that regularizes the covariance structure of the shared space while enforcing orthogonality between shared and private streams, thereby suppressing cross-modal redundancy and preventing feature collapse. Experimental results on two large-scale educational benchmarks demonstrate that DSRSD-Net consistently improves next-step prediction and final outcome prediction over strong single-modality, early-fusion, late-fusion, and co-attention baselines.