STG: Spatiotemporal Graph Neural Network with Fusion and Spatiotemporal Decoupling Learning for Prognostic Prediction of Colorectal Cancer Liver Metastasis

We propose a multimodal spatiotemporal graph neural network (STG) framework to predict colorectal cancer liver metastasis (CRLM) progression. Current clinical models do not effectively integrate the tumor's spatial heterogeneity, dynamic evolution, and complex multimodal data relationships, limiting their predictive accuracy. Our STG framework combines preoperative CT imaging and clinical data into a heterogeneous graph structure, enabling joint modeling of tumor distribution and temporal evolution through spatial topology and cross-modal edges. The framework uses GraphSAGE to aggregate spatiotemporal neighborhood information and leverages supervised and contrastive learning strategies to enhance the model's ability to capture temporal features and improve robustness. A lightweight version of the model reduces parameter count by 78.55%, maintaining near-state-of-the-art performance. The model jointly optimizes recurrence risk regression and survival analysis tasks, with contrastive loss improving feature representational discriminability and cross-modal consistency. Experimental results on the MSKCC CRLM dataset show a time-adjacent accuracy of 85% and a mean absolute error of 1.1005, significantly outperforming existing methods. The innovative heterogeneous graph construction and spatiotemporal decoupling mechanism effectively uncover the associations between dynamic tumor microenvironment changes and prognosis, providing reliable quantitative support for personalized treatment decisions.

4D-ACFNet: A 4D Attention Mechanism-Based Prognostic Framework for Colorectal Cancer Liver Metastasis Integrating Multimodal Spatiotemporal Features

Postoperative prognostic prediction for colorectal cancer liver metastasis (CRLM) remains challenging due to tumor heterogeneity, dynamic evolution of the hepatic microenvironment, and insufficient multimodal data fusion. To address these issues, we propose 4D-ACFNet, the first framework that synergistically integrates lightweight spatiotemporal modeling, cross-modal dynamic calibration, and personalized temporal prediction within a unified architecture. Specifically, it incorporates a novel 4D spatiotemporal attention mechanism, which employs spatiotemporal separable convolution (reducing parameter count by 41%) and virtual timestamp encoding to model the interannual evolution patterns of postoperative dynamic processes, such as liver regeneration and steatosis. For cross-modal feature alignment, Transformer layers are integrated to jointly optimize modality alignment loss and disentanglement loss, effectively suppressing scale mismatch and redundant interference in clinical-imaging data. Additionally, we design a dynamic prognostic decision module that generates personalized interannual recurrence risk heatmaps through temporal upsampling and a gated classification head, overcoming the limitations of traditional methods in temporal dynamic modeling and cross-modal alignment. Experiments on 197 CRLM patients demonstrate that the model achieves 100% temporal adjacency accuracy (TAA), with performance significantly surpassing existing approaches. This study establishes the first spatiotemporal modeling paradigm for postoperative dynamic monitoring of CRLM. The proposed framework can be extended to prognostic analysis of multi-cancer metastases, advancing precision surgery from "spatial resection" to "spatiotemporal cure."

DynSegNet:Dynamic Architecture Adjustment for Adversarial Learning in Segmenting Hemorrhagic Lesions from Fundus Images

The hemorrhagic lesion segmentation plays a critical role in ophthalmic diagnosis, directly influencing early disease detection, treatment planning, and therapeutic efficacy evaluation. However, the task faces significant challenges due to lesion morphological variability, indistinct boundaries, and low contrast with background tissues. To improve diagnostic accuracy and treatment outcomes, developing advanced segmentation techniques remains imperative. This paper proposes an adversarial learning-based dynamic architecture adjustment approach that integrates hierarchical U-shaped encoder-decoder, residual blocks, attention mechanisms, and ASPP modules. By dynamically optimizing feature fusion, our method enhances segmentation performance. Experimental results demonstrate a Dice coefficient of 0.6802, IoU of 0.5602, Recall of 0.766, Precision of 0.6525, and Accuracy of 0.9955, effectively addressing the challenges in fundus image hemorrhage segmentation.[* Corresponding author.]