HGP-Mamba: Integrating Histology and Generated Protein Features for Mamba-based Multimodal Survival Risk Prediction

๐Ÿ“… 2026-03-17
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๐Ÿค– AI Summary
The high cost and scarcity of protein expression data have hindered the joint utilization of histopathological images and protein biomarkers for cancer prognosis. To address this challenge, this work proposes the HGP-Mamba framework, which first leverages a pretrained foundation model to generate protein embeddings from whole-slide images (WSIs), enabling data-efficient extraction of protein-level features. It then introduces two novel modulesโ€”Local Interaction-aware Mamba (LiAM) and Global Interaction-enhanced Mamba (GiEM)โ€”to facilitate fine-grained and holistic multimodal fusion. Evaluated on four public cancer datasets, the proposed method significantly outperforms existing approaches, achieving state-of-the-art performance in both predictive accuracy and computational efficiency.

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๐Ÿ“ Abstract
Recent advances in multimodal learning have significantly improved cancer survival risk prediction. However, the joint prognostic potential of protein markers and histopathology images remains underexplored, largely due to the high cost and limited availability of protein expression profiling. To address this challenge, we propose HGP-Mamba, a Mamba-based multimodal framework that efficiently integrates histological with generated protein features for survival risk prediction. Specifically, we introduce a protein feature extractor (PFE) that leverages pretrained foundation models to derive high-throughput protein embeddings directly from Whole Slide Images (WSIs), enabling data-efficient incorporation of molecular information. Together with histology embeddings that capture morphological patterns, we further introduce the Local Interaction-aware Mamba (LiAM) for fine-grained feature interaction and the Global Interaction-enhanced Mamba (GiEM) to promote holistic modality fusion at the slide level, thus capture complex cross-modal dependencies. Experiments on four public cancer datasets demonstrate that HGP-Mamba achieves state-of-the-art performance while maintaining superior computational efficiency compared with existing methods. Our source code is publicly available at <a href="https://github.com/Daijing-ai/HGP-Mamba.git">this https URL</a>.
Problem

Research questions and friction points this paper is trying to address.

survival risk prediction
histopathology
protein markers
multimodal learning
cancer prognosis
Innovation

Methods, ideas, or system contributions that make the work stand out.

Mamba
multimodal fusion
protein feature generation
histopathology
survival prediction
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