PEDRA-EFB0: colorectal cancer prognostication using deep learning with patch embeddings and dual residual attention.

Med Biol Eng Comput

Radiol Dept, Jiangnan Univ, Affiliated Hosp, Wuxi, 214122, Jiangsu, People's Republic of China.

Published: January 2025

In computer-aided diagnosis systems, precise feature extraction from CT scans of colorectal cancer using deep learning is essential for effective prognosis. However, existing convolutional neural networks struggle to capture long-range dependencies and contextual information, resulting in incomplete CT feature extraction. To address this, the PEDRA-EFB0 architecture integrates patch embeddings and a dual residual attention mechanism for enhanced feature extraction and survival prediction in colorectal cancer CT scans. A patch embedding method processes CT scans into patches, creating positional features for global representation and guiding spatial attention computation. Additionally, a dual residual attention mechanism during the upsampling stage selectively combines local and global features, enhancing CT data utilization. Furthermore, this paper proposes a feature selection algorithm that combines autoencoders and entropy technology, encoding and compressing high-dimensional data to reduce redundant information and using entropy to assess the importance of features, thereby achieving precise feature selection. Experimental results indicate the PEDRA-EFB0 model outperforms traditional methods on colorectal cancer CT metrics, notably in C-index, BS, MCC, and AUC, enhancing survival prediction accuracy. Our code is freely available at https://github.com/smile0208z/PEDRA .

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Source
http://dx.doi.org/10.1007/s11517-025-03292-3DOI Listing

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