Enhanced Survival Prediction in Head and Neck Cancer Using Convolutional Block Attention and Multimodal Data Fusion

Abstract

Accurate survival prediction in head and neck cancer (HNC) is essential for guiding clinical decision-making and optimizing treatment strategies. Traditional models, such as Cox proportional hazards, have been widely used but are limited in their ability to handle complex multi-modal data. This paper proposes a deep learning-based approach leveraging CT and PET imaging modalities to predict survival outcomes in HNC patients. Our method integrates feature extraction with a Convolutional Block Attention Module (CBAM) and a multi-modal data fusion layer that combines imaging data to generate a compact feature representation. The final prediction is achieved through a fully parametric discrete-time survival model, allowing for flexible hazard functions that overcome the limitations of traditional survival models. We evaluated our approach using the HECKTOR and HEAD-NECK-RADIOMICS- HN1 datasets, demonstrating its superior performance compared to conconventional statistical and machine learning models. The results indicate that our deep learning model significantly improves survival prediction accuracy, offering a robust tool for personalized treatment planning in HNC