Prognostic task is of great importance as it closely related to the survival analysis of patients, the optimization of treatment plans and the allocation of resources. The existing prognostic models have shown promising results on specific datasets, but there are limitations in two aspects. On the one hand, they merely explore certain types of modal data, such as patient histopathology WSI and gene expression analysis. On the other hand, they adopt the per-cancer-per-model paradigm, which means the trained models can only predict the prognostic effect of a single type of cancer, resulting in weak generalization ability. In this paper, a deep-learning based model, named UMPSNet, is proposed. Specifically, to comprehensively understand the condition of patients, in addition to constructing encoders for histopathology images and genomic expression profiles respectively, UMPSNet further integrates four types of important meta data (demographic information, cancer type information, treatment protocols, and diagnosis results) into text templates, and then introduces a text encoder to extract textual features. In addition, the optimal transport OT-based attention mechanism is utilized to align and fuse features of different modalities. Furthermore, a guided soft mixture of experts (GMoE) mechanism is introduced to effectively address the issue of distribution differences among multiple cancer datasets. By incorporating the multi-modality of patient data and joint training, UMPSNet outperforms all SOTA approaches, and moreover, it demonstrates the effectiveness and generalization ability of the proposed learning paradigm of a single model for multiple cancer types. The code of UMPSNet is available at https://github.com/binging512/UMPSNet.

Deep learning in digital pathology brings intelligence and automation as substantial enhancements to pathological analysis, the gold standard of clinical diagnosis. However, multiple steps from tissue preparation to slide imaging introduce various image corruptions, making it difficult for deep neural network (DNN) models to achieve stable diagnostic results for clinical use. In order to assess and further enhance the robustness of the models, we analyze the physical causes of the full-stack corruptions throughout the pathological life-cycle and propose an Omni-Corruption Emulation (OmniCE) method to reproduce 21 types of corruptions quantified with 5-level severity. We then construct three OmniCE-corrupted benchmark datasets at both patch level and slide level and assess the robustness of popular DNNs in classification and segmentation tasks. Further, we explore to use the OmniCE-corrupted datasets as augmentation data for training and experiments to verify that the generalization ability of the models has been significantly enhanced.