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.

Survival prediction is a crucial task in the medical field and is essential for optimizing treatment options and resource allocation. However, current methods often rely on limited data modalities, resulting in suboptimal performance. In this paper, we propose an Integrated Cross-modal Fusion Network (ICFNet) that integrates histopathology whole slide images, genomic expression profiles, patient demographics, and treatment protocols. Specifically, three types of encoders, a residual orthogonal decomposition module and a unification fusion module are employed to merge multi-modal features to enhance prediction accuracy. Additionally, a balanced negative log-likelihood loss function is designed to ensure fair training across different patients. Extensive experiments demonstrate that our ICFNet outperforms state-of-the-art algorithms on five public TCGA datasets, including BLCA, BRCA, GBMLGG, LUAD, and UCEC, and shows its potential to support clinical decision-making and advance precision medicine. The codes are available at: https://github.com/binging512/ICFNet.