DeSamba: Decoupled Spectral Adaptive Framework for 3D Multi-Sequence MRI Lesion Classification

TL;DR

DeSamba is a novel framework that effectively integrates multi-sequence 3D MRI data by decoupling features and adaptively fusing spectral and spatial information, significantly improving lesion classification accuracy.

Contribution

The paper introduces DeSamba, a new framework with decoupled representation learning and spectral adaptive modulation, advancing multi-sequence MRI lesion classification methods.

Findings

DeSamba outperforms state-of-the-art baselines on multiple datasets.

Both DRLM and SAMB significantly improve classification performance.

Ablation studies confirm the effectiveness of the proposed modules.

Abstract

Magnetic Resonance Imaging (MRI) sequences provide rich spatial and frequency domain information, which is crucial for accurate lesion classification in medical imaging. However, effectively integrating multi-sequence MRI data for robust 3D lesion classification remains a challenge. In this paper, we propose DeSamba (Decoupled Spectral Adaptive Network and Mamba-Based Model), a novel framework designed to extract decoupled representations and adaptively fuse spatial and spectral features for lesion classification. DeSamba introduces a Decoupled Representation Learning Module (DRLM) that decouples features from different MRI sequences through self-reconstruction and cross-reconstruction, and a Spectral Adaptive Modulation Block (SAMB) within the proposed SAMNet, enabling dynamic fusion of spectral and spatial information based on lesion characteristics. We evaluate DeSamba on two clinically relevant 3D datasets. On a six-class spinal metastasis dataset (n=1,448), DeSamba achieves 62.10% Top-1 accuracy, 63.62% F1-score, 87.71% AUC, and 93.55% Top-3 accuracy on an external validation set (n=372), outperforming all state-of-the-art (SOTA) baselines. On a spondylitis dataset (n=251) involving a challenging binary classification task, DeSamba achieves 70.00%/64.52% accuracy and 74.75/73.88 AUC on internal and external validation sets, respectively. Ablation studies demonstrate that both DRLM and SAMB significantly contribute to overall performance, with over 10% relative improvement compared to the baseline. Our results highlight the potential of DeSamba as a generalizable and effective solution for 3D lesion classification in multi-sequence medical imaging.