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Paper · arXiv

TRACE-PCa: Predicting Prostate Cancer Progression from Longitudinal MRI During Active Surveillance

Active surveillance (AS) is the preferred strategy for favorable-risk prostate cancer, yet current protocols rely on scheduled repeat biopsies, most of which reveal no progression and are unnecessary. Existing risk-stratification tools operate on single time-point imaging or depend on explicit lesion segmentation, limiting their ability to capture longitudinal change and excluding patients without an MRI-visible lesion. In this study, we propose an end-to-end temporal and multimodal model for predicting pathological progression during AS without lesion segmentation. We encode each serial scan with a pretrained 3D MRI foundation model and introduce a temporal attention gate that recalibrat...

AuthorsHongye Zeng, Shreeram Athreya, Dingyuan Dai et al.
Primary categorycs.CV
Published15 July 2026
Last updated at source15 July 2026
cs.CV
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