Hierarchical Brain Structure Modeling for Predicting Genotype of Glioma

Isocitrate DeHydrogenase (IDH) mutation status is a crucial biomarker for glioma prognosis. However, current prediction methods are limited by the low availability and noise of functional MRI. Structural and morphological connectomes offer a non-invasive alternative, yet existing approaches often ignore the brain's hierarchical organisation and multiscale interactions. To address this, we propose Hi-SMGNN, a hierarchical framework that integrates structural and morphological connectomes from regional to modular levels. It features a multimodal interaction module with a Siamese network and cross-modal attention, a multiscale feature fusion mechanism for reducing redundancy, and a personalised modular partitioning strategy to enhance individual specificity and interpretability. Experiments on the UCSF-PDGM dataset demonstrate that Hi-SMGNN outperforms baseline and state-of-the-art models, showing improved robustness and effectiveness in IDH mutation prediction.