ME-Mamba: Multi-Expert Mamba with Efficient Knowledge Capture and Fusion for Multimodal Survival Analysis

Survival analysis using whole-slide images (WSIs) is crucial in cancer research. Despite significant successes, pathology images typically only provide slide-level labels, which hinders the learning of discriminative representations from gigapixel WSIs. With the rapid advancement of high-throughput sequencing technologies, multimodal survival analysis integrating pathology images and genomics data has emerged as a promising approach. We propose a Multi-Expert Mamba (ME-Mamba) system that captures discriminative pathological and genomic features while enabling efficient integration of both modalities. This approach achieves complementary information fusion without losing critical information from individual modalities, thereby facilitating accurate cancer survival analysis. Specifically, we first introduce a Pathology Expert and a Genomics Expert to process unimodal data separately. Both experts are designed with Mamba architectures that incorporate conventional scanning and attention-based scanning mechanisms, allowing them to extract discriminative features from long instance sequences containing substantial redundant or irrelevant information. Second, we design a Synergistic Expert responsible for modality fusion. It explicitly learns token-level local correspondences between the two modalities via Optimal Transport, and implicitly enhances distribution consistency through a global cross-modal fusion loss based on Maximum Mean Discrepancy. The fused feature representations are then passed to a mamba backbone for further integration. Through the collaboration of the Pathology Expert, Genomics Expert, and Synergistic Expert, our method achieves stable and accurate survival analysis with relatively low computational complexity. Extensive experimental results on five datasets in The Cancer Genome Atlas (TCGA) demonstrate our state-of-the-art performance.