Beyond Gate Weights: Decision-Level Interpretation of Radiomics-Image Feature Fusion for RCC Classification

Gate coefficients describe how a fusion layer weights intermediate features, but they do not necessarily reflect the magnitude of branch contributions at the classifier output. We investigate this distinction in a fixed 3D MedVAE--radiomics model for clear cell versus non-clear cell renal cell carcinoma classification from contrast-enhanced CT. Because the model uses a linear classification head, the binary decision logit can be decomposed exactly into a gated image term, a direct radiomics term, and a bias. We define effective radiomics dominance as the direct radiomics term's share of the summed absolute non-bias branch contributions and compare it with structural radiomics weighting. Internally, mean structural radiomics weighting was 0.823, whereas mean effective radiomics dominance was 0.148, with a modest case-wise association (rho = 0.290). The gated image term retained substantially stronger discriminative ranking information than the direct radiomics term. The same structural-to-effective discrepancy was observed in exploratory external evaluation. Branch-targeted permutation, integrated-gradient, and Shapley-style analyses further identified radiomics descriptors influencing the direct radiomics term. Because radiomics also generates the gate, the gated image term remains radiomics-dependent, so additive branch contribution should not be interpreted as total input influence. These findings show that structural gate weighting and decision-level branch contribution represent distinct aspects of gated feature fusion and should be interpreted separately.