from __future__ import annotations import torch from torch import nn class SelectivePETFusion(nn.Module): """CT-first PET fusion with a learned PET utility gate. The final fused representation is a convex mix between CT+clinical and CT+PET+clinical features. During training, the gate can be supervised by a pseudo-label derived from CT-only versus PET-enabled validation gain. """ def __init__(self, feature_dim: int = 256, num_heads: int = 4, gate_mode: str = "selective") -> None: super().__init__() if gate_mode not in {"selective", "always", "never"}: raise ValueError(f"Unsupported gate_mode: {gate_mode}") self.gate_mode = gate_mode self.attn = nn.MultiheadAttention(feature_dim, num_heads=num_heads, batch_first=True) self.ct_head = nn.Linear(feature_dim * 2, 1) self.pet_head = nn.Linear(feature_dim * 3, 1) self.utility_head = nn.Sequential( nn.Linear(feature_dim * 3, feature_dim), nn.SiLU(inplace=True), nn.Linear(feature_dim, 1), ) def forward( self, ct_feat: torch.Tensor, clinical_feat: torch.Tensor, pet_feat: torch.Tensor | None = None, has_pet: torch.Tensor | None = None, ) -> dict[str, torch.Tensor]: ct_context = torch.cat([ct_feat, clinical_feat], dim=-1) ct_logit = self.ct_head(ct_context).squeeze(-1) if pet_feat is None: zero_pet = torch.zeros_like(ct_feat) pet_feat = zero_pet tokens = torch.stack([ct_feat, pet_feat, clinical_feat], dim=1) attended, _ = self.attn(tokens, tokens, tokens, need_weights=False) fused = attended.reshape(attended.shape[0], -1) pet_logit = self.pet_head(fused).squeeze(-1) utility_logit = self.utility_head(fused).squeeze(-1) utility = torch.sigmoid(utility_logit) if self.gate_mode == "always": utility = torch.ones_like(utility) elif self.gate_mode == "never": utility = torch.zeros_like(utility) if has_pet is not None: utility = utility * has_pet.float().view(-1) fused_logit = ct_logit + utility * (pet_logit - ct_logit) return { "ct_logit": ct_logit, "pet_logit": pet_logit, "pet_utility_logit": utility_logit, "pet_utility": utility, "fused_logit": fused_logit, "fused_features": fused, }