from __future__ import annotations import torch from torch import nn def patient_burden(lesion_probs: torch.Tensor, patient_index: torch.Tensor | None = None) -> torch.Tensor: """Compute malignant burden as 1 - prod_l(1 - p_l). If ``patient_index`` is omitted, each row is treated as an independent patient. Otherwise rows with the same index are aggregated. """ lesion_probs = lesion_probs.view(-1).clamp(0.0, 1.0) if patient_index is None: return lesion_probs burdens = [] for idx in torch.unique(patient_index): probs = lesion_probs[patient_index == idx] burdens.append(1.0 - torch.prod(1.0 - probs)) return torch.stack(burdens) class DiscreteTimeSurvivalHead(nn.Module): def __init__(self, in_dim: int, num_bins: int = 12) -> None: super().__init__() self.num_bins = num_bins self.net = nn.Sequential( nn.Linear(in_dim, in_dim), nn.SiLU(inplace=True), nn.Linear(in_dim, num_bins), ) def forward(self, features: torch.Tensor) -> torch.Tensor: if self.num_bins <= 0: raise ValueError("num_bins must be positive for survival prediction") return self.net(features)