大模型预测脑出血后遗症完整技术方案

1. 算法实现伪代码

1.1 术前基线大模型（PreOpNet）

# 伪代码：PreOpNet 训练流程
class PreOpNet:
    def __init__(self):
        self.image_encoder = Swin3DEncoder()
        self.text_encoder = PMCLLaMA()
        self.fusion = CrossAttentionFusion()
        self.head = MultiTaskHead(tasks=['ICH_volume', '30d_mortality', 'early_deterioration'])
    
    def forward(self, image, text, tabular):
        z_img = self.image_encoder(image)
        z_txt = self.text_encoder(text)
        z_tab = TabNet(tabular)
        z_fuse = self.fusion(z_img, z_txt, z_tab)
        outputs = self.head(z_fuse)
        return outputs

    def training_step(self, batch):
        x, y = batch
        y_hat = self(*x)
        loss = focal_loss(y_hat, y)
        return loss

1.2 术中增量学习（IntraOpNet）

# 伪代码：在线增量学习
class IntraOpNet:
    def __init__(self, pretrained: PreOpNet):
        self.backbone = pretrained.image_encoder
        self.lstm = StreamingLSTM()
        self.head = RiskHead()
        self.buffer = ReplayBuffer(max_size=5000)
    
    def online_step(self, stream):
        for frame in stream:
            x = preprocess(frame)
            z = self.backbone(x)
            h = self.lstm(z)
            risk = self.head(h)
            self.buffer.add((x, risk))
            if risk > threshold:
                trigger_alert()
            if len(self.buffer) % 100 == 0:
                self.update(buffer.sample(64))  # 小批量 EWC 更新

1.3 术后并发症预测（PostComNet）

# 伪代码：时序并发症模型
class PostComNet(nn.Module):
    def __init__(self):
        self.tcn = TemporalConvNet(input_dim=128, num_channels=[64,64,32])
        self.attention = MultiHeadAttention(d_model=32)
        self.classifier = nn.Linear(32, n_complications)
    
    def forward(self, vitals, labs, notes):
        x = concatenate(vitals, labs, notes)
        x = self.tcn(x)
        x, _ = self.attention(x, x, x)
        return self.classifier(x[:, -1, :])

2. 模块级系统流程图

2.1 术前系统（PreOpSystem）