Abstract
Recently, topological deep learning (TDL), which integrates algebraic topology with deep neural networks, has achieved significant success in processing point-cloud data and has emerged as a promising paradigm in data science. However, TDL has not been extended to differentiable-manifold data, including images, due to the challenges introduced by differential topology. We address this challenge by introducing a manifold topological deep learning (MTDL) framework. To apply Hodge theory, we integrate it into a streamlined convolutional neural network within the MTDL framework. In this framework, original images are represented as smooth manifolds with vector fields that are decomposed into three orthogonal components based on Hodge theory. These components are then concatenated to form an input image for the convolutional neural network architecture. The performance of MTDL is evaluated using the MedMNIST v2 benchmark database, which comprises 717,287 biomedical images from eleven 2D and six 3D datasets. MTDL significantly outperforms other competing methods, extending TDL to a wide range of data on smooth manifolds.
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Data availability
The 17 MedMNIST datasets used in this study can be found on the MedMNIST official website medmnist.com, and the HAM10000 dataset can be found at the Harvard Dataverse. The DermaMNIST subset is licensed under the Creative Commons Attribution-NonCommercial 4.0 license, and no example images from this dataset are displayed in this article.
Code availability
The code is publicly available via Zenodo at https://doi.org/10.5281/zenodo.1879589444.
References
Haji, M. et al. Topological deep learning: going beyond graph data. arXiv preprint https://doi.org/10.48550/arXiv.2206.00606 (2022).
Cang, Z. & Wei, G. W. TopologyNet: Topology based deep convolutional and multi-task neural networks for biomolecular property predictions. PLoS Comput. Biol. 13, e1005690 (2017).
Nguyen, D. D. et al. Mathematical deep learning for pose and binding affinity prediction and ranking in D3R Grand Challenges. J. Comput. Aided Mol. Des. 33, 71–82 (2019).
Papamarkou, T. et al. Position: Topological deep learning is the new frontier for relational learning. In Forty-first International Conference on Machine Learning, Vol. 235, 39529–3955 (2024).
Carlsson, G. Topology and data. Bull. Am. Math. Soc. 46, 255–308 (2009).
Edelsbrunner, H. & Harer, J.Computational topology: an introduction. American Mathematical Soc. (2010).
Nguyen, D. D., Gao, K., Wang, M. & Wei, G. W. Mathdl: mathematical deep learning for D3R grand challenge 4. J. Comput. Aided Mol. Des. 34, 131–147 (2020).
Ziou, D. & Allili, M. Generating cubical complexes from image data and computation of the Euler number. Pattern Recognit. 35, 2833–2839 (2002).
Shen, L. et al. Knot data analysis using multiscale Gauss link integral. Proc. Natl. Acad. Sci. USA 121, e2408431121 (2024).
Singh, Y. et al. Topological data analysis in medical imaging: current state of the art. Insights Into Imaging 14, 58 (2023).
Su, Z., Tong, Y. & Wei, G. W. Persistent de Rham-Hodge Laplacians in Eulerian representation for manifold topological learning. AIMS Math. 9, 27438–27470 (2024).
Su, Z., Tong, Y. & Wei, G. Hodge decomposition of vector fields in Cartesian grids. In SIGGRAPH Asia 2024 Conference Papers, pages 1–10, (2024).
Su, Z., Tong, Y. & Wei, G. W. Hodge decomposition of single-cell RNA velocity. J. Chem. Inf. Model. 64, 3558–3568 (2024).
Yang, J. et al. MedMNIST v2 - A large-scale lightweight benchmark for 2D and 3D biomedical image classification. Sci. Data 10, 41 (2023).
Yang, J., Shi, R. & Ni, B. MedMNIST classification decathlon: a lightweight automl benchmark for medical image analysis. In Proc. IEEE 18th International Symposium on Biomedical Imaging (ISBI), 191–195 (IEEE, 2021).
Al-Dhabyani, W., Gomaa, M., Khaled, H. & Fahmy, A. Dataset of breast ultrasound images. Data brief. 28, 104863 (2020).
Pawłowska, A., Karwat, P. & Żołek, N. Letter to the Editor. Re: “[Dataset of breast ultrasound images by W. Al-Dhabyani, M. Gomaa, H. Khaled & A. Fahmy, Data in Brief, 2020, 28, 104863]”. Data Brief. 48, 109247 (2023).
Liu, J., Li, Y., Cao, G, Liu, Y. & Cao, W. Feature pyramid vision transformer for medmnist classification decathlon. In Proc. International Joint Conference on Neural Networks (IJCNN) 1–8 (IEEE, 2022).
Manzari, O. N., Ahmadabadi, H., Kashiani, H., Shokouhi, S. B. & Ayatollahi, A. MedViT: a robust vision transformer for generalized medical image classification. Comput. Biol. Med. 157, 106791 (2023).
Zheng, Z. & Jia, X. Complex mixer for MedMNIST classification decathlon. Applied Intelligence 1–12 (Springer, 2025).
Doerrich, S., Di Salvo, F. & Ledig, C. unoranic: unsupervised orthogonalization of anatomy and image-characteristic features. In Proc. International Workshop on Machine Learning in Medical Imaging 62–71 (Springer, 2023).
Zhu, Y. et al. Bsda: Bayesian random semantic data augmentation for medical image classification. Sensors 24, 7511 (2024).
Zhemchuzhnikov, D. & Grudinin, S. ILPO-NET: Network for the invariant recognition of arbitrary volumetric patterns in 3D. In Proc. Joint European Conference on Machine Learning and Knowledge Discovery in Databases, 352–368 (Springer, 2024).
Halder, A. et al. A fuzzy rank-based deep ensemble methodology for multi-class skin cancer classification. Sci. Rep. 15, 6268 (2025).
Wu, B., Huang, J. & Duan, Q. Real-time intelligent healthcare enabled by federated digital twins with AOI optimization. In Proc. IEEE Network 184–191 (IEEE, 2025).
Wang, G., Zhu, Q., Song, C., Wei, B. & Li, S. Medkaformer: When Kolmogorov-Arnold theorem meets vision transformer for medical image representation. In Proc. IEEE Journal of Biomedical and Health Informatics 4303–4313 (IEEE, 2025).
Bai, Y., Bai, L., Yang, X. & Liang, J. Label-semantic-based prompt tuning for vision transformer adaptation in medical image analysis. In Proc. IEEE Transactions on Circuits and Systems for Video Technology 10906–10917 (IEEE, 2025).
Singh, A., Eising, C., Denny, P. & van de Ven, P. Improving GNNs for image classification: addressing homophily challenges. IEEE Open Journal of the Computer Society, 2025.
Zechen, Z., Xuelei, H., Fengjun, Z. & Xiaowei, H. PSNAS-Net: Hybrid gradient-physical optimizationfor efficient neural architecture search in customized medical imaging analysis. Expert Syst. Appl. 288, 128155 (2025).
Du, Y., Zhang, J., Zeevi, T., Dvornek, N. C. & Onofrey, J. A. Sre-conv: symmetric rotation equivariant convolution for biomedical image classification. In Proc IEEE 22nd International Symposium on Biomedical Imaging (ISBI), 1–5 (IEEE, 2025).
Singh, R. & Guggilam, S. Iterative misclassification error training (IMET): an optimized neural network training technique for image classification. IEEE Access https://doi.org/10.48550/arXiv.2507.02979 (2025).
Rahman, M. & Zhuang, J. Nqnn: Noise-aware quantum neural networks for medical image classification. In Proc. International Conference on Medical Image Computing and Computer-Assisted Intervention 433–442 (Springer, 2025).
Kather, J. N., Halama, N. & Marx, A. 100,000 histological images of human colorectal cancer and healthy tissue. https://doi.org/10.5281/zenodo.1214456 (2018).
Kermany, D., Zhang, K. & Goldbaum, M. Large dataset of labeled optical coherence tomography (OCT) and chest x-ray images. Mendeley Data 3 (2018).
Tschandl, P., Rosendahl, C. & Kittler, H. The ham10000 dataset, a large collection of multi-source dermatoscopic images of common pigmented skin lesions. Sci. Data 5, 1–9 (2018).
Niu, C. et al. Specialty-oriented generalist medical AI for chest CT screening. Nat. Commun. https://doi.org/10.48550/arXiv.2304.02649 (2025).
Hodge, W. V. D. The Theory and Applications of Harmonic Integrals (CUP Archive, 1989).
Morrey, C. B. A variational method in the theory of harmonic integrals, II. Am. J. Math. 78, 137–170 (1956).
Shonkwiler, C. Poincaré Duality Angles on Riemannian Manifolds With Boundary. PhD thesis, University of Pennsylvania (2009).
Ribando-Gros, E., Wang, R., Chen, J., Tong, Y. & Wei, G. W. Combinatorial and Hodge Laplacians: Similarities and differences. SIAM Rev. 66, 575–601 (2024).
Paszke, A. et al. Pytorch: an imperative style, high-performance deep learning library. Adv. Neural Inform. Process. Syst. 32, 8026–8037 (2019).
Loshchilov, I., Hutter, F. Decoupled weight decay regularization. In International Conference on Learning Representations (ICLR) (2019).
Smith, L. N. & Topin, N. Super-convergence: Very fast training of neural networks using large learning rates. In Proc. Artificial Intelligence and Machine Learning for Multi-Domain Operations Applications 369–386 (SPIE, 2019).
LiuXiangMath. Liuxiangmath/mtdl: Version 1.0 - code for “manifold topological deep learning for biomedical data. https://doi.org/10.5281/zenodo.18795894 (2026).
Acknowledgements
This work was supported in part by NIH grants R01GM126189, R01AI164266, and R35GM148196, National Science Foundation grants DMS2052983 and IIS-1900473, Michigan State University Research Foundation, and Bristol-Myers Squibb 65109. The work of YS and GW was supported in part by NIH grants R01EB032716, R01EB031102, and R01HL151561.
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X.L. performed the computational studies, analyzed the data, drafted and revised the manuscript. Z.S. and Y.Y.S. analyzed the data and revised the manuscript. Y.Y.T. and G.W. provided critical review and revisions. G.W.W conceptualized the study, supervised the project, acquired funding, and revised the manuscript.
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Nature Communications thanks Tolga Birdal, who co-reviewed with Yiming Huang; and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. A peer review file is available.
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Liu, X., Su, Z., Shi, Y. et al. Manifold topological deep learning for biomedical data. Nat Commun (2026). https://doi.org/10.1038/s41467-026-71392-1
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DOI: https://doi.org/10.1038/s41467-026-71392-1


