Yongbing Zhang

Zheng Chen, Yulun Zhang, Jinjin Gu et al. · eth-zurich

Recently, Transformer architecture has been introduced into image restoration to replace convolution neural network (CNN) with surprising results. Considering the high computational complexity of Transformer with global attention, some methods use the local square window to limit the scope of self-attention. However, these methods lack direct interaction among different windows, which limits the establishment of long-range dependencies. To address the above issue, we propose a new image restoration model, Cross Aggregation Transformer (CAT). The core of our CAT is the Rectangle-Window Self-Attention (Rwin-SA), which utilizes horizontal and vertical rectangle window attention in different heads parallelly to expand the attention area and aggregate the features cross different windows. We also introduce the Axial-Shift operation for different window interactions. Furthermore, we propose the Locality Complementary Module to complement the self-attention mechanism, which incorporates the inductive bias of CNN (e.g., translation invariance and locality) into Transformer, enabling global-local coupling. Extensive experiments demonstrate that our CAT outperforms recent state-of-the-art methods on several image restoration applications. The code and models are available at https://github.com/zhengchen1999/CAT.

Jiale Zhang, Yulun Zhang, Jinjin Gu et al. · eth-zurich

Recently, Transformer-based image restoration networks have achieved promising improvements over convolutional neural networks due to parameter-independent global interactions. To lower computational cost, existing works generally limit self-attention computation within non-overlapping windows. However, each group of tokens are always from a dense area of the image. This is considered as a dense attention strategy since the interactions of tokens are restrained in dense regions. Obviously, this strategy could result in restricted receptive fields. To address this issue, we propose Attention Retractable Transformer (ART) for image restoration, which presents both dense and sparse attention modules in the network. The sparse attention module allows tokens from sparse areas to interact and thus provides a wider receptive field. Furthermore, the alternating application of dense and sparse attention modules greatly enhances representation ability of Transformer while providing retractable attention on the input image.We conduct extensive experiments on image super-resolution, denoising, and JPEG compression artifact reduction tasks. Experimental results validate that our proposed ART outperforms state-of-the-art methods on various benchmark datasets both quantitatively and visually. We also provide code and models at https://github.com/gladzhang/ART.

Zhuchen Shao, Yang Chen, Hao Bian et al.

Survival prediction based on whole slide images (WSIs) is a challenging task for patient-level multiple instance learning (MIL). Due to the vast amount of data for a patient (one or multiple gigapixels WSIs) and the irregularly shaped property of WSI, it is difficult to fully explore spatial, contextual, and hierarchical interaction in the patient-level bag. Many studies adopt random sampling pre-processing strategy and WSI-level aggregation models, which inevitably lose critical prognostic information in the patient-level bag. In this work, we propose a hierarchical vision Transformer framework named HVTSurv, which can encode the local-level relative spatial information, strengthen WSI-level context-aware communication, and establish patient-level hierarchical interaction. Firstly, we design a feature pre-processing strategy, including feature rearrangement and random window masking. Then, we devise three layers to progressively obtain patient-level representation, including a local-level interaction layer adopting Manhattan distance, a WSI-level interaction layer employing spatial shuffle, and a patient-level interaction layer using attention pooling. Moreover, the design of hierarchical network helps the model become more computationally efficient. Finally, we validate HVTSurv with 3,104 patients and 3,752 WSIs across 6 cancer types from The Cancer Genome Atlas (TCGA). The average C-Index is 2.50-11.30% higher than all the prior weakly supervised methods over 6 TCGA datasets. Ablation study and attention visualization further verify the superiority of the proposed HVTSurv. Implementation is available at: https://github.com/szc19990412/HVTSurv.

Ruitao Zhang, Xueying Han, Ijaz Gul et al.

Acute leukemia is a type of blood cancer with a high mortality rate. Current therapeutic methods include bone marrow transplantation, supportive therapy, and chemotherapy. Although a satisfactory remission of the disease can be achieved, the risk of recurrence is still high. Therefore, novel treatments are demanding. Chimeric antigen receptor-T (CAR-T) therapy has emerged as a promising approach to treat and cure acute leukemia. To harness the therapeutic potential of CAR-T cell therapy for blood diseases, reliable cell morphological identification is crucial. Nevertheless, the identification of CAR-T cells is a big challenge posed by their phenotypic similarity with other blood cells. To address this substantial clinical challenge, herein we first construct a CAR-T dataset with 500 original microscopy images after staining. Following that, we create a novel integrated model called RCMNet (ResNet18 with CBAM and MHSA) that combines the convolutional neural network (CNN) and Transformer. The model shows 99.63% top-1 accuracy on the public dataset. Compared with previous reports, our model obtains satisfactory results for image classification. Although testing on the CAR-T cells dataset, a decent performance is observed, which is attributed to the limited size of the dataset. Transfer learning is adapted for RCMNet and a maximum of 83.36% accuracy has been achieved, which is higher than other SOTA models. The study evaluates the effectiveness of RCMNet on a big public dataset and translates it to a clinical dataset for diagnostic applications.

Hao Bian, Zhuchen Shao, Yang Chen et al.

With the development of computational pathology, deep learning methods for Gleason grading through whole slide images (WSIs) have excellent prospects. Since the size of WSIs is extremely large, the image label usually contains only slide-level label or limited pixel-level labels. The current mainstream approach adopts multi-instance learning to predict Gleason grades. However, some methods only considering the slide-level label ignore the limited pixel-level labels containing rich local information. Furthermore, the method of additionally considering the pixel-level labels ignores the inaccuracy of pixel-level labels. To address these problems, we propose a mixed supervision Transformer based on the multiple instance learning framework. The model utilizes both slide-level label and instance-level labels to achieve more accurate Gleason grading at the slide level. The impact of inaccurate instance-level labels is further reduced by introducing an efficient random masking strategy in the mixed supervision training process. We achieve the state-of-the-art performance on the SICAPv2 dataset, and the visual analysis shows the accurate prediction results of instance level. The source code is available at https://github.com/bianhao123/Mixed_supervision.

Bin Chen, Xuanyu Zhang, Shuai Liu et al.

Compressed sensing (CS) is a promising tool for reducing sampling costs. Current deep neural network (NN)-based CS methods face the challenges of collecting labeled measurement-ground truth (GT) data and generalizing to real applications. This paper proposes a novel $\mathbf{S}$elf-supervised s$\mathbf{C}$alable deep CS method, comprising a deep $\mathbf{L}$earning scheme called $\mathbf{SCL}$ and a family of $\mathbf{Net}$works named $\mathbf{SCNet}$, which does not require GT and can handle arbitrary sampling ratios and matrices once trained on a partial measurement set. Our SCL contains a dual-domain loss and a four-stage recovery strategy. The former encourages a cross-consistency on two measurement parts and a sampling-reconstruction cycle-consistency regarding arbitrary ratios and matrices to maximize data/information utilization. The latter can progressively leverage common signal prior in external measurements and internal characteristics of test samples and learned NNs to improve accuracy. SCNet combines both the explicit guidance from optimization algorithms with implicit regularization from advanced NN blocks to learn a collaborative signal representation. Our theoretical analyses and experiments on simulated and real captured data, covering 1-/2-/3-D natural and scientific signals, demonstrate the effectiveness, superior performance, flexibility, and generalization ability of our method over existing self-supervised methods and its significant potential in competing against state-of-the-art supervised methods. Code is available at https://github.com/Guaishou74851/SCNet.

Weiqi Li, Bin Chen, Shuai Liu et al.

By mapping iterative optimization algorithms into neural networks (NNs), deep unfolding networks (DUNs) exhibit well-defined and interpretable structures and achieve remarkable success in the field of compressive sensing (CS). However, most existing DUNs solely rely on the image-domain unfolding, which restricts the information transmission capacity and reconstruction flexibility, leading to their loss of image details and unsatisfactory performance. To overcome these limitations, this paper develops a dual-domain optimization framework that combines the priors of (1) image- and (2) convolutional-coding-domains and offers generality to CS and other inverse imaging tasks. By converting this optimization framework into deep NN structures, we present a Dual-Domain Deep Convolutional Coding Network (D3C2-Net), which enjoys the ability to efficiently transmit high-capacity self-adaptive convolutional features across all its unfolded stages. Our theoretical analyses and experiments on simulated and real captured data, covering 2D and 3D natural, medical, and scientific signals, demonstrate the effectiveness, practicality, superior performance, and generalization ability of our method over other competing approaches and its significant potential in achieving a balance among accuracy, complexity, and interpretability. Code is available at https://github.com/lwq20020127/D3C2-Net.

Yang Liu, Ersi Zhang, Lulu Xu et al.

Deep learning techniques have shown great potential in medical image processing, particularly through accurate and reliable image segmentation on magnetic resonance imaging (MRI) scans or computed tomography (CT) scans, which allow the localization and diagnosis of lesions. However, training these segmentation models requires a large number of manually annotated pixel-level labels, which are time-consuming and labor-intensive, in contrast to image-level labels that are easier to obtain. It is imperative to resolve this problem through weakly-supervised semantic segmentation models using image-level labels as supervision since it can significantly reduce human annotation efforts. Most of the advanced solutions exploit class activation mapping (CAM). However, the original CAMs rarely capture the precise boundaries of lesions. In this study, we propose the strategy of multi-scale inference to refine CAMs by reducing the detail loss in single-scale reasoning. For segmentation, we develop a novel model named Mixed-UNet, which has two parallel branches in the decoding phase. The results can be obtained after fusing the extracted features from two branches. We evaluate the designed Mixed-UNet against several prevalent deep learning-based segmentation approaches on our dataset collected from the local hospital and public datasets. The validation results demonstrate that our model surpasses available methods under the same supervision level in the segmentation of various lesions from brain imaging.

Simon Graham, Quoc Dang Vu, Mostafa Jahanifar et al.

Nuclear detection, segmentation and morphometric profiling are essential in helping us further understand the relationship between histology and patient outcome. To drive innovation in this area, we setup a community-wide challenge using the largest available dataset of its kind to assess nuclear segmentation and cellular composition. Our challenge, named CoNIC, stimulated the development of reproducible algorithms for cellular recognition with real-time result inspection on public leaderboards. We conducted an extensive post-challenge analysis based on the top-performing models using 1,658 whole-slide images of colon tissue. With around 700 million detected nuclei per model, associated features were used for dysplasia grading and survival analysis, where we demonstrated that the challenge's improvement over the previous state-of-the-art led to significant boosts in downstream performance. Our findings also suggest that eosinophils and neutrophils play an important role in the tumour microevironment. We release challenge models and WSI-level results to foster the development of further methods for biomarker discovery.

Chu Han, Xipeng Pan, Lixu Yan et al.

Lung cancer is the leading cause of cancer death worldwide, and adenocarcinoma (LUAD) is the most common subtype. Exploiting the potential value of the histopathology images can promote precision medicine in oncology. Tissue segmentation is the basic upstream task of histopathology image analysis. Existing deep learning models have achieved superior segmentation performance but require sufficient pixel-level annotations, which is time-consuming and expensive. To enrich the label resources of LUAD and to alleviate the annotation efforts, we organize this challenge WSSS4LUAD to call for the outstanding weakly-supervised semantic segmentation (WSSS) techniques for histopathology images of LUAD. Participants have to design the algorithm to segment tumor epithelial, tumor-associated stroma and normal tissue with only patch-level labels. This challenge includes 10,091 patch-level annotations (the training set) and over 130 million labeled pixels (the validation and test sets), from 87 WSIs (67 from GDPH, 20 from TCGA). All the labels were generated by a pathologist-in-the-loop pipeline with the help of AI models and checked by the label review board. Among 532 registrations, 28 teams submitted the results in the test phase with over 1,000 submissions. Finally, the first place team achieved mIoU of 0.8413 (tumor: 0.8389, stroma: 0.7931, normal: 0.8919). According to the technical reports of the top-tier teams, CAM is still the most popular approach in WSSS. Cutmix data augmentation has been widely adopted to generate more reliable samples. With the success of this challenge, we believe that WSSS approaches with patch-level annotations can be a complement to the traditional pixel annotations while reducing the annotation efforts. The entire dataset has been released to encourage more researches on computational pathology in LUAD and more novel WSSS techniques.

Muhammad Hassan, Haifei Guan, Aikaterini Melliou et al.

Neural networks have been rapidly expanding in recent years, with novel strategies and applications. However, challenges such as interpretability, explainability, robustness, safety, trust, and sensibility remain unsolved in neural network technologies, despite the fact that they will unavoidably be addressed for critical applications. Attempts have been made to overcome the challenges in neural network computing by representing and embedding domain knowledge in terms of symbolic representations. Thus, the neuro-symbolic learning (NeSyL) notion emerged, which incorporates aspects of symbolic representation and bringing common sense into neural networks (NeSyL). In domains where interpretability, reasoning, and explainability are crucial, such as video and image captioning, question-answering and reasoning, health informatics, and genomics, NeSyL has shown promising outcomes. This review presents a comprehensive survey on the state-of-the-art NeSyL approaches, their principles, advances in machine and deep learning algorithms, applications such as opthalmology, and most importantly, future perspectives of this emerging field.

Marc Aubreville, Nikolas Stathonikos, Taryn A. Donovan et al.

Recognition of mitotic figures in histologic tumor specimens is highly relevant to patient outcome assessment. This task is challenging for algorithms and human experts alike, with deterioration of algorithmic performance under shifts in image representations. Considerable covariate shifts occur when assessment is performed on different tumor types, images are acquired using different digitization devices, or specimens are produced in different laboratories. This observation motivated the inception of the 2022 challenge on MItosis Domain Generalization (MIDOG 2022). The challenge provided annotated histologic tumor images from six different domains and evaluated the algorithmic approaches for mitotic figure detection provided by nine challenge participants on ten independent domains. Ground truth for mitotic figure detection was established in two ways: a three-expert consensus and an independent, immunohistochemistry-assisted set of labels. This work represents an overview of the challenge tasks, the algorithmic strategies employed by the participants, and potential factors contributing to their success. With an $F_1$ score of 0.764 for the top-performing team, we summarize that domain generalization across various tumor domains is possible with today's deep learning-based recognition pipelines. However, we also found that domain characteristics not present in the training set (feline as new species, spindle cell shape as new morphology and a new scanner) led to small but significant decreases in performance. When assessed against the immunohistochemistry-assisted reference standard, all methods resulted in reduced recall scores, but with only minor changes in the order of participants in the ranking.

Jingfen Xie, Jian Zhang, Yongbing Zhang et al.

Compressed Sensing MRI (CS-MRI) aims at reconstructing de-aliased images from sub-Nyquist sampling k-space data to accelerate MR Imaging, thus presenting two basic issues, i.e., where to sample and how to reconstruct. To deal with both problems simultaneously, we propose a novel end-to-end Probabilistic Under-sampling and Explicable Reconstruction neTwork, dubbed PUERT, to jointly optimize the sampling pattern and the reconstruction network. Instead of learning a deterministic mask, the proposed sampling subnet explores an optimal probabilistic sub-sampling pattern, which describes independent Bernoulli random variables at each possible sampling point, thus retaining robustness and stochastics for a more reliable CS reconstruction. A dynamic gradient estimation strategy is further introduced to gradually approximate the binarization function in backward propagation, which efficiently preserves the gradient information and further improves the reconstruction quality. Moreover, in our reconstruction subnet, we adopt a model-based network design scheme with high efficiency and interpretability, which is shown to assist in further exploitation for the sampling subnet. Extensive experiments on two widely used MRI datasets demonstrate that our proposed PUERT not only achieves state-of-the-art results in terms of both quantitative metrics and visual quality but also yields a sub-sampling pattern and a reconstruction model that are both customized to training data.

Xuanyu Zhang, Bin Chen, Wenzhen Zou et al.

Hyperspectral imaging plays a pivotal role in a wide range of applications, like remote sensing, medicine, and cytology. By acquiring 3D hyperspectral images (HSIs) via 2D sensors, the coded aperture snapshot spectral imaging (CASSI) has achieved great success due to its hardware-friendly implementation and fast imaging speed. However, for some less spectrally sparse scenes, single snapshot and unreasonable coded aperture design tend to make HSI recovery more ill-posed and yield poor spatial and spectral fidelity. In this paper, we propose a novel Progressive Content-Aware CASSI framework, dubbed PCA-CASSI, which captures HSIs with multiple optimized content-aware coded apertures and fuses all the snapshots for reconstruction progressively. Simultaneously, by mapping the Range-Null space Decomposition (RND) into a deep network with several phases, an RND-HRNet is proposed for HSI recovery. Each recovery phase can fully exploit the hidden physical information in the coded apertures via explicit $\mathcal{R}$$-$$\mathcal{N}$ decomposition and explore the spatial-spectral correlation by dual transformer blocks. Our method is validated to surpass other state-of-the-art methods on both multiple- and single-shot HSI imaging tasks by large margins.

Linghan Cai, Jianhao Huang, Zihang Zhu et al.

Fluorodeoxyglucose (FDG) positron emission tomography (PET) combined with computed tomography (CT) is considered the primary solution for detecting some cancers, such as lung cancer and melanoma. Automatic segmentation of tumors in PET/CT images can help reduce doctors' workload, thereby improving diagnostic quality. However, precise tumor segmentation is challenging due to the small size of many tumors and the similarity of high-uptake normal areas to the tumor regions. To address these issues, this paper proposes a localization-to-segmentation framework (L2SNet) for precise tumor segmentation. L2SNet first localizes the possible lesions in the lesion localization phase and then uses the location cues to shape the segmentation results in the lesion segmentation phase. To further improve the segmentation performance of L2SNet, we design an adaptive threshold scheme that takes the segmentation results of the two phases into consideration. The experiments with the MICCAI 2023 Automated Lesion Segmentation in Whole-Body FDG-PET/CT challenge dataset show that our method achieved a competitive result and was ranked in the top 7 methods on the preliminary test set. Our work is available at: https://github.com/MedCAI/L2SNet.

Songhan Jiang, Fengchun Liu, Ziyue Wang et al.

Vision-Language Models (VLMs) are advancing computational pathology with superior visual understanding capabilities. However, current systems often reduce diagnosis to directly output conclusions without verifiable evidence-linked reasoning, which severely limits clinical trust and hinders expert error rectification. To address these barriers, we construct PathReasoner, the first large-scale dataset of whole-slide image (WSI) reasoning. Unlike previous work reliant on unverified distillation, we develop a rigorous knowledge-guided generation pipeline. By leveraging medical knowledge graphs, we explicitly align structured pathological findings and clinical reasoning with diagnoses, generating over 20K high-quality instructional samples. Based on the database, we propose PathReasoner-R1, which synergizes trajectory-masked supervised fine-tuning with reasoning-oriented reinforcement learning to instill structured chain-of-thought capabilities. To ensure medical rigor, we engineer a knowledge-aware multi-granular reward function incorporating an Entity Reward mechanism strictly aligned with knowledge graphs. This effectively guides the model to optimize for logical consistency rather than mere outcome matching, thereby enhancing robustness. Extensive experiments demonstrate that PathReasoner-R1 achieves state-of-the-art performance on both PathReasoner and public benchmarks across various image scales, equipping pathology models with transparent, clinically grounded reasoning capabilities. Dataset and code are available at https://github.com/cyclexfy/PathReasoner-R1.

Zijie Fang, Yihan Liu, Yifeng Wang et al.

Biomarker detection is an indispensable part in the diagnosis and treatment of low-grade glioma (LGG). However, current LGG biomarker detection methods rely on expensive and complex molecular genetic testing, for which professionals are required to analyze the results, and intra-rater variability is often reported. To overcome these challenges, we propose an interpretable deep learning pipeline, a Multi-Biomarker Histomorphology Discoverer (Multi-Beholder) model based on the multiple instance learning (MIL) framework, to predict the status of five biomarkers in LGG using only hematoxylin and eosin-stained whole slide images and slide-level biomarker status labels. Specifically, by incorporating the one-class classification into the MIL framework, accurate instance pseudo-labeling is realized for instance-level supervision, which greatly complements the slide-level labels and improves the biomarker prediction performance. Multi-Beholder demonstrates superior prediction performance and generalizability for five LGG biomarkers (AUROC=0.6469-0.9735) in two cohorts (n=607) with diverse races and scanning protocols. Moreover, the excellent interpretability of Multi-Beholder allows for discovering the quantitative and qualitative correlations between biomarker status and histomorphology characteristics. Our pipeline not only provides a novel approach for biomarker prediction, enhancing the applicability of molecular treatments for LGG patients but also facilitates the discovery of new mechanisms in molecular functionality and LGG progression.

Zhuchen Shao, Liuxi Dai, Yifeng Wang et al.

Multiple Instance Learning (MIL), a powerful strategy for weakly supervised learning, is able to perform various prediction tasks on gigapixel Whole Slide Images (WSIs). However, the tens of thousands of patches in WSIs usually incur a vast computational burden for image augmentation, limiting the MIL model's improvement in performance. Currently, the feature augmentation-based MIL framework is a promising solution, while existing methods such as Mixup often produce unrealistic features. To explore a more efficient and practical augmentation method, we introduce the Diffusion Model (DM) into MIL for the first time and propose a feature augmentation framework called AugDiff. Specifically, we employ the generation diversity of DM to improve the quality of feature augmentation and the step-by-step generation property to control the retention of semantic information. We conduct extensive experiments over three distinct cancer datasets, two different feature extractors, and three prevalent MIL algorithms to evaluate the performance of AugDiff. Ablation study and visualization further verify the effectiveness. Moreover, we highlight AugDiff's higher-quality augmented feature over image augmentation and its superiority over self-supervised learning. The generalization over external datasets indicates its broader applications.

Zijie Fang, Yifeng Wang, Ye Zhang et al.

Recently, pathological diagnosis has achieved superior performance by combining deep learning models with the multiple instance learning (MIL) framework using whole slide images (WSIs). However, the giga-pixeled nature of WSIs poses a great challenge for efficient MIL. Existing studies either do not consider global dependencies among instances, or use approximations such as linear attentions to model the pair-to-pair instance interactions, which inevitably brings performance bottlenecks. To tackle this challenge, we propose a framework named MamMIL for WSI analysis by cooperating the selective structured state space model (i.e., Mamba) with MIL, enabling the modeling of global instance dependencies while maintaining linear complexity. Specifically, considering the irregularity of the tissue regions in WSIs, we represent each WSI as an undirected graph. To address the problem that Mamba can only process 1D sequences, we further propose a topology-aware scanning mechanism to serialize the WSI graphs while preserving the topological relationships among the instances. Finally, in order to further perceive the topological structures among the instances and incorporate short-range feature interactions, we propose an instance aggregation block based on graph neural networks. Experiments show that MamMIL can achieve advanced performance than the state-of-the-art frameworks. The code can be accessed at https://github.com/Vison307/MamMIL.

Ye Zhang, Yifeng Wang, Zijie Fang et al.

Weakly supervised segmentation methods have gained significant attention due to their ability to reduce the reliance on costly pixel-level annotations during model training. However, the current weakly supervised nuclei segmentation approaches typically follow a two-stage pseudo-label generation and network training process. The performance of the nuclei segmentation heavily relies on the quality of the generated pseudo-labels, thereby limiting its effectiveness. This paper introduces a novel domain-adaptive weakly supervised nuclei segmentation framework using cross-task interaction strategies to overcome the challenge of pseudo-label generation. Specifically, we utilize weakly annotated data to train an auxiliary detection task, which assists the domain adaptation of the segmentation network. To enhance the efficiency of domain adaptation, we design a consistent feature constraint module integrating prior knowledge from the source domain. Furthermore, we develop pseudo-label optimization and interactive training methods to improve the domain transfer capability. To validate the effectiveness of our proposed method, we conduct extensive comparative and ablation experiments on six datasets. The results demonstrate the superiority of our approach over existing weakly supervised approaches. Remarkably, our method achieves comparable or even better performance than fully supervised methods. Our code will be released in https://github.com/zhangye-zoe/DAWN.

Taiqin Chen, Yifeng Wang, Xiaochen Feng et al.

While hyperspectral images (HSI) benefit from numerous spectral channels that provide rich information for classification, the increased dimensionality and sensor variability make them more sensitive to distributional discrepancies across domains, which in turn can affect classification performance. To tackle this issue, hyperspectral single-source domain generalization (SDG) typically employs data augmentation to simulate potential domain shifts and enhance model robustness under the condition of single-source domain training data availability. However, blind augmentation may produce samples misaligned with real-world scenarios, while excessive emphasis on realism can suppress diversity, highlighting a tradeoff between realism and diversity that limits generalization to target domains. To address this challenge, we propose a spectral property-driven data augmentation (SPDDA) that explicitly accounts for the inherent properties of HSI, namely the device-dependent variation in the number of spectral channels and the mixing of adjacent channels. Specifically, SPDDA employs a spectral diversity module that resamples data from the source domain along the spectral dimension to generate samples with varying spectral channels, and constructs a channel-wise adaptive spectral mixer by modeling inter-channel similarity, thereby avoiding fixed augmentation patterns. To further enhance the realism of the augmented samples, we propose a spatial-spectral co-optimization mechanism, which jointly optimizes a spatial fidelity constraint and a spectral continuity self-constraint. Moreover, the weight of the spectral self-constraint is adaptively adjusted based on the spatial counterpart, thus preventing over-smoothing in the spectral dimension and preserving spatial structure. Extensive experiments conducted on three remote sensing benchmarks demonstrate that SPDDA outperforms state-of-the-art methods.

Zijie Fang, Yifeng Wang, Peizhang Xie et al.

Tissue semantic segmentation is one of the key tasks in computational pathology. To avoid the expensive and laborious acquisition of pixel-level annotations, a wide range of studies attempt to adopt the class activation map (CAM), a weakly-supervised learning scheme, to achieve pixel-level tissue segmentation. However, CAM-based methods are prone to suffer from under-activation and over-activation issues, leading to poor segmentation performance. To address this problem, we propose a novel weakly-supervised semantic segmentation framework for histopathological images based on image-mixing synthesis and consistency regularization, dubbed HisynSeg. Specifically, synthesized histopathological images with pixel-level masks are generated for fully-supervised model training, where two synthesis strategies are proposed based on Mosaic transformation and Bézier mask generation. Besides, an image filtering module is developed to guarantee the authenticity of the synthesized images. In order to further avoid the model overfitting to the occasional synthesis artifacts, we additionally propose a novel self-supervised consistency regularization, which enables the real images without segmentation masks to supervise the training of the segmentation model. By integrating the proposed techniques, the HisynSeg framework successfully transforms the weakly-supervised semantic segmentation problem into a fully-supervised one, greatly improving the segmentation accuracy. Experimental results on three datasets prove that the proposed method achieves a state-of-the-art performance. Code is available at https://github.com/Vison307/HisynSeg.

Linghan Cai, Shenjin Huang, Ye Zhang et al.

Multiple instance learning (MIL) is a robust paradigm for whole-slide pathological image (WSI) analysis, processing gigapixel-resolution images with slide-level labels. As pioneering efforts, attention-based MIL (ABMIL) and its variants are increasingly becoming popular due to the characteristics of simultaneously handling clinical diagnosis and tumor localization. However, the attention mechanism exhibits limitations in discriminating between instances, which often misclassifies tissues and potentially impairs MIL performance. This paper proposes an Attribute-Driven MIL (AttriMIL) framework to address these issues. Concretely, we dissect the calculation process of ABMIL and present an attribute scoring mechanism that measures the contribution of each instance to bag prediction effectively, quantifying instance attributes. Based on attribute quantification, we develop a spatial attribute constraint and an attribute ranking constraint to model instance correlations within and across slides, respectively. These constraints encourage the network to capture the spatial correlation and semantic similarity of instances, improving the ability of AttriMIL to distinguish tissue types and identify challenging instances. Additionally, AttriMIL employs a histopathology adaptive backbone that maximizes the pre-trained model's feature extraction capability for collecting pathological features. Extensive experiments on three public benchmarks demonstrate that our AttriMIL outperforms existing state-of-the-art frameworks across multiple evaluation metrics. The implementation code is available at https://github.com/MedCAI/AttriMIL.

Jinpeng Wang, Niu Lian, Jun Li et al.

Self-supervised video hashing (SSVH) is a practical task in video indexing and retrieval. Although Transformers are predominant in SSVH for their impressive temporal modeling capabilities, they often suffer from computational and memory inefficiencies. Drawing inspiration from Mamba, an advanced state-space model, we explore its potential in SSVH to achieve a better balance between efficacy and efficiency. We introduce S5VH, a Mamba-based video hashing model with an improved self-supervised learning paradigm. Specifically, we design bidirectional Mamba layers for both the encoder and decoder, which are effective and efficient in capturing temporal relationships thanks to the data-dependent selective scanning mechanism with linear complexity. In our learning strategy, we transform global semantics in the feature space into semantically consistent and discriminative hash centers, followed by a center alignment loss as a global learning signal. Our self-local-global (SLG) paradigm significantly improves learning efficiency, leading to faster and better convergence. Extensive experiments demonstrate S5VH's improvements over state-of-the-art methods, superior transferability, and scalable advantages in inference efficiency. Code is available at https://github.com/gimpong/AAAI25-S5VH.

Shengxiang Gao, Fang nan, Yongbing Zhang et al.

Existing research on news summarization primarily focuses on single-language single-document (SLSD), single-language multi-document (SLMD) or cross-language single-document (CLSD). However, in real-world scenarios, news about a international event often involves multiple documents in different languages, i.e., mixed-language multi-document (MLMD). Therefore, summarizing MLMD news is of great significance. However, the lack of datasets for MLMD news summarization has constrained the development of research in this area. To fill this gap, we construct a mixed-language multi-document news summarization dataset (MLMD-news), which contains four different languages and 10,992 source document cluster and target summary pairs. Additionally, we propose a graph-based extract-generate model and benchmark various methods on the MLMD-news dataset and publicly release our dataset and code\footnote[1]{https://github.com/Southnf9/MLMD-news}, aiming to advance research in summarization within MLMD scenarios.

Jinpeng Lu, Jingyun Chen, Linghan Cai et al.

Positron emission tomography (PET) combined with computed tomography (CT) imaging is routinely used in cancer diagnosis and prognosis by providing complementary information. Automatically segmenting tumors in PET/CT images can significantly improve examination efficiency. Traditional multi-modal segmentation solutions mainly rely on concatenation operations for modality fusion, which fail to effectively model the non-linear dependencies between PET and CT modalities. Recent studies have investigated various approaches to optimize the fusion of modality-specific features for enhancing joint representations. However, modality-specific encoders used in these methods operate independently, inadequately leveraging the synergistic relationships inherent in PET and CT modalities, for example, the complementarity between semantics and structure. To address these issues, we propose a Hierarchical Adaptive Interaction and Weighting Network termed H2ASeg to explore the intrinsic cross-modal correlations and transfer potential complementary information. Specifically, we design a Modality-Cooperative Spatial Attention (MCSA) module that performs intra- and inter-modal interactions globally and locally. Additionally, a Target-Aware Modality Weighting (TAMW) module is developed to highlight tumor-related features within multi-modal features, thereby refining tumor segmentation. By embedding these modules across different layers, H2ASeg can hierarchically model cross-modal correlations, enabling a nuanced understanding of both semantic and structural tumor features. Extensive experiments demonstrate the superiority of H2ASeg, outperforming state-of-the-art methods on AutoPet-II and Hecktor2022 benchmarks. The code is released at https://github.com/JinPLu/H2ASeg.

Xianchao Guan, Zhiyuan Fan, Yifeng Wang et al.

The development of clinical-grade artificial intelligence in pathology is limited by the scarcity of diverse, high-quality annotated datasets. Generative models offer a potential solution but suffer from semantic instability and morphological hallucinations that compromise diagnostic reliability. To address this challenge, we introduce a Correlation-Regulated Alignment Framework for Tissue Synthesis (CRAFTS), the first generative foundation model for pathology-specific text-to-image synthesis. By leveraging a dual-stage training strategy on approximately 2.8 million image-caption pairs, CRAFTS incorporates a novel alignment mechanism that suppresses semantic drift to ensure biological accuracy. This model generates diverse pathological images spanning 30 cancer types, with quality rigorously validated by objective metrics and pathologist evaluations. Furthermore, CRAFTS-augmented datasets enhance the performance across various clinical tasks, including classification, cross-modal retrieval, self-supervised learning, and visual question answering. In addition, coupling CRAFTS with ControlNet enables precise control over tissue architecture from inputs such as nuclear segmentation masks and fluorescence images. By overcoming the critical barriers of data scarcity and privacy concerns, CRAFTS provides a limitless source of diverse, annotated histology data, effectively unlocking the creation of robust diagnostic tools for rare and complex cancer phenotypes.

Fengchun Liu, Songhan Jiang, Linghan Cai et al.

While Vision-Language Models (VLMs) have achieved notable progress in computational pathology (CPath), the gigapixel scale and spatial heterogeneity of Whole Slide Images (WSIs) continue to pose challenges for multimodal understanding. Existing alignment methods struggle to capture fine-grained correspondences between textual descriptions and visual cues across thousands of patches from a slide, compromising their performance on downstream tasks. In this paper, we propose PathFLIP (Pathology Fine-grained Language-Image Pretraining), a novel framework for holistic WSI interpretation. PathFLIP decomposes slide-level captions into region-level subcaptions and generates text-conditioned region embeddings to facilitate precise visual-language grounding. By harnessing Large Language Models (LLMs), PathFLIP can seamlessly follow diverse clinical instructions and adapt to varied diagnostic contexts. Furthermore, it exhibits versatile capabilities across multiple paradigms, efficiently handling slide-level classification and retrieval, fine-grained lesion localization, and instruction following. Extensive experiments demonstrate that PathFLIP outperforms existing large-scale pathological VLMs on four representative benchmarks while requiring significantly less training data, paving the way for fine-grained, instruction-aware WSI interpretation in clinical practice.

Ye Zhang, Yu Zhou, Yifeng Wang et al.

Cell instance segmentation is critical to analyzing biomedical images, yet accurately distinguishing tightly touching cells remains a persistent challenge. Existing instance segmentation frameworks, including detection-based, contour-based, and distance mapping-based approaches, have made significant progress, but balancing model performance with computational efficiency remains an open problem. In this paper, we propose a novel cell instance segmentation method inspired by the four-color theorem. By conceptualizing cells as countries and tissues as oceans, we introduce a four-color encoding scheme that ensures adjacent instances receive distinct labels. This reformulation transforms instance segmentation into a constrained semantic segmentation problem with only four predicted classes, substantially simplifying the instance differentiation process. To solve the training instability caused by the non-uniqueness of four-color encoding, we design an asymptotic training strategy and encoding transformation method. Extensive experiments on various modes demonstrate our approach achieves state-of-the-art performance. The code is available at https://github.com/zhangye-zoe/FCIS.

Ye Zhang, Yu Zhou, Jingwen Qi et al.

Deep learning based automated pathological diagnosis has markedly improved diagnostic efficiency and reduced variability between observers, yet its clinical adoption remains limited by opaque model decisions and a lack of traceable rationale. To address this, recent multimodal visual reasoning architectures provide a unified framework that generates segmentation masks at the pixel level alongside semantically aligned textual explanations. By localizing lesion regions and producing expert style diagnostic narratives, these models deliver the transparent and interpretable insights necessary for dependable AI assisted pathology. Building on these advancements, we propose PathMR, a cell-level Multimodal visual Reasoning framework for Pathological image analysis. Given a pathological image and a textual query, PathMR generates expert-level diagnostic explanations while simultaneously predicting cell distribution patterns. To benchmark its performance, we evaluated our approach on the publicly available PathGen dataset as well as on our newly developed GADVR dataset. Extensive experiments on these two datasets demonstrate that PathMR consistently outperforms state-of-the-art visual reasoning methods in text generation quality, segmentation accuracy, and cross-modal alignment. These results highlight the potential of PathMR for improving interpretability in AI-driven pathological diagnosis. The code will be publicly available in https://github.com/zhangye-zoe/PathMR.

Jiuyang Dong, Jiahan Li, Junjun Jiang et al.

Although multi-instance learning (MIL) has succeeded in pathological image classification, it faces the challenge of high inference costs due to the need to process thousands of patches from each gigapixel whole slide image (WSI). To address this, we propose AHDMIL, an Asymmetric Hierarchical Distillation Multi-Instance Learning framework that enables fast and accurate classification by eliminating irrelevant patches through a two-step training process. AHDMIL comprises two key components: the Dynamic Multi-Instance Network (DMIN), which operates on high-resolution WSIs, and the Dual-Branch Lightweight Instance Pre-screening Network (DB-LIPN), which analyzes corresponding low-resolution counterparts. In the first step, self-distillation (SD), DMIN is trained for WSI classification while generating per-instance attention scores to identify irrelevant patches. These scores guide the second step, asymmetric distillation (AD), where DB-LIPN learns to predict the relevance of each low-resolution patch. The relevant patches predicted by DB-LIPN have spatial correspondence with patches in high-resolution WSIs, which are used for fine-tuning and efficient inference of DMIN. In addition, we design the first Chebyshev-polynomial-based Kolmogorov-Arnold (CKA) classifier in computational pathology, which improves classification performance through learnable activation layers. Extensive experiments on four public datasets demonstrate that AHDMIL consistently outperforms previous state-of-the-art methods in both classification performance and inference speed. For example, on the Camelyon16 dataset, it achieves a relative improvement of 5.3% in accuracy and accelerates inference by 1.2.times. Across all datasets, area under the curve (AUC), accuracy, f1 score, and brier score show consistent gains, with average inference speedups ranging from 1.2 to 2.1 times. The code is available.

Taiqin Chen, Zikun Zhou, Zheng Fang et al.

The radio map represents the spatial distribution of spectrum resources within a region, supporting efficient resource allocation and interference mitigation. However, it is difficult to construct a dense radio map as a limited number of samples can be measured in practical scenarios. While existing works have used deep learning to estimate dense radio maps from sparse samples, they are hard to integrate with the physical characteristics of the radio map. To address this challenge, we cast radio map estimation as the sparse signal recovery problem. A physical propagation model is further incorporated to decompose the problem into multiple factor optimization sub-problems, thereby reducing recovery complexity. Inspired by the existing compressive sensing methods, we propose the Radio Deep Unfolding Network (RadioDUN) to unfold the optimization process, achieving adaptive parameter adjusting and prior fitting in a learnable manner. To account for the radio propagation characteristics, we develop a dynamic reweighting module (DRM) to adaptively model the importance of each factor for the radio map. Inspired by the shadowing factor in the physical propagation model, we integrate obstacle-related factors to express the obstacle-induced signal stochastic decay. The shadowing loss is further designed to constrain the factor prediction and act as a supplementary supervised objective, which enhances the performance of RadioDUN. Extensive experiments have been conducted to demonstrate that the proposed method outperforms the state-of-the-art methods. Our code will be made publicly available upon publication.

Songhan Jiang, Zhengyu Gan, Linghan Cai et al.

Survival prediction, utilizing pathological images and genomic profiles, is increasingly important in cancer analysis and prognosis. Despite significant progress, precise survival analysis still faces two main challenges: (1) The massive pixels contained in whole slide images (WSIs) complicate the process of pathological images, making it difficult to generate an effective representation of the tumor microenvironment (TME). (2) Existing multimodal methods often rely on alignment strategies to integrate complementary information, which may lead to information loss due to the inherent heterogeneity between pathology and genes. In this paper, we propose a Multimodal Cross-Task Interaction (MCTI) framework to explore the intrinsic correlations between subtype classification and survival analysis tasks. Specifically, to capture TME-related features in WSIs, we leverage the subtype classification task to mine tumor regions. Simultaneously, multi-head attention mechanisms are applied in genomic feature extraction, adaptively performing genes grouping to obtain task-related genomic embedding. With the joint representation of pathological images and genomic data, we further introduce a Transport-Guided Attention (TGA) module that uses optimal transport theory to model the correlation between subtype classification and survival analysis tasks, effectively transferring potential information. Extensive experiments demonstrate the superiority of our approaches, with MCTI outperforming state-of-the-art frameworks on three public benchmarks. \href{https://github.com/jsh0792/MCTI}{https://github.com/jsh0792/MCTI}.

Ziyue Wang, Ye Zhang, Yifeng Wang et al.

Deep learning has achieved impressive results in nuclei segmentation, but the massive requirement for pixel-wise labels remains a significant challenge. To alleviate the annotation burden, existing methods generate pseudo masks for model training using point labels. However, the generated masks are inevitably different from the ground truth, and these dissimilarities are not handled reasonably during the network training, resulting in the subpar performance of the segmentation model. To tackle this issue, we propose a framework named DoNuSeg, enabling \textbf{D}ynamic pseudo label \textbf{O}ptimization in point-supervised \textbf{Nu}clei \textbf{Seg}mentation. Specifically, DoNuSeg takes advantage of class activation maps (CAMs) to adaptively capture regions with semantics similar to annotated points. To leverage semantic diversity in the hierarchical feature levels, we design a dynamic selection module to choose the optimal one among CAMs from different encoder blocks as pseudo masks. Meanwhile, a CAM-guided contrastive module is proposed to further enhance the accuracy of pseudo masks. In addition to exploiting the semantic information provided by CAMs, we consider location priors inherent to point labels, developing a task-decoupled structure for effectively differentiating nuclei. Extensive experiments demonstrate that DoNuSeg outperforms state-of-the-art point-supervised methods. The code is available at https://github.com/shinning0821/MICCAI24-DoNuSeg.

Ye Zhang, Linghan Cai, Ziyue Wang et al.

Nuclei instance segmentation in histopathological images is of great importance for biological analysis and cancer diagnosis but remains challenging for two reasons. (1) Similar visual presentation of intranuclear and extranuclear regions of chromophobe nuclei often causes under-segmentation, and (2) current methods lack the exploration of nuclei structure, resulting in fragmented instance predictions. To address these problems, this paper proposes a structure encoding and interaction network, termed SEINE, which develops the structure modeling scheme of nuclei and exploits the structure similarity between nuclei to improve the integrality of each segmented instance. Concretely, SEINE introduces a contour-based structure encoding (SE) that considers the correlation between nuclei structure and semantics, realizing a reasonable representation of the nuclei structure. Based on the encoding, we propose a structure-guided attention (SGA) module that takes the clear nuclei as prototypes to enhance the structure learning for the fuzzy nuclei. To strengthen the structural learning ability, a semantic feature fusion (SFF) is presented to boost the semantic consistency of semantic and structure branches. Furthermore, a position enhancement (PE) method is applied to suppress incorrect nuclei boundary predictions. Extensive experiments demonstrate the superiority of our approaches, and SEINE achieves state-of-the-art (SOTA) performance on four datasets. The code is available at https://github.com/zhangye-zoe/SEINE.

Xuanyu Zhang, Yongbing Zhang, Ruiqin Xiong et al.

Hyperspectral imaging is an essential imaging modality for a wide range of applications, especially in remote sensing, agriculture, and medicine. Inspired by existing hyperspectral cameras that are either slow, expensive, or bulky, reconstructing hyperspectral images (HSIs) from a low-budget snapshot measurement has drawn wide attention. By mapping a truncated numerical optimization algorithm into a network with a fixed number of phases, recent deep unfolding networks (DUNs) for spectral snapshot compressive sensing (SCI) have achieved remarkable success. However, DUNs are far from reaching the scope of industrial applications limited by the lack of cross-phase feature interaction and adaptive parameter adjustment. In this paper, we propose a novel Hyperspectral Explicable Reconstruction and Optimal Sampling deep Network for SCI, dubbed HerosNet, which includes several phases under the ISTA-unfolding framework. Each phase can flexibly simulate the sensing matrix and contextually adjust the step size in the gradient descent step, and hierarchically fuse and interact the hidden states of previous phases to effectively recover current HSI frames in the proximal mapping step. Simultaneously, a hardware-friendly optimal binary mask is learned end-to-end to further improve the reconstruction performance. Finally, our HerosNet is validated to outperform the state-of-the-art methods on both simulation and real datasets by large margins. The source code is available at https://github.com/jianzhangcs/HerosNet.

Zhuchen Shao, Hao Bian, Yang Chen et al.

Multiple instance learning (MIL) is a powerful tool to solve the weakly supervised classification in whole slide image (WSI) based pathology diagnosis. However, the current MIL methods are usually based on independent and identical distribution hypothesis, thus neglect the correlation among different instances. To address this problem, we proposed a new framework, called correlated MIL, and provided a proof for convergence. Based on this framework, we devised a Transformer based MIL (TransMIL), which explored both morphological and spatial information. The proposed TransMIL can effectively deal with unbalanced/balanced and binary/multiple classification with great visualization and interpretability. We conducted various experiments for three different computational pathology problems and achieved better performance and faster convergence compared with state-of-the-art methods. The test AUC for the binary tumor classification can be up to 93.09% over CAMELYON16 dataset. And the AUC over the cancer subtypes classification can be up to 96.03% and 98.82% over TCGA-NSCLC dataset and TCGA-RCC dataset, respectively. Implementation is available at: https://github.com/szc19990412/TransMIL.

Jiangpeng Yan, Shuo Chen, Yongbing Zhang et al.

Recent works have demonstrated that deep learning (DL) based compressed sensing (CS) implementation can accelerate Magnetic Resonance (MR) Imaging by reconstructing MR images from sub-sampled k-space data. However, network architectures adopted in previous methods are all designed by handcraft. Neural Architecture Search (NAS) algorithms can automatically build neural network architectures which have outperformed human designed ones in several vision tasks. Inspired by this, here we proposed a novel and efficient network for the MR image reconstruction problem via NAS instead of manual attempts. Particularly, a specific cell structure, which was integrated into the model-driven MR reconstruction pipeline, was automatically searched from a flexible pre-defined operation search space in a differentiable manner. Experimental results show that our searched network can produce better reconstruction results compared to previous state-of-the-art methods in terms of PSNR and SSIM with 4-6 times fewer computation resources. Extensive experiments were conducted to analyze how hyper-parameters affect reconstruction performance and the searched structures. The generalizability of the searched architecture was also evaluated on different organ MR datasets. Our proposed method can reach a better trade-off between computation cost and reconstruction performance for MR reconstruction problem with good generalizability and offer insights to design neural networks for other medical image applications. The evaluation code will be available at https://github.com/yjump/NAS-for-CSMRI.

Kewen Cao, Jianxu Chen, Yongbing Zhang et al.

Automated pathology image analysis is central to clinical diagnosis, but clinicians still ask which slide features drive a model's decision and why. Vision-language models can produce natural language explanations, but these are often correlational and lack verifiable evidence. In this paper, we introduce an SQL-centered agentic framework that enables both feature measurement and reasoning to be auditable. Specifically, after extracting human-interpretable cellular features, Feature Reasoning Agents compose and execute SQL queries over feature tables to aggregate visual evidence into quantitative findings. A Knowledge Comparison Agent then evaluates these findings against established pathological knowledge, mirroring how pathologists justify diagnoses from measurable observations. Extensive experiments evaluated on two pathology visual question answering datasets demonstrate our method improves interpretability and decision traceability while producing executable SQL traces that link cellular measurements to diagnostic conclusions.

Ye Zhang, Ziyue Wang, Yifeng Wang et al.

Semi-supervised segmentation methods have demonstrated promising results in natural scenarios, providing a solution to reduce dependency on manual annotation. However, these methods face significant challenges when directly applied to pathological images due to the subtle color differences between nuclei and tissues, as well as the significant morphological variations among nuclei. Consequently, the generated pseudo-labels often contain much noise, especially at the nuclei boundaries. To address the above problem, this paper proposes a boundary-aware contrastive learning network to denoise the boundary noise in a semi-supervised nuclei segmentation task. The model has two key designs: a low-resolution denoising (LRD) module and a cross-RoI contrastive learning (CRC) module. The LRD improves the smoothness of the nuclei boundary by pseudo-labels denoising, and the CRC enhances the discrimination between foreground and background by boundary feature contrastive learning. We conduct extensive experiments to demonstrate the superiority of our proposed method over existing semi-supervised instance segmentation methods.

Ye Zhang, Zijie Fang, Yifeng Wang et al.

Nuclei segmentation and classification provide an essential basis for tumor immune microenvironment analysis. The previous nuclei segmentation and classification models require splitting large images into smaller patches for training, leading to two significant issues. First, nuclei at the borders of adjacent patches often misalign during inference. Second, this patch-based approach significantly increases the model's training and inference time. Recently, Mamba has garnered attention for its ability to model large-scale images with linear time complexity and low memory consumption. It offers a promising solution for training nuclei segmentation and classification models on full-sized images. However, the Mamba orientation-based scanning method lacks account for category-specific features, resulting in sub-optimal performance in scenarios with imbalanced class distributions. To address these challenges, this paper introduces a novel scanning strategy based on category probability sorting, which independently ranks and scans features for each category according to confidence from high to low. This approach enhances the feature representation of uncertain samples and mitigates the issues caused by imbalanced distributions. Extensive experiments conducted on four public datasets demonstrate that our method outperforms state-of-the-art approaches, delivering superior performance in nuclei segmentation and classification tasks.

Jiuyang Dong, Junjun Jiang, Kui Jiang et al.

Although multi-instance learning (MIL) has succeeded in pathological image classification, it faces the challenge of high inference costs due to processing numerous patches from gigapixel whole slide images (WSIs). To address this, we propose HDMIL, a hierarchical distillation multi-instance learning framework that achieves fast and accurate classification by eliminating irrelevant patches. HDMIL consists of two key components: the dynamic multi-instance network (DMIN) and the lightweight instance pre-screening network (LIPN). DMIN operates on high-resolution WSIs, while LIPN operates on the corresponding low-resolution counterparts. During training, DMIN are trained for WSI classification while generating attention-score-based masks that indicate irrelevant patches. These masks then guide the training of LIPN to predict the relevance of each low-resolution patch. During testing, LIPN first determines the useful regions within low-resolution WSIs, which indirectly enables us to eliminate irrelevant regions in high-resolution WSIs, thereby reducing inference time without causing performance degradation. In addition, we further design the first Chebyshev-polynomials-based Kolmogorov-Arnold classifier in computational pathology, which enhances the performance of HDMIL through learnable activation layers. Extensive experiments on three public datasets demonstrate that HDMIL outperforms previous state-of-the-art methods, e.g., achieving improvements of 3.13% in AUC while reducing inference time by 28.6% on the Camelyon16 dataset.

Jingyun Chen, Linghan Cai, Zhikang Wang et al.

Analyzing whole-slide images (WSIs) requires an iterative, evidence-driven reasoning process that parallels how pathologists dynamically zoom, refocus, and self-correct while collecting the evidence. However, existing computational pipelines often lack this explicit reasoning trajectory, resulting in inherently opaque and unjustifiable predictions. To bridge this gap, we present PathAgent, a training-free, large language model (LLM)-based agent framework that emulates the reflective, stepwise analytical approach of human experts. PathAgent can autonomously explore WSI, iteratively and precisely locating significant micro-regions using the Navigator module, extracting morphology visual cues using the Perceptor, and integrating these findings into the continuously evolving natural language trajectories in the Executor. The entire sequence of observations and decisions forms an explicit chain-of-thought, yielding fully interpretable predictions. Evaluated across five challenging datasets, PathAgent exhibits strong zero-shot generalization, surpassing task-specific baselines in both open-ended and constrained visual question-answering tasks. Moreover, a collaborative evaluation with human pathologists confirms PathAgent's promise as a transparent and clinically grounded diagnostic assistant.

Guo Tang, Songhan Jiang, Jinpeng Lu et al.

Pathological images play an essential role in cancer prognosis, while survival analysis, which integrates computational techniques, can predict critical clinical events such as patient mortality or disease recurrence from whole-slide images (WSIs). Recent advancements in multiple instance learning have significantly improved the efficiency of survival analysis. However, existing methods often struggle to balance the modeling of long-range spatial relationships with local contextual dependencies and typically lack inherent interpretability, limiting their clinical utility. To address these challenges, we propose the Interpretable Pathology Graph-Transformer (IPGPhormer), a novel framework that captures the characteristics of the tumor microenvironment and models their spatial dependencies across the tissue. IPGPhormer uniquely provides interpretability at both tissue and cellular levels without requiring post-hoc manual annotations, enabling detailed analyses of individual WSIs and cross-cohort assessments. Comprehensive evaluations on four public benchmark datasets demonstrate that IPGPhormer outperforms state-of-the-art methods in both predictive accuracy and interpretability. In summary, our method, IPGPhormer, offers a promising tool for cancer prognosis assessment, paving the way for more reliable and interpretable decision-support systems in pathology. The code is publicly available at https://anonymous.4open.science/r/IPGPhormer-6EEB.

Yongbing Zhang, Fang Nan, Shengxiang Gao et al.

The core challenge faced by multi-document summarization is the complexity of relationships among documents and the presence of information redundancy. Graph clustering is an effective paradigm for addressing this issue, as it models the complex relationships among documents using graph structures and reduces information redundancy through clustering, achieving significant research progress. However, existing methods often only consider single-relational graphs and require a predefined number of clusters, which hinders their ability to fully represent rich relational information and adaptively partition sentence groups to reduce redundancy. To overcome these limitations, we propose MRGSEM-Sum, an unsupervised multi-document summarization framework based on multi-relational graphs and structural entropy minimization. Specifically, we construct a multi-relational graph that integrates semantic and discourse relations between sentences, comprehensively modeling the intricate and dynamic connections among sentences across documents. We then apply a two-dimensional structural entropy minimization algorithm for clustering, automatically determining the optimal number of clusters and effectively organizing sentences into coherent groups. Finally, we introduce a position-aware compression mechanism to distill each cluster, generating concise and informative summaries. Extensive experiments on four benchmark datasets (Multi-News, DUC-2004, PubMed, and WikiSum) demonstrate that our approach consistently outperforms previous unsupervised methods and, in several cases, achieves performance comparable to supervised models and large language models. Human evaluation demonstrates that the summaries generated by MRGSEM-Sum exhibit high consistency and coverage, approaching human-level quality.

Fengchun Liu, Linghan Cai, Zhikang Wang et al.

Histo-genomic multimodal survival prediction has garnered growing attention for its remarkable model performance and potential contributions to precision medicine. However, a significant challenge in clinical practice arises when only unimodal data is available, limiting the usability of these advanced multimodal methods. To address this issue, this study proposes a prototype-guided cross-modal knowledge enhancement (ProSurv) framework, which eliminates the dependency on paired data and enables robust learning and adaptive survival prediction. Specifically, we first introduce an intra-modal updating mechanism to construct modality-specific prototype banks that encapsulate the statistics of the whole training set and preserve the modality-specific risk-relevant features/prototypes across intervals. Subsequently, the proposed cross-modal translation module utilizes the learned prototypes to enhance knowledge representation for multimodal inputs and generate features for missing modalities, ensuring robust and adaptive survival prediction across diverse scenarios. Extensive experiments on four public datasets demonstrate the superiority of ProSurv over state-of-the-art methods using either unimodal or multimodal input, and the ablation study underscores its feasibility for broad applicability. Overall, this study addresses a critical practical challenge in computational pathology, offering substantial significance and potential impact in the field.

Chuang Zhu, Shengjie Liu, Zekuan Yu et al.

For invasive breast cancer, immunohistochemical (IHC) techniques are often used to detect the expression level of human epidermal growth factor receptor-2 (HER2) in breast tissue to formulate a precise treatment plan. From the perspective of saving manpower, material and time costs, directly generating IHC-stained images from Hematoxylin and Eosin (H&E) stained images is a valuable research direction. Therefore, we held the breast cancer immunohistochemical image generation challenge, aiming to explore novel ideas of deep learning technology in pathological image generation and promote research in this field. The challenge provided registered H&E and IHC-stained image pairs, and participants were required to use these images to train a model that can directly generate IHC-stained images from corresponding H&E-stained images. We selected and reviewed the five highest-ranking methods based on their PSNR and SSIM metrics, while also providing overviews of the corresponding pipelines and implementations. In this paper, we further analyze the current limitations in the field of breast cancer immunohistochemical image generation and forecast the future development of this field. We hope that the released dataset and the challenge will inspire more scholars to jointly study higher-quality IHC-stained image generation.

Chenggang Yan, Zhisheng Li, Yongbing Zhang et al.

The depth images denoising are increasingly becoming the hot research topic nowadays because they reflect the three-dimensional (3D) scene and can be applied in various fields of computer vision. But the depth images obtained from depth camera usually contain stains such as noise, which greatly impairs the performance of depth related applications. In this paper, considering that group-based image restoration methods are more effective in gathering the similarity among patches, a group based nuclear norm and learning graph (GNNLG) model was proposed. For each patch, we find and group the most similar patches within a searching window. The intrinsic low-rank property of the grouped patches is exploited in our model. In addition, we studied the manifold learning method and devised an effective optimized learning strategy to obtain the graph Laplacian matrix, which reflects the topological structure of image, to further impose the smoothing priors to the denoised depth image. To achieve fast speed and high convergence, the alternating direction method of multipliers (ADMM) is proposed to solve our GNNLG. The experimental results show that the proposed method is superior to other current state-of-the-art denoising methods in both subjective and objective criterion.

Yongbing Zhang, Yangzhe Liu, Xiu Li et al.

Fourier ptychography (FP) is a newly developed computational imaging approach that achieves both high resolution and wide field of view by stitching a series of low-resolution images captured under angle-varied illumination. So far, many supervised data-driven models have been applied to solve inverse imaging problems. These models need massive amounts of data to train, and are limited by the dataset characteristics. In FP problems, generic datasets are always scarce, and the optical aberration varies greatly under different acquisition conditions. To address these dilemmas, we model the forward physical imaging process as an interpretable physics-guided neural network (PgNN), where the reconstructed image in the complex domain is considered as the learnable parameters of the neural network. Since the optimal parameters of the PgNN can be derived by minimizing the difference between the model-generated images and real captured angle-varied images corresponding to the same scene, the proposed PgNN can get rid of the problem of massive training data as in traditional supervised methods. Applying the alternate updating mechanism and the total variation regularization, PgNN can flexibly reconstruct images with improved performance. In addition, the Zernike mode is incorporated to compensate for optical aberrations to enhance the robustness of FP reconstructions. As a demonstration, we show our method can reconstruct images with smooth performance and detailed information in both simulated and experimental datasets. In particular, when validated in an extension of a high-defocus, high-exposure tissue section dataset, PgNN outperforms traditional FP methods with fewer artifacts and distinguishable structures.

Minghao Yin, Xiu Li, Yongbing Zhang et al.

In this paper, we aim to understand Residual Network (ResNet) in a scientifically sound way by providing a bridge between ResNet and Feynman path integral. In particular, we prove that the effect of residual block is equivalent to partial differential equation, and the ResNet transforming process can be equivalently converted to Feynman path integral. These conclusions greatly help us mathematically understand the advantage of ResNet in addressing the gradient vanishing issue. More importantly, our analyses offer a path integral view of ResNet, and demonstrate that the output of certain network can be obtained by adding contributions of all paths. Moreover, the contribution of each path is proportional to e^{-S}, where S is the action given by time integral of Lagrangian L. This lays the solid foundation in the understanding of ResNet, and provides insights in the future design of convolutional neural network architecture. Based on these results, we have designed the network using partial differential operators, which further validates our theoritical analyses.