Jiaxiang Gou

Pei Liu, Luping Ji, Jiaxiang Gou et al.

Histopathology Whole-Slide Images (WSIs) provide an important tool to assess cancer prognosis in computational pathology (CPATH). While existing survival analysis (SA) approaches have made exciting progress, they are generally limited to adopting highly-expressive network architectures and only coarse-grained patient-level labels to learn visual prognostic representations from gigapixel WSIs. Such learning paradigm suffers from critical performance bottlenecks, when facing present scarce training data and standard multi-instance learning (MIL) framework in CPATH. To overcome it, this paper, for the first time, proposes a new Vision-Language-based SA (VLSA) paradigm. Concretely, (1) VLSA is driven by pathology VL foundation models. It no longer relies on high-capability networks and shows the advantage of data efficiency. (2) In vision-end, VLSA encodes textual prognostic prior and then employs it as auxiliary signals to guide the aggregating of visual prognostic features at instance level, thereby compensating for the weak supervision in MIL. Moreover, given the characteristics of SA, we propose i) ordinal survival prompt learning to transform continuous survival labels into textual prompts; and ii) ordinal incidence function as prediction target to make SA compatible with VL-based prediction. Notably, VLSA's predictions can be interpreted intuitively by our Shapley values-based method. The extensive experiments on five datasets confirm the effectiveness of our scheme. Our VLSA could pave a new way for SA in CPATH by offering weakly-supervised MIL an effective means to learn valuable prognostic clues from gigapixel WSIs. Our source code is available at https://github.com/liupei101/VLSA.

Jiaxiang Gou, Luping Ji, Pei Liu et al.

Whole Slide Image (WSI) classification has very significant applications in clinical pathology, e.g., tumor identification and cancer diagnosis. Currently, most research attention is focused on Multiple Instance Learning (MIL) using static datasets. One of the most obvious weaknesses of these methods is that they cannot efficiently preserve and utilize previously learned knowledge. With any new data arriving, classification models are required to be re-trained on both previous and current new data. To overcome this shortcoming and break through traditional vision modality, this paper proposes the first Vision-Language-based framework with Queryable Prototype Multiple Instance Learning (QPMIL-VL) specially designed for incremental WSI classification. This framework mainly consists of two information processing branches: one is for generating bag-level features by prototype-guided aggregation of instance features, while the other is for enhancing class features through a combination of class ensemble, tunable vector and class similarity loss. The experiments on four public WSI datasets demonstrate that our QPMIL-VL framework is effective for incremental WSI classification and often significantly outperforms other compared methods, achieving state-of-the-art (SOTA) performance. Our source code is publicly available at https://github.com/can-can-ya/QPMIL-VL.

Pei Liu, Luping Ji, Jiaxiang Gou et al.

Whole-Slide Image (WSI) is an important tool for estimating cancer prognosis. Current studies generally follow a conventional cancer-specific paradigm where one cancer corresponds to one model. However, it naturally struggles to scale to rare tumors and cannot utilize the knowledge of other cancers. Although a multi-task learning-like framework has been studied recently, it usually has high demands on computational resources and needs considerable costs in iterative training on ultra-large multi-cancer WSI datasets. To this end, this paper makes a paradigm shift to knowledge transfer and presents the first preliminary yet systematic study on cross-cancer prognosis knowledge transfer in WSIs, called CROPKT. It has three major parts: (i) we curate a large dataset (UNI2-h-DSS) with 26 cancers and use it to measure the transferability of WSI-based prognostic knowledge across different cancers (including rare tumors); (ii) beyond a simple evaluation merely for benchmark, we design a range of experiments to gain deeper insights into the underlying mechanism of transferability; (iii) we further show the utility of cross-cancer knowledge transfer, by proposing a routing-based baseline approach (ROUPKT) that could often efficiently utilize the knowledge transferred from off-the-shelf models of other cancers. We hope CROPKT could serve as an inception and lay the foundation for this nascent paradigm, i.e., WSI-based prognosis prediction with cross-cancer knowledge transfer. Our source code is available at https://github.com/liupei101/CROPKT.