Thomas Fuchs

Eric Zimmermann, Eugene Vorontsov, Julian Viret et al.

Foundation models are rapidly being developed for computational pathology applications. However, it remains an open question which factors are most important for downstream performance with data scale and diversity, model size, and training algorithm all playing a role. In this work, we propose algorithmic modifications, tailored for pathology, and we present the result of scaling both data and model size, surpassing previous studies in both dimensions. We introduce three new models: Virchow2, a 632 million parameter vision transformer, Virchow2G, a 1.9 billion parameter vision transformer, and Virchow2G Mini, a 22 million parameter distillation of Virchow2G, each trained with 3.1 million histopathology whole slide images, with diverse tissues, originating institutions, and stains. We achieve state of the art performance on 12 tile-level tasks, as compared to the top performing competing models. Our results suggest that data diversity and domain-specific methods can outperform models that only scale in the number of parameters, but, on average, performance benefits from the combination of domain-specific methods, data scale, and model scale.

Shengjia Chen, Ruchika Verma, Kevin Clare et al.

Artificial Intelligence (AI) has demonstrated success in computational pathology (CPath) for disease detection, biomarker classification, and prognosis prediction. However, its potential to learn unintended demographic biases, particularly those related to social determinants of health, remains understudied. This study investigates whether deep learning models can predict self-reported race from digitized dermatopathology slides and identifies potential morphological shortcuts. Using a multisite dataset with a racially diverse population, we apply an attention-based mechanism to uncover race-associated morphological features. After evaluating three dataset curation strategies to control for confounding factors, the final experiment showed that White and Black demographic groups retained high prediction performance (AUC: 0.799, 0.762), while overall performance dropped to 0.663. Attention analysis revealed the epidermis as a key predictive feature, with significant performance declines when these regions were removed. These findings highlight the need for careful data curation and bias mitigation to ensure equitable AI deployment in pathology. Code available at: https://github.com/sinai-computational-pathology/CPath_SAIF.

Jason Yosinski, Jeff Clune, Anh Nguyen et al.

Recent years have produced great advances in training large, deep neural networks (DNNs), including notable successes in training convolutional neural networks (convnets) to recognize natural images. However, our understanding of how these models work, especially what computations they perform at intermediate layers, has lagged behind. Progress in the field will be further accelerated by the development of better tools for visualizing and interpreting neural nets. We introduce two such tools here. The first is a tool that visualizes the activations produced on each layer of a trained convnet as it processes an image or video (e.g. a live webcam stream). We have found that looking at live activations that change in response to user input helps build valuable intuitions about how convnets work. The second tool enables visualizing features at each layer of a DNN via regularized optimization in image space. Because previous versions of this idea produced less recognizable images, here we introduce several new regularization methods that combine to produce qualitatively clearer, more interpretable visualizations. Both tools are open source and work on a pre-trained convnet with minimal setup.

Sarah Spiekermann-Hoff, Marc Langheinrich, Johannes Hoff et al.

As artificial intelligence rapidly advances, society is increasingly captivated by promises of superhuman machines and seamless digital futures. Yet these visions often obscure mounting social, ethical, and psychological concerns tied to pervasive digital technologies - from surveillance to mental health crises. This article argues that a guiding ethos is urgently needed to navigate these transformations. Inspired by the lasting influence of the biblical Ten Commandments, a European interdisciplinary group has proposed "Ten Rules for the Digital World" - a novel ethical framework to help individuals and societies make prudent, human-centered decisions in the age of "supercharged" technology.

Stefan Bauer, Nicolas Carion, Peter Schüffler et al.

Accurate and robust cell nuclei classification is the cornerstone for a wider range of tasks in digital and Computational Pathology. However, most machine learning systems require extensive labeling from expert pathologists for each individual problem at hand, with no or limited abilities for knowledge transfer between datasets and organ sites. In this paper we implement and evaluate a variety of deep neural network models and model ensembles for nuclei classification in renal cell cancer (RCC) and prostate cancer (PCa). We propose a convolutional neural network system based on residual learning which significantly improves over the state-of-the-art in cell nuclei classification. Finally, we show that the combination of tissue types during training increases not only classification accuracy but also overall survival analysis.