Sungrae Hong

Bryan Wong, Sungrae Hong, Mun Yong Yi

Multiple instance learning (MIL) has become a preferred method for gigapixel whole slide image (WSI) classification without requiring patch-level annotations. Current MIL research primarily relies on embedding-based approaches, which extract patch features using a pre-trained feature extractor and aggregate them for slide-level prediction. Despite the critical role of feature extraction, there is limited guidance on selecting optimal feature extractors to maximize WSI performance. This study addresses this gap by systematically evaluating MIL feature extractors across three dimensions: pre-training dataset, backbone model, and pre-training method. Extensive experiments were conducted on two public WSI datasets (TCGA-NSCLC and Camelyon16) using four state-of-the-art (SOTA) MIL models. Our findings reveal that: 1) selecting a robust self-supervised learning (SSL) method has a greater impact on performance than relying solely on an in-domain pre-training dataset; 2) prioritizing Transformer-based backbones with deeper architectures over CNN-based models; and 3) using larger, more diverse pre-training datasets significantly enhances classification outcomes. We hope that these insights can provide practical guidance for optimizing WSI classification and explain the reasons behind the performance advantages of the current SOTA pathology foundation models. Furthermore, this work may inform the development of more effective pathology foundation models. Our code is publicly available at https://github.com/bryanwong17/MIL-Feature-Extractor-Selection

Jiwon Jeong, Donghee Han, Sungrae Hong et al.

Recent work has shown that large language models (LLMs) can enhance recommender systems by integrating collaborative filtering (CF) signals through hybrid prompting. However, most existing CF-LLM frameworks collapse explicit ratings into implicit or positive-only feedback, discarding the ordinal structure that conveys fine-grained preference strength. As a result, these models struggle to exploit graded semantics and nuanced preference distinctions. We propose Ordinal Semantic Anchoring (OSA), a hybrid CF-LLM framework that explicitly incorporates preference strength by modeling interaction-level user feedback. OSA represents ordinal preference levels as numeric textual tokens and uses their token embeddings as semantic anchors to align user-item interaction representations in the LLM latent space. Through strength-aware alignment across ordinal levels, OSA preserves preference semantics when integrating collaborative signals with LLMs. Experiments on multiple real-world datasets demonstrate that OSA consistently outperforms existing baselines, particularly in pairwise preference evaluation, highlighting its effectiveness in modeling fine-grained user preferences over prior CF-LLM methods.

Sungrae Hong, Jiwon Jeong, Jisu Shin et al.

Multiple Instance Learning (MIL) has emerged as a promising paradigm for Whole Slide Image (WSI) diagnosis, offering effective learning with limited annotations. However, existing MIL frameworks overlook diagnostic priorities and fail to differentiate the severity of misclassifications in multiclass, leaving clinically critical errors unaddressed. We propose a mistake-severity-aware training strategy that organizes diagnostic classes into a hierarchical structure, with each level optimized using a severity-weighted cross-entropy loss that penalizes high-severity misclassifications more strongly. Additionally, hierarchical consistency is enforced through probabilistic alignment, a semantic feature remix applied to the instance bag to robustly train class priority and accommodate clinical cases involving multiple symptoms. An asymmetric Mikel's Wheel-based metric is also introduced to quantify the severity of errors specific to medical fields. Experiments on challenging public and real-world in-house datasets demonstrate that our approach significantly mitigates critical errors in MIL diagnosis compared to existing methods. We present additional experimental results on natural domain data to demonstrate the generalizability of our proposed method beyond medical contexts.

Sungrae Hong, Sol Lee, Jisu Shin et al.

With the increasing demand for histopathological specimen examination and diagnostic reporting, Multiple Instance Learning (MIL) has received heightened research focus as a viable solution for AI-centric diagnostic aid. Recently, to improve its performance and make it work more like a pathologist, several MIL approaches based on the use of multiple-resolution images have been proposed, delivering often higher performance than those that use single-resolution images. Despite impressive recent developments of multiple-resolution MIL, previous approaches only focus on improving performance, thereby lacking research on well-calibrated MIL that clinical experts can rely on for trustworthy diagnostic results. In this study, we propose Uncertainty-Focused Calibrated MIL (UFC-MIL), which more closely mimics the pathologists' examination behaviors while providing calibrated diagnostic predictions, using multiple images with different resolutions. UFC-MIL includes a novel patch-wise loss that learns the latent patterns of instances and expresses their uncertainty for classification. Also, the attention-based architecture with a neighbor patch aggregation module collects features for the classifier. In addition, aggregated predictions are calibrated through patch-level uncertainty without requiring multiple iterative inferences, which is a key practical advantage. Against challenging public datasets, UFC-MIL shows superior performance in model calibration while achieving classification accuracy comparable to that of state-of-the-art methods.

Sungrae Hong

There have been attempts to create large-scale structures in vision models similar to LLM, such as ViT-22B. While this research has provided numerous analyses and insights, our understanding of its practical utility remains incomplete. Therefore, we examine how this model structure reacts and train in a local environment. We also highlight the instability in training and make some model modifications to stabilize it. The ViT-22B model, trained from scratch, overall outperformed ViT in terms of performance under the same parameter size. Additionally, we venture into the task of image generation, which has not been attempted in ViT-22B. We propose an image generation architecture using ViT and investigate which between ViT and ViT-22B is a more suitable structure for image generation.

Sungrae Hong, Kyungeun Kim, Juhyeon Kim et al.

Multiple Instance Learning (MIL) is increasingly being used as a support tool within clinical settings for pathological diagnosis decisions, achieving high performance and removing the annotation burden. However, existing approaches for clinical MIL tasks have not adequately addressed the priority issues that exist in relation to pathological symptoms and diagnostic classes, causing MIL models to ignore priority among classes. To overcome this clinical limitation of MIL, we propose a new method that addresses priority issues using two hierarchies: vertical inter-hierarchy and horizontal intra-hierarchy. The proposed method aligns MIL predictions across each hierarchical level and employs an implicit feature re-usability during training to facilitate clinically more serious classes within the same level. Experiments with real-world patient data show that the proposed method effectively reduces misdiagnosis and prioritizes more important symptoms in multiclass scenarios. Further analysis verifies the efficacy of the proposed components and qualitatively confirms the MIL predictions against challenging cases with multiple symptoms.

Sungrae Hong, Sol Lee, Mun Yong Yi

Medical AI diagnosis including histopathology segmentation has derived benefits from the recent development of deep learning technology. However, deep learning itself requires a large amount of training data and the medical image segmentation masking, in particular, requires an extremely high cost due to the shortage of medical specialists. To mitigate this issue, we propose a new data augmentation method built upon the conventional Copy and Paste (CP) augmentation technique, called CP-Dilatation, and apply it to histopathology image segmentation. To the well-known traditional CP technique, the proposed method adds a dilation operation that can preserve the boundary context information of the malignancy, which is important in histopathological image diagnosis, as the boundary between the malignancy and its margin is mostly unclear and a significant context exists in the margin. In our experiments using histopathology benchmark datasets, the proposed method was found superior to the other state-of-the-art baselines chosen for comparison.

Sungrae Hong, Hyeongmin Park, Youngsin Ko et al.

As the frontline data for cancer diagnosis, microscopic pathology images are fundamental for providing patients with rapid and accurate treatment. However, despite their practical value, the deep learning community has largely overlooked their usage. This paper proposes a novel approach to classifying microscopy images as time series data, addressing the unique challenges posed by their manual acquisition and weakly labeled nature. The proposed method fits image sequences of varying lengths to a fixed-length target by leveraging Dynamic Time-series Warping (DTW). Attention-based pooling is employed to predict the class of the case simultaneously. We demonstrate the effectiveness of our approach by comparing performance with various baselines and showcasing the benefits of using various inference strategies in achieving stable and reliable results. Ablation studies further validate the contribution of each component. Our approach contributes to medical image analysis by not only embracing microscopic images but also lifting them to a trustworthy level of performance.