Philip Quirke

Sophia J. Wagner, Daniel Reisenbüchler, Nicholas P. West et al.

Background: Deep learning (DL) can extract predictive and prognostic biomarkers from routine pathology slides in colorectal cancer. For example, a DL test for the diagnosis of microsatellite instability (MSI) in CRC has been approved in 2022. Current approaches rely on convolutional neural networks (CNNs). Transformer networks are outperforming CNNs and are replacing them in many applications, but have not been used for biomarker prediction in cancer at a large scale. In addition, most DL approaches have been trained on small patient cohorts, which limits their clinical utility. Methods: In this study, we developed a new fully transformer-based pipeline for end-to-end biomarker prediction from pathology slides. We combine a pre-trained transformer encoder and a transformer network for patch aggregation, capable of yielding single and multi-target prediction at patient level. We train our pipeline on over 9,000 patients from 10 colorectal cancer cohorts. Results: A fully transformer-based approach massively improves the performance, generalizability, data efficiency, and interpretability as compared with current state-of-the-art algorithms. After training on a large multicenter cohort, we achieve a sensitivity of 0.97 with a negative predictive value of 0.99 for MSI prediction on surgical resection specimens. We demonstrate for the first time that resection specimen-only training reaches clinical-grade performance on endoscopic biopsy tissue, solving a long-standing diagnostic problem. Interpretation: A fully transformer-based end-to-end pipeline trained on thousands of pathology slides yields clinical-grade performance for biomarker prediction on surgical resections and biopsies. Our new methods are freely available under an open source license.

Mohammad Taufeeque, Philip Quirke, Maximilian Li et al.

Planning is essential for solving complex tasks, yet the internal mechanisms underlying planning in neural networks remain poorly understood. Building on prior work, we analyze a recurrent neural network (RNN) trained on Sokoban, a challenging puzzle requiring sequential, irreversible decisions. We find that the RNN has a causal plan representation which predicts its future actions about 50 steps in advance. The quality and length of the represented plan increases over the first few steps. We uncover a surprising behavior: the RNN "paces" in cycles to give itself extra computation at the start of a level, and show that this behavior is incentivized by training. Leveraging these insights, we extend the trained RNN to significantly larger, out-of-distribution Sokoban puzzles, demonstrating robust representations beyond the training regime. We open-source our model and code, and believe the neural network's interesting behavior makes it an excellent model organism to deepen our understanding of learned planning.

Philip Quirke, Fazl Barez

Understanding the inner workings of machine learning models like Transformers is vital for their safe and ethical use. This paper provides a comprehensive analysis of a one-layer Transformer model trained to perform n-digit integer addition. Our findings suggest that the model dissects the task into parallel streams dedicated to individual digits, employing varied algorithms tailored to different positions within the digits. Furthermore, we identify a rare scenario characterized by high loss, which we explain. By thoroughly elucidating the model's algorithm, we provide new insights into its functioning. These findings are validated through rigorous testing and mathematical modeling, thereby contributing to the broader fields of model understanding and interpretability. Our approach opens the door for analyzing more complex tasks and multi-layer Transformer models.