H. R. Tizhoosh

Milad Sikaroudi, Shahryar Rahnamayan, H. R. Tizhoosh

Whole Slide Images (WSIs) in digital pathology are used to diagnose cancer subtypes. The difference in procedures to acquire WSIs at various trial sites gives rise to variability in the histopathology images, thus making consistent diagnosis challenging. These differences may stem from variability in image acquisition through multi-vendor scanners, variable acquisition parameters, and differences in staining procedure; as well, patient demographics may bias the glass slide batches before image acquisition. These variabilities are assumed to cause a domain shift in the images of different hospitals. It is crucial to overcome this domain shift because an ideal machine-learning model must be able to work on the diverse sources of images, independent of the acquisition center. A domain generalization technique is leveraged in this study to improve the generalization capability of a Deep Neural Network (DNN), to an unseen histopathology image set (i.e., from an unseen hospital/trial site) in the presence of domain shift. According to experimental results, the conventional supervised-learning regime generalizes poorly to data collected from different hospitals. However, the proposed hospital-agnostic learning can improve the generalization considering the low-dimensional latent space representation visualization, and classification accuracy results.

Pooria Mazaheri, Azam Asilian Bidgoli, Shahryar Rahnamayan et al.

Recently, deep learning has started to play an essential role in healthcare applications, including image search in digital pathology. Despite the recent progress in computer vision, significant issues remain for image searching in histopathology archives. A well-known problem is AI bias and lack of generalization. A more particular shortcoming of deep models is the ignorance toward search functionality. The former affects every model, the latter only search and matching. Due to the lack of ranking-based learning, researchers must train models based on the classification error and then use the resultant embedding for image search purposes. Moreover, deep models appear to be prone to internal bias even if using a large image repository of various hospitals. This paper proposes two novel ideas to improve image search performance. First, we use a ranking loss function to guide feature extraction toward the matching-oriented nature of the search. By forcing the model to learn the ranking of matched outputs, the representation learning is customized toward image search instead of learning a class label. Second, we introduce the concept of sequestering learning to enhance the generalization of feature extraction. By excluding the images of the input hospital from the matched outputs, i.e., sequestering the input domain, the institutional bias is reduced. The proposed ideas are implemented and validated through the largest public dataset of whole slide images. The experiments demonstrate superior results compare to the-state-of-art.