Hong Zhang

Bangwei Guo, Xingyu Li, Miaomiao Yang et al.

Deep-learning models based on whole-slide digital pathology images (WSIs) become increasingly popular for predicting molecular biomarkers. Instance-based models has been the mainstream strategy for predicting genetic alterations using WSIs although bag-based models along with self-attention mechanism-based algorithms have been proposed for other digital pathology applications. In this paper, we proposed a novel Attention-based Multiple Instance Mutation Learning (AMIML) model for predicting gene mutations. AMIML was comprised of successive 1-D convolutional layers, a decoder, and a residual weight connection to facilitate further integration of a lightweight attention mechanism to detect the most predictive image patches. Using data for 24 clinically relevant genes from four cancer cohorts in The Cancer Genome Atlas (TCGA) studies (UCEC, BRCA, GBM and KIRC), we compared AMIML with one popular instance-based model and four recently published bag-based models (e.g., CHOWDER, HE2RNA, etc.). AMIML demonstrated excellent robustness, not only outperforming all the five baseline algorithms in the vast majority of the tested genes (17 out of 24), but also providing near-best-performance for the other seven genes. Conversely, the performance of the baseline published algorithms varied across different cancers/genes. In addition, compared to the published models for genetic alterations, AMIML provided a significant improvement for predicting a wide range of genes (e.g., KMT2C, TP53, and SETD2 for KIRC; ERBB2, BRCA1, and BRCA2 for BRCA; JAK1, POLE, and MTOR for UCEC) as well as produced outstanding predictive models for other clinically relevant gene mutations, which have not been reported in the current literature. Furthermore, with the flexible and interpretable attention-based MIL pooling mechanism, AMIML could further zero-in and detect predictive image patches.

Min Cen, Xingyu Li, Bangwei Guo et al.

NLP-based computer vision models, particularly vision transformers, have been shown to outperform CNN models in many imaging tasks. However, most digital pathology artificial-intelligence models are based on CNN architectures, probably owing to a lack of data regarding NLP models for pathology images. In this study, we developed digital pathology pipelines to benchmark the five most recently proposed NLP models (vision transformer (ViT), Swin Transformer, MobileViT, CMT, and Sequencer2D) and four popular CNN models (ResNet18, ResNet50, MobileNetV2, and EfficientNet) to predict biomarkers in colorectal cancer (microsatellite instability, CpG island methylator phenotype, and BRAF mutation). Hematoxylin and eosin-stained whole-slide images from Molecular and Cellular Oncology and The Cancer Genome Atlas were used as training and external validation datasets, respectively. Cross-study external validations revealed that the NLP-based models significantly outperformed the CNN-based models in biomarker prediction tasks, improving the overall prediction and precision up to approximately 10% and 26%, respectively. Notably, compared with existing models in the current literature using large training datasets, our NLP models achieved state-of-the-art predictions for all three biomarkers using a relatively small training dataset, suggesting that large training datasets are not a prerequisite for NLP models or transformers, and NLP may be more suitable for clinical studies in which small training datasets are commonly collected. The superior performance of Sequencer2D suggests that further research and innovation on both transformer and bidirectional long short-term memory architectures are warranted in the field of digital pathology. NLP models can replace classic CNN architectures and become the new workhorse backbone in the field of digital pathology.

Shuhua Yang, Hui Yuan, Xiaoying Zhang et al.

Conversational recommendation systems elicit user preferences by interacting with users to obtain their feedback on recommended commodities. Such systems utilize a multi-armed bandit framework to learn user preferences in an online manner and have received great success in recent years. However, existing conversational bandit methods have several limitations. First, they only enable users to provide explicit binary feedback on the recommended items or categories, leading to ambiguity in interpretation. In practice, users are usually faced with more than one choice. Relative feedback, known for its informativeness, has gained increasing popularity in recommendation system design. Moreover, current contextual bandit methods mainly work under linear reward assumptions, ignoring practical non-linear reward structures in generalized linear models. Therefore, in this paper, we introduce relative feedback-based conversations into conversational recommendation systems through the integration of dueling bandits in generalized linear models (GLM) and propose a novel conversational dueling bandit algorithm called ConDuel. Theoretical analyses of regret upper bounds and empirical validations on synthetic and real-world data underscore ConDuel's efficacy. We also demonstrate the potential to extend our algorithm to multinomial logit bandits with theoretical and experimental guarantees, which further proves the applicability of the proposed framework.

Min Cen, Xingyu Li, Bangwei Guo et al.

In digital pathology tasks, transformers have achieved state-of-the-art results, surpassing convolutional neural networks (CNNs). However, transformers are usually complex and resource intensive. In this study, we developed a novel and efficient digital pathology classifier called DPSeq, to predict cancer biomarkers through fine-tuning a sequencer architecture integrating horizon and vertical bidirectional long short-term memory (BiLSTM) networks. Using hematoxylin and eosin (H&E)-stained histopathological images of colorectal cancer (CRC) from two international datasets: The Cancer Genome Atlas (TCGA) and Molecular and Cellular Oncology (MCO), the predictive performance of DPSeq was evaluated in series of experiments. DPSeq demonstrated exceptional performance for predicting key biomarkers in CRC (MSI status, Hypermutation, CIMP status, BRAF mutation, TP53 mutation and chromosomal instability [CING]), outperforming most published state-of-the-art classifiers in a within-cohort internal validation and a cross-cohort external validation. Additionally, under the same experimental conditions using the same set of training and testing datasets, DPSeq surpassed 4 CNN (ResNet18, ResNet50, MobileNetV2, and EfficientNet) and 2 transformer (ViT and Swin-T) models, achieving the highest AUROC and AUPRC values in predicting MSI status, BRAF mutation, and CIMP status. Furthermore, DPSeq required less time for both training and prediction due to its simple architecture. Therefore, DPSeq appears to be the preferred choice over transformer and CNN models for predicting cancer biomarkers.

Zihan Chen, Xingyu Li, Miaomiao Yang et al.

Deep learning has become the mainstream methodological choice for analyzing and interpreting whole-slide digital pathology images (WSIs). It is commonly assumed that tumor regions carry most predictive information. In this paper, we proposed an unsupervised clustering-based multiple-instance learning, and apply our method to develop deep-learning models for prediction of gene mutations using WSIs from three cancer types in The Cancer Genome Atlas (TCGA) studies (CRC, LUAD, and HNSCC). We showed that unsupervised clustering of image patches could help identify predictive patches, exclude patches lack of predictive information, and therefore improve prediction on gene mutations in all three different cancer types, compared with the WSI based method without selection of image patches and models based on only tumor regions. Additionally, our proposed algorithm outperformed two recently published baseline algorithms leveraging unsupervised clustering to assist model prediction. The unsupervised-clustering-based approach for mutation prediction allows identification of the spatial regions related to mutation of a specific gene via the resolved probability scores, highlighting the heterogeneity of a predicted genotype in the tumor microenvironment. Finally, our study also demonstrated that selection of tumor regions of WSIs is not always the best way to identify patches for prediction of gene mutations, and other tissue types in the tumor micro-environment may provide better prediction ability for gene mutations than tumor tissues.

Tianqi Shen, Hong Zhang, Ding Yuan et al.

Vital importance has necessity to be attached to cooperation in multi-agent environments, as a result of which some reinforcement learning algorithms combined with graph neural networks have been proposed to understand the mutual interplay between agents. However, highly complicated and dynamic multi-agent environments require more ingenious graph neural networks, which can comprehensively represent not only the graph topology structure but also evolution process of the structure due to agents emerging, disappearing and moving. To tackle these difficulties, we propose Gumbel Sinkhorn graph attention reinforcement learning, where a graph attention network highly represents the underlying graph topology structure of the multi-agent environment, and can adapt to the dynamic topology structure of graph better with the help of Gumbel Sinkhorn network by learning latent permutations. Empirically, simulation results show how our proposed graph reinforcement learning methodology outperforms existing methods in the PettingZoo multi-agent environment by learning latent permutations.

Chen Li, Xintong Li, Md Rahaman et al.

With the development of computer-aided diagnosis (CAD) and image scanning technology, Whole-slide Image (WSI) scanners are widely used in the field of pathological diagnosis. Therefore, WSI analysis has become the key to modern digital pathology. Since 2004, WSI has been used more and more in CAD. Since machine vision methods are usually based on semi-automatic or fully automatic computers, they are highly efficient and labor-saving. The combination of WSI and CAD technologies for segmentation, classification, and detection helps histopathologists obtain more stable and quantitative analysis results, save labor costs and improve diagnosis objectivity. This paper reviews the methods of WSI analysis based on machine learning. Firstly, the development status of WSI and CAD methods are introduced. Secondly, we discuss publicly available WSI datasets and evaluation metrics for segmentation, classification, and detection tasks. Then, the latest development of machine learning in WSI segmentation, classification, and detection are reviewed continuously. Finally, the existing methods are studied, the applicabilities of the analysis methods are analyzed, and the application prospects of the analysis methods in this field are forecasted.