Ke Ma

Jingwei Zhang, Saarthak Kapse, Ke Ma et al.

Whole slide image (WSI) classification is a critical task in computational pathology, requiring the processing of gigapixel-sized images, which is challenging for current deep-learning methods. Current state of the art methods are based on multi-instance learning schemes (MIL), which usually rely on pretrained features to represent the instances. Due to the lack of task-specific annotated data, these features are either obtained from well-established backbones on natural images, or, more recently from self-supervised models pretrained on histopathology. However, both approaches yield task-agnostic features, resulting in performance loss compared to the appropriate task-related supervision, if available. In this paper, we show that when task-specific annotations are limited, we can inject such supervision into downstream task training, to reduce the gap between fully task-tuned and task agnostic features. We propose Prompt-MIL, an MIL framework that integrates prompts into WSI classification. Prompt-MIL adopts a prompt tuning mechanism, where only a small fraction of parameters calibrates the pretrained features to encode task-specific information, rather than the conventional full fine-tuning approaches. Extensive experiments on three WSI datasets, TCGA-BRCA, TCGA-CRC, and BRIGHT, demonstrate the superiority of Prompt-MIL over conventional MIL methods, achieving a relative improvement of 1.49%-4.03% in accuracy and 0.25%-8.97% in AUROC while using fewer than 0.3% additional parameters. Compared to conventional full fine-tuning approaches, we fine-tune less than 1.3% of the parameters, yet achieve a relative improvement of 1.29%-13.61% in accuracy and 3.22%-27.18% in AUROC and reduce GPU memory consumption by 38%-45% while training 21%-27% faster. Our code is available at https://github.com/cvlab-stonybrook/PromptMIL.

Jingwei Zhang, Xin Zhang, Ke Ma et al.

Histopathology whole slide images (WSIs) play a very important role in clinical studies and serve as the gold standard for many cancer diagnoses. However, generating automatic tools for processing WSIs is challenging due to their enormous sizes. Currently, to deal with this issue, conventional methods rely on a multiple instance learning (MIL) strategy to process a WSI at patch level. Although effective, such methods are computationally expensive, because tiling a WSI into patches takes time and does not explore the spatial relations between these tiles. To tackle these limitations, we propose a locally supervised learning framework which processes the entire slide by exploring the entire local and global information that it contains. This framework divides a pre-trained network into several modules and optimizes each module locally using an auxiliary model. We also introduce a random feature reconstruction unit (RFR) to preserve distinguishing features during training and improve the performance of our method by 1% to 3%. Extensive experiments on three publicly available WSI datasets: TCGA-NSCLC, TCGA-RCC and LKS, highlight the superiority of our method on different classification tasks. Our method outperforms the state-of-the-art MIL methods by 2% to 5% in accuracy, while being 7 to 10 times faster. Additionally, when dividing it into eight modules, our method requires as little as 20% of the total gpu memory required by end-to-end training. Our code is available at https://github.com/cvlab-stonybrook/local_learning_wsi.

Jingwei Zhang, Saarthak Kapse, Ke Ma et al.

Dense prediction tasks such as segmentation and detection of pathological entities hold crucial clinical value in computational pathology workflows. However, obtaining dense annotations on large cohorts is usually tedious and expensive. Contrastive learning (CL) is thus often employed to leverage large volumes of unlabeled data to pre-train the backbone network. To boost CL for dense prediction, some studies have proposed variations of dense matching objectives in pre-training. However, our analysis shows that employing existing dense matching strategies on histopathology images enforces invariance among incorrect pairs of dense features and, thus, is imprecise. To address this, we propose a precise location-based matching mechanism that utilizes the overlapping information between geometric transformations to precisely match regions in two augmentations. Extensive experiments on two pretraining datasets (TCGA-BRCA, NCT-CRC-HE) and three downstream datasets (GlaS, CRAG, BCSS) highlight the superiority of our method in semantic and instance segmentation tasks. Our method outperforms previous dense matching methods by up to 7.2% in average precision for detection and 5.6% in average precision for instance segmentation tasks. Additionally, by using our matching mechanism in the three popular contrastive learning frameworks, MoCo-v2, VICRegL, and ConCL, the average precision in detection is improved by 0.7% to 5.2%, and the average precision in segmentation is improved by 0.7% to 4.0%, demonstrating generalizability. Our code is available at https://github.com/cvlab-stonybrook/PLM_SSL.

Jingwei Zhang, Ke Ma, Saarthak Kapse et al.

Semantic segmentations of pathological entities have crucial clinical value in computational pathology workflows. Foundation models, such as the Segment Anything Model (SAM), have been recently proposed for universal use in segmentation tasks. SAM shows remarkable promise in instance segmentation on natural images. However, the applicability of SAM to computational pathology tasks is limited due to the following factors: (1) lack of comprehensive pathology datasets used in SAM training and (2) the design of SAM is not inherently optimized for semantic segmentation tasks. In this work, we adapt SAM for semantic segmentation by introducing trainable class prompts, followed by further enhancements through the incorporation of a pathology encoder, specifically a pathology foundation model. Our framework, SAM-Path enhances SAM's ability to conduct semantic segmentation in digital pathology without human input prompts. Through experiments on two public pathology datasets, the BCSS and the CRAG datasets, we demonstrate that the fine-tuning with trainable class prompts outperforms vanilla SAM with manual prompts and post-processing by 27.52% in Dice score and 71.63% in IOU. On these two datasets, the proposed additional pathology foundation model further achieves a relative improvement of 5.07% to 5.12% in Dice score and 4.50% to 8.48% in IOU.

Peng Xiao, Xiaodong Hu, Ke Ma et al.

The lack of efficient segmentation methods and fully-labeled datasets limits the comprehensive assessment of optical coherence tomography angiography (OCTA) microstructures like retinal vessel network (RVN) and foveal avascular zone (FAZ), which are of great value in ophthalmic and systematic diseases evaluation. Here, we introduce an innovative OCTA microstructure segmentation network (OMSN) by combining an encoder-decoder-based architecture with multi-scale skip connections and the split-attention-based residual network ResNeSt, paying specific attention to OCTA microstructural features while facilitating better model convergence and feature representations. The proposed OMSN achieves excellent single/multi-task performances for RVN or/and FAZ segmentation. Especially, the evaluation metrics on multi-task models outperform single-task models on the same dataset. On this basis, a fully annotated retinal OCTA segmentation (FAROS) dataset is constructed semi-automatically, filling the vacancy of a pixel-level fully-labeled OCTA dataset. OMSN multi-task segmentation model retrained with FAROS further certifies its outstanding accuracy for simultaneous RVN and FAZ segmentation.

Xiaojun Jia, Sensen Gao, Qing Guo et al.

Vision-language pre-training (VLP) models excel at interpreting both images and text but remain vulnerable to multimodal adversarial examples (AEs). Advancing the generation of transferable AEs, which succeed across unseen models, is key to developing more robust and practical VLP models. Previous approaches augment image-text pairs to enhance diversity within the adversarial example generation process, aiming to improve transferability by expanding the contrast space of image-text features. However, these methods focus solely on diversity around the current AEs, yielding limited gains in transferability. To address this issue, we propose to increase the diversity of AEs by leveraging the intersection regions along the adversarial trajectory during optimization. Specifically, we propose sampling from adversarial evolution triangles composed of clean, historical, and current adversarial examples to enhance adversarial diversity. We provide a theoretical analysis to demonstrate the effectiveness of the proposed adversarial evolution triangle. Moreover, we find that redundant inactive dimensions can dominate similarity calculations, distorting feature matching and making AEs model-dependent with reduced transferability. Hence, we propose to generate AEs in the semantic image-text feature contrast space, which can project the original feature space into a semantic corpus subspace. The proposed semantic-aligned subspace can reduce the image feature redundancy, thereby improving adversarial transferability. Extensive experiments across different datasets and models demonstrate that the proposed method can effectively improve adversarial transferability and outperform state-of-the-art adversarial attack methods. The code is released at https://github.com/jiaxiaojunQAQ/SA-AET.

Ke Ma, Jun Long, Hongxiao Fei et al.

Pre-trained Vision-Language Models (VLMs) struggle with Zero-Shot Anomaly Detection (ZSAD) due to a critical adaptation gap: they lack the local inductive biases required for dense prediction and employ inflexible feature fusion paradigms. We address these limitations through an Architectural Co-Design framework that jointly refines feature representation and cross-modal fusion. Our method proposes a parameter-efficient Convolutional Low-Rank Adaptation (Conv-LoRA) adapter to inject local inductive biases for fine-grained representation, and introduces a Dynamic Fusion Gateway (DFG) that leverages visual context to adaptively modulate text prompts, enabling a powerful bidirectional fusion. Extensive experiments on diverse industrial and medical benchmarks demonstrate superior accuracy and robustness, validating that this synergistic co-design is critical for robustly adapting foundation models to dense perception tasks. The source code is available at https://github.com/cockmake/ACD-CLIP.

Ke Ma, Hongkai Chen, Shan Lin

Type 1 diabetes is a serious disease in which individuals are unable to regulate their blood glucose levels, leading to various medical complications. Artificial pancreas (AP) systems have been developed as a solution for type 1 diabetic patients to mimic the behavior of the pancreas and regulate blood glucose levels. However, current AP systems lack detection capabilities for exercise-induced glucose intake, which can last up to 4 to 8 hours. This incapability can lead to hypoglycemia, which if left untreated, could have serious consequences, including death. Existing exercise detection methods are either limited to single sensor data or use inaccurate models for exercise detection, making them less effective in practice. In this work, we propose an ensemble learning framework that combines a data-driven physiological model and a Siamese network to leverage multiple physiological signal streams for exercise detection with high accuracy. To evaluate the effectiveness of our proposed approach, we utilized a public dataset with 12 diabetic patients collected from an 8-week clinical trial. Our approach achieves a true positive rate for exercise detection of 86.4% and a true negative rate of 99.1%, outperforming state-of-the-art solutions.

Souradeep Chakraborty, Ke Ma, Rajarsi Gupta et al.

We study the attention of pathologists as they examine whole-slide images (WSIs) of prostate cancer tissue using a digital microscope. To the best of our knowledge, our study is the first to report in detail how pathologists navigate WSIs of prostate cancer as they accumulate information for their diagnoses. We collected slide navigation data (i.e., viewport location, magnification level, and time) from 13 pathologists in 2 groups (5 genitourinary (GU) specialists and 8 general pathologists) and generated visual attention heatmaps and scanpaths. Each pathologist examined five WSIs from the TCGA PRAD dataset, which were selected by a GU pathology specialist. We examined and analyzed the distributions of visual attention for each group of pathologists after each WSI was examined. To quantify the relationship between a pathologist's attention and evidence for cancer in the WSI, we obtained tumor annotations from a genitourinary specialist. We used these annotations to compute the overlap between the distribution of visual attention and annotated tumor region to identify strong correlations. Motivated by this analysis, we trained a deep learning model to predict visual attention on unseen WSIs. We find that the attention heatmaps predicted by our model correlate quite well with the ground truth attention heatmap and tumor annotations on a test set of 17 WSIs by using various spatial and temporal evaluation metrics.

Xiang Bai, Hanchen Wang, Liya Ma et al.

Artificial intelligence (AI) provides a promising substitution for streamlining COVID-19 diagnoses. However, concerns surrounding security and trustworthiness impede the collection of large-scale representative medical data, posing a considerable challenge for training a well-generalised model in clinical practices. To address this, we launch the Unified CT-COVID AI Diagnostic Initiative (UCADI), where the AI model can be distributedly trained and independently executed at each host institution under a federated learning framework (FL) without data sharing. Here we show that our FL model outperformed all the local models by a large yield (test sensitivity /specificity in China: 0.973/0.951, in the UK: 0.730/0.942), achieving comparable performance with a panel of professional radiologists. We further evaluated the model on the hold-out (collected from another two hospitals leaving out the FL) and heterogeneous (acquired with contrast materials) data, provided visual explanations for decisions made by the model, and analysed the trade-offs between the model performance and the communication costs in the federated training process. Our study is based on 9,573 chest computed tomography scans (CTs) from 3,336 patients collected from 23 hospitals located in China and the UK. Collectively, our work advanced the prospects of utilising federated learning for privacy-preserving AI in digital health.

Sagnik Das, Hassan Ahmed Sial, Ke Ma et al.

Automatic document content processing is affected by artifacts caused by the shape of the paper, non-uniform and diverse color of lighting conditions. Fully-supervised methods on real data are impossible due to the large amount of data needed. Hence, the current state of the art deep learning models are trained on fully or partially synthetic images. However, document shadow or shading removal results still suffer because: (a) prior methods rely on uniformity of local color statistics, which limit their application on real-scenarios with complex document shapes and textures and; (b) synthetic or hybrid datasets with non-realistic, simulated lighting conditions are used to train the models. In this paper we tackle these problems with our two main contributions. First, a physically constrained learning-based method that directly estimates document reflectance based on intrinsic image formation which generalizes to challenging illumination conditions. Second, a new dataset that clearly improves previous synthetic ones, by adding a large range of realistic shading and diverse multi-illuminant conditions, uniquely customized to deal with documents in-the-wild. The proposed architecture works in a self-supervised manner where only the synthetic texture is used as a weak training signal (obviating the need for very costly ground truth with disentangled versions of shading and reflectance). The proposed approach leads to a significant generalization of document reflectance estimation in real scenes with challenging illumination. We extensively evaluate on the real benchmark datasets available for intrinsic image decomposition and document shadow removal tasks. Our reflectance estimation scheme, when used as a pre-processing step of an OCR pipeline, shows a 26% improvement of character error rate (CER), thus, proving the practical applicability.

Ke Ma, Bo Zhao, Leonid Sigal

Recent approaches have achieved great success in image generation from structured inputs, e.g., semantic segmentation, scene graph or layout. Although these methods allow specification of objects and their locations at image-level, they lack the fidelity and semantic control to specify visual appearance of these objects at an instance-level. To address this limitation, we propose a new image generation method that enables instance-level attribute control. Specifically, the input to our attribute-guided generative model is a tuple that contains: (1) object bounding boxes, (2) object categories and (3) an (optional) set of attributes for each object. The output is a generated image where the requested objects are in the desired locations and have prescribed attributes. Several losses work collaboratively to encourage accurate, consistent and diverse image generation. Experiments on Visual Genome dataset demonstrate our model's capacity to control object-level attributes in generated images, and validate plausibility of disentangled object-attribute representation in the image generation from layout task. Also, the generated images from our model have higher resolution, object classification accuracy and consistency, as compared to the previous state-of-the-art.