Yiqing Liu

Renao Yan, Qiehe Sun, Cheng Jin et al. · tsinghua

In computational pathology, whole-slide image (WSI) classification presents a formidable challenge due to its gigapixel resolution and limited fine-grained annotations. Multiple-instance learning (MIL) offers a weakly supervised solution, yet refining instance-level information from bag-level labels remains challenging. While most of the conventional MIL methods use attention scores to estimate instance importance scores (IIS) which contribute to the prediction of the slide labels, these often lead to skewed attention distributions and inaccuracies in identifying crucial instances. To address these issues, we propose a new approach inspired by cooperative game theory: employing Shapley values to assess each instance's contribution, thereby improving IIS estimation. The computation of the Shapley value is then accelerated using attention, meanwhile retaining the enhanced instance identification and prioritization. We further introduce a framework for the progressive assignment of pseudo bags based on estimated IIS, encouraging more balanced attention distributions in MIL models. Our extensive experiments on CAMELYON-16, BRACS, TCGA-LUNG, and TCGA-BRCA datasets show our method's superiority over existing state-of-the-art approaches, offering enhanced interpretability and class-wise insights. Our source code is available at https://github.com/RenaoYan/PMIL.

Yizhi Wang, Li Chen, Qiang Huang et al.

Cervical cancer remains a major malignancy, necessitating extensive and complex histopathological assessments and comprehensive support tools. Although deep learning shows promise, these models still lack accuracy and generalizability. General foundation models offer a broader reach but remain limited in capturing subspecialty-specific features and task adaptability. We introduce the Cervical Subspecialty Pathology (CerS-Path) diagnostic system, developed through two synergistic pretraining stages: self-supervised learning on approximately 190 million tissue patches from 140,000 slides to build a cervical-specific feature extractor, and multimodal enhancement with 2.5 million image-text pairs, followed by integration with multiple downstream diagnostic functions. Supporting eight diagnostic functions, including rare cancer classification and multimodal Q&A, CerS-Path surpasses prior foundation models in scope and clinical applicability. Comprehensive evaluations demonstrate a significant advance in cervical pathology, with prospective testing on 3,173 cases across five centers maintaining 99.38% screening sensitivity and excellent generalizability, highlighting its potential for subspecialty diagnostic translation and cervical cancer screening.

Jiacheng Hao, Yiqing Liu, Siqi Zeng et al.

Breast cancer is one of the most common cancers among women globally, with early diagnosis and precise classification being crucial. With the advancement of deep learning and computer vision, the automatic classification of breast tissue pathological images has emerged as a research focus. Existing methods typically rely on singular cell or tissue features and lack design considerations for morphological characteristics of challenging-to-classify categories, resulting in suboptimal classification performance. To address these problems, we proposes a novel breast cancer tissue classification model that Fused features of Edges, Cells, and Tissues (FECT), employing the ResMTUNet and an attention-based aggregator to extract and aggregate these features. Extensive testing on the BRACS dataset demonstrates that our model surpasses current advanced methods in terms of classification accuracy and F1 scores. Moreover, due to its feature fusion that aligns with the diagnostic approach of pathologists, our model exhibits interpretability and holds promise for significant roles in future clinical applications.