Diagnose Like a Pathologist: Transformer-Enabled Hierarchical Attention-Guided Multiple Instance Learning for Whole Slide Image ClassificationConghao Xiong, Hao Chen, Joseph J. Y. Sung et al.
Multiple Instance Learning (MIL) and transformers are increasingly popular in histopathology Whole Slide Image (WSI) classification. However, unlike human pathologists who selectively observe specific regions of histopathology tissues under different magnifications, most methods do not incorporate multiple resolutions of the WSIs, hierarchically and attentively, thereby leading to a loss of focus on the WSIs and information from other resolutions. To resolve this issue, we propose a Hierarchical Attention-Guided Multiple Instance Learning framework to fully exploit the WSIs. This framework can dynamically and attentively discover the discriminative regions across multiple resolutions of the WSIs. Within this framework, an Integrated Attention Transformer is proposed to further enhance the performance of the transformer and obtain a more holistic WSI (bag) representation. This transformer consists of multiple Integrated Attention Modules, which is the combination of a transformer layer and an aggregation module that produces a bag representation based on every instance representation in that bag. The experimental results show that our method achieved state-of-the-art performances on multiple datasets, including Camelyon16, TCGA-RCC, TCGA-NSCLC, and an in-house IMGC dataset. The code is available at https://github.com/BearCleverProud/HAG-MIL.
TAKT: Target-Aware Knowledge Transfer for Whole Slide Image ClassificationConghao Xiong, Yi Lin, Hao Chen et al.
Transferring knowledge from a source domain to a target domain can be crucial for whole slide image classification, since the number of samples in a dataset is often limited due to high annotation costs. However, domain shift and task discrepancy between datasets can hinder effective knowledge transfer. In this paper, we propose a Target-Aware Knowledge Transfer framework, employing a teacher-student paradigm. Our framework enables the teacher model to learn common knowledge from the source and target domains by actively incorporating unlabelled target images into the training of the teacher model. The teacher bag features are subsequently adapted to supervise the training of the student model on the target domain. Despite incorporating the target features during training, the teacher model tends to overlook them under the inherent domain shift and task discrepancy. To alleviate this, we introduce a target-aware feature alignment module to establish a transferable latent relationship between the source and target features by solving the optimal transport problem. Experimental results show that models employing knowledge transfer outperform those trained from scratch, and our method achieves state-of-the-art performance among other knowledge transfer methods on various datasets, including TCGA-RCC, TCGA-NSCLC, and Camelyon16.
A Survey of Pathology Foundation Model: Progress and Future DirectionsConghao Xiong, Hao Chen, Joseph J. Y. Sung
Computational pathology, which involves analyzing whole slide images for automated cancer diagnosis, relies on multiple instance learning, where performance depends heavily on the feature extractor and aggregator. Recent Pathology Foundation Models (PFMs), pretrained on large-scale histopathology data, have significantly enhanced both the extractor and aggregator, but they lack a systematic analysis framework. In this survey, we present a hierarchical taxonomy organizing PFMs through a top-down philosophy applicable to foundation model analysis in any domain: model scope, model pretraining, and model design. Additionally, we systematically categorize PFM evaluation tasks into slide-level, patch-level, multimodal, and biological tasks, providing comprehensive benchmarking criteria. Our analysis identifies critical challenges in both PFM development (pathology-specific methodology, end-to-end pretraining, data-model scalability) and utilization (effective adaptation, model maintenance), paving the way for future directions in this promising field. Resources referenced in this survey are available at https://github.com/BearCleverProud/AwesomeWSI.
Embedding-Enhanced Giza++: Improving Alignment in Low- and High- Resource Scenarios Using Embedding Space GeometryKelly Marchisio, Conghao Xiong, Philipp Koehn
A popular natural language processing task decades ago, word alignment has been dominated until recently by GIZA++, a statistical method based on the 30-year-old IBM models. New methods that outperform GIZA++ primarily rely on large machine translation models, massively multilingual language models, or supervision from GIZA++ alignments itself. We introduce Embedding-Enhanced GIZA++, and outperform GIZA++ without any of the aforementioned factors. Taking advantage of monolingual embedding spaces of source and target language only, we exceed GIZA++'s performance in every tested scenario for three languages pairs. In the lowest-resource setting, we outperform GIZA++ by 8.5, 10.9, and 12 AER for Ro-En, De-En, and En-Fr, respectively. We release our code at https://github.com/kellymarchisio/ee-giza.