Pingyi Chen

Zhongyi Shui, Shichuan Zhang, Chenglu Zhu et al.

Reliable quantitative analysis of immunohistochemical staining images requires accurate and robust cell detection and classification. Recent weakly-supervised methods usually estimate probability density maps for cell recognition. However, in dense cell scenarios, their performance can be limited by pre- and post-processing as it is impossible to find a universal parameter setting. In this paper, we introduce an end-to-end framework that applies direct regression and classification for preset anchor points. Specifically, we propose a pyramidal feature aggregation strategy to combine low-level features and high-level semantics simultaneously, which provides accurate cell recognition for our purely point-based model. In addition, an optimized cost function is designed to adapt our multi-task learning framework by matching ground truth and predicted points. The experimental results demonstrate the superior accuracy and efficiency of the proposed method, which reveals the high potentiality in assisting pathologist assessments.

Honglin Li, Yusuan Sun, Chenglu Zhu et al.

Cervical Cancer continues to be the leading gynecological malignancy, posing a persistent threat to women's health on a global scale. Early screening via cytology Whole Slide Image (WSI) diagnosis is critical to prevent this Cancer progression and improve survival rate, but pathologist's single test suffers inevitable false negative due to the immense number of cells that need to be reviewed within a WSI. Though computer-aided automated diagnostic models can serve as strong complement for pathologists, their effectiveness is hampered by the paucity of extensive and detailed annotations, coupled with the limited interpretability and robustness. These factors significantly hinder their practical applicability and reliability in clinical settings. To tackle these challenges, we develop an AI approach, which is a Scalable Technology for Robust and Interpretable Diagnosis built on Extensive data (STRIDE) of cervical cytology. STRIDE addresses the bottleneck of limited annotations by integrating patient-level labels with a small portion of cell-level labels through an end-to-end training strategy, facilitating scalable learning across extensive datasets. To further improve the robustness to real-world domain shifts of cytology slide-making and imaging, STRIDE employs color adversarial samples training that mimic staining and imaging variations. Lastly, to achieve pathologist-level interpretability for the trustworthiness in clinical settings, STRIDE can generate explanatory textual descriptions that simulates pathologists' diagnostic processes by cell image feature and textual description alignment. Conducting extensive experiments and evaluations in 183 medical centers with a dataset of 341,889 WSIs and 0.1 billion cells from cervical cytology patients, STRIDE has demonstrated a remarkable superiority over previous state-of-the-art techniques.

Pingyi Chen, Yujing Lou, Shen Cao et al.

While vision language models (VLMs) excel in 2D semantic visual understanding, their ability to quantitatively reason about 3D spatial relationships remains under-explored, due to the deficiency of 2D images' spatial representation ability. In this paper, we analyze the problem hindering VLMs' spatial understanding abilities and propose SD-VLM, a novel framework that significantly enhances fundamental spatial perception abilities of VLMs through two key contributions: (1) propose Massive Spatial Measuring and Understanding (MSMU) dataset with precise spatial annotations, and (2) introduce a simple depth positional encoding method strengthening VLMs' spatial awareness. MSMU dataset covers massive quantitative spatial tasks with 700K QA pairs, 2.5M physical numerical annotations, and 10K chain-of-thought augmented samples. We have trained SD-VLM, a strong generalist VLM which shows superior quantitative spatial measuring and understanding capability. SD-VLM not only achieves state-of-the-art performance on our proposed MSMU-Bench, but also shows spatial generalization abilities on other spatial understanding benchmarks including Q-Spatial and SpatialRGPT-Bench. Extensive experiments demonstrate that SD-VLM outperforms GPT-4o and Intern-VL3-78B by 26.91% and 25.56% respectively on MSMU-Bench. Code and models are released at https://github.com/cpystan/SD-VLM.

Yuxuan Sun, Yixuan Si, Chenglu Zhu et al.

The emergence of large multimodal models (LMMs) has brought significant advancements to pathology. Previous research has primarily focused on separately training patch-level and whole-slide image (WSI)-level models, limiting the integration of learned knowledge across patches and WSIs, and resulting in redundant models. In this work, we introduce CPath-Omni, the first 15-billion-parameter LMM designed to unify both patch and WSI level image analysis, consolidating a variety of tasks at both levels, including classification, visual question answering, captioning, and visual referring prompting. Extensive experiments demonstrate that CPath-Omni achieves state-of-the-art (SOTA) performance across seven diverse tasks on 39 out of 42 datasets, outperforming or matching task-specific models trained for individual tasks. Additionally, we develop a specialized pathology CLIP-based visual processor for CPath-Omni, CPath-CLIP, which, for the first time, integrates different vision models and incorporates a large language model as a text encoder to build a more powerful CLIP model, which achieves SOTA performance on nine zero-shot and four few-shot datasets. Our findings highlight CPath-Omni's ability to unify diverse pathology tasks, demonstrating its potential to streamline and advance the field of foundation model in pathology.