CVMar 13, 2025

Leveraging Vision-Language Embeddings for Zero-Shot Learning in Histopathology Images

arXiv:2503.10731v15 citationsh-index: 13IEEE journal of biomedical and health informatics
Originality Incremental advance
AI Analysis

This addresses the problem of limited labeled data for histopathology image analysis, enabling generalization to unseen diagnostic classes, though it appears incremental in adapting existing vision-language methods to a specific domain.

The paper tackles the challenge of applying vision-language models to zero-shot learning in histopathology images by proposing the MR-PHE framework, which improves zero-shot classification performance and often surpasses fully supervised models.

Zero-shot learning holds tremendous potential for histopathology image analysis by enabling models to generalize to unseen classes without extensive labeled data. Recent advancements in vision-language models (VLMs) have expanded the capabilities of ZSL, allowing models to perform tasks without task-specific fine-tuning. However, applying VLMs to histopathology presents considerable challenges due to the complexity of histopathological imagery and the nuanced nature of diagnostic tasks. In this paper, we propose a novel framework called Multi-Resolution Prompt-guided Hybrid Embedding (MR-PHE) to address these challenges in zero-shot histopathology image classification. MR-PHE leverages multiresolution patch extraction to mimic the diagnostic workflow of pathologists, capturing both fine-grained cellular details and broader tissue structures critical for accurate diagnosis. We introduce a hybrid embedding strategy that integrates global image embeddings with weighted patch embeddings, effectively combining local and global contextual information. Additionally, we develop a comprehensive prompt generation and selection framework, enriching class descriptions with domain-specific synonyms and clinically relevant features to enhance semantic understanding. A similarity-based patch weighting mechanism assigns attention-like weights to patches based on their relevance to class embeddings, emphasizing diagnostically important regions during classification. Our approach utilizes pretrained VLM, CONCH for ZSL without requiring domain-specific fine-tuning, offering scalability and reducing dependence on large annotated datasets. Experimental results demonstrate that MR-PHE not only significantly improves zero-shot classification performance on histopathology datasets but also often surpasses fully supervised models.

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