Cross-Patient Pseudo Bags Generation and Curriculum Contrastive Learning for Imbalanced Multiclassification of Whole Slide Image

Pathology computing has dramatically improved pathologists' workflow and diagnostic decision-making processes. Although computer-aided diagnostic systems have shown considerable value in whole slide image (WSI) analysis, the problem of multi-classification under sample imbalance remains an intractable challenge. To address this, we propose learning fine-grained information by generating sub-bags with feature distributions similar to the original WSIs. Additionally, we utilize a pseudo-bag generation algorithm to further leverage the abundant and redundant information in WSIs, allowing efficient training in unbalanced-sample multi-classification tasks. Furthermore, we introduce an affinity-based sample selection and curriculum contrastive learning strategy to enhance the stability of model representation learning. Unlike previous approaches, our framework transitions from learning bag-level representations to understanding and exploiting the feature distribution of multi-instance bags. Our method demonstrates significant performance improvements on three datasets, including tumor classification and lymph node metastasis. On average, it achieves a 4.39-point improvement in F1 score compared to the second-best method across the three tasks, underscoring its superior performance.

TASL-Net: Tri-Attention Selective Learning Network for Intelligent Diagnosis of Bimodal Ultrasound Video

In the intelligent diagnosis of bimodal (gray-scale and contrast-enhanced) ultrasound videos, medical domain knowledge such as the way sonographers browse videos, the particular areas they emphasize, and the features they pay special attention to, plays a decisive role in facilitating precise diagnosis. Embedding medical knowledge into the deep learning network can not only enhance performance but also boost clinical confidence and reliability of the network. However, it is an intractable challenge to automatically focus on these person- and disease-specific features in videos and to enable networks to encode bimodal information comprehensively and efficiently. This paper proposes a novel Tri-Attention Selective Learning Network (TASL-Net) to tackle this challenge and automatically embed three types of diagnostic attention of sonographers into a mutual transformer framework for intelligent diagnosis of bimodal ultrasound videos. Firstly, a time-intensity-curve-based video selector is designed to mimic the temporal attention of sonographers, thus removing a large amount of redundant information while improving computational efficiency of TASL-Net. Then, to introduce the spatial attention of the sonographers for contrast-enhanced video analysis, we propose the earliest-enhanced position detector based on structural similarity variation, on which the TASL-Net is made to focus on the differences of perfusion variation inside and outside the lesion. Finally, by proposing a mutual encoding strategy that combines convolution and transformer, TASL-Net possesses bimodal attention to structure features on gray-scale videos and to perfusion variations on contrast-enhanced videos. These modules work collaboratively and contribute to superior performance. We conduct a detailed experimental validation of TASL-Net's performance on three datasets, including lung, breast, and liver.