Diagnostic Text-guided Representation Learning in Hierarchical Classification for Pathological Whole Slide Image

With the development of digital imaging in medical microscopy, artificial intelligent-based analysis of pathological whole slide images (WSIs) provides a powerful tool for cancer diagnosis. Limited by the expensive cost of pixel-level annotation, current research primarily focuses on representation learning with slide-level labels, showing success in various downstream tasks. However, given the diversity of lesion types and the complex relationships between each other, these techniques still deserve further exploration in addressing advanced pathology tasks. To this end, we introduce the concept of hierarchical pathological image classification and propose a representation learning called PathTree. PathTree considers the multi-classification of diseases as a binary tree structure. Each category is represented as a professional pathological text description, which messages information with a tree-like encoder. The interactive text features are then used to guide the aggregation of hierarchical multiple representations. PathTree uses slide-text similarity to obtain probability scores and introduces two extra tree specific losses to further constrain the association between texts and slides. Through extensive experiments on three challenging hierarchical classification datasets: in-house cryosectioned lung tissue lesion identification, public prostate cancer grade assessment, and public breast cancer subtyping, our proposed PathTree is consistently competitive compared to the state-of-the-art methods and provides a new perspective on the deep learning-assisted solution for more complex WSI classification.

Towards a Comprehensive Benchmark for Pathological Lymph Node Metastasis in Breast Cancer Sections

Advances in optical microscopy scanning have significantly contributed to computational pathology (CPath) by converting traditional histopathological slides into whole slide images (WSIs). This development enables comprehensive digital reviews by pathologists and accelerates AI-driven diagnostic support for WSI analysis. Recent advances in foundational pathology models have increased the need for benchmarking tasks. The Camelyon series is one of the most widely used open-source datasets in computational pathology. However, the quality, accessibility, and clinical relevance of the labels have not been comprehensively evaluated. In this study, we reprocessed 1,399 WSIs and labels from the Camelyon-16 and Camelyon-17 datasets, removing low-quality slides, correcting erroneous labels, and providing expert pixel annotations for tumor regions in the previously unreleased test set. Based on the sizes of re-annotated tumor regions, we upgraded the binary cancer screening task to a four-class task: negative, micro-metastasis, macro-metastasis, and Isolated Tumor Cells (ITC). We reevaluated pre-trained pathology feature extractors and multiple instance learning (MIL) methods using the cleaned dataset, providing a benchmark that advances AI development in histopathology.

Leveraging Pre-trained Models for FF-to-FFPE Histopathological Image Translation

The two primary types of Hematoxylin and Eosin (H&E) slides in histopathology are Formalin-Fixed Paraffin-Embedded (FFPE) and Fresh Frozen (FF). FFPE slides offer high quality histopathological images but require a labor-intensive acquisition process. In contrast, FF slides can be prepared quickly, but the image quality is relatively poor. Our task is to translate FF images into FFPE style, thereby improving the image quality for diagnostic purposes. In this paper, we propose Diffusion-FFPE, a method for FF-to-FFPE histopathological image translation using a pre-trained diffusion model. Specifically, we employ a one-step diffusion model as the generator and fine-tune it with LoRA adapters using adversarial learning objectives. To ensure that the model effectively captures both global structural information and local details, we propose a multi-scale feature fusion (MFF) module. This module utilizes two VAE encoders to extract features of varying image sizes and performs feature fusion before feeding them into the UNet. Furthermore, we utilize a pre-trained vision-language model for histopathology as the backbone for the discriminator to further improve performance We conducted FF-to-FFPE translation experiments on the TCGA-NSCLC datasets, and our method achieved better performance compared to other methods. The code and models are released at https://github.com/QilaiZhang/Diffusion-FFPE.

Molecule Graph Networks with Many-body Equivariant Interactions

Message passing neural networks have demonstrated significant efficacy in predicting molecular interactions. Introducing equivariant vectorial representations augments expressivity by capturing geometric data symmetries, thereby improving model accuracy. However, two-body bond vectors in opposition may cancel each other out during message passing, leading to the loss of directional information on their shared node. In this study, we develop Equivariant N-body Interaction Networks (ENINet) that explicitly integrates equivariant many-body interactions to preserve directional information in the message passing scheme. Experiments indicate that integrating many-body equivariant representations enhances prediction accuracy across diverse scalar and tensorial quantum chemical properties. Ablation studies show an average performance improvement of 7.9% across 11 out of 12 properties in QM9, 27.9% in forces in MD17, and 11.3% in polarizabilities (CCSD) in QM7b.

Benchmarking and Improving Detail Image Caption

Image captioning has long been regarded as a fundamental task in visual understanding. Recently, however, few large vision-language model (LVLM) research discusses model's image captioning performance because of the outdated short-caption benchmarks and unreliable evaluation metrics. In this work, we propose to benchmark detail image caption task by curating high-quality evaluation datasets annotated by human experts, GPT-4V and Gemini-1.5-Pro. We also design a more reliable caption evaluation metric called CAPTURE (CAPtion evaluation by exTracting and coUpling coRE information). CAPTURE extracts visual elements, e.g., objects, attributes and relations from captions, and then matches these elements through three stages, achieving the highest consistency with expert judgements over other rule-based or model-based caption metrics. The proposed benchmark and metric provide reliable evaluation for LVLM's detailed image captioning ability. Guided by this evaluation, we further explore to unleash LVLM's detail caption capabilities by synthesizing high-quality data through a five-stage data construction pipeline. Our pipeline only uses a given LVLM itself and other open-source tools, without any human or GPT-4V annotation in the loop. Experiments show that the proposed data construction strategy significantly improves model-generated detail caption data quality for LVLMs with leading performance, and the data quality can be further improved in a self-looping paradigm. All code and dataset will be publicly available at https://github.com/foundation-multimodal-models/CAPTURE.

Unveiling the Tapestry of Consistency in Large Vision-Language Models

Large vision-language models (LVLMs) have recently achieved rapid progress, exhibiting great perception and reasoning abilities concerning visual information. However, when faced with prompts in different sizes of solution spaces, LVLMs fail to always give consistent answers regarding the same knowledge point. This inconsistency of answers between different solution spaces is prevalent in LVLMs and erodes trust. To this end, we provide a multi-modal benchmark ConBench, to intuitively analyze how LVLMs perform when the solution space of a prompt revolves around a knowledge point. Based on the ConBench tool, we are the first to reveal the tapestry and get the following findings: (1) In the discriminate realm, the larger the solution space of the prompt, the lower the accuracy of the answers. (2) Establish the relationship between the discriminative and generative realms: the accuracy of the discriminative question type exhibits a strong positive correlation with its Consistency with the caption. (3) Compared to open-source models, closed-source models exhibit a pronounced bias advantage in terms of Consistency. Eventually, we ameliorate the consistency of LVLMs by trigger-based diagnostic refinement, indirectly improving the performance of their caption. We hope this paper will accelerate the research community in better evaluating their models and encourage future advancements in the consistency domain.

Halfway Escape Optimization: A Quantum-Inspired Solution for Complex Optimization Problems

This paper first proposes the Halfway Escape Optimization (HEO) algorithm, a novel quantum-inspired metaheuristic designed to address complex optimization problems characterized by rugged landscapes and high-dimensionality with an efficient convergence rate. The study presents a comprehensive comparative evaluation of HEO's performance against established optimization algorithms, including Particle Swarm Optimization (PSO), Genetic Algorithm (GA), Artificial Fish Swarm Algorithm (AFSA), Grey Wolf Optimizer (GWO), and Quantum behaved Particle Swarm Optimization (QPSO). The primary analysis encompasses 14 benchmark functions with dimension 30, demonstrating HEO's effectiveness and adaptability in navigating complex optimization landscapes and providing valuable insights into its performance. The simple test of HEO in Traveling Salesman Problem (TSP) also infers its feasibility in real-time applications.

RetMIL: Retentive Multiple Instance Learning for Histopathological Whole Slide Image Classification

Histopathological whole slide image (WSI) analysis with deep learning has become a research focus in computational pathology. The current paradigm is mainly based on multiple instance learning (MIL), in which approaches with Transformer as the backbone are well discussed. These methods convert WSI tasks into sequence tasks by representing patches as tokens in the WSI sequence. However, the feature complexity brought by high heterogeneity and the ultra-long sequences brought by gigapixel size makes Transformer-based MIL suffer from the challenges of high memory consumption, slow inference speed, and lack of performance. To this end, we propose a retentive MIL method called RetMIL, which processes WSI sequences through hierarchical feature propagation structure. At the local level, the WSI sequence is divided into multiple subsequences. Tokens of each subsequence are updated through a parallel linear retention mechanism and aggregated utilizing an attention layer. At the global level, subsequences are fused into a global sequence, then updated through a serial retention mechanism, and finally the slide-level representation is obtained through a global attention pooling. We conduct experiments on two public CAMELYON and BRACS datasets and an public-internal LUNG dataset, confirming that RetMIL not only achieves state-of-the-art performance but also significantly reduces computational overhead. Our code will be accessed shortly.

Dynamic Graph Representation with Knowledge-aware Attention for Histopathology Whole Slide Image Analysis

Histopathological whole slide images (WSIs) classification has become a foundation task in medical microscopic imaging processing. Prevailing approaches involve learning WSIs as instance-bag representations, emphasizing significant instances but struggling to capture the interactions between instances. Additionally, conventional graph representation methods utilize explicit spatial positions to construct topological structures but restrict the flexible interaction capabilities between instances at arbitrary locations, particularly when spatially distant. In response, we propose a novel dynamic graph representation algorithm that conceptualizes WSIs as a form of the knowledge graph structure. Specifically, we dynamically construct neighbors and directed edge embeddings based on the head and tail relationships between instances. Then, we devise a knowledge-aware attention mechanism that can update the head node features by learning the joint attention score of each neighbor and edge. Finally, we obtain a graph-level embedding through the global pooling process of the updated head, serving as an implicit representation for the WSI classification. Our end-to-end graph representation learning approach has outperformed the state-of-the-art WSI analysis methods on three TCGA benchmark datasets and in-house test sets. Our code is available at https://github.com/WonderLandxD/WiKG.

Neural Implicit Surface Reconstruction for Freehand 3D Ultrasound Volumetric Point Clouds with Geometric Constraints

Three-dimensional (3D) freehand ultrasound (US) is a widely used imaging modality that allows non-invasive imaging of medical anatomy without radiation exposure. The freehand 3D US surface reconstruction is vital to acquire the accurate anatomical structures needed for modeling, registration, and visualization. However, the currently used traditional methods cannot produce a high-quality surface due to imaging noise and connectivity issues in US. Although the deep learning-based approaches exhibiting the improvements in smoothness, continuity and resolution, the investigation into freehand 3D US remains limited. In this study, we introduce a self-supervised neural implicit surface reconstruction method to learn the signed distance functions (SDFs) from freehand 3D US volumetric point clouds. In particular, our method iteratively learns the SDFs by moving the 3D queries sampled around the point clouds to approximate the surface with the assistance of two novel geometric constraints. We assess our method on the three imaging systems, using twenty-three shapes that include six distinct anthropomorphic phantoms datasets and seventeen in vivo carotid artery datasets. Experimental results on phantoms outperform the existing approach, with a 67% reduction in Chamfer distance, 60% in Hausdorff distance, and 61% in Average absolute distance. Furthermore, our method achieves a 0.92 Dice score on the in vivo datasets and demonstrates great clinical potential.