PATHS: A Hierarchical Transformer for Efficient Whole Slide Image Analysis

Computational analysis of whole slide images (WSIs) has seen significant research progress in recent years, with applications ranging across important diagnostic and prognostic tasks such as survival or cancer subtype prediction. Many state-of-the-art models process the entire slide - which may be as large as $150,000 \times 150,000$ pixels - as a bag of many patches, the size of which necessitates computationally cheap feature aggregation methods. However, a large proportion of these patches are uninformative, such as those containing only healthy or adipose tissue, adding significant noise and size to the bag. We propose Pathology Transformer with Hierarchical Selection (PATHS), a novel top-down method for hierarchical weakly supervised representation learning on slide-level tasks in computational pathology. PATHS is inspired by the cross-magnification manner in which a human pathologist examines a slide, recursively filtering patches at each magnification level to a small subset relevant to the diagnosis. Our method overcomes the complications of processing the entire slide, enabling quadratic self-attention and providing a simple interpretable measure of region importance. We apply PATHS to five datasets of The Cancer Genome Atlas (TCGA), and achieve superior performance on slide-level prediction tasks when compared to previous methods, despite processing only a small proportion of the slide.

MM-Lego: Modular Biomedical Multimodal Models with Minimal Fine-Tuning

Learning holistic computational representations in physical, chemical or biological systems requires the ability to process information from different distributions and modalities within the same model. Thus, the demand for multimodal machine learning models has sharply risen for modalities that go beyond vision and language, such as sequences, graphs, time series, or tabular data. While there are many available multimodal fusion and alignment approaches, most of them require end-to-end training, scale quadratically with the number of modalities, cannot handle cases of high modality imbalance in the training set, or are highly topology-specific, making them too restrictive for many biomedical learning tasks. This paper presents Multimodal Lego (MM-Lego), a modular and general-purpose fusion and model merging framework to turn any set of encoders into a competitive multimodal model with no or minimal fine-tuning. We achieve this by introducing a wrapper for unimodal encoders that enforces lightweight dimensionality assumptions between modalities and harmonises their representations by learning features in the frequency domain to enable model merging with little signal interference. We show that MM-Lego 1) can be used as a model merging method which achieves competitive performance with end-to-end fusion models without any fine-tuning, 2) can operate on any unimodal encoder, and 3) is a model fusion method that, with minimal fine-tuning, achieves state-of-the-art results on six benchmarked multimodal biomedical tasks.

HEALNet -- Hybrid Multi-Modal Fusion for Heterogeneous Biomedical Data

Technological advances in medical data collection such as high-resolution histopathology and high-throughput genomic sequencing have contributed to the rising requirement for multi-modal biomedical modelling, specifically for image, tabular, and graph data. Most multi-modal deep learning approaches use modality-specific architectures that are trained separately and cannot capture the crucial cross-modal information that motivates the integration of different data sources. This paper presents the Hybrid Early-fusion Attention Learning Network (HEALNet): a flexible multi-modal fusion architecture, which a) preserves modality-specific structural information, b) captures the cross-modal interactions and structural information in a shared latent space, c) can effectively handle missing modalities during training and inference, and d) enables intuitive model inspection by learning on the raw data input instead of opaque embeddings. We conduct multi-modal survival analysis on Whole Slide Images and Multi-omic data on four cancer cohorts of The Cancer Genome Atlas (TCGA). HEALNet achieves state-of-the-art performance, substantially improving over both uni-modal and recent multi-modal baselines, whilst being robust in scenarios with missing modalities.

CGXplain: Rule-Based Deep Neural Network Explanations Using Dual Linear Programs

Rule-based surrogate models are an effective and interpretable way to approximate a Deep Neural Network's (DNN) decision boundaries, allowing humans to easily understand deep learning models. Current state-of-the-art decompositional methods, which are those that consider the DNN's latent space to extract more exact rule sets, manage to derive rule sets at high accuracy. However, they a) do not guarantee that the surrogate model has learned from the same variables as the DNN (alignment), b) only allow to optimise for a single objective, such as accuracy, which can result in excessively large rule sets (complexity), and c) use decision tree algorithms as intermediate models, which can result in different explanations for the same DNN (stability). This paper introduces the CGX (Column Generation eXplainer) to address these limitations - a decompositional method using dual linear programming to extract rules from the hidden representations of the DNN. This approach allows to optimise for any number of objectives and empowers users to tweak the explanation model to their needs. We evaluate our results on a wide variety of tasks and show that CGX meets all three criteria, by having exact reproducibility of the explanation model that guarantees stability and reduces the rule set size by >80% (complexity) at equivalent or improved accuracy and fidelity across tasks (alignment).

Feature Synergy, Redundancy, and Independence in Global Model Explanations using SHAP Vector Decomposition

We offer a new formalism for global explanations of pairwise feature dependencies and interactions in supervised models. Building upon SHAP values and SHAP interaction values, our approach decomposes feature contributions into synergistic, redundant and independent components (S-R-I decomposition of SHAP vectors). We propose a geometric interpretation of the components and formally prove its basic properties. Finally, we demonstrate the utility of synergy, redundancy and independence by applying them to a constructed data set and model.