Training state-of-the-art pathology foundation models with orders of magnitude less data

The field of computational pathology has recently seen rapid advances driven by the development of modern vision foundation models (FMs), typically trained on vast collections of pathology images. Recent studies demonstrate that increasing the training data set and model size and integrating domain-specific image processing techniques can significantly enhance the model's performance on downstream tasks. Building on these insights, our work incorporates several recent modifications to the standard DINOv2 framework from the literature to optimize the training of pathology FMs. We also apply a post-training procedure for fine-tuning models on higher-resolution images to further enrich the information encoded in the embeddings. We present three novel pathology FMs trained on up to two orders of magnitude fewer WSIs than those used to train other state-of-the-art FMs while demonstrating a comparable or superior performance on downstream tasks. Even the model trained on TCGA alone (12k WSIs) outperforms most existing FMs and, on average, matches Virchow2, the second-best FM published to date. This suggests that there still remains a significant potential for further improving the models and algorithms used to train pathology FMs to take full advantage of the vast data collections.

H&E-adversarial network: a convolutional neural network to learn stain-invariant features through Hematoxylin & Eosin regression

Computational pathology is a domain that aims to develop algorithms to automatically analyze large digitized histopathology images, called whole slide images (WSI). WSIs are produced scanning thin tissue samples that are stained to make specific structures visible. They show stain colour heterogeneity due to different preparation and scanning settings applied across medical centers. Stain colour heterogeneity is a problem to train convolutional neural networks (CNN), the state-of-the-art algorithms for most computational pathology tasks, since CNNs usually underperform when tested on images including different stain variations than those within data used to train the CNN. Despite several methods that were developed, stain colour heterogeneity is still an unsolved challenge that limits the development of CNNs that can generalize on data from several medical centers. This paper aims to present a novel method to train CNNs that better generalize on data including several colour variations. The method, called H&E-adversarial CNN, exploits H&E matrix information to learn stain-invariant features during the training. The method is evaluated on the classification of colon and prostate histopathology images, involving eleven heterogeneous datasets, and compared with five other techniques used to handle stain colour heterogeneity. H&E-adversarial CNNs show an improvement in performance compared to the other algorithms, demonstrating that it can help to better deal with stain colour heterogeneous images.