Memory-Efficient Sparse Pyramid Attention Networks for Whole Slide Image Analysis

Whole Slide Images (WSIs) are crucial for modern pathological diagnosis, yet their gigapixel-scale resolutions and sparse informative regions pose significant computational challenges. Traditional dense attention mechanisms, widely used in computer vision and natural language processing, are impractical for WSI analysis due to the substantial data scale and the redundant processing of uninformative areas. To address these challenges, we propose Memory-Efficient Sparse Pyramid Attention Networks with Shifted Windows (SPAN), drawing inspiration from state-of-the-art sparse attention techniques in other domains. SPAN introduces a sparse pyramid attention architecture that hierarchically focuses on informative regions within the WSI, aiming to reduce memory overhead while preserving critical features. Additionally, the incorporation of shifted windows enables the model to capture long-range contextual dependencies essential for accurate classification. We evaluated SPAN on multiple public WSI datasets, observing its competitive performance. Unlike existing methods that often struggle to model spatial and contextual information due to memory constraints, our approach enables the accurate modeling of these crucial features. Our study also highlights the importance of key design elements in attention mechanisms, such as the shifted-window scheme and the hierarchical structure, which contribute substantially to the effectiveness of SPAN in WSI analysis. The potential of SPAN for memory-efficient and effective analysis of WSI data is thus demonstrated, and the code will be made publicly available following the publication of this work.

Improving Representation Learning for Histopathologic Images with Cluster Constraints

Recent advances in whole-slide image (WSI) scanners and computational capabilities have significantly propelled the application of artificial intelligence in histopathology slide analysis. While these strides are promising, current supervised learning approaches for WSI analysis come with the challenge of exhaustively labeling high-resolution slides - a process that is both labor-intensive and time-consuming. In contrast, self-supervised learning (SSL) pretraining strategies are emerging as a viable alternative, given that they don't rely on explicit data annotations. These SSL strategies are quickly bridging the performance disparity with their supervised counterparts. In this context, we introduce an SSL framework. This framework aims for transferable representation learning and semantically meaningful clustering by synergizing invariance loss and clustering loss in WSI analysis. Notably, our approach outperforms common SSL methods in downstream classification and clustering tasks, as evidenced by tests on the Camelyon16 and a pancreatic cancer dataset. The code and additional details are accessible at: https://github.com/wwyi1828/CluSiam.

Multi-Ontology Refined Embeddings (MORE): A Hybrid Multi-Ontology and Corpus-based Semantic Representation for Biomedical Concepts

Objective: Currently, a major limitation for natural language processing (NLP) analyses in clinical applications is that a concept can be referenced in various forms across different texts. This paper introduces Multi-Ontology Refined Embeddings (MORE), a novel hybrid framework for incorporating domain knowledge from multiple ontologies into a distributional semantic model, learned from a corpus of clinical text. Materials and Methods: We use the RadCore and MIMIC-III free-text datasets for the corpus-based component of MORE. For the ontology-based part, we use the Medical Subject Headings (MeSH) ontology and three state-of-the-art ontology-based similarity measures. In our approach, we propose a new learning objective, modified from the Sigmoid cross-entropy objective function. Results and Discussion: We evaluate the quality of the generated word embeddings using two established datasets of semantic similarities among biomedical concept pairs. On the first dataset with 29 concept pairs, with the similarity scores established by physicians and medical coders, MORE's similarity scores have the highest combined correlation (0.633), which is 5.0% higher than that of the baseline model and 12.4% higher than that of the best ontology-based similarity measure.On the second dataset with 449 concept pairs, MORE's similarity scores have a correlation of 0.481, with the average of four medical residents' similarity ratings, and that outperforms the skip-gram model by 8.1% and the best ontology measure by 6.9%.