A Knowledge-enhanced Pathology Vision-language Foundation Model for Cancer Diagnosis

Deep learning has enabled the development of highly robust foundation models for various pathological tasks across diverse diseases and patient cohorts. Among these models, vision-language pre-training, which leverages large-scale paired data to align pathology image and text embedding spaces, and provides a novel zero-shot paradigm for downstream tasks. However, existing models have been primarily data-driven and lack the incorporation of domain-specific knowledge, which limits their performance in cancer diagnosis, especially for rare tumor subtypes. To address this limitation, we establish a Knowledge-enhanced Pathology (KEEP) foundation model that harnesses disease knowledge to facilitate vision-language pre-training. Specifically, we first construct a disease knowledge graph (KG) that covers 11,454 human diseases with 139,143 disease attributes, including synonyms, definitions, and hypernym relations. We then systematically reorganize the millions of publicly available noisy pathology image-text pairs, into 143K well-structured semantic groups linked through the hierarchical relations of the disease KG. To derive more nuanced image and text representations, we propose a novel knowledge-enhanced vision-language pre-training approach that integrates disease knowledge into the alignment within hierarchical semantic groups instead of unstructured image-text pairs. Validated on 18 diverse benchmarks with more than 14,000 whole slide images (WSIs), KEEP achieves state-of-the-art performance in zero-shot cancer diagnostic tasks. Notably, for cancer detection, KEEP demonstrates an average sensitivity of 89.8% at a specificity of 95.0% across 7 cancer types. For cancer subtyping, KEEP achieves a median balanced accuracy of 0.456 in subtyping 30 rare brain cancers, indicating strong generalizability for diagnosing rare tumors.

Efficient Meta-Learning Enabled Lightweight Multiscale Few-Shot Object Detection in Remote Sensing Images

Presently, the task of few-shot object detection (FSOD) in remote sensing images (RSIs) has become a focal point of attention. Numerous few-shot detectors, particularly those based on two-stage detectors, face challenges when dealing with the multiscale complexities inherent in RSIs. Moreover, these detectors present impractical characteristics in real-world applications, mainly due to their unwieldy model parameters when handling large amount of data. In contrast, we recognize the advantages of one-stage detectors, including high detection speed and a global receptive field. Consequently, we choose the YOLOv7 one-stage detector as a baseline and subject it to a novel meta-learning training framework. This transformation allows the detector to adeptly address FSOD tasks while capitalizing on its inherent advantage of lightweight. Additionally, we thoroughly investigate the samples generated by the meta-learning strategy and introduce a novel meta-sampling approach to retain samples produced by our designed meta-detection head. Coupled with our devised meta-cross loss, we deliberately utilize ``negative samples" that are often overlooked to extract valuable knowledge from them. This approach serves to enhance detection accuracy and efficiently refine the overall meta-learning strategy. To validate the effectiveness of our proposed detector, we conducted performance comparisons with current state-of-the-art detectors using the DIOR and NWPU VHR-10.v2 datasets, yielding satisfactory results.