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LESS: Label-efficient multi-scale learning for cytological whole slide image screening.

Beidi Zhao1, Wenlong Deng1, Zi Han Henry Li2

  • 1Department of Electrical and Computer Engineering, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada; Vector Institute, Toronto, ON M5G 1M1, Canada.

Medical Image Analysis
|February 22, 2024
PubMed
Summary
This summary is machine-generated.

We developed a Label-Efficient WSI Screening (LESS) method for analyzing cytological whole slide images (WSIs) using only slide-level labels. This approach improves accuracy and efficiency, particularly for small datasets, enabling automated cancer screening.

Keywords:
Computational pathologyMultiple instance learningWhole slide image

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Area of Science:

  • Computational pathology
  • Digital pathology
  • Machine learning for medical imaging

Background:

  • Whole slide image (WSI) analysis in computational pathology faces computational challenges with large gigapixel images.
  • Existing multiple instance learning (MIL) methods for WSI analysis often overlook task-specific slide-level label supervision, leading to suboptimal feature extraction.
  • Pretrained or self-supervised models for patch feature extraction in WSIs can be ineffective or inefficient due to this oversight.

Purpose of the Study:

  • To propose a weakly-supervised, label-efficient method (LESS) for cytological WSI analysis, effective even with limited data.
  • To improve patch-level feature learning by incorporating slide-level labels for better task alignment.
  • To enhance WSI classification by addressing the sparse cell arrangement in cytological images.

Main Methods:

  • Employed variational positive-unlabeled (VPU) learning to infer hidden patch labels (benign/malignant) using slide-level supervision.
  • Implemented a multi-scale patch cropping strategy to capture information from sparse cellular arrangements.
  • Utilized a cross-attention vision transformer (CrossViT) to integrate multi-scale patch information for slide-level classification.

Main Results:

  • The LESS method achieved high performance on urine and breast cytology WSI datasets, with accuracy up to 96.88% and AUC up to 98.95%.
  • Demonstrated superior performance compared to state-of-the-art MIL methods on pathology WSIs.
  • Successfully enabled automated cytological WSI cancer screening.

Conclusions:

  • The proposed LESS method effectively addresses label-efficiency challenges in cytological WSI analysis.
  • Combining VPU learning with multi-scale CrossViT processing enhances feature extraction and classification accuracy.
  • LESS offers a promising solution for automated cancer screening using WSIs, especially in resource-limited scenarios.