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Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
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Cross-slide augmentation for whole slide image classification based on class activation map.

Yanjia Chen1, Hejun Wu1, Ziwang Huang1

  • 1Sun Yat - sen University, No.132, Outer Ring East Road, Panyu District, Guangzhou, 511400, Guangdong, China.

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This study introduces novel Whole Slide Image (WSI) classification methods using Class Activation Map (WSICAM) and Cross-Slide Augmentation (CSA) to improve cancer diagnosis and tumor localization by addressing attention score inaccuracies and model overfitting.

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Area of Science:

  • Computational pathology
  • Medical image analysis
  • Artificial intelligence in oncology

Background:

  • Weakly supervised Multiple Instance Learning (MIL) is crucial for Whole Slide Image (WSI) classification due to gigapixel resolution.
  • Attention-based MIL methods show promise in cancer diagnosis but struggle with accurate instance contribution scoring and model overfitting.

Purpose of the Study:

  • To enhance discriminative region identification in WSIs by accurately representing instance contributions.
  • To mitigate model overfitting and improve positive sample representation in whole-slide pathological image analysis.

Main Methods:

  • A novel module utilizing Class Activation Map suitable for WSI (WSICAM) was designed to determine accurate instance contribution weights.
  • A Cross-Slide Augmentation (CSA) module was implemented to create new training samples by mixing labels based on discriminative instances.
  • The proposed framework integrates two WSICAM modules and one CSA module for improved WSI classification.

Main Results:

  • The developed framework achieved state-of-the-art performance in WSI classification across multiple benchmark datasets.
  • Visualizations confirmed the method's effectiveness in identifying discriminative regions within WSIs.
  • The approach demonstrated robust capabilities in precise tumor lesion localization.

Conclusions:

  • The proposed WSICAM and CSA modules effectively address limitations in existing attention-based MIL methods for WSI classification.
  • This framework offers a significant advancement in computational pathology for accurate cancer diagnosis and treatment planning.
  • The method shows strong potential for clinical application in identifying and localizing cancerous regions in pathological images.