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Aggregate classification is generally based on its size, petrographic characteristics, weight, and source. Size classification ranges from coarse to fine aggregates, defined by the size of the particles. Coarse aggregates are particles that do not pass through ASTM sieve No. 4, and aggregates that pass through the sieve are fine aggregates.
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Beyond accuracy: Quantifying the reliability of multiple instance learning for whole slide image classification.

Hassan Keshvarikhojasteh1, Marc Aubreville2, Christof A Bertram3

  • 1Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.

Plos One
|December 5, 2025
PubMed
Summary
This summary is machine-generated.

Reliability of machine learning models in pathology is crucial. The mean pooling instance (MEAN-POOL-INS) model shows superior reliability for Whole Slide Image classification, offering a trustworthy baseline.

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Area of Science:

  • Computational pathology
  • Machine learning
  • Medical imaging analysis

Background:

  • Machine learning (ML) models are widely used but their reliability is a concern.
  • Multiple Instance Learning (MIL) models for Whole Slide Image (WSI) classification lack reliability evaluations.
  • This gap hinders their use in clinical decision-making.

Purpose of the Study:

  • To introduce quantitative metrics for assessing the reliability of MIL models.
  • To evaluate the reliability of common MIL architectures on pathology datasets.
  • To identify reliable MIL models for WSI classification.

Main Methods:

  • Developed three novel quantitative metrics for reliability assessment.
  • Applied metrics to several MIL architectures (e.g., MEAN-POOL-INS).
  • Utilized three region-wise annotated pathology datasets for evaluation.

Main Results:

  • The mean pooling instance (MEAN-POOL-INS) model exhibited superior reliability.
  • MEAN-POOL-INS demonstrated high reliability despite simple design and efficiency.
  • Reliability varied across different MIL architectures and datasets.

Conclusions:

  • Reliability assessment is essential for MIL models in computational pathology.
  • MEAN-POOL-INS serves as a reliable and efficient baseline for WSI classification.
  • Findings support the clinical applicability of trustworthy MIL models.