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Random features meet MIL: a deep GP approach to colorectal MSI prediction
Shixuan Shen1,2,3, Zeyang Wang1,2,3, Tianmu Liu4
1Tumor Etiology and Screening Department of Cancer Institute and General Surgery, The First Hospital of China Medical University, Shenyang, China.
NPJ Digital Medicine
|December 16, 2025
Summary
This study introduces a new deep learning method for colorectal cancer (CRC) classification using weakly labeled medical images. The approach enhances diagnostic accuracy and robustness for automated cancer detection.
Area of Science:
- Medical Imaging
- Computational Biology
- Artificial Intelligence
Background:
- Colorectal cancer (CRC) poses a significant global health challenge, with early diagnosis being critical for patient survival.
- Accurate prediction of CRC from medical images is hindered by challenges like weak supervision, data heterogeneity, and large datasets.
Purpose of the Study:
- To develop a novel deep learning approach for colorectal cancer classification using weakly labeled whole-slide images.
- To improve the accuracy, robustness, and interpretability of automated CRC detection models.
Main Methods:
- Integration of deep Gaussian processes (DGP) with multi-instance learning (MIL) to handle bag-level labels.
- Utilizing a deep Gaussian process with random feature expansion (DGP-RF) for improved classification performance.
- Incorporating an attention-based aggregation mechanism to focus on critical regions within whole-slide images.
Main Results:
- The proposed model achieved a superior Area Under the Curve (AUC) of 0.895 on the TCGA-CRC dataset.
- Outperformed established models like ResNet (0.777), EfficientNet (0.791), and ShuffleNet (0.784).
- Demonstrated enhanced accuracy and robustness in colorectal cancer classification.
Conclusions:
- The novel DGP-MIL approach offers a significant advancement in automated colorectal cancer detection from medical images.
- The model's performance suggests potential for clinical deployment in improving early diagnosis and patient outcomes.

