arXiv:2410.10260cs.CV2024-10被引 6

通过滑片间关联提升病理图像建模,增强癌症诊断准确性

Slide-based Graph Collaborative Training for Histopathology Whole Slide Image Analysis

  • 构建滑片图结构,利用肿瘤发展连续性建模滑片间关联
  • 在4类任务中均显著提升7个主流框架的性能
  • 适用于需要病理演变先验知识的癌症分析场景

计算病理学的发展依赖于肿瘤病理特征对癌症诊断的重要指导意义。现有研究多关注单张全切片图像(WSI)内部上下文信息,忽视了不同滑片间的潜在关联。由于肿瘤发展是一个包含组织学、形态学和遗传学变化的连续过程,不同阶段、分级、部位及患者间的WSI差异与相似性应有助于提升其表征能力,值得在建模中加以考虑。为验证引入滑片间关联的有效性,我们提出通用的滑片图协同训练框架SlideGCD,可适配任意现有多重实例学习(MIL)框架并提升其性能。该新范式使癌症发展先验知识融入端到端流程,同时初始化并优化滑片表示,作为滑片图中消息传递的引导。在4项任务(癌种分型、分期、生存预测、基因突变预测)上,以7个代表性的前沿WSI分析框架为基底,进行了充分对比与实验,验证了该方法的有效性与鲁棒性。

原文摘要 · Abstract (English)

The development of computational pathology lies in the consensus that pathological characteristics of tumors are significant guidance for cancer diagnostics. Most existing research focuses on the inner-contextual information within each WSI yet ignores the possible inter-correlations between slides. As the development of tumors is a continuous process involving a series of histological, morphological, and genetic changes that accumulate over time, the similarities and differences between WSIs across various stages, grades, locations and patients should potentially contribute to the representation of WSIs and deserve to be taken into account in WSI modeling. To verify the advancement of introducing the slide inter-correlations into the representation learning of WSIs, we proposed a generic WSI analysis pipeline SlideGCD that can be adapted to any existing Multiple Instance Learning (MIL) frameworks and improve their performance. With the new paradigm, the prior knowledge of cancer development can participate in the end-to-end workflow, which concurrently initializes and refines the slide representation, as a guide for message passing in the slide-based graph. Extensive comparisons and experiments are conducted to validate the effectiveness and robustness of the proposed pipeline across 4 different tasks, including cancer subtyping, cancer staging, survival prediction, and gene mutation prediction, with 7 representative SOTA WSI analysis frameworks as backbones.

病理图像图神经网络癌症诊断滑片分析

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