arXiv:2507.22092q-bio.QMcs.AI2025-07中稿 · ed被引 9

病理大模型仍受扫描仪差异影响,新方法提升跨扫描仪泛化能力。

Pathology Foundation Models are Scanner Sensitive: Benchmark and Mitigation with Contrastive ScanGen Loss

  • 引入对比损失ScanGen,在微调阶段减少扫描仪带来的偏差。
  • 在肺癌组织切片上预测EGFR突变,跨扫描仪准确率显著提升。
  • 适合临床部署的病理分析模型研发者参考。

计算病理学(CPath)在挖掘全切片图像(WSIs)中的可行动洞察方面展现出巨大潜力。深度学习(DL)是现代CPath的核心,尽管性能卓越,但其易受扫描过程中引入的无关细节影响,导致不同扫描仪间出现扫描仪偏差,进而降低临床医生对CPath工具的信任并阻碍其在真实场景的应用。近期的病理基础模型(FMs)被寄予更高领域泛化能力的期望。本文通过多扫描仪数据集对FMs进行基准测试,发现即使基础模型仍存在扫描仪偏差。基于此,我们提出在特定任务微调中使用对比损失ScanGen,以缓解扫描仪偏差,增强模型对扫描仪变化的鲁棒性。该方法应用于肺癌H&E染色切片的表皮生长因子受体(EGFR)突变预测的多实例学习任务,结果显示ScanGen显著提升了跨扫描仪的泛化能力,同时保持或提升了预测性能。

原文摘要 · Abstract (English)

Computational pathology (CPath) has shown great potential in mining actionable insights from Whole Slide Images (WSIs). Deep Learning (DL) has been at the center of modern CPath, and while it delivers unprecedented performance, it is also known that DL may be affected by irrelevant details, such as those introduced during scanning by different commercially available scanners. This may lead to scanner bias, where the model outputs for the same tissue acquired by different scanners may vary. In turn, it hinders the trust of clinicians in CPath-based tools and their deployment in real-world clinical practices. Recent pathology Foundation Models (FMs) promise to provide better domain generalization capabilities. In this paper, we benchmark FMs using a multi-scanner dataset and show that FMs still suffer from scanner bias. Following this observation, we propose ScanGen, a contrastive loss function applied during task-specific fine-tuning that mitigates scanner bias, thereby enhancing the models' robustness to scanner variations. Our approach is applied to the Multiple Instance Learning task of Epidermal Growth Factor Receptor (EGFR) mutation prediction from H\&E-stained WSIs in lung cancer. We observe that ScanGen notably enhances the ability to generalize across scanners, while retaining or improving the performance of EGFR mutation prediction.

病理大模型扫描仪偏差对比学习

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