arXiv:2511.01304cs.CV2025-11被引 3

提出新框架解耦病理切片中实例的时空语义纠缠,提升可解释性。

Positive Semi-definite Latent Factor Grouping-Boosted Cluster-reasoning Instance Disentangled Learning for WSI Representation

  • 通过正半定隐因子分组缓解空间混淆
  • 在多中心数据上超越现有最优模型
  • 生成医生可理解的解耦表示与透明决策

多重实例学习(MIL)广泛用于全切片病理图像(WSI)表征,但实例间的空间、语义和决策纠缠限制了其表达能力与可解释性。为此,我们提出一种三阶段的隐因子分组增强聚类推理实例解耦学习框架,实现可解释的WSI表征。首先引入正半定隐因子分组,将实例映射至隐子空间,有效缓解MIL中的空间纠缠;为减轻语义纠缠,采用实例概率反事实推断与基于聚类推理的实例解耦优化;最后通过广义线性加权决策与实例效应重加权解决决策纠缠。在多个中心数据集上的大量实验表明,该模型优于所有现有先进方法,并通过解耦表示与透明决策过程实现病理科医生对齐的可解释性。

原文摘要 · Abstract (English)

Multiple instance learning (MIL) has been widely used for representing whole-slide pathology images. However, spatial, semantic, and decision entanglements among instances limit its representation and interpretability. To address these challenges, we propose a latent factor grouping-boosted cluster-reasoning instance disentangled learning framework for whole-slide image (WSI) interpretable representation in three phases. First, we introduce a novel positive semi-definite latent factor grouping that maps instances into a latent subspace, effectively mitigating spatial entanglement in MIL. To alleviate semantic entanglement, we employs instance probability counterfactual inference and optimization via cluster-reasoning instance disentangling. Finally, we employ a generalized linear weighted decision via instance effect re-weighting to address decision entanglement. Extensive experiments on multicentre datasets demonstrate that our model outperforms all state-of-the-art models. Moreover, it attains pathologist-aligned interpretability through disentangled representations and a transparent decision-making process.

病理图像可解释性实例解耦MIL

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