arXiv:2511.06433cs.CV2025-11中稿 · IEEE/CVF Winter Co…

提出新方法让AI像真病理医生一样诊断,还知道自己的不确定

Diagnose Like A REAL Pathologist: An Uncertainty-Focused Approach for Trustworthy Multi-Resolution Multiple Instance Learning

  • 用多分辨率图像+局部不确定性损失,模拟病理医生看片过程
  • 在公开数据集上校准度优于顶尖方法,准确率也达领先水平
  • 无需反复推理即可校准结果,临床实用性强,适合医疗AI研发

随着对组织病理学标本检查与诊断报告需求的增长,基于多实例学习(MIL)的AI辅助诊断方案受到广泛关注。近期,采用多分辨率图像的方法显著提升了性能,但大多仅关注准确率,缺乏对预测校准性的研究,难以获得临床专家信任。本文提出不确定性聚焦的校准式多分辨率MIL(UFC-MIL),更贴近病理医生的阅片行为,同时提供可信赖的诊断结果。UFC-MIL引入一种新型逐块损失,学习实例的潜在模式并表达其分类不确定性;采用基于注意力的架构与邻近块聚合模块提取特征;通过块级不确定性直接校准最终预测,无需多次迭代推理,具备关键实用性。在多个具有挑战性的公开数据集上,UFC-MIL在模型校准性方面表现卓越,且分类准确率与当前最优方法相当。

原文摘要 · Abstract (English)

With the increasing demand for histopathological specimen examination and diagnostic reporting, Multiple Instance Learning (MIL) has received heightened research focus as a viable solution for AI-centric diagnostic aid. Recently, to improve its performance and make it work more like a pathologist, several MIL approaches based on the use of multiple-resolution images have been proposed, delivering often higher performance than those that use single-resolution images. Despite impressive recent developments of multiple-resolution MIL, previous approaches only focus on improving performance, thereby lacking research on well-calibrated MIL that clinical experts can rely on for trustworthy diagnostic results. In this study, we propose Uncertainty-Focused Calibrated MIL (UFC-MIL), which more closely mimics the pathologists' examination behaviors while providing calibrated diagnostic predictions, using multiple images with different resolutions. UFC-MIL includes a novel patch-wise loss that learns the latent patterns of instances and expresses their uncertainty for classification. Also, the attention-based architecture with a neighbor patch aggregation module collects features for the classifier. In addition, aggregated predictions are calibrated through patch-level uncertainty without requiring multiple iterative inferences, which is a key practical advantage. Against challenging public datasets, UFC-MIL shows superior performance in model calibration while achieving classification accuracy comparable to that of state-of-the-art methods.

病理分析多分辨率不确定性建模医疗AI

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