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Deep weakly-supervised learning methods for classification and localization in histology images: a survey

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 Added by Soufiane Belharbi
 Publication date 2019
and research's language is English




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Using state-of-the-art deep learning models for cancer diagnosis presents several challenges related to the nature and availability of labeled histology images. In particular, cancer grading and localization in these images normally relies on both image- and pixel-level labels, the latter requiring a costly annotation process. In this survey, deep weakly-supervised learning (WSL) models are investigated to identify and locate diseases in histology images, without the need for pixel-level annotations. Given training data with global image-level labels, these models allow to simultaneously classify histology images and yield pixel-wise localization scores, thereby identifying the corresponding regions of interest (ROI). Since relevant WSL models have mainly been investigated within the computer vision community, and validated on natural scene images, we assess the extent to which they apply to histology images which have challenging properties, e.g. very large size, similarity between foreground/background, highly unstructured regions, stain heterogeneity, and noisy/ambiguous labels. The most relevant models for deep WSL are compared experimentally in terms of accuracy (classification and pixel-wise localization) on several public benchmark histology datasets for breast and colon cancer -- BACH ICIAR 2018, BreaKHis, CAMELYON16, and GlaS. Furthermore, for large-scale evaluation of WSL models on histology images, we propose a protocol to construct WSL datasets from Whole Slide Imaging. Results indicate that several deep learning models can provide a high level of classification accuracy, although accurate pixel-wise localization of cancer regions remains an issue for such images. Code is publicly available.



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Weakly-supervised learning (WSL) has recently triggered substantial interest as it mitigates the lack of pixel-wise annotations. Given global image labels, WSL methods yield pixel-level predictions (segmentations), which enable to interpret class predictions. Despite their recent success, mostly with natural images, such methods can face important challenges when the foreground and background regions have similar visual cues, yielding high false-positive rates in segmentations, as is the case in challenging histology images. WSL training is commonly driven by standard classification losses, which implicitly maximize model confidence, and locate the discriminative regions linked to classification decisions. Therefore, they lack mechanisms for modeling explicitly non-discriminative regions and reducing false-positive rates. We propose novel regularization terms, which enable the model to seek both non-discriminative and discriminative regions, while discouraging unbalanced segmentations. We introduce high uncertainty as a criterion to localize non-discriminative regions that do not affect classifier decision, and describe it with original Kullback-Leibler (KL) divergence losses evaluating the deviation of posterior predictions from the uniform distribution. Our KL terms encourage high uncertainty of the model when the latter inputs the latent non-discriminative regions. Our loss integrates: (i) a cross-entropy seeking a foreground, where model confidence about class prediction is high; (ii) a KL regularizer seeking a background, where model uncertainty is high; and (iii) log-barrier terms discouraging unbalanced segmentations. Comprehensive experiments and ablation studies over the public GlaS colon cancer data and a Camelyon16 patch-based benchmark for breast cancer show substantial improvements over state-of-the-art WSL methods, and confirm the effect of our new regularizers.
Weakly-Supervised Object Detection (WSOD) and Localization (WSOL), i.e., detecting multiple and single instances with bounding boxes in an image using image-level labels, are long-standing and challenging tasks in the CV community. With the success of deep neural networks in object detection, both WSOD and WSOL have received unprecedented attention. Hundreds of WSOD and WSOL methods and numerous techniques have been proposed in the deep learning era. To this end, in this paper, we consider WSOL is a sub-task of WSOD and provide a comprehensive survey of the recent achievements of WSOD. Specifically, we firstly describe the formulation and setting of the WSOD, including the background, challenges, basic framework. Meanwhile, we summarize and analyze all advanced techniques and training tricks for improving detection performance. Then, we introduce the widely-used datasets and evaluation metrics of WSOD. Lastly, we discuss the future directions of WSOD. We believe that these summaries can help pave a way for future research on WSOD and WSOL.
89 - Yiqiu Shen , Nan Wu , Jason Phang 2020
Medical images differ from natural images in significantly higher resolutions and smaller regions of interest. Because of these differences, neural network architectures that work well for natural images might not be applicable to medical image analysis. In this work, we extend the globally-aware multiple instance classifier, a framework we proposed to address these unique properties of medical images. This model first uses a low-capacity, yet memory-efficient, network on the whole image to identify the most informative regions. It then applies another higher-capacity network to collect details from chosen regions. Finally, it employs a fusion module that aggregates global and local information to make a final prediction. While existing methods often require lesion segmentation during training, our model is trained with only image-level labels and can generate pixel-level saliency maps indicating possible malignant findings. We apply the model to screening mammography interpretation: predicting the presence or absence of benign and malignant lesions. On the NYU Breast Cancer Screening Dataset, consisting of more than one million images, our model achieves an AUC of 0.93 in classifying breasts with malignant findings, outperforming ResNet-34 and Faster R-CNN. Compared to ResNet-34, our model is 4.1x faster for inference while using 78.4% less GPU memory. Furthermore, we demonstrate, in a reader study, that our model surpasses radiologist-level AUC by a margin of 0.11. The proposed model is available online: https://github.com/nyukat/GMIC.
Weakly-supervised object localization (WSOL) has gained popularity over the last years for its promise to train localization models with only image-level labels. Since the seminal WSOL work of class activation mapping (CAM), the field has focused on how to expand the attention regions to cover objects more broadly and localize them better. However, these strategies rely on full localization supervision to validate hyperparameters and for model selection, which is in principle prohibited under the WSOL setup. In this paper, we argue that WSOL task is ill-posed with only image-level labels, and propose a new evaluation protocol where full supervision is limited to only a small held-out set not overlapping with the test set. We observe that, under our protocol, the five most recent WSOL methods have not made a major improvement over the CAM baseline. Moreover, we report that existing WSOL methods have not reached the few-shot learning baseline, where the full-supervision at validation time is used for model training instead. Based on our findings, we discuss some future directions for WSOL.
Weakly Supervised Object Localization (WSOL) methodsusually rely on fully convolutional networks in order to ob-tain class activation maps(CAMs) of targeted labels. How-ever, these networks always highlight the most discriminativeparts to perform the task, the located areas are much smallerthan entire targeted objects. In this work, we propose a novelend-to-end model to enlarge CAMs generated from classifi-cation models, which can localize targeted objects more pre-cisely. In detail, we add an additional module in traditionalclassification networks to extract foreground object propos-als from images without classifying them into specific cate-gories. Then we set these normalized regions as unrestrictedpixel-level mask supervision for the following classificationtask. We collect a set of images defined as Background ImageSet from the Internet. The number of them is much smallerthan the targeted dataset but surprisingly well supports themethod to extract foreground regions from different pictures.The region extracted is independent from classification task,where the extracted region in each image covers almost en-tire object rather than just a significant part. Therefore, theseregions can serve as masks to supervise the response mapgenerated from classification models to become larger andmore precise. The method achieves state-of-the-art results onCUB-200-2011 in terms of Top-1 and Top-5 localization er-ror while has a competitive result on ILSVRC2016 comparedwith other approaches.

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