No Arabic abstract
Histological subtype of papillary (p) renal cell carcinoma (RCC), type 1 vs. type 2, is an essential prognostic factor. The two subtypes of pRCC have a similar pattern, i.e., the papillary architecture, yet some subtle differences, including cellular and cell-layer level patterns. However, the cellular and cell-layer level patterns almost cannot be captured by existing CNN-based models in large-size histopathological images, which brings obstacles to directly applying these models to such a fine-grained classification task. This paper proposes a novel instance-based Vision Transformer (i-ViT) to learn robust representations of histopathological images for the pRCC subtyping task by extracting finer features from instance patches (by cropping around segmented nuclei and assigning predicted grades). The proposed i-ViT takes top-K instances as input and aggregates them for capturing both the cellular and cell-layer level patterns by a position-embedding layer, a grade-embedding layer, and a multi-head multi-layer self-attention module. To evaluate the performance of the proposed framework, experienced pathologists are invited to selected 1162 regions of interest from 171 whole slide images of type 1 and type 2 pRCC. Experimental results show that the proposed method achieves better performance than existing CNN-based models with a significant margin.
The grade of clear cell renal cell carcinoma (ccRCC) is a critical prognostic factor, making ccRCC nuclei grading a crucial task in RCC pathology analysis. Computer-aided nuclei grading aims to improve pathologists work efficiency while reducing their misdiagnosis rate by automatically identifying the grades of tumor nuclei within histopathological images. Such a task requires precisely segment and accurately classify the nuclei. However, most of the existing nuclei segmentation and classification methods can not handle the inter-class similarity property of nuclei grading, thus can not be directly applied to the ccRCC grading task. In this paper, we propose a Composite High-Resolution Network for ccRCC nuclei grading. Specifically, we propose a segmentation network called W-Net that can separate the clustered nuclei. Then, we recast the fine-grained classification of nuclei to two cross-category classification tasks, based on two high-resolution feature extractors (HRFEs) which are proposed for learning these two tasks. The two HRFEs share the same backbone encoder with W-Net by a composite connection so that meaningful features for the segmentation task can be inherited for the classification task. Last, a head-fusion block is applied to generate the predicted label of each nucleus. Furthermore, we introduce a dataset for ccRCC nuclei grading, containing 1000 image patches with 70945 annotated nuclei. We demonstrate that our proposed method achieves state-of-the-art performance compared to existing methods on this large ccRCC grading dataset.
Obtaining a large amount of labeled data in medical imaging is laborious and time-consuming, especially for histopathology. However, it is much easier and cheaper to get unlabeled data from whole-slide images (WSIs). Semi-supervised learning (SSL) is an effective way to utilize unlabeled data and alleviate the need for labeled data. For this reason, we proposed a framework that employs an SSL method to accurately detect cancerous regions with a novel annotation method called Minimal Point-Based annotation, and then utilize the predicted results with an innovative hybrid loss to train a classification model for subtyping. The annotator only needs to mark a few points and label them are cancer or not in each WSI. Experiments on three significant subtypes of renal cell carcinoma (RCC) proved that the performance of the classifier trained with the Min-Point annotated dataset is comparable to a classifier trained with the segmentation annotated dataset for cancer region detection. And the subtyping model outperforms a model trained with only diagnostic labels by 12% in terms of f1-score for testing WSIs.
This paper presents a new Vision Transformer (ViT) architecture Multi-Scale Vision Longformer, which significantly enhances the ViT of cite{dosovitskiy2020image} for encoding high-resolution images using two techniques. The first is the multi-scale model structure, which provides image encodings at multiple scales with manageable computational cost. The second is the attention mechanism of vision Longformer, which is a variant of Longformer cite{beltagy2020longformer}, originally developed for natural language processing, and achieves a linear complexity w.r.t. the number of input tokens. A comprehensive empirical study shows that the new ViT significantly outperforms several strong baselines, including the existing ViT models and their ResNet counterparts, and the Pyramid Vision Transformer from a concurrent work cite{wang2021pyramid}, on a range of vision tasks, including image classification, object detection, and segmentation. The models and source code are released at url{https://github.com/microsoft/vision-longformer}.
The recently developed vision transformer (ViT) has achieved promising results on image classification compared to convolutional neural networks. Inspired by this, in this paper, we study how to learn multi-scale feature representations in transformer models for image classification. To this end, we propose a dual-branch transformer to combine image patches (i.e., tokens in a transformer) of different sizes to produce stronger image features. Our approach processes small-patch and large-patch tokens with two separate branches of different computational complexity and these tokens are then fused purely by attention multiple times to complement each other. Furthermore, to reduce computation, we develop a simple yet effective token fusion module based on cross attention, which uses a single token for each branch as a query to exchange information with other branches. Our proposed cross-attention only requires linear time for both computational and memory complexity instead of quadratic time otherwise. Extensive experiments demonstrate that our approach performs better than or on par with several concurrent works on vision transformer, in addition to efficient CNN models. For example, on the ImageNet1K dataset, with some architectural changes, our approach outperforms the recent DeiT by a large margin of 2% with a small to moderate increase in FLOPs and model parameters. Our source codes and models are available at url{https://github.com/IBM/CrossViT}.
Red blood cells are highly deformable and present in various shapes. In blood cell disorders, only a subset of all cells is morphologically altered and relevant for the diagnosis. However, manually labeling of all cells is laborious, complicated and introduces inter-expert variability. We propose an attention based multiple instance learning method to classify blood samples of patients suffering from blood cell disorders. Cells are detected using an R-CNN architecture. With the features extracted for each cell, a multiple instance learning method classifies patient samples into one out of four blood cell disorders. The attention mechanism provides a measure of the contribution of each cell to the overall classification and significantly improves the networks classification accuracy as well as its interpretability for the medical expert.