Object detection via inaccurate bounding boxes supervision has boosted a broad interest due to the expensive high-quality annotation data or the occasional inevitability of low annotation quality (\eg tiny objects). The previous works usually utilize multiple instance learning (MIL), which highly depends on category information, to select and refine a low-quality box. Those methods suffer from object drift, group prediction and part domination problems without exploring spatial information. In this paper, we heuristically propose a \textbf{Spatial Self-Distillation based Object Detector (SSD-Det)} to mine spatial information to refine the inaccurate box in a self-distillation fashion. SSD-Det utilizes a Spatial Position Self-Distillation \textbf{(SPSD)} module to exploit spatial information and an interactive structure to combine spatial information and category information, thus constructing a high-quality proposal bag. To further improve the selection procedure, a Spatial Identity Self-Distillation \textbf{(SISD)} module is introduced in SSD-Det to obtain spatial confidence to help select the best proposals. Experiments on MS-COCO and VOC datasets with noisy box annotation verify our method's effectiveness and achieve state-of-the-art performance. The code is available at https://github.com/ucas-vg/PointTinyBenchmark/tree/SSD-Det.
Visual anomaly detection aims to learn normality from normal images, but existing approaches are fragmented across various tasks: defect detection, semantic anomaly detection, multi-class anomaly detection, and anomaly clustering. This one-task-one-model approach is resource-intensive and incurs high maintenance costs as the number of tasks increases. We present UniFormaly, a universal and powerful anomaly detection framework. We emphasize the necessity of our off-the-shelf approach by pointing out a suboptimal issue in online encoder-based methods. We introduce Back Patch Masking (BPM) and top k-ratio feature matching to achieve unified anomaly detection. BPM eliminates irrelevant background regions using a self-attention map from self-supervised ViTs. This operates in a task-agnostic manner and alleviates memory storage consumption, scaling to tasks with large-scale datasets. Top k-ratio feature matching unifies anomaly levels and tasks by casting anomaly scoring into multiple instance learning. Finally, UniFormaly achieves outstanding results on various tasks and datasets. Codes are available at https://github.com/YoojLee/Uniformaly.
Multiple Instance Learning (MIL) has been widely applied to medical imaging diagnosis, where bag labels are known and instance labels inside bags are unknown. Traditional MIL assumes that instances in each bag are independent samples from a given distribution. However, instances are often spatially or sequentially ordered, and one would expect similar diagnostic importance for neighboring instances. To address this, in this study, we propose a smooth attention deep MIL (SA-DMIL) model. Smoothness is achieved by the introduction of first and second order constraints on the latent function encoding the attention paid to each instance in a bag. The method is applied to the detection of intracranial hemorrhage (ICH) on head CT scans. The results show that this novel SA-DMIL: (a) achieves better performance than the non-smooth attention MIL at both scan (bag) and slice (instance) levels; (b) learns spatial dependencies between slices; and (c) outperforms current state-of-the-art MIL methods on the same ICH test set.
Human activity recognition has potential to impact a wide range of applications from surveillance to human computer interfaces to content based video retrieval. Recently, the rapid development of inexpensive depth sensors (e.g. Microsoft Kinect) provides adequate accuracy for real-time full-body human tracking for activity recognition applications. In this paper, we create a complex human activity dataset depicting two person interactions, including synchronized video, depth and motion capture data. Moreover, we use our dataset to evaluate various features typically used for indexing and retrieval of motion capture data, in the context of real-time detection of interaction activities via Support Vector Machines (SVMs). Experimentally, we find that the geometric relational features based on distance between all pairs of joints outperforms other feature choices. For whole sequence classification, we also explore techniques related to Multiple Instance Learning (MIL) in which the sequence is represented by a bag of body-pose features. We find that the MIL based classifier outperforms SVMs when the sequences extend temporally around the interaction of interest.
Whole slide image (WSI) assessment is a challenging and crucial step in cancer diagnosis and treatment planning. WSIs require high magnifications to facilitate sub-cellular analysis. Precise annotations for patch- or even pixel-level classifications in the context of gigapixel WSIs are tedious to acquire and require domain experts. Coarse-grained labels, on the other hand, are easily accessible, which makes WSI classification an ideal use case for multiple instance learning (MIL). In our work, we propose a novel embedding-based Dual-Query MIL pipeline (DQ-MIL). We contribute to both the embedding and aggregation steps. Since all-purpose visual feature representations are not yet available, embedding models are currently limited in terms of generalizability. With our work, we explore the potential of dynamic meta-embedding based on cutting-edge self-supervised pre-trained models in the context of MIL. Moreover, we propose a new MIL architecture capable of combining MIL-attention with correlated self-attention. The Dual-Query Perceiver design of our approach allows us to leverage the concept of self-distillation and to combine the advantages of a small model in the context of a low data regime with the rich feature representation of a larger model. We demonstrate the superior performance of our approach on three histopathological datasets, where we show improvement of up to 10% over state-of-the-art approaches.
Due to its superior efficiency in utilizing annotations and addressing gigapixel-sized images, multiple instance learning (MIL) has shown great promise as a framework for whole slide image (WSI) classification in digital pathology diagnosis. However, existing methods tend to focus on advanced aggregators with different structures, often overlooking the intrinsic features of H\&E pathological slides. To address this limitation, we introduced two pathological priors: nuclear heterogeneity of diseased cells and spatial correlation of pathological tiles. Leveraging the former, we proposed a data augmentation method that utilizes stain separation during extractor training via a contrastive learning strategy to obtain instance-level representations. We then described the spatial relationships between the tiles using an adjacency matrix. By integrating these two views, we designed a multi-instance framework for analyzing H\&E-stained tissue images based on pathological inductive bias, encompassing feature extraction, filtering, and aggregation. Extensive experiments on the Camelyon16 breast dataset and TCGA-NSCLC Lung dataset demonstrate that our proposed framework can effectively handle tasks related to cancer detection and differentiation of subtypes, outperforming state-of-the-art medical image classification methods based on MIL. The code will be released later.
Acute Lymphoblastic Leukemia (ALL) is one of the most common types of childhood blood cancer. The quick start of the treatment process is critical to saving the patient's life, and for this reason, early diagnosis of this disease is essential. Examining the blood smear images of these patients is one of the methods used by expert doctors to diagnose this disease. Deep learning-based methods have numerous applications in medical fields, as they have significantly advanced in recent years. ALL diagnosis is not an exception in this field, and several machine learning-based methods for this problem have been proposed. In previous methods, high diagnostic accuracy was reported, but our work showed that this alone is not sufficient, as it can lead to models taking shortcuts and not making meaningful decisions. This issue arises due to the small size of medical training datasets. To address this, we constrained our model to follow a pipeline inspired by experts' work. We also demonstrated that, since a judgement based on only one image is insufficient, redefining the problem as a multiple-instance learning problem is necessary for achieving a practical result. Our model is the first to provide a solution to this problem in a multiple-instance learning setup. We introduced a novel pipeline for diagnosing ALL that approximates the process used by hematologists, is sensitive to disease biomarkers, and achieves an accuracy of 96.15%, an F1-score of 94.24%, a sensitivity of 97.56%, and a specificity of 90.91% on ALL IDB 1. Our method was further evaluated on an out-of-distribution dataset, which posed a challenging test and had acceptable performance. Notably, our model was trained on a relatively small dataset, highlighting the potential for our approach to be applied to other medical datasets with limited data availability.
Whole slide image (WSI) classification is an essential task in computational pathology. Despite the recent advances in multiple instance learning (MIL) for WSI classification, accurate classification of WSIs remains challenging due to the extreme imbalance between the positive and negative instances in bags, and the complicated pre-processing to fuse multi-scale information of WSI. To this end, we propose a novel multi-scale prototypical Transformer (MSPT) for WSI classification, which includes a prototypical Transformer (PT) module and a multi-scale feature fusion module (MFFM). The PT is developed to reduce redundant instances in bags by integrating prototypical learning into the Transformer architecture. It substitutes all instances with cluster prototypes, which are then re-calibrated through the self-attention mechanism of the Trans-former. Thereafter, an MFFM is proposed to fuse the clustered prototypes of different scales, which employs MLP-Mixer to enhance the information communication between prototypes. The experimental results on two public WSI datasets demonstrate that the proposed MSPT outperforms all the compared algorithms, suggesting its potential applications.
Weakly supervised whole slide image classification is usually formulated as a multiple instance learning (MIL) problem, where each slide is treated as a bag, and the patches cut out of it are treated as instances. Existing methods either train an instance classifier through pseudo-labeling or aggregate instance features into a bag feature through attention mechanisms and then train a bag classifier, where the attention scores can be used for instance-level classification. However, the pseudo instance labels constructed by the former usually contain a lot of noise, and the attention scores constructed by the latter are not accurate enough, both of which affect their performance. In this paper, we propose an instance-level MIL framework based on contrastive learning and prototype learning to effectively accomplish both instance classification and bag classification tasks. To this end, we propose an instance-level weakly supervised contrastive learning algorithm for the first time under the MIL setting to effectively learn instance feature representation. We also propose an accurate pseudo label generation method through prototype learning. We then develop a joint training strategy for weakly supervised contrastive learning, prototype learning, and instance classifier training. Extensive experiments and visualizations on four datasets demonstrate the powerful performance of our method. Codes are available at https://github.com/miccaiif/INS.
Occlusion and clutter are two scene states that make it difficult to detect anomalies in surveillance video. Furthermore, anomaly events are rare and, as a consequence, class imbalance and lack of labeled anomaly data are also key features of this task. Therefore, weakly supervised methods are heavily researched for this application. In this paper, we tackle these typical problems of anomaly detection in surveillance video by combining Multiple Instance Learning (MIL) to deal with the lack of labels and Multiple Camera Views (MC) to reduce occlusion and clutter effects. In the resulting MC-MIL algorithm we apply a multiple camera combined loss function to train a regression network with Sultani's MIL ranking function. To evaluate the MC-MIL algorithm first proposed here, the multiple camera PETS-2009 benchmark dataset was re-labeled for the anomaly detection task from multiple camera views. The result shows a significant performance improvement in F1 score compared to the single-camera configuration.
Survival prediction based on whole slide images (WSIs) is a challenging task for patient-level multiple instance learning (MIL). Due to the vast amount of data for a patient (one or multiple gigapixels WSIs) and the irregularly shaped property of WSI, it is difficult to fully explore spatial, contextual, and hierarchical interaction in the patient-level bag. Many studies adopt random sampling pre-processing strategy and WSI-level aggregation models, which inevitably lose critical prognostic information in the patient-level bag. In this work, we propose a hierarchical vision Transformer framework named HVTSurv, which can encode the local-level relative spatial information, strengthen WSI-level context-aware communication, and establish patient-level hierarchical interaction. Firstly, we design a feature pre-processing strategy, including feature rearrangement and random window masking. Then, we devise three layers to progressively obtain patient-level representation, including a local-level interaction layer adopting Manhattan distance, a WSI-level interaction layer employing spatial shuffle, and a patient-level interaction layer using attention pooling. Moreover, the design of hierarchical network helps the model become more computationally efficient. Finally, we validate HVTSurv with 3,104 patients and 3,752 WSIs across 6 cancer types from The Cancer Genome Atlas (TCGA). The average C-Index is 2.50-11.30% higher than all the prior weakly supervised methods over 6 TCGA datasets. Ablation study and attention visualization further verify the superiority of the proposed HVTSurv. Implementation is available at: https://github.com/szc19990412/HVTSurv.
Cell line authentication plays a crucial role in the biomedical field, ensuring researchers work with accurately identified cells. Supervised deep learning has made remarkable strides in cell line identification by studying cell morphological features through cell imaging. However, batch effects, a significant issue stemming from the different times at which data is generated, lead to substantial shifts in the underlying data distribution, thus complicating reliable differentiation between cell lines from distinct batch cultures. To address this challenge, we introduce CLANet, a pioneering framework for cross-batch cell line identification using brightfield images, specifically designed to tackle three distinct batch effects. We propose a cell cluster-level selection method to efficiently capture cell density variations, and a self-supervised learning strategy to manage image quality variations, thus producing reliable patch representations. Additionally, we adopt multiple instance learning(MIL) for effective aggregation of instance-level features for cell line identification. Our innovative time-series segment sampling module further enhances MIL's feature-learning capabilities, mitigating biases from varying incubation times across batches. We validate CLANet using data from 32 cell lines across 93 experimental batches from the AstraZeneca Global Cell Bank. Our results show that CLANet outperforms related approaches (e.g. domain adaptation, MIL), demonstrating its effectiveness in addressing batch effects in cell line identification.
Given the special situation of modeling gigapixel images, multiple instance learning (MIL) has become one of the most important frameworks for Whole Slide Image (WSI) classification. In current practice, most MIL networks often face two unavoidable problems in training: i) insufficient WSI data and ii) the sample memorization inclination inherent in neural networks. These problems may hinder MIL models from adequate and efficient training, suppressing the continuous performance promotion of classification models on WSIs. Inspired by the basic idea of Mixup, this paper proposes a new Pseudo-bag Mixup (PseMix) data augmentation scheme to improve the training of MIL models. This scheme generalizes the Mixup strategy for general images to special WSIs via pseudo-bags so as to be applied in MIL-based WSI classification. Cooperated by pseudo-bags, our PseMix fulfills the critical size alignment and semantic alignment in Mixup strategy. Moreover, it is designed as an efficient and decoupled method, neither involving time-consuming operations nor relying on MIL model predictions. Comparative experiments and ablation studies are specially designed to evaluate the effectiveness and advantages of our PseMix. Experimental results show that PseMix could often assist state-of-the-art MIL networks to refresh their classification performance on WSIs. Besides, it could also boost the generalization performance of MIL models in special test scenarios, and promote their robustness to patch occlusion and label noise. Our source code is available at https://github.com/liupei101/PseMix.
Multiple instance learning is an ideal mode of analysis for histopathology data, where vast whole slide images are typically annotated with a single global label. In such cases, a whole slide image is modelled as a collection of tissue patches to be aggregated and classified. Common models for performing this classification include recurrent neural networks and transformers. Although powerful compression algorithms, such as deep pre-trained neural networks, are used to reduce the dimensionality of each patch, the sequences arising from whole slide images remain excessively long, routinely containing tens of thousands of patches. Structured state space models are an emerging alternative for sequence modelling, specifically designed for the efficient modelling of long sequences. These models invoke an optimal projection of an input sequence into memory units that compress the entire sequence. In this paper, we propose the use of state space models as a multiple instance learner to a variety of problems in digital pathology. Across experiments in metastasis detection, cancer subtyping, mutation classification, and multitask learning, we demonstrate the competitiveness of this new class of models with existing state of the art approaches. Our code is available at https://github.com/MICS-Lab/s4_digital_pathology.
In conventional supervised classification, true labels are required for individual instances. However, it could be prohibitive to collect the true labels for individual instances, due to privacy concerns or unaffordable annotation costs. This motivates the study on classification from aggregate observations (CFAO), where the supervision is provided to groups of instances, instead of individual instances. CFAO is a generalized learning framework that contains various learning problems, such as multiple-instance learning and learning from label proportions. The goal of this paper is to present a novel universal method of CFAO, which holds an unbiased estimator of the classification risk for arbitrary losses -- previous research failed to achieve this goal. Practically, our method works by weighing the importance of each label for each instance in the group, which provides purified supervision for the classifier to learn. Theoretically, our proposed method not only guarantees the risk consistency due to the unbiased risk estimator but also can be compatible with arbitrary losses. Extensive experiments on various problems of CFAO demonstrate the superiority of our proposed method.
Multiple Instance Learning (MIL) is a weakly-supervised problem in which one label is assigned to the whole bag of instances. An important class of MIL models is instance-based, where we first classify instances and then aggregate those predictions to obtain a bag label. The most common MIL model is when we consider a bag as positive if at least one of its instances has a positive label. However, this reasoning does not hold in many real-life scenarios, where the positive bag label is often a consequence of a certain percentage of positive instances. To address this issue, we introduce a dedicated instance-based method called ProMIL, based on deep neural networks and Bernstein polynomial estimation. An important advantage of ProMIL is that it can automatically detect the optimal percentage level for decision-making. We show that ProMIL outperforms standard instance-based MIL in real-world medical applications. We make the code available.
Contrastive visual language pretraining has emerged as a powerful method for either training new language-aware image encoders or augmenting existing pretrained models with zero-shot visual recognition capabilities. However, existing works typically train on large datasets of image-text pairs and have been designed to perform downstream tasks involving only small to medium sized-images, neither of which are applicable to the emerging field of computational pathology where there are limited publicly available paired image-text datasets and each image can span up to 100,000 x 100,000 pixels. In this paper we present MI-Zero, a simple and intuitive framework for unleashing the zero-shot transfer capabilities of contrastively aligned image and text models on gigapixel histopathology whole slide images, enabling multiple downstream diagnostic tasks to be carried out by pretrained encoders without requiring any additional labels. MI-Zero reformulates zero-shot transfer under the framework of multiple instance learning to overcome the computational challenge of inference on extremely large images. We used over 550k pathology reports and other available in-domain text corpora to pre-train our text encoder. By effectively leveraging strong pre-trained encoders, our best model pretrained on over 33k histopathology image-caption pairs achieves an average median zero-shot accuracy of 70.2% across three different real-world cancer subtyping tasks. Our code is available at: https://github.com/mahmoodlab/MI-Zero.
Whole slide image (WSI) refers to a type of high-resolution scanned tissue image, which is extensively employed in computer-assisted diagnosis (CAD). The extremely high resolution and limited availability of region-level annotations make employing deep learning methods for WSI-based digital diagnosis challenging. Recently integrating multiple instance learning (MIL) and Transformer for WSI analysis shows very promising results. However, designing effective Transformers for this weakly-supervised high-resolution image analysis is an underexplored yet important problem. In this paper, we propose a Multi-level MIL (MMIL) scheme by introducing a hierarchical structure to MIL, which enables efficient handling of MIL tasks involving a large number of instances. Based on MMIL, we instantiated MMIL-Transformer, an efficient Transformer model with windowed exact self-attention for large-scale MIL tasks. To validate its effectiveness, we conducted a set of experiments on WSI classification tasks, where MMIL-Transformer demonstrate superior performance compared to existing state-of-the-art methods, i.e., 96.80% test AUC and 97.67% test accuracy on the CAMELYON16 dataset, 99.04% test AUC and 94.37% test accuracy on the TCGA-NSCLC dataset, respectively. All code and pre-trained models are available at: https://github.com/hustvl/MMIL-Transformer
In computational pathology, multiple instance learning (MIL) is widely used to circumvent the computational impasse in giga-pixel whole slide image (WSI) analysis. It usually consists of two stages: patch-level feature extraction and slide-level aggregation. Recently, pretrained models or self-supervised learning have been used to extract patch features, but they suffer from low effectiveness or inefficiency due to overlooking the task-specific supervision provided by slide labels. Here we propose a weakly-supervised Label-Efficient WSI Screening method, dubbed LESS, for cytological WSI analysis with only slide-level labels, which can be effectively applied to small datasets. First, we suggest using variational positive-unlabeled (VPU) learning to uncover hidden labels of both benign and malignant patches. We provide appropriate supervision by using slide-level labels to improve the learning of patch-level features. Next, we take into account the sparse and random arrangement of cells in cytological WSIs. To address this, we propose a strategy to crop patches at multiple scales and utilize a cross-attention vision transformer (CrossViT) to combine information from different scales for WSI classification. The combination of our two steps achieves task-alignment, improving effectiveness and efficiency. We validate the proposed label-efficient method on a urine cytology WSI dataset encompassing 130 samples (13,000 patches) and FNAC 2019 dataset with 212 samples (21,200 patches). The experiment shows that the proposed LESS reaches 84.79%, 85.43%, 91.79% and 78.30% on a urine cytology WSI dataset, and 96.88%, 96.86%, 98.95%, 97.06% on FNAC 2019 dataset in terms of accuracy, AUC, sensitivity and specificity. It outperforms state-of-the-art MIL methods on pathology WSIs and realizes automatic cytological WSI cancer screening.
Aortic stenosis (AS) is a degenerative valve condition that causes substantial morbidity and mortality. This condition is under-diagnosed and under-treated. In clinical practice, AS is diagnosed with expert review of transthoracic echocardiography, which produces dozens of ultrasound images of the heart. Only some of these views show the aortic valve. To automate screening for AS, deep networks must learn to mimic a human expert's ability to identify views of the aortic valve then aggregate across these relevant images to produce a study-level diagnosis. We find previous approaches to AS detection yield insufficient accuracy due to relying on inflexible averages across images. We further find that off-the-shelf attention-based multiple instance learning (MIL) performs poorly. We contribute a new end-to-end MIL approach with two key methodological innovations. First, a supervised attention technique guides the learned attention mechanism to favor relevant views. Second, a novel self-supervised pretraining strategy applies contrastive learning on the representation of the whole study instead of individual images as commonly done in prior literature. Experiments on an open-access dataset and an external validation set show that our approach yields higher accuracy while reducing model size.