Deep learning enables the modelling of high-resolution histopathology whole-slide images (WSI). Weakly supervised learning of tile-level data is typically applied for tasks where labels only exist on the patient or WSI level (e.g. patient outcomes or histological grading). In this context, there is a need for improved spatial interpretability of predictions from such models. We propose a novel method, Wsi rEgion sElection aPproach (WEEP), for model interpretation. It provides a principled yet straightforward way to establish the spatial area of WSI required for assigning a particular prediction label. We demonstrate WEEP on a binary classification task in the area of breast cancer computational pathology. WEEP is easy to implement, is directly connected to the model-based decision process, and offers information relevant to both research and diagnostic applications.
Graph Neural Networks (GNNs) have garnered widespread attention for their potential to address the challenges posed by graph representation learning, which face complex graph-structured data across various domains. However, due to the inherent complexity and interconnectedness of graphs, accurately annotating graph data for training GNNs is extremely challenging. To address this issue, we have introduced Partial Label Learning (PLL) into graph representation learning. PLL is a critical weakly supervised learning problem where each training instance is associated with a set of candidate labels, including the ground-truth label and the additional interfering labels. PLL allows annotators to make errors, which reduces the difficulty of data labeling. Subsequently, we propose a novel graph representation learning method that enables GNN models to effectively learn discriminative information within the context of PLL. Our approach utilizes potential cause extraction to obtain graph data that holds causal relationships with the labels. By conducting auxiliary training based on the extracted graph data, our model can effectively eliminate the interfering information in the PLL scenario. We support the rationale behind our method with a series of theoretical analyses. Moreover, we conduct extensive evaluations and ablation studies on multiple datasets, demonstrating the superiority of our proposed method.
Accurate identification of breast masses is crucial in diagnosing breast cancer; however, it can be challenging due to their small size and being camouflaged in surrounding normal glands. Worse still, it is also expensive in clinical practice to obtain adequate pixel-wise annotations for training deep neural networks. To overcome these two difficulties with one stone, we propose a semi- and weakly-supervised learning framework for mass segmentation that utilizes limited strongly-labeled samples and sufficient weakly-labeled samples to achieve satisfactory performance. The framework consists of an auxiliary branch to exclude lesion-irrelevant background areas, a segmentation branch for final prediction, and a spatial prompting module to integrate the complementary information of the two branches. We further disentangle encoded obscure features into lesion-related and others to boost performance. Experiments on CBIS-DDSM and INbreast datasets demonstrate the effectiveness of our method.
Partial Multi-label Learning (PML) is a type of weakly supervised learning where each training instance corresponds to a set of candidate labels, among which only some are true. In this paper, we introduce \our{}, a novel probabilistic approach to this problem that extends the binary cross entropy to the PML setup. In contrast to existing methods, it does not require suboptimal disambiguation and, as such, can be applied to any deep architecture. Furthermore, experiments conducted on artificial and real-world datasets indicate that \our{} outperforms existing approaches, especially for high noise in a candidate set.
Artificial Intelligence (AI) has great potential to improve health outcomes by training systems on vast digitized clinical datasets. Computational Pathology, with its massive amounts of microscopy image data and impact on diagnostics and biomarkers, is at the forefront of this development. Gigapixel pathology slides pose a unique challenge due to their enormous size and are usually divided into tens of thousands of smaller tiles for analysis. This results in a discontinuity in the machine learning process by separating the training of tile-level encoders from slide-level aggregators and the need to adopt weakly supervised learning strategies. Training models from entire pathology slides end-to-end has been largely unexplored due to its computational challenges. To overcome this problem, we propose a novel approach to jointly train both a tile encoder and a slide-aggregator fully in memory and end-to-end at high-resolution, bridging the gap between input and slide-level supervision. While more computationally expensive, detailed quantitative validation shows promise for large-scale pre-training and fine-tuning of pathology foundation models.
3D medical image segmentation is a challenging task with crucial implications for disease diagnosis and treatment planning. Recent advances in deep learning have significantly enhanced fully supervised medical image segmentation. However, this approach heavily relies on labor-intensive and time-consuming fully annotated ground-truth labels, particularly for 3D volumes. To overcome this limitation, we propose a novel probabilistic-aware weakly supervised learning pipeline, specifically designed for 3D medical imaging. Our pipeline integrates three innovative components: a Probability-based Pseudo Label Generation technique for synthesizing dense segmentation masks from sparse annotations, a Probabilistic Multi-head Self-Attention network for robust feature extraction within our Probabilistic Transformer Network, and a Probability-informed Segmentation Loss Function to enhance training with annotation confidence. Demonstrating significant advances, our approach not only rivals the performance of fully supervised methods but also surpasses existing weakly supervised methods in CT and MRI datasets, achieving up to 18.1% improvement in Dice scores for certain organs. The code is available at https://github.com/runminjiang/PW4MedSeg.
Understanding sleep and activity patterns plays a crucial role in physical and mental health. This study introduces a novel approach for sleep detection using weakly supervised learning for scenarios where reliable ground truth labels are unavailable. The proposed method relies on a set of weak labels, derived from the predictions generated by conventional sleep detection algorithms. Introducing a novel approach, we suggest a novel generalised non-linear statistical model in which the number of weak sleep labels is modelled as outcome of a binomial distribution. The probability of sleep in the binomial distribution is linked to the outcomes of neural networks trained to detect sleep based on actigraphy. We show that maximizing the likelihood function of the model, is equivalent to minimizing the soft cross-entropy loss. Additionally, we explored the use of the Brier score as a loss function for weak labels. The efficacy of the suggested modelling framework was demonstrated using the Multi-Ethnic Study of Atherosclerosis dataset. A \gls{lstm} trained on the soft cross-entropy outperformed conventional sleep detection algorithms, other neural network architectures and loss functions in accuracy and model calibration. This research not only advances sleep detection techniques in scenarios where ground truth data is scarce but also contributes to the broader field of weakly supervised learning by introducing innovative approach in modelling sets of weak labels.
Federated learning (FL) effectively mitigates the data silo challenge brought about by policies and privacy concerns, implicitly harnessing more data for deep model training. However, traditional centralized FL models grapple with diverse multi-center data, especially in the face of significant data heterogeneity, notably in medical contexts. In the realm of medical image segmentation, the growing imperative to curtail annotation costs has amplified the importance of weakly-supervised techniques which utilize sparse annotations such as points, scribbles, etc. A pragmatic FL paradigm shall accommodate diverse annotation formats across different sites, which research topic remains under-investigated. In such context, we propose a novel personalized FL framework with learnable prompt and aggregation (FedLPPA) to uniformly leverage heterogeneous weak supervision for medical image segmentation. In FedLPPA, a learnable universal knowledge prompt is maintained, complemented by multiple learnable personalized data distribution prompts and prompts representing the supervision sparsity. Integrated with sample features through a dual-attention mechanism, those prompts empower each local task decoder to adeptly adjust to both the local distribution and the supervision form. Concurrently, a dual-decoder strategy, predicated on prompt similarity, is introduced for enhancing the generation of pseudo-labels in weakly-supervised learning, alleviating overfitting and noise accumulation inherent to local data, while an adaptable aggregation method is employed to customize the task decoder on a parameter-wise basis. Extensive experiments on four distinct medical image segmentation tasks involving different modalities underscore the superiority of FedLPPA, with its efficacy closely parallels that of fully supervised centralized training. Our code and data will be available.
We tackle the problem of bias mitigation of algorithmic decisions in a setting where both the output of the algorithm and the sensitive variable are continuous. Most of prior work deals with discrete sensitive variables, meaning that the biases are measured for subgroups of persons defined by a label, leaving out important algorithmic bias cases, where the sensitive variable is continuous. Typical examples are unfair decisions made with respect to the age or the financial status. In our work, we then propose a bias mitigation strategy for continuous sensitive variables, based on the notion of endogeneity which comes from the field of econometrics. In addition to solve this new problem, our bias mitigation strategy is a weakly supervised learning method which requires that a small portion of the data can be measured in a fair manner. It is model agnostic, in the sense that it does not make any hypothesis on the prediction model. It also makes use of a reasonably large amount of input observations and their corresponding predictions. Only a small fraction of the true output predictions should be known. This therefore limits the need for expert interventions. Results obtained on synthetic data show the effectiveness of our approach for examples as close as possible to real-life applications in econometrics.
Medical image segmentation is increasingly reliant on deep learning techniques, yet the promising performance often come with high annotation costs. This paper introduces Weak-Mamba-UNet, an innovative weakly-supervised learning (WSL) framework that leverages the capabilities of Convolutional Neural Network (CNN), Vision Transformer (ViT), and the cutting-edge Visual Mamba (VMamba) architecture for medical image segmentation, especially when dealing with scribble-based annotations. The proposed WSL strategy incorporates three distinct architecture but same symmetrical encoder-decoder networks: a CNN-based UNet for detailed local feature extraction, a Swin Transformer-based SwinUNet for comprehensive global context understanding, and a VMamba-based Mamba-UNet for efficient long-range dependency modeling. The key concept of this framework is a collaborative and cross-supervisory mechanism that employs pseudo labels to facilitate iterative learning and refinement across the networks. The effectiveness of Weak-Mamba-UNet is validated on a publicly available MRI cardiac segmentation dataset with processed scribble annotations, where it surpasses the performance of a similar WSL framework utilizing only UNet or SwinUNet. This highlights its potential in scenarios with sparse or imprecise annotations. The source code is made publicly accessible.
Traditional language models, adept at next-token prediction in text sequences, often struggle with transduction tasks between distinct symbolic systems, particularly when parallel data is scarce. Addressing this issue, we introduce \textit{symbolic autoencoding} ($\Sigma$AE), a self-supervised framework that harnesses the power of abundant unparallel data alongside limited parallel data. $\Sigma$AE connects two generative models via a discrete bottleneck layer and is optimized end-to-end by minimizing reconstruction loss (simultaneously with supervised loss for the parallel data), such that the sequence generated by the discrete bottleneck can be read out as the transduced input sequence. We also develop gradient-based methods allowing for efficient self-supervised sequence learning despite the discreteness of the bottleneck. Our results demonstrate that $\Sigma$AE significantly enhances performance on transduction tasks, even with minimal parallel data, offering a promising solution for weakly supervised learning scenarios.
Weakly supervised learning with noisy data has drawn attention in the medical imaging community due to the sparsity of high-quality disease labels. However, little is known about the limitations of such weakly supervised learning and the effect of these constraints on disease classification performance. In this paper, we test the effects of such weak supervision by examining model tolerance for three conditions. First, we examined model tolerance for noisy data by incrementally increasing error in the labels within the training data. Second, we assessed the impact of dataset size by varying the amount of training data. Third, we compared performance differences between binary and multi-label classification. Results demonstrated that the model could endure up to 10% added label error before experiencing a decline in disease classification performance. Disease classification performance steadily rose as the amount of training data was increased for all disease classes, before experiencing a plateau in performance at 75% of training data. Last, the binary model outperformed the multilabel model in every disease category. However, such interpretations may be misleading, as the binary model was heavily influenced by co-occurring diseases and may not have learned the specific features of the disease in the image. In conclusion, this study may help the medical imaging community understand the benefits and risks of weak supervision with noisy labels. Such studies demonstrate the need to build diverse, large-scale datasets and to develop explainable and responsible AI.
Partial label learning (PLL) is a weakly-supervised learning paradigm where each training instance is paired with a set of candidate labels (partial label), one of which is the true label. Noisy PLL (NPLL) relaxes this constraint by allowing some partial labels to not contain the true label, enhancing the practicality of the problem. Our work centres on NPLL and presents a minimalistic framework that initially assigns pseudo-labels to images by exploiting the noisy partial labels through a weighted nearest neighbour algorithm. These pseudo-label and image pairs are then used to train a deep neural network classifier with label smoothing. The classifier's features and predictions are subsequently employed to refine and enhance the accuracy of pseudo-labels. We perform thorough experiments on seven datasets and compare against nine NPLL and PLL methods. We achieve state-of-the-art results in all studied settings from the prior literature, obtaining substantial gains in fine-grained classification and extreme noise scenarios. Further, we show the promising generalisation capability of our framework in realistic crowd-sourced datasets.
Deep-learning-based automated segmentation of vascular structures in preoperative CT scans contributes to computer-assisted diagnosis and intervention procedure in vascular diseases. While CT angiography (CTA) is the common standard, non-contrast CT imaging is significant as a contrast-risk-free alternative, avoiding complications associated with contrast agents. However, the challenges of labor-intensive labeling and high labeling variability due to the ambiguity of vascular boundaries hinder conventional strong-label-based, fully-supervised learning in non-contrast CTs. This paper introduces a weakly-supervised framework using ellipses' topology in slices, including 1) an efficient annotation process based on predefined standards, 2) ellipse-fitting processing, 3) the generation of 2D Gaussian heatmaps serving as pseudo labels, 4) a training process through a combination of voxel reconstruction loss and distribution loss with the pseudo labels. We assess the effectiveness of the proposed method on one local and two public datasets comprising non-contrast CT scans, particularly focusing on the abdominal aorta. On the local dataset, our weakly-supervised learning approach based on pseudo labels outperforms strong-label-based fully-supervised learning (1.54\% of Dice score on average), reducing labeling time by around 82.0\%. The efficiency in generating pseudo labels allows the inclusion of label-agnostic external data in the training set, leading to an additional improvement in performance (2.74\% of Dice score on average) with a reduction of 66.3\% labeling time, where the labeling time remains considerably less than that of strong labels. On the public dataset, the pseudo labels achieve an overall improvement of 1.95\% in Dice score for 2D models while a reduction of 11.65 voxel spacing in Hausdorff distance for 3D model.
Weakly supervised learning generally faces challenges in applicability to various scenarios with diverse weak supervision and in scalability due to the complexity of existing algorithms, thereby hindering the practical deployment. This paper introduces a general framework for learning from weak supervision (GLWS) with a novel algorithm. Central to GLWS is an Expectation-Maximization (EM) formulation, adeptly accommodating various weak supervision sources, including instance partial labels, aggregate statistics, pairwise observations, and unlabeled data. We further present an advanced algorithm that significantly simplifies the EM computational demands using a Non-deterministic Finite Automaton (NFA) along with a forward-backward algorithm, which effectively reduces time complexity from quadratic or factorial often required in existing solutions to linear scale. The problem of learning from arbitrary weak supervision is therefore converted to the NFA modeling of them. GLWS not only enhances the scalability of machine learning models but also demonstrates superior performance and versatility across 11 weak supervision scenarios. We hope our work paves the way for further advancements and practical deployment in this field.
The classification of carotid artery ultrasound images is a crucial means for diagnosing carotid plaques, holding significant clinical relevance for predicting the risk of stroke. Recent research suggests that utilizing plaque segmentation as an auxiliary task for classification can enhance performance by leveraging the correlation between segmentation and classification tasks. However, this approach relies on obtaining a substantial amount of challenging-to-acquire segmentation annotations. This paper proposes a novel weakly supervised auxiliary task learning network model (WAL-Net) to explore the interdependence between carotid plaque classification and segmentation tasks. The plaque classification task is primary task, while the plaque segmentation task serves as an auxiliary task, providing valuable information to enhance the performance of the primary task. Weakly supervised learning is adopted in the auxiliary task to completely break away from the dependence on segmentation annotations. Experiments and evaluations are conducted on a dataset comprising 1270 carotid plaque ultrasound images from Wuhan University Zhongnan Hospital. Results indicate that the proposed method achieved an approximately 1.3% improvement in carotid plaque classification accuracy compared to the baseline network. Specifically, the accuracy of mixed-echoic plaques classification increased by approximately 3.3%, demonstrating the effectiveness of our approach.
Video Anomaly Detection (VAD) has been extensively studied under the settings of One-Class Classification (OCC) and Weakly-Supervised learning (WS), which however both require laborious human-annotated normal/abnormal labels. In this paper, we study Unsupervised VAD (UVAD) that does not depend on any label by combining OCC and WS into a unified training framework. Specifically, we extend OCC to weighted OCC (wOCC) and propose a wOCC-WS interleaving training module, where the two models automatically generate pseudo-labels for each other. We face two challenges to make the combination effective: (1) Models' performance fluctuates occasionally during the training process due to the inevitable randomness of the pseudo labels. (2) Thresholds are needed to divide pseudo labels, making the training depend on the accuracy of user intervention. For the first problem, we propose to use wOCC requiring soft labels instead of OCC trained with hard zero/one labels, as soft labels exhibit high consistency throughout different training cycles while hard labels are prone to sudden changes. For the second problem, we repeat the interleaving training module multiple times, during which we propose an adaptive thresholding strategy that can progressively refine a rough threshold to a relatively optimal threshold, which reduces the influence of user interaction. A benefit of employing OCC and WS methods to compose a UVAD method is that we can incorporate the most recent OCC or WS model into our framework. Experiments demonstrate the effectiveness of the proposed UVAD framework.
Colorectal cancer (CRC) micro-satellite instability (MSI) prediction on histopathology images is a challenging weakly supervised learning task that involves multi-instance learning on gigapixel images. To date, radiology images have proven to have CRC MSI information and efficient patient imaging techniques. Different data modalities integration offers the opportunity to increase the accuracy and robustness of MSI prediction. Despite the progress in representation learning from the whole slide images (WSI) and exploring the potential of making use of radiology data, CRC MSI prediction remains a challenge to fuse the information from multiple data modalities (e.g., pathology WSI and radiology CT image). In this paper, we propose $M^{2}$Fusion: a Bayesian-based multimodal multi-level fusion pipeline for CRC MSI. The proposed fusion model $M^{2}$Fusion is capable of discovering more novel patterns within and across modalities that are beneficial for predicting MSI than using a single modality alone, as well as other fusion methods. The contribution of the paper is three-fold: (1) $M^{2}$Fusion is the first pipeline of multi-level fusion on pathology WSI and 3D radiology CT image for MSI prediction; (2) CT images are the first time integrated into multimodal fusion for CRC MSI prediction; (3) feature-level fusion strategy is evaluated on both Transformer-based and CNN-based method. Our approach is validated on cross-validation of 352 cases and outperforms either feature-level (0.8177 vs. 0.7908) or decision-level fusion strategy (0.8177 vs. 0.7289) on AUC score.
To handle the large scale of whole slide images in computational pathology, most approaches first tessellate the images into smaller patches, extract features from these patches, and finally aggregate the feature vectors with weakly-supervised learning. The performance of this workflow strongly depends on the quality of the extracted features. Recently, foundation models in computer vision showed that leveraging huge amounts of data through supervised or self-supervised learning improves feature quality and generalizability for a variety of tasks. In this study, we benchmark the most popular vision foundation models as feature extractors for histopathology data. We evaluate the models in two settings: slide-level classification and patch-level classification. We show that foundation models are a strong baseline. Our experiments demonstrate that by finetuning a foundation model on a single GPU for only two hours or three days depending on the dataset, we can match or outperform state-of-the-art feature extractors for computational pathology. These findings imply that even with little resources one can finetune a feature extractor tailored towards a specific downstream task and dataset. This is a considerable shift from the current state, where only few institutions with large amounts of resources and datasets are able to train a feature extractor. We publish all code used for training and evaluation as well as the finetuned models.
This work investigates how hierarchically structured data can help neural networks learn conceptual representations of cathedrals. The underlying WikiScenes dataset provides a spatially organized hierarchical structure of cathedral components. We propose a novel hierarchical contrastive training approach that leverages a triplet margin loss to represent the data's spatial hierarchy in the encoder's latent space. As such, the proposed approach investigates if the dataset structure provides valuable information for self-supervised learning. We apply t-SNE to visualize the resultant latent space and evaluate the proposed approach by comparing it with other dataset-specific contrastive learning methods using a common downstream classification task. The proposed method outperforms the comparable weakly-supervised and baseline methods. Our findings suggest that dataset structure is a valuable modality for weakly-supervised learning.