A Human-in-the-Loop Framework for Efficient Prompt Selection in Microscopy Vision-Language Models

Deep-learning pipelines for microscopy image classification often require expensive, labor- and time-intensive expert annotation to produce high-quality ground truth for training. Recent work has shown that prompt tuning of vision-language models (VLMs) can reduce manual annotation by constructing a small prompt set of expert-verified image-caption exemplars that is reused as few-shot context to classify all remaining images at inference time. To further reduce effort, the VLM can draft captions for candidate exemplars, which experts then verify and lightly edit instead of writing text de novo. However, two practical questions remain unaddressed: (1) which unlabeled images should be prioritized for verification, and (2) how many verified exemplars are needed to reach a performance target. In this work, we address these questions by formulating prompt-set construction as a target-driven active learning problem that prioritizes which images to annotate. We study three complementary selection criteria under strict low-resource constraints with small unlabeled pools. Experiments show that our methods reach the target performance with substantially fewer expert-verified images than random selection, achieving 100% test accuracy with as few as 20 annotated images on average. More broadly, our human-in-the-loop framework demonstrates a human-centered use of generative AI in biomedical image analysis, where experts remain actively involved in verifying and refining model output while significantly reducing annotation cost. Code and data will be publicly available.

Active Prompt Tuning Enables Gpt-40 To Do Efficient Classification Of Microscopy Images

Traditional deep learning-based methods for classifying cellular features in microscopy images require time- and labor-intensive processes for training models. Among the current limitations are major time commitments from domain experts for accurate ground truth preparation; and the need for a large amount of input image data. We previously proposed a solution that overcomes these challenges using OpenAI's GPT-4(V) model on a pilot dataset (Iba-1 immuno-stained tissue sections from 11 mouse brains). Results on the pilot dataset were equivalent in accuracy and with a substantial improvement in throughput efficiency compared to the baseline using a traditional Convolutional Neural Net (CNN)-based approach. The present study builds upon this framework using a second unique and substantially larger dataset of microscopy images. Our current approach uses a newer and faster model, GPT-4o, along with improved prompts. It was evaluated on a microscopy image dataset captured at low (10x) magnification from cresyl-violet-stained sections through the cerebellum of a total of 18 mouse brains (9 Lurcher mice, 9 wild-type controls). We used our approach to classify these images either as a control group or Lurcher mutant. Using 6 mice in the prompt set the results were correct classification for 11 out of the 12 mice (92%) with 96% higher efficiency, reduced image requirements, and lower demands on time and effort of domain experts compared to the baseline method (snapshot ensemble of CNN models). These results confirm that our approach is effective across multiple datasets from different brain regions and magnifications, with minimal overhead.