Automatic Report Generation for Histopathology images using pre-trained Vision Transformers and BERT

Deep learning for histopathology has been successfully used for disease classification, image segmentation and more. However, combining image and text modalities using current state-of-the-art methods has been a challenge due to the high resolution of histopathology images. Automatic report generation for histopathology images is one such challenge. In this work, we show that using an existing pre-trained Vision Transformer in a two-step process of first using it to encode 4096x4096 sized patches of the Whole Slide Image (WSI) and then using it as the encoder and a pre-trained Bidirectional Encoder Representations from Transformers (BERT) model for language modeling-based decoder for report generation, we can build a fairly performant and portable report generation mechanism that takes into account the whole of the high resolution image, instead of just the patches. Our method allows us to not only generate and evaluate captions that describe the image, but also helps us classify the image into tissue types and the gender of the patient as well. Our best performing model achieves a 79.98% accuracy in Tissue Type classification and 66.36% accuracy in classifying the sex of the patient the tissue came from, with a BLEU-4 score of 0.5818 in our caption generation task.

Automatic Report Generation for Histopathology images using pre-trained Vision Transformers

Deep learning for histopathology has been successfully used for disease classification, image segmentation and more. However, combining image and text modalities using current state-of-the-art methods has been a challenge due to the high resolution of histopathology images. Automatic report generation for histopathology images is one such challenge. In this work, we show that using an existing pre-trained Vision Transformer in a two-step process of first using it to encode 4096x4096 sized patches of the Whole Slide Image (WSI) and then using it as the encoder and an LSTM decoder for report generation, we can build a fairly performant and portable report generation mechanism that takes into account the whole of the high resolution image, instead of just the patches. We are also able to use representations from an existing powerful pre-trained hierarchical vision transformer and show its usefulness in not just zero shot classification but also for report generation.

Label-efficient Contrastive Learning-based model for nuclei detection and classification in 3D Cardiovascular Immunofluorescent Images

Recently, deep learning-based methods achieved promising performance in nuclei detection and classification applications. However, training deep learning-based methods requires a large amount of pixel-wise annotated data, which is time-consuming and labor-intensive, especially in 3D images. An alternative approach is to adapt weak-annotation methods, such as labeling each nucleus with a point, but this method does not extend from 2D histopathology images (for which it was originally developed) to 3D immunofluorescent images. The reason is that 3D images contain multiple channels (z-axis) for nuclei and different markers separately, which makes training using point annotations difficult. To address this challenge, we propose the Label-efficient Contrastive learning-based (LECL) model to detect and classify various types of nuclei in 3D immunofluorescent images. Previous methods use Maximum Intensity Projection (MIP) to convert immunofluorescent images with multiple slices to 2D images, which can cause signals from different z-stacks to falsely appear associated with each other. To overcome this, we devised an Extended Maximum Intensity Projection (EMIP) approach that addresses issues using MIP. Furthermore, we performed a Supervised Contrastive Learning (SCL) approach for weakly supervised settings. We conducted experiments on cardiovascular datasets and found that our proposed framework is effective and efficient in detecting and classifying various types of nuclei in 3D immunofluorescent images.

Analyzing historical diagnosis code data from NIH N3C and RECOVER Programs using deep learning to determine risk factors for Long Covid

Post-acute sequelae of SARS-CoV-2 infection (PASC) or Long COVID is an emerging medical condition that has been observed in several patients with a positive diagnosis for COVID-19. Historical Electronic Health Records (EHR) like diagnosis codes, lab results and clinical notes have been analyzed using deep learning and have been used to predict future clinical events. In this paper, we propose an interpretable deep learning approach to analyze historical diagnosis code data from the National COVID Cohort Collective (N3C) to find the risk factors contributing to developing Long COVID. Using our deep learning approach, we are able to predict if a patient is suffering from Long COVID from a temporally ordered list of diagnosis codes up to 45 days post the first COVID positive test or diagnosis for each patient, with an accuracy of 70.48\%. We are then able to examine the trained model using Gradient-weighted Class Activation Mapping (GradCAM) to give each input diagnoses a score. The highest scored diagnosis were deemed to be the most important for making the correct prediction for a patient. We also propose a way to summarize these top diagnoses for each patient in our cohort and look at their temporal trends to determine which codes contribute towards a positive Long COVID diagnosis.

Weakly Supervised Deep Instance Nuclei Detection using Points Annotation in 3D Cardiovascular Immunofluorescent Images

Two major causes of death in the United States and worldwide are stroke and myocardial infarction. The underlying cause of both is thrombi released from ruptured or eroded unstable atherosclerotic plaques that occlude vessels in the heart (myocardial infarction) or the brain (stroke). Clinical studies show that plaque composition plays a more important role than lesion size in plaque rupture or erosion events. To determine the plaque composition, various cell types in 3D cardiovascular immunofluorescent images of plaque lesions are counted. However, counting these cells manually is expensive, time-consuming, and prone to human error. These challenges of manual counting motivate the need for an automated approach to localize and count the cells in images. The purpose of this study is to develop an automatic approach to accurately detect and count cells in 3D immunofluorescent images with minimal annotation effort. In this study, we used a weakly supervised learning approach to train the HoVer-Net segmentation model using point annotations to detect nuclei in fluorescent images. The advantage of using point annotations is that they require less effort as opposed to pixel-wise annotation. To train the HoVer-Net model using point annotations, we adopted a popularly used cluster labeling approach to transform point annotations into accurate binary masks of cell nuclei. Traditionally, these approaches have generated binary masks from point annotations, leaving a region around the object unlabeled (which is typically ignored during model training). However, these areas may contain important information that helps determine the boundary between cells. Therefore, we used the entropy minimization loss function in these areas to encourage the model to output more confident predictions on the unlabeled areas. Our comparison studies indicate that the HoVer-Net model trained using our weakly ...

MaNi: Maximizing Mutual Information for Nuclei Cross-Domain Unsupervised Segmentation

In this work, we propose a mutual information (MI) based unsupervised domain adaptation (UDA) method for the cross-domain nuclei segmentation. Nuclei vary substantially in structure and appearances across different cancer types, leading to a drop in performance of deep learning models when trained on one cancer type and tested on another. This domain shift becomes even more critical as accurate segmentation and quantification of nuclei is an essential histopathology task for the diagnosis/ prognosis of patients and annotating nuclei at the pixel level for new cancer types demands extensive effort by medical experts. To address this problem, we maximize the MI between labeled source cancer type data and unlabeled target cancer type data for transferring nuclei segmentation knowledge across domains. We use the Jensen-Shanon divergence bound, requiring only one negative pair per positive pair for MI maximization. We evaluate our set-up for multiple modeling frameworks and on different datasets comprising of over 20 cancer-type domain shifts and demonstrate competitive performance. All the recently proposed approaches consist of multiple components for improving the domain adaptation, whereas our proposed module is light and can be easily incorporated into other methods (Implementation: https://github.com/YashSharma/MaNi ).

Encoding Cardiopulmonary Exercise Testing Time Series as Images for Classification using Convolutional Neural Network

Exercise testing has been available for more than a half-century and is a remarkably versatile tool for diagnostic and prognostic information of patients for a range of diseases, especially cardiovascular and pulmonary. With rapid advancements in technology, wearables, and learning algorithm in the last decade, its scope has evolved. Specifically, Cardiopulmonary exercise testing (CPX) is one of the most commonly used laboratory tests for objective evaluation of exercise capacity and performance levels in patients. CPX provides a non-invasive, integrative assessment of the pulmonary, cardiovascular, and skeletal muscle systems involving the measurement of gas exchanges. However, its assessment is challenging, requiring the individual to process multiple time series data points, leading to simplification to peak values and slopes. But this simplification can discard the valuable trend information present in these time series. In this work, we encode the time series as images using the Gramian Angular Field and Markov Transition Field and use it with a convolutional neural network and attention pooling approach for the classification of heart failure and metabolic syndrome patients. Using GradCAMs, we highlight the discriminative features identified by the model.

Toward Knowledge Discovery Framework for Data Science Job Market in the United States

The growth of the data science field requires better tools to understand such a fast-paced growing domain. Moreover, individuals from different backgrounds became interested in following a career as data scientists. Therefore, providing a quantitative guide for individuals and organizations to understand the skills required in the job market would be crucial. This paper introduces a framework to analyze the job market for data science-related jobs within the US while providing an interface to access insights in this market. The proposed framework includes three sub-modules allowing continuous data collection, information extraction, and a web-based dashboard visualization to investigate the spatial and temporal distribution of data science-related jobs and skills. The result of this work shows important skills for the main branches of data science jobs and attempts to provide a skill-based definition of these data science branches. The current version of this application is deployed on the web and allows individuals and institutes to investigate skills required for data science positions through the industry lens.